Mental Health Counseling

When help for a mental health crisis or difficult life transition is needed, the decision to enter counseling can be a difficult one. Knowing who to turn to for help can be just as difficult. We are here to help.

A Friend in the Darkness

Our minds are created to be beautifully complex, capable of enjoying great pleasure but also sometimes enduring significant pain. Trauma, emotional distress or mental illness can negatively impact anyone, and when it does, we are left searching for answers without knowing where to find help.

Lutheran Family Service offers professional mental health counseling from master’s prepared and licensed therapists. As we meet with you in a private, confidential and relaxed office setting, you can begin to explore your thoughts and feelings in a nonjudgmental, safe environment.

If you are struggling, worried, angry, sad or afraid, call us. The decision to begin counseling can be a difficult one, but it is important. Our counselors are prepared to treat a variety of mental health concerns, including but not limited to:

  • Depression and suicidal thoughts
  • Anxiety and worry
  • Trauma or post-traumatic stress disorder (PTSD)
  • Personality disorders
  • Grief and loss
  • Parenting concerns
  • Life transitions
  • Work and career concerns
  • Abuse survivors
  • Chronic mental illness

We’re here to listen, to understand and to help you sort through your situation, however complicated, hopeless or overwhelming it may seem.

Learn how Lutheran Family Service helped Madison Find the Way Forward

Call today to make an appointment with your nearest LFS counselor. Reaching out and inquiring costs nothing and commits you to nothing. Scroll down to find the number for the location nearest you and allow our capable staff to answer any questions you may have.

Our Locations in Iowa

Call to learn more about our services and for our capable staff to answer any questions you may have. Or you may use the contact form at the bottom of this page.

Bettendorf, IA


Carroll, IA


Council Bluffs, IA


Fort Dodge, IA


Jefferson, IA


Manning, IA


Perry, IA


Urbandale, IA


Not close enough to one of our offices?

While in-person counseling sessions are preferred, Lutheran Family Service does offer Distance Counseling as an alternative to those that live too far from one of our offices.

Contact Us to Begin Distance Counseling

Our Locations in Nebraska

Norfolk, NE


Toni Larson, LISW at Lutheran Family Service, addresses some of the most frequently asked questions about mental health, Christian counseling, and more in this “Ask The Expert” video.


Common Questions

When your life is unsettled, even deciding to get help is a difficult decision. Here are a few common questions about Lutheran Family Service’s mental health counseling and their answers.

Is counseling right for me? I can usually solve my problems on my own.

Asking others for help is not a sign of weakness, but a sign of strength. In today’s fast-paced world, everyone could benefit from having a safe, confidential, trustworthy place to share burdens. LFS counseling allows you to not have to carry your burdens alone. We can help lighten your load and walk towards wellness together.

What is counseling like?

Counseling begins with an assessment designed to give you and your counselor a complete picture of your concerns. Your LFS counselor may ask questions about your history to more fully understand your current situation. Together, you and your counselor will set goals and work to resolve anything that stands in the way of your successfully achieving them.

How long will I need to be in counseling?

Each person and situation is unique, so there is no definite predetermined timeline. We center your appointments around your needs, and if you are committed to working hard, you will see improvement. LFS clients find counseling to be effective, with 98% reporting they were satisfied or very satisfied with their relationship with their counselor and the help they received.

How much will this cost?

LFS accepts a variety of insurance plans. We can help you determine what your insurance benefits are before you start, and we submit the billing for you. If you aren’t able to access insurance, you can use our sliding fee scale. Thanks to the partnership LFS shares with many individuals, organizations and congregations in Iowa who care about you, your counseling can be provided based on what you are able to pay.

Is what I talk about in counseling going to remain confidential?

Absolutely. Anything said in a counseling session is held in the strictest confidentiality in accordance with professional ethical standards and the Health Insurance Portability and Accountability Act (HIPAA).

I have found my counselor's approach to counseling and her methods to be very effective. I feel very engaged and comfortable. This style has helped me open up and understand the benefits of counseling.

- Mark

From the Blog

6 Ways to Cope with Anxiety
by Rev. Dave Gunderson, LMFT

When anxiety takes over, it can lead to multiple harmful effects on your health and well-being. Thankfully, there are healthy ways to cope with anxiety producing thoughts, and even stress that can lead to anxious thoughts.

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