Mental Health Counseling, Therapy, and Medication Management for Individuals, Couples, and Families

Community-trusted mental health counseling, therapy, and medication management throughout Southern Utah and Nevada.

Serving Southern Utah & Nevada

In-person & Telehealth Available

Accepting Most Insurances

Trusted & Experienced Therapists

Multiple Services Provided For You

Ascend Spotlight

Ryan Smith, CSW

Ryan Smith

Clinician
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Sarah Allred, CMHC

Sarah Allred

Clinician
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Erik Turley, Marriage & Family Therapist

Erik Turley

Clinician
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Chelise Sawyer, CSW

Chelise Sawyer

Clinician
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Kirsten Bethers, MFT

Kirsten Bethers

Clinician
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Ryan Chong, APRN, PMHNP-BC

Ryan Chong

Prescriber
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Craig Butcher

Craig Butcher

Clinician
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Starting Your Search?

Take the first step toward healing—browse our qualified therapists and find the right fit for you. Our team includes licensed mental health professionals, counselors, and therapists experienced in treating anxiety, depression, trauma, relationships, ADHD, and other mental health concerns.

We provide evidence-based and trauma-informed care using approaches such as EMDR, Internal Family Systems (IFS), CBT, DBT, ERP, ACT, and EFT. We’re here to make the process simple, supportive, and centered on your unique journey.

Find Your Therapist

Our Locations

Ascend Counseling & Wellness provides in-person mental health counseling throughout Southern Utah and Nevada, including St. George, Cedar City, Hurricane, Richfield, Delta, and Mesquite, with secure telehealth therapy available for clients across Utah, Nevada, Arizona, and Indiana. Click below to learn more about our locations.

Services We Provide

At Ascend Counseling & Wellness, our licensed therapists provide evidence-based mental health treatment for anxiety, depression, trauma, PTSD, relationship challenges, ADHD, and emotional health challenges. We offer individual therapy, couples counseling, family therapy, medication management, ketamine-assisted therapy, telehealth counseling, and other personalized behavioral health services designed to support long-term healing and growth.

Ascending the horizon

Individual Therapy

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Individual Therapy

Time Scheduled Just For You

Individual therapy provides a confidential space to address challenges like anxiety, depression, trauma, PTSD, relationship struggles, and other mental health concerns. Treatment is personalized to help you build insight, coping skills, and resilience. Click below to learn more.

Couples Counseling

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Couples Counseling

Restore Your Partnership

Couples counseling and marriage therapy help partners improve communication, repair trust, navigate conflict, and strengthen emotional intimacy through life’s challenges. Therapy offers practical tools for rebuilding intimacy together. Click below to learn more.

Family Therapy

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Family Therapy

Rediscover Family Balance

Family therapy can help families navigate parenting challenges, blended family transitions, adolescent behavioral concerns, grief, and communication difficulties. Get the added support your family needs to find more laughs and smiles at home. Click below to learn more.

Medication Management

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Medication Management

Helping You Find Balance

Managing mental health often requires the right balance of therapy and medication. Our medication management services ensure you get the proper treatment tailored to your needs, with expert guidance and ongoing support. Find out how we can help—click below to learn more!

Ketamine

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Ketamine

Lasting Healing & Relief

Struggling with anxiety, depression, PTSD, ADHD, and other mental health conditions? Ketamine-assisted therapy offers fast relief and lasting healing by helping your brain reset and grow. Combined with counseling, it unlocks deeper emotional healing and change. Ready for the next step? Click to learn more!

ESA Letters

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ESA Letters

The Path To An ASAP ESA!

An emotional support animal (ESA) provides comfort, companionship, and relief from stress and anxiety. Our quick ESA approval process takes just 1-2 days, helping you get the support you need without wait times. Click below to learn more and see if an ESA is right for you!

Smiling Woman Who Received Individual Therapy

Individual Therapy

Individual therapy provides a confidential space to address challenges like anxiety, depression, trauma, PTSD, relationship struggles, and other mental health concerns. Treatment is personalized to help you build insight, coping skills, and resilience. Click below to learn more.

1-on-1 Help
Smiling Multiracial Couple Who Received Couples Counseling

Couples Counseling

Couples counseling and marriage therapy help partners improve communication, repair trust, navigate conflict, and strengthen emotional intimacy through life’s challenges. Therapy offers practical tools for rebuilding intimacy together. Click below to learn more.

Couples Help
Smiling Family Who Received Family Therapy

Family Therapy

Family therapy can help families navigate parenting challenges, blended family transitions, adolescent behavioral concerns, grief, and communication difficulties. Get the added support your family needs to find more laughs and smiles at home. Click below to learn more.

For Families
woman taking her prescribed anti anxiety medication

Medication Management

Managing mental health often requires the right balance of therapy and medication. Our medication management services ensure you get the proper treatment tailored to your needs, with expert guidance and ongoing support. Find out how we can help—click below to learn more!

Look Into Medication
Woman receiving ketamine assisted therapy

Ketamine Treatment

Struggling with anxiety, chronic depression, PTSD, ADHD, and other mental health conditions? Ketamine-assisted therapy offers fast relief and lasting healing by helping your brain reset and grow. Combined with counseling, it unlocks deeper emotional healing and change. Ready for the next step? Click to learn more!

Learn About Ketamine
Man with his ESA dog

ESA Letters

An emotional support animal (ESA) provides comfort, companionship, and relief from stress and anxiety. Our quick ESA approval process takes just 1-2 days, helping you get the support you need without wait times. Click below to learn more and see if an ESA is right for you!

Start The Process
Smiling couple receiving telehealth services

Telehealth Therapy, Wherever You Are

Compassionate Online Counseling—Licensed in Your State

Life doesn’t pause when you’re overwhelmed, anxious, or struggling in your relationships—and getting support shouldn’t require driving across town or waiting weeks for an appointment. Ascend Counseling & Wellness offers secure online therapy and counseling services (HIPAA-compliant), so you can meet with a licensed therapist from the comfort and privacy of your home.

We provide online counseling services tailored to your state’s licensing requirements, ensuring ethical, professional care you can trust.

Choose Your State to Get Started

Why Clients Choose Telehealth with Ascend

  • Licensed therapists practicing within your state

  • Evidence-based care for anxiety, trauma, depression, ADHD, and relationships

  • Flexible scheduling with no commute

  • Secure, confidential video sessions

You don’t have to navigate this alone. Support is available—and getting started is simple.

Ready to Take the Next Step?

Woman smiling during telehealth counseling

Our Blog

Clear Answers, Quick Reads

Discover practical insights and strategies for navigating life’s challenges at Ascend Counseling & Wellness. Our blog offers guidance on relationships, personal growth, mental health, and emotional resilience—helping you take meaningful steps toward well-being and lasting change.

Woman taking notes on a mental health blog articleWoman accessing mental health blog
Man in crisis

Facing a Crisis?

If you are in immediate danger or experiencing an emergency, dial 9-1-1 for prompt assistance.

If you are struggling with suicidal thoughts or emotional distress, remember that you are not alone. Help is available—reach out as soon as possible.

Stay safe and seek the support you need.

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