Cincinnati & virtual across Ohio
Counseling for adults and teens navigating anxiety, burnout, grief, and big life change.

About Jessica
Jessica Birkhimer, MA, LPCC
Licensed Professional Clinical Counselor · Cincinnati, Ohio · In person and virtual

My story and approach
Past experiences can impact you in different ways, causing you to feel stuck or develop habits that no longer serve you. Maybe you find yourself isolating from your friends, spinning in your thoughts, or frozen by fear or apathy.
If you are overwhelmed by your thoughts and feelings, or feel alone, maybe it's time to connect with a caring professional. Therapy with me is a supportive space to slow down, feel more grounded, and be more connected with yourself, your friends, and your life again. We'll move forward at your pace, together.
I work with adults and teens navigating anxiety, burnout, and emotional loneliness. Together we'll create a space in which you feel safe, supported, and accepted.
We'll practice being aware of our bodies and emotions, understand the urges to attack or hide, and move toward a life that is aligned with your core values.
If you're ready to take that first step and create a life that feels more manageable, please reach out for a brief consult. You won't have to carry this alone.

We move at your pace. There's no version of this you have to keep up with.
We pay attention to what your body and emotions are telling you.
We get curious about the urge to attack or to hide, instead of judging it.
We aim at a life aligned with your core values, not just fewer symptoms.
Credentials & experience
Areas of focus
My practice is affirming and culturally sensitive. LGBTQ+ clients and clients from all racial and cultural backgrounds are welcome here.

Outside the office
I believe creativity and connection are essential for our well-being. Outside of the office, I love to be with my dogs, create art, hike in nature, listen to live music, travel, and be anywhere with my friends and family.
You're not the only one
You find yourself isolating from your friends.
You're spinning in your thoughts.
You feel frozen by fear, or by apathy.
You look fine on the outside and feel alone underneath it.
Past experiences can impact you in different ways, causing you to feel stuck or develop habits that no longer serve you. You don't have to arrive with the right words.
Evidence-based, in plain language
Noticing the thoughts that shape how you feel and act, and testing whether they're actually true.
Making room for hard feelings while still moving toward what matters most to you.
Concrete skills for riding out intense emotions and staying steady in relationships.
For people who hold themselves tightly: loosening overcontrol and building real openness.
A calm, private office at 7162 Reading Road, Suite 720, with easy parking and a comfortable place to land before we begin.
Secure video sessions from wherever you are. Good for tight schedules, long commutes, and the weeks when leaving the house is a lot.
The current is strong.
So are you.
Services
Individual counseling for adults and teens, group counseling, and older-adult care, available in person in Cincinnati or virtually anywhere in Ohio.

Individual sessions, weekly or every other week, for adults and teens working through anxiety, burnout, grief, emotional loneliness, or a transition that reshaped things. We'll build practical skills and a clearer sense of what you actually want your life to look like.
Format: in person or virtual · Ages: teens, adults, and older adults (65+)

Skills and connection in a small group, where the relief often comes from realizing you're not the only one.
Format: in person · Size: small, closed groups
Noticing the thoughts that shape how you feel and act, then testing whether they're actually true. Practical, structured, and useful between sessions.
Making room for hard feelings instead of fighting them, while still moving toward what matters most to you.
Concrete skills for riding out intense emotions, tolerating distress, and staying steady in relationships.
For people who hold themselves tightly. If you're controlled, careful, and quietly exhausted, RO-DBT loosens overcontrol and builds real openness and connection.
Past experience is taken seriously, at a pace you set, with you leading. I also draw on emotionally focused, experiential, interpersonal, motivational interviewing, and strength-based work.
Individual sessions are $130. Private pay is welcome, and you'll receive a Good Faith Estimate upon request.
I'm in network with a number of Ohio plans, including AmeriHealth, Anthem, Buckeye, CareSource, Humana, Medical Mutual, Medicare, Ohio Medicaid, UnitedHealthcare, and VA coverage. Plan details vary, so reach out and we'll confirm yours before your first session.
Getting started
Nothing to prepare. No right words to find. Here's exactly what happens.
1
Fifteen minutes, no cost. Call (513) 951-8531 or book online, whichever feels easier.
2
A comprehensive assessment of your mental health history, in person at the Reading Road office or virtually from wherever you are in Ohio.
3
Weekly or every other week, at a pace you set. We adjust as things change.

