Resources Contact
Emergency Dial: 911
Alcoholics Anonymous Dial: 216-241-7387
Narcotics Anonymous Dial: 888-438-4673
National Suicide Prevention Lifeline Dial: 800-273-8255
ADAMHS Board Dial: 216-623-6888
United Way 2-1-1 Greater Cleveland Dial: 211
MetroHealth Recovery Service Locations Dial: 216-778-4428
Yes, absolutely, and there’s no additional cost! We understand that it’s not always feasible for you to meet with your therapist in person. Online counseling is a great option for some. We use a secure, HIPPA-compliant video conference service.
We can help you get insured. If you don’t have insurance but may qualify for Medicaid, we encourage you to start there first. If your income exceeds that of Medicaid eligibility, we have options.
Are you unsure if you’re Medicaid eligible or where to start? Simply follow this link to either complete a brief survey to determine whether or not you might be eligible for benefits, or to apply directly.


The following individuals may qualify for Medicaid coverage in Ohio:

  • Individuals with low-income
  • Pregnant women, infants, and children
  • Older adults
  • Individuals with disabilities
  • College students unsupported by family members
Confidentiality is the expectation that the information you disclose to a Hope Behavioral Health Therapist will be kept private, including the fact that you are counseling with them at all. All records and session content remain confidential unless you sign a release of information.

There are important exceptions to confidentiality that are legally mandated. Exceptions include

  1. If your therapist believes you intend to harm yourself, or someone else
  2. If your therapist suspects child abuse, elder abuse, or neglect
  3. If subpoenaed and ordered to share confidential information.
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information used for the purpose of treatment, payment, and health care operations. The law requires that we obtain your signature acknowledging we have provided you with this information; by signing our Releases and Consents you are certifying that you have been given a copy of the Notice. You may revoke this agreement in writing at any time. Please understand that all files are kept confidential. Your written consent is required for any release of information.
Yes, all of our therapists are licensed by the Ohio Counselor, Social Worker, Marriage and Family Therapist Board. A number of our therapists are also independently licensed, have additional certifications, as well as specific areas of expertise.
  • Aetna
  • Anthem Blue Cross Blue Shield
  • Buckeye Health (Cenpatico)
  • CareSource
  • Humana Military (Tricare)
  • Medical Mutual SuperMed /NEO HMO (PPO, HMO, Preferred) MMO/Medicare
  • Medicare Part B (All Medicare Supplemental Plans)
  • Molina Healthcare
  • Ohio Medicaid
  • United
  • Paramount
Behavioral health generally refers to mental health and substance use disorders, life stressors and crises, and stress-related physical symptoms. Behavioral health care refers to the prevention, diagnosis, and treatment of those conditions.


A mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. Possible causes include a combination of biological, psychological, and social sources of distress. Increasingly, research suggests these factors may cause changes in brain function, including altered activity of certain neural circuits in the brain.


A mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one’s daily activities. Examples of anxiety disorders include panic attacks, obsessive-compulsive disorder, and post-traumatic stress disorder.


A disorder associated with episodes of mood swings ranging from depressive lows to manic highs. The exact cause of bipolar disorder isn’t known, but a combination of genetics, environment, and altered brain structure and chemistry may play a role.


  • Female gender
  • Early puberty
  • Difficult temperament: inflexibility, low positive mood, withdrawal, poor concentration
  • Low self-esteem, perceived incompetence, negative explanatory and inferential style
  • Anxiety
  • Low-level depressive symptoms and dysthymia
  • Insecure attachment
  • Poor social skills: communication and problem-solving skills
  • Extreme need for approval and social support
  • Low self-esteem
  • Shyness
  • Emotional problems in childhood
  • Conduct disorder
  • Favorable attitudes toward drugs
  • Rebelliousness
  • Early substance use
  • Antisocial behavior
  • Head injury
  • Marijuana use
  • Childhood exposure to lead or mercury (neurotoxins)


  • Parental depression
  • Parent-child conflict
  • Poor parenting
  • Negative family environment (may include substance abuse in parents)
  • Child abuse/maltreatment
  • Single-parent family (for girls only)
  • Divorce
  • Marital conflict
  • Family conflict
  • Parent with anxiety
  • Parental/marital conflict
  • Family conflict (interactions between parents and children and among children)
  • Parental drug/alcohol use
  • Parental unemployment
  • Substance use among parents
  • Lack of adult supervision
  • Poor attachment with parents
  • Family dysfunction
  • Family member with schizophrenia
  • Poor parental supervision
  • Parental depression
  • Sexual abuse


