Integrative Mental Health Counseling
Offering clients a patient-centered partnership, to support and empower them in making informed choices about their overall mental health and wellness.

Counseling and Wellness Services
Dr. Spiegelhoff & Associates offers individual, couples, and family counseling services to preteens, adolescents, college students, and adults. Counseling is available in-person or online telehealth.
Our approachs include insight-oriented therapy, psychodynamic therapy, structural family therapy, and cognitive behavioral therapy. We customize our treatment to patient needs through integrative mental health counseling. Our specialties include integrative health, teen and young adult mental health, college student mental health, family counseling, and marriage counseling.
We provide professional counseling for, but not limited to, anxiety, depression, mood disorders, identity development/issues, high performance, trauma, family conflict, co-parenting, and relationships.
For more information about counseling services, see the FAQ page.

About Me
Dr. Sarah F. Spiegelhoff is the owner of Dr. Spiegelhoff & Associates, a Visiting Assistant Professor in the graduate counseling program at SUNY Oswego, and a board member of the American Counseling Association of New York.
She is a licensed mental health counselor and national board-certified counselor. She has over 15 years of counseling and psychotherapy experience, working in private practice and higher education. She earned her Ph.D. from Syracuse University.
For more information about Dr. Spiegelhoff and the Associate Counselors, see the About page.
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Featured In & Scholarly Publications
“In all chaos there is a cosmos, in all disorder a secret order”
– CG Jung
Do counselors give advice?
Are you in need of advice? Are you looking for a counselor to give you advice? Let’s discuss counseling and determine if it is a place to get advice.What is counseling? Many people view counseling as advice-giving. For example, someone may be experiencing a...
The Counseling Professor: Power, Control, & Manipulation
During the holiday break, I had a chance to watch HBO's The Vow, a docu-series about NXIVM. While watching the series, many thoughts about the power of perceived authority, fear, and loss of identity came to mind. I have worked with clients across the spectrum -...
Welcome Caroline Goldschein, LMHC!
Caroline is a mental health counselor, with licensure in NY and PA. She is also a board certified mental health counselor. She earned a master’s degree in clinical mental health counseling from Villanova University. Caroline will be providing individual and family...
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Dose of Wellness
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