You don't need the right words or a tidy version of the story. The first session includes a comprehensive assessment of your mental health history, including your current concerns, past treatment, and the experiences and supports that shape your life. We'll also talk about what brought you in, what you want to feel different, and how we'd work together.
Most people come weekly at first, then move to every other week as things settle.
Either. In person at 7162 Reading Road, Suite 720 in Cincinnati, or secure video anywhere in Ohio. You can mix the two.
I'm in network with a number of Ohio plans, including AmeriHealth, Anthem, Buckeye, CareSource, Humana, Medical Mutual, Medicare, Ohio Medicaid, UnitedHealthcare, and VA coverage. Plan details vary, so reach out and we'll confirm yours before the first session. Individual sessions are $130 for private pay.
That's common, and it's fine. You don't have to know how this works or what to call what you're feeling. We'll start wherever you are.
We'll name what you want to be different early on and check in on it out loud. Progress usually shows up in small, specific ways before it feels dramatic.
Yes. I provide counseling for teens, adults, and older adults (65+). Reach out to discuss which individual or group options fit your needs.

7162 Reading Road, Suite 720
Cincinnati, OH 45237
Free surface parking outside the building. Come in the main entrance, take the elevator to Suite 720, and have a seat. No need to check in with anyone. I'll come out to meet you.
Please don't wait for a reply here. Call or text 988 for the Suicide & Crisis Lifeline, call 911, or go to your nearest emergency room.
Contact
The fastest path is booking a free 15-minute consultation. If you'd rather ask something first, the form below comes straight to me.
Pick a time that works for you, either a free 15-minute consultation or an initial appointment.
Schedule with JessPhone:(513) 951-8531
Email:jessica.birkhimer@lets-in.health
Office: 7162 Reading Road, Suite 720, Cincinnati, OH 45237
Service area: In person in Cincinnati · Virtual throughout Ohio
Please don't wait for a reply here. Call or text 988 for the Suicide & Crisis Lifeline, call 911, or go to your nearest emergency room.

Most people start with a free 15-minute consultation. No pressure, no preparation needed.
Partnerships & community
I partner with Cincinnati-area organizations to provide counseling and practical education for their clients, staff, and communities, at your offices, virtually, or at my offices.

Ways to work together
Practical, non-clinical training on anxiety, burnout, grief, and supporting the people you serve through big change.
45–90 minutes · your offices or virtual
Presentations built for licensed professionals, including counselors, social workers, nurses, and case managers. I can present on DBT and RO-DBT skills, grief and life transitions, and supporting families, and can work with your organization on continuing education credit where your board or approver allows it.
60–90 minutes · your offices, a conference, or virtual
Plain-language skills workshops on coping, stress, and emotional awareness, sized to your group and your setting.
Single session or a short series · on site or virtual
Scheduled individual counseling for your clients, delivered where they already are, with a clear referral path back to your team.
Your location, virtual, or my office
A skills or support group built for your population, co-designed with your team and facilitated on your site or mine.
Closed groups · in person or virtual
Case conceptualization and reflective consultation for the clinicians or front-line staff carrying the hardest situations.
Recurring or one-time
If your people need something that isn't on this list, say so. Most of this work started as a conversation about a specific need.
I come to you for a workshop, a group, or scheduled counseling in a space your clients already trust.
Live sessions and trainings delivered to your team or your clients anywhere in Ohio.
A calm, private counseling space in Cincinnati for the clients you refer.

For referring partners
Getting started together
Yes. Education sessions, groups, and scheduled counseling can all happen at your location, virtually, or at my office.
Both. Staff education and client services are separate offerings and can run independently or together.
Most run 45–90 minutes and are built around your group's size and the time you have.
Education sessions are non-clinical training. Counseling and groups are clinical services with their own intake process.
It depends on scope and format. We settle that in the intro call and put it in writing before anything begins.
Any information sharing is release-based and spelled out in the agreement before services start.
A twenty-minute call is usually enough to know whether this is a fit and what it would look like.
Start a conversationCase conceptualization and reflective consultation for clinicians, including free in-person case-consultation meetings for Cincinnati-area therapists offered with Lets In Mental Health & Recovery.