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Your Trusted Mental Health Therapy & BHIS Provider in Iowa
Heart and Solutions is a strength-based counseling agency dedicated to empowering individuals, couples, and families through personalized mental health and behavioral health intervention services. Founded on principles of inclusion and empathy, we serve clients across Iowa with a team of licensed therapists and BHIS specialists committed to fostering healing in safe, affirming environments. Our person-centered approach integrates evidence-based interventions tailored to each client's unique needs, focusing on building resilience through empathy, validation, and unconditional positive regard.

We specialize in therapy for ages 4+, BHIS for children 4-18, telehealth services, and gender-affirming care, including WPATH letter assessments. Our commitment to diversity drives ongoing staff training and community partnerships to better serve clients of all identities, ensuring equitable access to care that respects cultural, spiritual, and personal values.
Services
Mental Health Counseling Behavioral Health Intervention Services Telehealth Therapy Play Therapy Gender-Affirming Services
Highlights and features
  • We offer 50+ mental health professionals with expertise in diverse therapeutic approaches.
  • Our team provides inclusive care for LGBTQ+ clients and gender-affirming services.
  • We integrate evidence-based interventions with person-centered, strength-based philosophies.
  • Telehealth services ensure accessible care for Iowa residents regardless of location.
  • We maintain ongoing staff training to support cultural humility and identity-affirming practices.
Associations and certifications
  • National Board for Certified Counselors (NBCC)
Services
Mental Health Counseling
Our person-centered therapy focuses on building emotional resilience through tailored interventions. Clients receive support for anxiety, depression, trauma, relationship challenges, and life transitions using evidence-based techniques. Therapists emphasize clients' inherent strengths to foster growth in safe, collaborative environments while respecting cultural and personal identities.
Behavioral Health Intervention Services
Specialized behavioral support for children ages 4-18 addressing emotional regulation, conflict resolution, and social skills. Services include in-home, school-based, and office sessions using play-based learning. Medicaid-insured clients can access telehealth BHIS with weekly skill-building activities focused on practical behavior modification.
Telehealth Counseling
Secure video and phone sessions available for all therapy services across Iowa. HIPAA-compliant platform ensures privacy while removing barriers like transportation. Particularly beneficial for busy professionals and rural clients needing flexible scheduling options for mental health support.
Play Therapy
Evidence-based treatment using play to help children express emotions and resolve trauma. Therapists use toys and games to develop communication skills for non-verbal experiences. Particularly effective for ages 4-12 working through behavioral challenges or family dynamics in a developmentally appropriate format.
Gender-Affirming Services
Specialized counseling and letter-writing services for transgender and gender-nonconforming clients seeking medical transition. Therapists provide assessments for WPATH criteria compliance while respecting chosen names and pronouns. Includes family therapy options to support transition journeys within household contexts.
Questions
Do your providers have experience with diverse identities?
Our clinicians receive ongoing training in identity-affirming care and welcome clients of all backgrounds. While we can't guarantee expertise in every specific issue, we prioritize matching clients with providers who understand their unique needs.
Do you work with LGBTQ+ clients?
We specialize in LGBTQ+ mental health support, including gender-affirming services. Our intake process allows clients to specify preferred pronouns and cultural considerations for personalized care planning.
How do you handle spiritual considerations?
Therapists follow an 'ask and support' model respecting clients' spiritual beliefs. We adapt interventions to align with disclosed religious values while maintaining professional ethical standards.
What insurance plans do you accept?
We accept Wellmark BCBS, United Healthcare, Medicaid, Medicare (select locations), and several specialty funding sources. Clients should verify specific plan benefits directly with their insurance provider before services.
What's the difference between therapy and BHIS?
Therapy focuses on internal emotional processes while BHIS targets observable behavior changes. Many clients benefit from both simultaneously - therapy addresses 'why' emotional patterns develop while BHIS teaches practical coping skills.
Can I start services immediately?
BHIS requires prior authorization from insurance companies, creating delays after initial assessments. Therapy appointments typically begin within 3-4 business days of referral, depending on provider availability.
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