  • Peer rejection
  • Stressful events
  • Poor academic achievement
  • Poverty
  • Community-level stressful or traumatic events
  • School-level stressful or traumatic events
  • Community violence
  • School violence
  • Poverty
  • Traumatic event
  • School failure
  • Low commitment to school
  • Not college bound
  • Aggression toward peers
  • Associating with drug-using peers
  • Societal/community norms favor alcohol and drug use
  • Urban setting
  • Poverty
  • Associating with deviant peers
  • Loss of close relationship or friends


Excessive fears or worries, or extreme feelings of guilt; Extreme mood changes of highs and lows; Withdrawal from friends and activities; Significant tiredness,…


Changes in sleeping habits or feeling tired and low energy; Changes in eating habits such as increased hunger or lack of appetite; Changes in sex drive


Excessive fears or worries, or extreme feelings of guilt; Extreme mood changes of highs and lows; Withdrawal from friends and activities; Significant tiredness,


Abuse of substances like alcohol or drugs; Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing “aches and
Mental illness, also called mental health disorders, refers to a wide range of mental health conditions — disorders that affect your mood, thinking and behavior. Examples of mental illness include depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors.
To diagnose a mental health problem, doctors will look at: your experiences (groupings of certain feelings, behaviors and physical symptoms may suggest different diagnoses) how long you’ve been experiencing these things. the impact it’s having on your life.
Untreated mental health conditions can result in unnecessary disability, unemployment, substance abuse, homelessness, inappropriate incarceration, and suicide, and poor quality of life.
Psychotherapy paired with medication is the most effective way to promote recovery. Examples include: Cognitive Behavioral Therapy, Exposure Therapy, Dialectical Behavior Therapy, etc.
Most people with behavioral health disorders can manage their symptoms. They lead full, fulfilling lives with the right treatments. Some people will need to manage a mental illness for the rest of their lives. Others find that symptoms improve as they get older.
Here are some ways people have found to stay mentally well:
  • Talk about your feelings. Just being listened to can help you feel supported and less alone with any problems you’re going through.
  • Get a good night’s sleep. Sleep and mental health are closely linked: mental ill-health can affect your sleep, and poor sleep can affect your mental well-being.
  • Eat well. A balanced diet can improve your sense of well-being and your mood.
  • Stay active. Physical activity is not only good for your body, but it’s also great for your mind.
  • Practice mindfulness, a way to be fully engaged and present in the moment.
  • Keep in touch. Supportive friends can help you deal with the stresses of life, make you feel cared for and offer a different view from whatever’s going on in your head.
  • Care for others, whether that’s working on relationships with family, letting go of old grudges or volunteering.
If you think your friend or family member is in need of community mental health services, you can find help in your area.

You can call our offices at 440-606-2003 (Cleveland area only) to refer your friend or family for our mental health services or contact the National Suicide Prevention Line at 1-800-273-TALK (8255).

For emergencies, call 911 or your local emergency number immediately.
Talk With Your Doctor – They can give you the care you need or refer you to someone else who can help.

Call our offices at 440-606-2003 (Cleveland area only) to schedule an appointment with one of our mental health providers.

Our providers can ask the right questions and listen. They can identify any mental health problems. They can tell you about treatment and support that will help.


You can also contact the National Suicide Prevention Line at 1-800-273-TALK (8255).

For emergencies, call 911 or your local emergency number immediately.
Contact our office at 440-606-2003 to schedule an appointment with a mental health provider who can offer you supportive resources or use our afterhours crisis line 216.377.1603


For general information on mental health and to locate treatment services in your area, call Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP (4357).
Most people with behavioral health disorders can manage their symptoms. They lead full, fulfilling lives with the right treatments. Some people will need to manage a mental illness for the rest of their lives. Others find that symptoms improve as they get older.
Some myths or misconceptions regarding mental health are as follows:


One of the most common mental health disorders is depression, affecting more than 264 million globally in 2017. A more recent study, which concentrates on the United States, concludes that the number of adults experiencing depression tripled during the 2020 pandemic.


Panic attacks are incredibly unpleasant, involving a racing heartbeat and an overriding sense of fear. However, they cannot directly be fatalIt is worth noting, though, that someone who is having a panic attack might be more liable to have an accident. If someone is experiencing a panic attack or can feel one coming on, finding a safe space can help mitigate this risk.


An old but persistent myth is that people with mental health issues cannot hold down a job or be useful members of the workforce. This is entirely false. It is true that someone living with a particularly severe mental health condition might be unable to carry out regular work. However, the majority of people with mental health issues can be as productive as individuals without mental health disorders.


This is no more true than saying that a broken leg is a sign of weakness. Mental health disorders are illnesses, not signs of poor character. Similarly, people with, for instance, depression, cannot “snap out of it” any more than someone with diabetes or psoriasis can immediately recover from their condition. If anything, the opposite is true: Fighting a mental health condition takes a great deal of strength.


