Spruce & SParrow Counseling Services

You’re Here Because You’re Ready to Do the Work

A woman sitting on a beige armchair with plants on either side, holding a cup, wearing a black polka dot blouse and green pants, with visible tattoos on her arms. Chelsea McConaha, LCSW, a mental health telehealth therapist in Kentucky.

Telehealth Therapy for Kentucky & North Carolina

Care for Trauma, Grief, OCD, EMDR, Anxiety, Depression, Relationship Issues, Emotional Dysregulation, & Disconnect from Your Identity & Creative Self

Chelsea McConaha, MSW, CSW, LCSW

Private Telehealth Psychotherapy Services for Kentucky and North Carolina

Colorful chevron pattern with rainbow-colored horizontal stripes and the text 'Every one is welcome here' with a white heart at the end. LGBTQIA+ safe space flag. All identities are welcome to do therapy with us.

  • Telehealth Therapy for Kentucky & North Carolina

    → Kentucky: Private Pay, Sliding Scale, & Insurance Coverage Offered Via Anthem, Aetna, United, Carelon, UHC, Cigna, & Optum
    → North Carolina: Private Pay, Sliding Scale for Applicable Clients

You’re brain isn’t broken,

it’s trying to protect you. 

So let’s teach it that you’re a safe advocate for its needs.

That way, you can both find peace.

Spruce & Sparrow Counseling Services offers a private, identity-affirming space to do just that from the comfort of your own home or safe space. We will provide the guidance, compassion, & tools to rewire anxious patterns, challenge your automatic thoughts/feelings, & restore trust in yourself.

A woman using a laptop on her lap in an indoor space, surrounded by potted plants, with a cat standing nearby near the window. Telehealth services made to meet you where you at for Kentuckians.

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You’re a people-pleaser who strives to bring others joy, but can’t find it for yourself.

You’re exhausted by obsessive, cyclical, &/or anxious thought patterns.

You’re a survivor of grief, trauma, &/or loss and are uncertain of what to do with the immense feelings you carry.

You’re so self-aware and good at compartmentalizing that therapy hasn’t felt truly effective yet.

You’ve finally made a safe life for yourself & begun to break generational curses, but you still feel triggered, overwhelmed, or unable to focus on nurturing your identity and/or your relationships.

Emotional Neglect, abuse in childhood/past relationships has left you feeling dysregulated & struggling with anxious attachment patterns.

You’re a creative hoping to overcome blocks, connect more deeply with yourself & your art form, & step away from productivity-based worth.

A woman with tattoos on her arms, wearing a black polka dot top, holding a mug, sitting in a cozy room with plants and a beige chair in the background. Chelsea McConaha, LCSW mental health therapist who specializes in OCD, PTSD, Grief, and EMDR.

Hey there. I’m Chelsea. 

And I’m here to tell you, you’re not a problem to be fixed. You’re a person to be cared for.

Whether it be OCD, Anxiety, Grief, Trauma, Disconnectedness from your Creative Self, People-Pleasing, or Emotional Dysregulation that exhausts you, you’re here because you’re ready for real, lasting change. You’re ready to do the work, because you’re worth it. And I’m so proud of you for that.

I believe that healing and growth requires softness & accountability. This is a space to validate your pain, your identity, your pronouns, & your story, but it’s also a space that will leave you feeling challenged, empowered, & with tools in your toolbox. I want to teach you how to set boundaries, break free of cyclical thinking/behaviors, & show up for yourself every day, one teeny tiny tangible task at a time.

This is therapy for the ones who want action, clarity, & peace that lasts. If this sounds like you, then let’s get to work.

MORE ABOUT ME
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How I Can Help

  • Mindfulness & Somatic Therapy

    Learn to release your stored tension, physiological & emotional anxiety, & foster present-moment awareness. Modern trauma research emphasizes the importance of not only regulating the mind, but the body. You'll learn practical exercises for grounding your body so that it may guide the mind out of fight-or-flight. This means you & your nervous system can finally rest.

  • EMDR

    Some wounds live deeper than traditional talk therapy can reach. Eye Movement Desensitization & Reprocessing is a powerful, evidence-based approach for releasing emotional charge, reframing distressing memories, building stress tolerance, & uprooting stuck narrative & limiting beliefs. By utilizing bilateral stimulation through eye movement, audio stimuli, &/or tapping, you activate a larger amount of your brain’s neural pathways to process stress, trauma, &/or old patterns of thinking more healthily.

