Caroline Oestreich, LISW

Hi, I'm Caroline! I'm so glad you're here. Starting therapy can feel like a big step, especially when you're already navigating a lot. You don't need to know exactly what you need or have everything figured out to get started. I'm here to offer a supportive, nonjudgmental space where you can explore what's going on, make sense of your experiences, and figure out what moving forward might look like for you. My goal is to create a warm, nonjudgmental space where you can be yourself, feel understood, and work toward meaningful change. Here With You Counseling is an LGBTQIA+ affirming practice where all identities are welcomed and celebrated. Who you are and what you've been through matter. As a Licensed Independent Social Worker (LISW), I provide in-person individual therapy for adults and adolescents (12+) in West Des Moines, Iowa, with secure virtual counseling available throughout Iowa. I work with clients experiencing anxiety, depression, trauma, grief, life transitions, women's issues, chronic stress, relationship concerns, perfectionism, people-pleasing, low self-esteem, and feeling overwhelmed by the demands of everyday life. You deserve a life that feels like more than just getting through it. My experience spans hospitals, hospice care, Veterans Affairs, child protective services, school-based mental health, and private practice. These experiences have shaped how I understand the impact of trauma, loss, relationships, family dynamics, and life changes on our well-being. I'm here to offer a space where you can show up as you are, explore what feels difficult, and recognize the strengths you already carry. Together, we'll make space for the hard conversations, celebrate the progress you make, and approach challenges with curiosity rather than judgment. I also believe healing can include laughter, lighthearted moments, and opportunities to see yourself beyond what you're going through. My hope is that you leave each session feeling understood, supported, and more connected to your own ability to move forward. My approach is collaborative, person-centered, and trauma-informed. I integrate Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and strengths-based approaches to help you understand yourself, manage difficult emotions, challenge unhelpful patterns, and build a life that reflects what matters to you. Ready to get started? I’m currently accepting new clients. You can request an intake appointment online or schedule a free 15-minute phone consultation to ask questions and see if we’re a good fit. Hours: Monday - Thursday, 9am to 5pm