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Depression can vary in intensity, showing symptoms such as sadness, fatigue, reduced interest in activities, loss of pleasure, irritability (particularly in children and teens), sleep problems, appetite changes, and even thoughts of suicide. It’s a common condition, impacting nearly 1 in 10 American adults, and presents in different forms, reflecting the diverse nature of depressive diagnoses.

Depression affects people of all ages, races, genders, and ethnicities without discrimination. Studies reveal a higher prevalence of depression diagnoses among women, and an increased risk within the LGBTQIA+ community.

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Finding Support
for Depression

Depression can manifest in various ways, affecting your emotions, energy levels, and overall well-being. It’s more than just feeling sad; it can permeate various aspects of your life, making each day a challenge. The struggle may feel isolating, but reaching out for help through depression therapy is a crucial step toward healing. Our compassionate therapists understand the complexities of depression and are here to support you. We believe in your strength and resilience, and together, we can work towards alleviating the burden of depression in your life, helping you regain a sense of control and rediscover things you enjoy. You’re not alone – let’s take these steps toward healing together.

Our depression therapists utilize a variety of treatment modalities to help you reach your goals and decrease your depression symptoms. We are thrilled that you have made it to this section of the website and this is evidence you are really thinking about change. Maybe it’s time to reach out and allow us to help you with the next steps?

Get Started

Making It Easier to

We know it can be hard to reach out when you are depressed.
Consider these steps that you can work towards in engaging in help:

Are you having difficulty getting the energy to call?

No problem. If making a phone call feels overwhelming, please know that you’re not alone in feeling this way. Taking that first step towards therapy, no matter how you choose to do it, is incredibly courageous. If emailing or texting to schedule with a therapist feels more comfortable for you right now, that’s absolutely okay. Our team is here to support you in whichever way feels most accessible and manageable. Whether you prefer to reach out via email, text, or phone call, know that we’re here to listen, understand, and provide the support you need. Your well-being is our priority, and we’re committed to making the process as comfortable and easy as possible for you. Feel free to reach out in whichever way feels right for you, and we’ll be here to help every step of the way.

Start Your Journey
Hate talking on the phone? We’ve got you.

We completely understand that talking on the phone might not be the most comfortable option for everyone, especially for our younger clients. If you prefer texting or emailing to schedule therapy, that’s perfectly fine – we’re here to meet you where you are. Your well-being is our top priority, and we want to make the process as accessible and supportive as possible for you. Feel free to reach out through text or email, and we’ll ensure that you have the information you need to take that important step towards depression therapy. We appreciate your openness, and we’re here to provide a safe and understanding space for your concerns. Your mental health journey is important, and we respect your preferences.

Contact Us

Therapy That

In person, online, or on your schedule — we make starting therapy simple 
and stress-free.

In-Person Sessions
  • Visit us in our south side Indianapolis office for your in-person therapy session.
  • Bring your coffee, snacks, lunch or come in your comfy clothes.
  • No judgement here!
  • We create a calm and relaxing environment.
  • Private waiting room for parents of minor clients.
Virtual/Online Sessions
  • Have a therapy session in the comfort of your own home or in your office on your lunch break with our online therapy or telehealth therapy options.
  • Available anywhere in Indiana.
  • Therapy provided via video session.
Flexible Sessions
  • Your schedule matters to us.
  • Daytime, evening or weekend appointments available.
  • No waitlists-we are ready to help now.
  • Frequently able to schedule a new client in within the same week you reach out.
  • Flexible scheduling with a therapist near you.

Therapy

Individual
Therapy
$140.00

per intake session
with LSW

$160.00

per intake session
with LCSW

$120.00

per ongoing session
with LSW

$145.00

per ongoing session
with LCSW

A space to focus on your personal growth, challenges, and goals with the support of a licensed clinician.

Individual
Therapy
$75.00

per intake session

$50.00

per ongoing session

Affordable therapy with master’s-level interns under close supervision by licensed clinicians. A great option for those seeking support at a lower cost. Interns do not accept insurance.

Insurance Billing

Our clinical social workers accept Anthem and United Healthcare insurance.

Our licensed social workers accept Anthem and Aetna.

Utilizing insurance can significantly reduce the cost of therapy. Please reach out to us and provide your insurance information for specific details on your insurance coverage and the cost of therapy.

Out of Network Insurance Billing

Changing Tides will happily provide you a bill for your services with us that you can provide to your insurance company for possible reimbursement called a “Superbill.” Each insurance company provides unique coverage or benefits and due to this we are unable to advise whether your insurance company will provide reimbursement. It is recommended that you contact your insurance company and ask if you have any “out of network” outpatient mental health coverage. We find that clients are frequently reimbursed for some portion of their services dependent upon their insurer.

