Starting Therapy in Greensburg, PA: What to Expect (and How to Choose the Right Type of Counseling for You)

If you’ve been thinking about therapy but feel a little hesitant to make the first call or send that email, you’re not alone. Many people want support but aren’t sure what the first step looks like. This guide walks you through exactly what to expect at Loriann Fetter Counseling & Psychotherapy in Greensburg, PA—plus a plain-English overview of the therapy options we offer for trauma, grief & loss, couples, and children/teens. Our goal is to lower the barrier to getting help and make getting started feel simple and safe. 

Who we are & where we serve

Loriann Fetter Counseling & Psychotherapy (LFCP) is a local therapy practice in Greensburg, Pennsylvania (One Northgate Square, Suite 200). We see people by appointment Monday–Thursday 10am–6pm and Fridays 10am–12pm. If getting to the office is tough, we also offer secure telehealth sessions so you can meet from home or work.

Our team includes licensed, credentialed therapists with specialized training in areas like grief & loss, trauma, and marriage/family therapy—so you can match your goals with the right expertise.

What a first session is like

Most sessions are 50–55 minutes. We’ll spend the first visit getting to know you—what’s bringing you in, what you’ve tried, and what “better” would look like. Together we’ll sketch a plan (frequency, focus areas, and any skills to practice between sessions). If you’re meeting via telehealth, we’ll connect through a HIPAA-compliant platform for real-time video sessions. 

Cost & insurance: Self-pay sessions are $120. LFCP accepts most commercial insurance plans (note: we do not accept Medicaid, Medicare, or EAP plans). If you’re using insurance, we can discuss benefits and coverage when you reach out. 

Choosing the right therapy path

Below are four common paths clients choose at our practice. Use these summaries to see what resonates; we’ll tailor the plan to you.

1) Trauma therapy: teaching the brain it’s safe again

Trauma isn’t defined by the event itself—it’s defined by how overwhelming it felt to your brain and body. If you’re living in “constant crisis mode,” hyper-reactive to stress, or stuck in old patterns, that’s your brain trying to keep you safe—even when there’s no current danger. In treatment, we normalize those reactions, explain what’s happening in the brain, and practice skills that signal safety in the present. Over time, the brain learns it doesn’t have to sound the alarm so often, which makes day-to-day life feel calmer and more manageable.

How sessions might look: Expect a blend of education, grounding and regulation skills, and paced emotional processing—so you can respond to what’s in front of you rather than relive what’s behind you.

2) Grief & loss counseling: making meaning and moving forward

Grief can follow many kinds of loss—death of a loved one, the end of a relationship, major life transitions, even identity shifts. In grief counseling, you’ll have a guided space to explore the loss safely, learn about grief patterns, build healthy coping strategies, and practice “leaning in and out” of the grief so you can make meaning and find steadier footing in the present.

What you’ll work on: Understanding your unique grief, learning regulation skills that reduce emotional fatigue, and developing accommodations that help you carry the loss while continuing to live a full life. 

3) Couples & marriage counseling: from rupture to repair

All relationships experience cycles of rupture and repair. Trouble begins when ruptures pile up and repairs don’t keep pace. Couples counseling helps you communicate what you need (and hear what your partner needs), address past hurts, and rebuild patterns that make daily life feel more connected. The focus is collaborative: identify stuck patterns, practice new interactions in session, and continue them at home.

You might benefit if: Conversations escalate or shut down, small conflicts feel huge, trust is strained, or you just want to strengthen an already-good foundation with better tools. 

4) Child & adolescent therapy: skills for thriving at home & school

Kids and teens experience the same big emotions adults do—just with fewer tools. We create a supportive, development-aware space to address concerns like anxiety, depression, grief, trauma, ADHD/ODD, self-esteem and identity, and everyday behavior challenges. Treatment may incorporate play and art therapy to make learning skills engaging and age-appropriate, alongside evidence-based modalities like CBT, DBT, SFBT, and EFT. We collaborate closely with families and consider school dynamics so gains in session translate to daily life. 

Meet the team (and how to match with a therapist)

• Loriann Fetter, LPC, GC-C, CCTP, NCC – Licensed Professional Counselor with advanced training in grief & loss and trauma. Lori builds an AEDP-informed foundation and supervises clinicians pursuing licensure. Many clients choose Lori when they want a seasoned, trauma-informed approach.

• Jessica Ross, LMFT – Licensed Marriage & Family Therapist with deep experience in systems-based work for individuals, couples, and families; strong focus on anxiety/depression, trauma-informed care, parenting support, and life transitions. A great fit when relationship dynamics are central.

• Briana Koeser, LPC, GC-C, CCTP, NCC – Licensed Professional Counselor with specialties in grief & loss and trauma; emotion-focused approach that builds skills for sustainable mental health. A solid choice for teens and adults navigating big changes. 

• Alexandra Overly, LPC, NCC – Licensed Professional Counselor blending play/art therapy with trauma-informed care for children and adults; experience across outpatient, intensive outpatient, and school-based settings. Ideal for creative, skills-forward work. 

• Bruno, Greeter & “Canine Therapist” – A gentle Sheepadoodle who offers comfort with a head on your lap or paws at your feet—many clients find his presence soothing. (Yes, he finished puppy school!)

If you’re unsure who to see, reach out and share a few lines about your goals; we’ll help you choose a therapist whose background and approach fit your needs. 

FAQs (quick answers)

Do you take insurance? 

Yes—most commercial plans are accepted. (We do not accept Medicaid, Medicare, or EAP.) Self-pay is $120. 

How long are sessions? 

Typically 50–55 minutes.

Can I do therapy online? 

Yes. We offer real-time telehealth via a HIPAA-compliant platform for clients who prefer virtual care.

Where are you located? 

One Northgate Square, Suite 200, Greensburg, PA 15601. 

How to get started (even if you feel nervous)

1. Send a short message. You can use the contact form or email to say you’re interested in therapy and share a couple of goals. We’ll reply with available times and next steps.

2. Pick your format. Choose in-person or secure telehealth—whatever feels most doable right now. 

3. Arrive as you are. Bring your questions, your story, and your hopes. We’ll take it at your pace.

Starting therapy is an act of strength, not a sign you’re “failing.” Whether you’re working through trauma, navigating grief, repairing a relationship, or helping a child build lifelong coping skills, our team is here to help you feel understood and supported—so you can find more peace and balance in daily life. When you’re ready, reach out and we’ll walk the first step together.