Illinois residents, by video.

The Wabash is a state line and not much else. Plenty of people in southeastern Illinois work, shop and get their healthcare on the Indiana side, and telehealth removes the last piece of friction.

The rest of the state is covered too. A downstate farmer and a Chicago attorney get the same hour.

• Individual therapy for adults.
• Couples counseling, with partners in one place or two.
• Men who would rather not be seen walking into an office in a small town.

It is not an app, a subscription, or a rotating pool of counselors. It is one counselor with 26 years in solo practice, meeting you at a set time.

It is not a crisis service either. If you are in crisis, call or text 988, or call 911.

Same conversation. Just a camera instead of a chair across the room.

Most counselors hold one license and it decides who they can see. I hold a second one for Illinois, and that is the whole reason the state line stops being the thing that determines whether you can get an hour.

This comes up constantly along the Wabash. People live on one side and work on the other. A man clocks out in Indiana, drives home to Illinois and has no idea which state his counselor is allowed to meet him in. The answer here is both, so the question stops mattering.

It matters in the other direction as well. If your week takes you across for two days, we do not have to skip a session or invent a workaround. You are covered sitting in either state, and the schedule stays intact, which is more important to the work than people realize. Momentum is most of it.

An hour from Olney and an hour from a high-rise in Chicago look identical on my end. There is no drive being saved for one and not the other, no tier of service, no shorter session because you are further away.

What does change by region is what people bring. Downstate, the conversations often circle work that does not stop, family land, a marriage that has run on logistics for two decades, and a strong local preference for handling things privately. Further north it is more often pace: the job that eats the week, the calendar with nothing in it that belongs to you, the sense of being extremely busy and not entirely present anywhere.

The work is the same either way. Cognitive behavioral therapy, one counselor, a set hour, and something specific to do before we meet again.

Two things to sort out ahead of time. First, where you will physically be, because that is what governs licensure, and if the answer is neither Indiana nor Illinois that day, we move the hour rather than proceed.

Second, the room. Somewhere the door shuts and nobody wanders through. Headphones. A charged device. If home does not offer that, a parked vehicle is a legitimate answer and a common one.

Then it is a conversation. I will ask what is going on, what you have already tried, and what you want different, and you will leave knowing whether you want a second one.

I am licensed in Indiana and Illinois only, so you must be in one of those states at session time.

Self-pay only. I do not take insurance and I provide an out-of-network superbill if you want to file with your plan. There is a 48 hour cancellation policy.

You will need a private space, a stable connection and headphones. Scheduling is done by phone.