Online therapy in Iowa
Thoughtful, evidence-based couples and individual therapy by secure video, for people anywhere in Iowa. The same Gottman-grounded work I do in person, from the comfort of your own home.
Real therapy, wherever you are in Iowa
I'm Cassandra Monroe, a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor, and I'm licensed to provide therapy to clients across Iowa. Whether you're in Des Moines, Cedar Rapids, Davenport, Iowa City, or a small town an hour from the nearest practice, you can do meaningful work without a long drive or a crowded waiting room.
My approach is grounded in the Gottman Method, one of the most extensively researched approaches to couples therapy. Online sessions use the same tools, the same structure, and the same warmth I bring to in-person work. For a lot of Iowa couples and individuals, telehealth simply removes the friction that used to get in the way of starting.
What we can work on together
Every service below is available to Iowa clients through secure telehealth.
Couples & marriage
Communication that keeps going in circles, distance that crept in slowly, recurring conflict, or simply wanting to feel like a team again. Couples counseling built on the Gottman Method.
Individual therapy
Space to work through anxiety, life transitions, self-worth, and the patterns you keep running into. Individual therapy at your own pace.
Affair & betrayal recovery
Rebuilding trust after an affair or broken agreement is hard, careful work. Betrayal recovery gives it structure and a path forward.
Substance use & addiction
As a licensed LCADC, I support clients and couples affected by substance use, including the strain it puts on a relationship. Learn more.
Relationships & premarital
Dating with intention, getting ready for marriage, or navigating a new chapter together. Support for relationships at every stage.
Families & children
Help for parents and families working through change, communication, and connection at home.
How online therapy works in Iowa
Telehealth is based on where you are sitting, not where I am. Because I'm licensed in Iowa, I can see anyone physically located in the state during our session, so you can meet from home, a parked car on a lunch break, or anywhere private and quiet.
- Sessions happen over secure, private video. I send you a link before each one.
- All you need is a phone, tablet, or computer with a camera and a steady internet connection.
- Iowa runs on Central Time, and we'll find a session time that fits around work, kids, and life.
- Couples can join from the same room or from two different locations when schedules require it.
Does online therapy actually work?
Short answer: yes. Studies comparing online and in-person couples therapy have found comparable results, and many people actually attend more consistently when sessions are virtual. If you'd like the longer answer, I wrote about what the research shows on the effectiveness of couples therapy.
Insurance and getting started
I work with several major insurance plans and also offer out-of-network and private-pay options (including cash). Because coverage can vary from state to state, the simplest thing is to reach out and I'll help you check your specific plan in Iowa before we begin.
Getting started is straightforward: send a message through the contact form or call 775.400.2834. We'll set up a time to talk about what's bringing you in and whether we're a good fit, with no pressure either way. You can also read more about me first.
Online therapy in Iowa: common questions
Do you offer online therapy to clients in Iowa?
Yes. I'm licensed in Iowa and see clients across the state through secure video sessions. You can take part from home or anywhere private with a stable internet connection.
Who can you see for online therapy in Iowa?
Anyone physically located in Iowa at the time of the session, including couples, individuals, and families. Telehealth rules are based on where you're sitting, not where I am.
Is online therapy as effective as in person?
Research comparing online and in-person couples therapy has found similar outcomes, and many people attend more consistently when sessions are virtual. You can read more in my article on whether couples therapy works.
What do I need for a telehealth session in Iowa?
A phone, tablet, or computer with a camera, a stable internet connection, and a private space where you can speak freely. I send a secure link before each session.
Do you take insurance in Iowa?
I work with several major insurance plans and also offer out-of-network and private-pay options (including cash). Coverage can vary by state, so reach out and I'll help you check your specific plan in Iowa.
Therapy that meets you at home in Iowa.
When you're ready, I'm here for couples, individuals, and families across Iowa by secure telehealth.
or call 775.400.2834