There is a large difference between structured talking therapies and speaking with friends. Both can help people with mental illness in different ways, but a trained therapist can address issues constructively and in ways that even the best of friends cannot match. Also, not everyone can open up entirely in front of their nearest and dearest. Therapy is confidential, objective, and entirely focused on the individual, which is not generally possible in more informal chats with untrained friends. Plus, some people do not have close friends. There are many possible causes of this, and it is no reason to look down on someone.


A mental health diagnosis is not necessarily a “life sentence.” Each individual’s experience with mental illness is different. Some people might experience episodes, between which they return to their version of “normal.” Others may find treatments — medication or talking therapies — that restore balance to their lives. Some people may not feel as though they have fully recovered from a mental illness, and some may experience progressively worse symptoms. However, the take-home message is that many people will recover to a greater or lesser degree.
Q. What is mental health?
We all have mental health which is made up of our beliefs, thoughts, feelings and behaviours.

Q. What do I do if the support doesn’t help?
It can be difficult to find the things that will help you, as different things help different people. It’s important to be open to a range of approaches and to be committed to finding the right help and to continue to be hopeful, even when some things don’t work out.

Q. Can you prevent mental health problems?
We can all suffer from mental health challenges, but developing our wellbeing, resilience, and seeking help early can help prevent challenges becoming serious.

Q. Are there cures for mental health problems?
It is often more realistic and helpful to find out what helps with the issues you face. Talking, counselling, medication, friendships, exercise, good sleep and nutrition, and meaningful occupation can all help.

Q. What causes mental health problems?
Challenges or problems with your mental health can arise from psychological, biological, and social, issues, as well as life events.

Q. What do I do if I’m worried about my mental health?
The most important thing is to talk to someone you trust. This might be a friend, colleague, family member, or GP. In addition to talking to someone, it may be useful to find out more information about what you are experiencing. These things may help to get some perspective on what you are experiencing and be the start of getting help.

Q. How do I know if I’m unwell?
If your beliefs, thoughts, feelings or behaviors have a significant impact on your ability to function in what might be considered a normal or ordinary way, it would be important to seek help.

Q. What should I do if I’m worried about a friend or relative?
This may depend on your relationship with them. Gently encouraging someone to seek appropriate support would be helpful to start with.

Q. How do I deal with someone telling me what to do?
Some people may advise you on good evidence of what works with the best of intentions, but it’s important to find out what works best for you.


This also is called talk therapy. It is one of the most common treatments for mental health disorders. It involves talking about your problems with a mental health professional but is so much more. The is an education element, a focus on relaxation exercises and coping skills as well as stress management. There are many types of talk therapy. Some common ones include cognitive behavioral therapy or dialectical behavior therapy. Talk therapy is often done one-on-one. It can also be done in a group setting or with your family. Individual and group talk therapy is sometimes helpful. This type of therapy can be useful even for those who do not have a mental health condition and are simply going through challenging life situations (grief, divorce, etc.).


Prescription medicine is another popular treatment method. Medicines for mental disorders make changes to brain chemicals that are involved in emotions and thought patterns. Medicines don’t cure psychiatric conditions or health problems. But they can improve your symptoms. They can make other treatments, such as counseling, more effective. There are many kinds of prescription medicines available that work in different ways. Your doctor will make a recommendation and share any side effects.


Self-help and support groups can help you gain insight into your condition. They can provide friendships, support, resources, and tips on how to live with your condition. They also help address the feelings of isolation that often go along with mental health conditions.


There are many types of therapies people use to help treat mental health problems. These can include physical activity, such as exercise or yoga. They can also include creative therapies. These are therapies done using means of expressing yourself creatively. They can include using art, music, movement, or writing.


Electroconvulsive therapy (ECT) is a safe procedure that sends electric currents into the brain. This causes changes in the brain that can improve and even reverse troubling symptoms. ECT and other brain stimulation therapies are often used when other kinds of treatment haven’t worked.


This type of therapy is used to relieve psychological stress. It has become an effective way to help treat trauma, especially post-traumatic stress disorder (PTSD).


Sometimes your mental health issues become so bad that you need to receive treatment in a hospital or a long-term program. This can happen when you can’t take care of yourself. Or it happens when you are in danger of harming yourself or others.
The most common mental health or psychiatric medications side effects are:
  • headaches
  • weight gain
  • dizziness
  • dry mouth
  • muscle spasms and cramps
  • nausea
  • loss of sex drive
  • constipation
  • sleepiness or problems sleeping.
Tell your doctor if you have any of these symptoms or any others that you did not have before taking the medication.