*Associate Therapist Licensing Information

Our LSW therapists each hold a Master’s Degree in Social Work and are licensed social workers in Indiana. They are currently working towards obtaining their clinical social work license by practicing under a Licensed Clinical Social Worker who provides supervision for their work with clients. Due to this, they provide services at a reduced rate and only accept Anthem and Aetna insurance.

We also have Intern therapists, who are master’s students in counseling or social work programs completing their clinical training. They are closely supervised by licensed clinicians to ensure high-quality care and support throughout your therapy.

All clinicians are supervised by Krista Caughey, MSW, LCSW.

Hope Starts Here

You do not have to struggle alone anymore and there is effective treatment available. Please rememeber, you deserve a life you can enjoy. Let us help you find your way out of the darkness. Reach out today!

Start Your Journey

Meet Your

Browse our team of licensed social workers—each one brings their own personality, specialties, and approach. Get to know who you’ll be talking to before your first session.

Xiomara DenoAnthem, Aetna and Self-Pay OptionsMSW, LSW

Xiomara Deno

Works with children, teens, adults and couples
Morgan KonieAnthem, Aetna and Self-Pay OptionsMSW, LSW

Morgan Konie

Works with teens and adults
Katherine LaTourAnthem, Aetna and Self-Pay OptionsMSW, LSW

Katherine LaTour

Works with clients of all ages
Kara HoulihanAnthem, Aetna and Self-Pay OptionsMSW, LSW

Kara Houlihan

Works with clients of all ages
Christine EasleyAnthem, Aetna and Self-Pay OptionsMSW, LSW

Christine Easley

Works with adults and couples
Ashlyn KeltnerAnthem, UHC and Self-Pay OptionsMSW, LCSW

Ashlyn Keltner

Works with adults and couples
Lauren ScheidlerAnthem, UHC and Self-Pay OptionsMSW, LCSW

Lauren Scheidler

Works with children ages 6–12 and adults
Jaimie KlineLow cost self-pay optionsTherapist Intern

Jaimie Kline

Works with clients of all ages
Zulma FloresGeneral Liability Insurance

Zulma Flores

Billing Assistant
Lukas SakalinskasAccepting New Clients

Lukas Sakalinskas

Intake Coordinator

The Changing Tides

At Changing Tides Counseling, our mission is to make therapy feel human — warm, genuine, and approachable. We believe healing happens best in a space that feels comfortable, not clinical; connected, not intimidating. Our team provides compassionate, client-focused support that meets people where they are and helps them move toward where they want to be.

By creating a supportive environment for both clients and staff, we nurture growth, connection, and understanding that ripple far beyond our office walls — into homes, relationships, and the wider community.

Frequently Asked.

Where are you located?

We have two locations: 8130 S. Meridian St. Suite 4A, Indianapolis, IN 46217 (near Perry Meridian High School); 4016 S. Meridian St. Indianapolis, IN 46217 (Just south of downtown Indy).

How much does therapy cost?

We strive to make therapy both accessible and sustainable.

  • Private Pay Rates: Our session fees range from $50 to $145, depending on the clinician’s level of training and licensure.
  • Insurance Coverage: We accept Aetna, Anthem, and United Healthcare. Using insurance often reduces the cost of sessions significantly.
  • Sliding Scale Options: Limited reduced-fee spots are available for qualifying clients with our LSW therapists.

Not sure what your out-of-pocket cost would be? We’re happy to help. Call or text us for a free insurance benefits check so you’ll know exactly what therapy will cost before getting started.

Do you accept insurance?

We accept Aetna, Anthem, and United Healthcare. Using insurance often reduces the cost of sessions significantly.

How long will I be in therapy?

The length of therapy looks different for everyone. Some clients come for a few months to work on a specific concern, while others stay longer for ongoing support or personal growth. We’ll create a plan that fits your needs and adjust along the way — and you’re always welcome to return if new concerns come up.

How often do I need to attend therapy?

Most clients find it helpful to start with weekly sessions to build consistency and momentum. As you begin to feel more stable and confident, we’ll talk together about moving to biweekly or monthly sessions. The goal is to give you the right level of support at the start and then gradually transition as your needs change. We’ll always move at your pace, and there’s no pressure to rush the process.

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Get In Touch

Ready to

Use our quick contact form or call. Our intake coordinator will guide you every step of the way and match you with the therapist who’s the best fit for your needs and goals.

317-889-0635Email Us

8130 S Meridian St. #4a, 
Indianapolis, IN 46217
4016 S. Meridian St. 
Indianapolis, IN 46217
Your journey starts here!
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