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Real support,
right where you are

Online and in-person counseling for anxiety, men's issues, and marriage with a licensed counselor who brings 24+ years of real-world experience to every session.

Brett C. Larsen

“Healthy people seek out help”

Brett Larsen, MA, LPCC-S
5.0 Google ratingOpen since 2017, before telehealth was common

In network with, and listed on

Ready to take the first step?

Let's start your journey together

Book a free 10-minute phone call to see if we're a good fit. No pressure, no commitment, just a conversation.

Book a free consult
Your environment matters

A private, results-driven counseling practice

The Clifton Avenue office is quiet, private, and unhurried, and the same care carries into every video session. Warmth, respect, and privacy for real, lasting change.

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The entrance to the office building on Clifton Avenue, with a bench and trees out front
Brett Larsen and a client talking in the counseling room
The office bookshelf, lamp, and armchairs by the window
Bookshelf with counseling texts, a small lamp, and a plant in the office
Carepatron

Booking, forms, and video sessions on

Carepatron, a HIPAA-compliant platform

Online counseling

The same care, from wherever you are

Video sessions run on Carepatron, the secure telehealth platform built for healthcare. You meet with Brett from home, the office, or the car in the school pickup line, and the session itself is exactly the same.

  • Private and HIPAA-compliant. Encrypted video built for therapy, not a consumer chat app.

  • One place for everything. Book, complete your forms, get reminders, and join your video session from the same secure client portal.

  • Anywhere in Ohio or Kentucky. Brett is licensed in both states, so you can meet from home, work, or campus.

  • Same session, same rates. Online visits run the same length and cost as sitting down in the office.

Brett Larsen, licensed counselor at Telehealth Hope Counseling
Your therapist

Hi, I'm Brett.

I'm a licensed professional clinical counselor and supervisor with more than 24 years of experience. Before opening this practice, I completed more than 3,500 psychiatric assessments in the emergency department at Cincinnati Children's Hospital.

My approach draws on cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), EMDR, attachment therapy, and the work of John Gottman. Therapy with me is practical, collaborative, and focused on helping you make meaningful changes between sessions. Whether you're navigating anxiety, a strained marriage, or a difficult season of life, I'm here to walk alongside you. Seeking support is a healthy step forward.

About the practice

Why Telehealth Hope Counseling?

At Telehealth Hope Counseling, we believe that no matter where you are in your journey, hope is always possible.

Find hope

In the middle of anxiety, relationship struggles, or life transitions. Even when things feel overwhelming, there is a path forward, and you do not have to walk it alone.

Know hope

As you begin to understand yourself more deeply. Through evidence-based counseling and compassionate support, you can gain clarity, healing, and a renewed sense of purpose.

Sustain hope

By building lasting change. Together you develop practical tools and meaningful habits that help you move forward with confidence, resilience, and peace.

How does it work?

FAQs

Do you accept insurance?

Yes. Telehealth Hope Counseling is in network with UnitedHealthcare, Optum, Anthem, and CareSource. Private pay is also welcome. If your plan is not listed, ask during the free call and Brett will point you to reimbursement options.

How much does counseling cost?

Individual sessions are $150 after a $175 initial assessment. Couple sessions are $225 after a $275 couple assessment. Chat support plans start at $50 a week. Fees are the same in person and by video.

Where are you located, and who can you see?

The office is at 3416 Clifton Avenue in Cincinnati. Brett is licensed in Ohio and Kentucky, so telehealth sessions are available to residents of either state. Brett is a part of the Counseling Compact across the United States. Located outside Ohio or Kentucky? Brett may be able to work with you through secure online counseling. Through the Counseling Compact, he can apply for authorization to serve clients in eligible participating states. Contact Brett to discuss availability in your state. Appointments can begin once the required authorization is approved. Eligibility depends on where you are physically located during each session. Details: https://counselingcompact.gov

How do video sessions work?

Video sessions run on Carepatron, the HIPAA-compliant platform that also handles your booking and forms. You get a reminder with a secure link before each appointment and open it at your session time from a phone, tablet, or computer. A private room and a steady connection are all you need.

What happens first?

Book a free 10-minute phone call. If it feels like a fit, Brett schedules your initial assessment in Carepatron and you complete the consent and intake form there before you meet. The assessment shapes the plan from there.

Is counseling confidential?

Yes. Communication and the Carepatron platform meet HIPAA requirements. There are a small number of legal exceptions, and Brett explains them in the first session.

How do booking, forms, and reminders work?

Everything runs through Carepatron, the HIPAA-compliant practice platform Brett uses. First, book the free 10-minute call from any Book button or the calendar on the contact page, and you get an email confirmation. If it feels like a fit, Brett schedules your first session and Carepatron sends you a secure link to complete the consent and intake form before you meet. You get a reminder by email or text before every appointment. For video sessions, open the link in your reminder at your session time from a phone, tablet, or computer. Invoices and receipts come from the same portal. Questions at any step: call or text Brett.

Client testimonials

Endorsements

"Brett has been an incredible therapist for me. He's helped me work through so many of my problems, acknowledge past pains, and is a compassionate and dedicated professional. I'm eternally thankful for the help he's provided. 10/10 would recommend."
Cameron C., Client
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