Outpatient therapy is ongoing, one-on-one counseling with a licensed mental health professional — for the anxiety, the low weeks, the grief, the trauma, or the weight you've been carrying. No diagnosis required. No crisis required. Just a regular appointment with someone who gets to know your story.
Need help right now? If you're in a crisis, call 844-428-3878 — any hour, any day.

You meet with the same licensed therapist on a regular schedule — usually weekly or every other week — and work through what's going on, over time. You are not admitted anywhere. You don't stay overnight. You come in, talk, and leave with a little more room to breathe than you came in with.
People come for all kinds of reasons: anxiety that won't quiet down, a depression that's worn a groove, grief that didn't shrink on the timeline everyone promised, the aftermath of something hard, or just a season where life is heavier than usual. You do not need a diagnosis to start, and you do not need to be in crisis.
And if you ever need more than a weekly conversation, you're already inside a connected system — Inside Out can step you up to crisis support, or work alongside our other services, without you starting over with strangers.
You don't have to wait until the wheels fall off. You don't have to prove your pain is bad enough. If any of these sound familiar, that's reason enough.
If you saw yourself in any of these, that's reason enough to reach out.
No jargon, no hoops. Steady, human support, on your terms.
You see the same person each time — someone who remembers where you left off, so you're not starting from scratch every session.
There's no "sick enough" bar to clear and no finish line we impose. You share what you're ready to, and we go at the speed that feels right.
We build a regular time around your job, your family, and everything else you're already carrying — so therapy fits into your week instead of upending it.
If you ever need more than a weekly conversation, we can bring in crisis, peer, or resource support from across Inside Out — without you having to explain yourself all over again.
If the idea of a first appointment makes you nervous, that's normal. Here's exactly what to expect — no surprises.
It's about an hour. You'll fill out a few forms to start, and then you talk — about what brought you in and what you're hoping for.
You set the pace. Share only what you're ready to. And telling your therapist you feel overwhelmed does not automatically trigger an emergency response — they're trained to listen first.
You're not locked in. If the first therapist isn't the right fit, that's okay — the goal is a good match, and we'll help you find it.
Adults and kids alike, navigating anxiety, depression, grief, trauma, stress, life transitions, or strained relationships. Come for yourself, or reach out on behalf of your child or someone you love. No referral, no diagnosis, and no crisis required — just a willingness to talk.
Three steps, and a real person with you from the first one.
Call our office at 515-642-7070 or email info@insideoutiowa.org. A real person helps you figure out the next step — you can also reach out for a family member.
We learn what you're looking for and match you with a therapist who fits. Think of it as a no-pressure consultation — not a commitment, not a quiz.
Scheduled at a time that works for you — in person or by telehealth. The work begins at whatever pace feels right — and you go from there, one conversation at a time.
Whether you've been thinking about this for years or just today, the first step is the same — a simple conversation. We'll listen first.