Mission Statement

We are dedicated professionals committed to providing quality mental health and substance abuse services. It is our overall goal to enhance the quality of life for individuals and families. Our belief is that all people are valuable and unique and should be treated with dignity and respect. While recognizing the potential for change, and assessment of the clients emotional, physical, spiritual, and life experience is provided in a caring environment. The growth of the individual is promoted through a course of treatment developed and executed in a timely and cost effective manner

Who are We

At Counseling Associates, our role as therapists is to provide support and practical feedback to help clients address current life challenges and long-standing issues.


We promote strengthening the family unit by helping each family member understand not only themselves and their behaviors, but also the behaviors of others in the family. With that self knowledge, individuals propel themselves forward into growth.

Our Guarantee

Commitment and Quality With our support, we help clients take responsibility for their own life and their own happiness. We help individuals find resolution to a wide range of personal concerns and psychological issues by encouraging clients to learn about themselves and listen to their own inner voice

Featured Article

Eating Disorders

Eating Disorders involve one’s unhealthy eating patterns, weight maintenance and with some, an unrealistic appraisal of body size or image. The disorders fall into three major categories, although there are a few spin offs. For my purpose here, I’ll stick to the major 3 disorders: Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder.

Anorexia is characterized by the belief that the person sees themselves as fat, despite the fact they are severely underweight. Bulimics eat in binges, then attempt to avoid gaining weight by vomiting, use of laxatives, over exercising or a combination of all three. Binge eaters eat in binges, but without the compensatory behaviors of bulimia. All are complicated and intense to work with. There is no one or simple cause.

The most important aspect of eating disorders is the debilitating effects it has on the victims. The intense shame, the secretive daily rituals, the overwhelming anxiety that ensues with the need to binge or purge, the self loathing that follows. Add to these the loss of any positive self-image or self-esteem destroyed by the compulsive behaviors and it’s easy to fall into a black hole of depression and sometimes despair. Not to mention the toll it takes on the body that can lead to many physical ailments, in some cases, even death.

THE GOOD NEWS!!! You are not alone. There is help finding the road to wellness, peace and new beginnings. The road is not easy, but few things worthwhile are, and YOU are worthwhile. Once the decision to step out of this hell is made, healing can begin.

Maria E. Middleton, MA, LMFT, LCPC

Parenting Classes

Counseling Associates is now offering parenting classes in the Nurtured Heart Approach (www.ChildrensSuccessFoundation.com) The classes normally run for two consecutive Saturdays from 11 am to 1 pm for two Saturdays in a row. For reservations or further information, call the office at 618-622-2579. NHA Introduction video courtesy of Howard Glasser.

Taking Flight

CASI is pleased to announce a group workshop for kids with Aspergers Syndrome, Pervasive Developmental Disorder (PDD-NOS), and high-functioning Autism. Its slated for Wednesday evenings beginning in September. Call the office at 618.622.2579 for details and registration and one of our administrative specialists will be happy to help.