At Fresh Start Counseling Services, my focus is primarily limited to working with individual adults.  The issues I deal with are many, including:
  • Depression
  • Anxiety
  • Grief/Loss
  • Divorce/Separation
  • Women's Issues
  • Adjustment 
  • Marital & Relationship conflict
  • Self-Esteem/Confidence/Self-Image Problems
  • Job-Related Issues
  • Communication Issues
  • Work/Life Balance
  • Supporting/Reinforcing Recovery
  • LGBTQ 
  • Men's Issues
  • Spirituality/Religious Issues

Frequently Asked Questions

  • Will my insurance pay for counseling services?
  Please contact me to discuss Insurance, Fee-For-Service or Self-Pay options.  

  • What if I don't want to use my Insurance?  
I accept clients on a fee for service basis.  My fee for self-pay clients is $125.00 for a clinical hour (45-50 minutes).  Fee-for-service is the only way to receive therapy and maintain the highest level of confidentiality since there are no insurance forms submitted.  

  • What form of payment do you accept?
Payment is accepted in the form of cash, Visa, MasterCard, or Discover at the time services are rendered.  

  • Are sessions confidential?
Yes, sessions are completely confidential except where I am required by law to report information disclosed such as child or elder abuse or if someone were to be a danger to themselves or others.  You will be provided with a Notice of Privacy Practices and Informed Consent at your first session which contains complete information about confidentiality.

  • Are there any limitations to your practice?  
Yes.  I do not provide services that would include legal involvement or disability services of any kind.  Also, if after doing the initial assessment, I feel that I am not the best match for you in order to help you be successful in your therapy, I will assist you in locating another provider who may be a better fit.  Additionally, I am an adult only practice so I do not see children or adolescents.  

I look forward to working with you!  Are you ready to get started?


Cindy Swain, LCSW (FL, KY and OH)
Fresh Start Counseling Services 

** Not Taking New Clients **


FRESH START COUNSELING SERVICES,                                                           LLC  **NOT TAKING NEW CLIENTS **
FRESH START COUNSELING SERVICES,                                                                                  LLC