  • Creative Expression Interventions

    If you are a creative, I also offer a safe space for you to dive more deeply into your craft, the story your art tells, & the healing it offers your body/mind so that we may integrate your preferred mediums into your therapy homework. All means of expression are welcome & encouraged. This is also a space to explore the symbolism, deeper stories, & inner-child work that comes with your favorite art forms, whatever they may be.

  • DBT

    Dialectical Behavioral Therapy fosters the relationship with yourself & others from the ground up. Gain practical skills in emotional regulation, distress tolerance,& interpersonal effectiveness to better navigate life’s challenges with resilience & self-compassion. “Dialectical” means we are nurturing two opposing elements: a curiosity & acceptance of your current behaviors while also holding ourselves accountable to healthier ways of being.

  • Solution-Focused Therapy

    You want to leave session with teeny tiny tangible tasks for helping you when you feel stuck & overwhelmed. Focus on your strengths & goals to create positive change quickly. SFT identifies what you can & cannot control within each moment, stressful environment, & session. Through a pragmatic lens, I’ll cater fresh tools & exercises to your unique needs and abilities so that you can find the kinesis you’re coming to therapy for.

  • CBT

    Cognitive Behavioral Therapy helps you understand the cause, effect, & connections, obstacles, & motivators behind what you think, feel, & do. It challenges you to be curious about unhelpful thought patterns & behaviors that fuel stress & allows you to explore ways to move towards more intentional living that aligns with your goals & identity. If one of your goals is to build healthier habits & a stronger sense of self, CBT is your gal.

What I Can Help With

  • OCD

    Feeling trapped by repetitive thoughts &/or rituals? Are specific fears playing on loop? Obsessive Compulsive Disorder is an incredibly exhaustive & self-defeating illness that often feels hopeless without direction. OCD is often born after a version of us experiences feelings or circumstances of chaos, a lack of control, or immense discomfort. This can occur as a result of childhood stressors, neglect, trauma, loss, or fear. From imagined exposures to building stress tolerance in your body, please know, there is hope, & we will go at your pace to nurture it.

  • Grief/Loss

    The immensity & complexity of your grief is a direct reflection of the immensity & complexity of the love you had for what/whom was lost. We can grieve those who’ve died, emotionally unavailable loved ones who are still with us, parts of ourselves & even unmet needs or expectations. Your fight-or-flight brain likely pinballs between looking for ways to “fix” the grief, running through the list of what you “should’ve done” to stop it, & desperately avoiding thinking about it at all costs. We will explore strategies for coping & methods for sitting with grief in a fresh way.

  • Discovering Identity & the Creative Self

    Nurturing your creative self & identity is such an incredible gift to give your future self. We will explore topics such as value systems, culture, interests, outlets of expression, obstacles to the self, motivators for growth, more meaningful strategies for self care & self compassion, creative blocks, & much more. For those hoping to reconnect to their inner child, their inner creative, or simply a deeper sense of joy with their current self, this space is for you. Creative interventions of all mediums are welcome as well.

  • Anxiety

    Constant worry or overwhelm wearing you down? Are you afraid to sit with your thoughts too long for fear of spiraling? We’ll uncover the roots of your anxiety & build practical tools to help you find calm, confidence, & balance. From grounding strategies for the body to restructuring techniques for the mind, there is so much hope for your future peace. We’ll rebuild your sense of trust with yourself as the advocate of your needs so that the brain doesn’t feel the need to constantly overthink and fix. Let’s explore what life looks like without a mask of constant fear & stress.

  • Trauma & People-Pleasing

    Are you overwhelmed by the stories you survived? Are you constantly trying to avoid thinking about the past? Do you deal with dissociation, depersonalization, or derealization? Do you try to make yourself more palatable for others? You deserve to take up space, use your voice, & prioritize your peace. If saying “no” gives you anxiety, if shame/guilt commands your behaviors, then we can set sustainable boundaries, explore the root narrative, reconnect with your needs, & nurture who you truly are. You deserve a safe space to breathe, process, & rebuild.

Ready to learn how to be a healthier home for yourself?

Your present & future relationships will thank you.

Your littlest self will thank you.

Your future self will thank you.

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