Therapy for High-Achieving Professionals | Breakthrough Counseling | Ohio Telehealth LPCC
Concierge Therapy · Ohio Telehealth · Private Pay

Therapy for
people who hold
everything together —
until something gives.

Private, direct clinical therapy for physicians, attorneys, executives, founders, and dual-career couples navigating relationship strain and the cost of high performance, and sometimes ADHD. No insurance. No waitlist. No passive listening.

Licensed LPCC · Ohio Imago & Gottman Certified 100% Private Pay No Insurance Trail Telehealth Statewide
Who this is for

You’re used to being the most
capable person in the room.
And you’re exhausted.

Physicians & healthcare professionals

You’re trained to fix things. Medical culture punishes vulnerability and the professional consequences of a mental health record are real. Private pay removes both barriers. ADHD is dramatically overrepresented in physicians — and the burnout that looks like a performance problem is often something else entirely.

Attorneys & legal professionals

Billable hours leave no margin. The high-conflict thinking that makes you effective in a courtroom follows you home. You want a therapist who is direct, efficient, and respects your time — not someone who reflects your words back at you for fifty minutes. Bar licensure considerations make private pay the only realistic option for many attorneys.

Executives & founders

Leadership isolation is real. The pressure of appearing unflappable while managing everything — including a relationship that has had less attention than your business — accumulates. You need a therapist who understands high-stakes professional life without needing it explained.

Dual-income professional couples

Two demanding careers, limited margin, and a relationship getting whatever is left over. This specific intersection is a specialty here.

Researchers & academics

Late ADHD diagnosis is disproportionately common in academic and research environments, particularly among women in STEM. The adjustment after diagnosis — professionally, relationally, and personally — is significant work. A Solution-Focused approach that builds on existing strengths fits best here.

High performers with ADHD

The hyperfocus that made you exceptional is now burning you out. The pattern recognition that makes you creative makes sustained executive function nearly impossible. You’ve compensated brilliantly for years. The compensation is no longer working — and you need a therapist who understands the difference between ADHD as asset and ADHD as liability.

What brings people here

You may recognize
some of this.

Most professionals don’t arrive in therapy describing burnout. They arrive describing a relationship that isn’t working, a version of themselves they don’t recognize, or a pattern they can see clearly and cannot seem to stop.

All professionals
Career burnout landing in the relationship

Running at capacity professionally means coming home with nothing. The relationship absorbs the deficit. The partner who receives the least becomes the most resentful — and the cycle is invisible until it isn’t.

ADHD
The same argument, wearing different clothes

The argument about dishes and the argument about money and the argument about your in-laws are often the same argument. Once couples can see the pattern rather than the content, the work becomes possible.

All professionals
Connected, but distant

Functioning well together on logistics, parenting, career. Feeling more like partners in a business than in a relationship. The closeness that used to be easy now requires effort neither person has.

ADHD
Late diagnosis reframes everything

Suddenly a lifetime of patterns makes sense — and suddenly you’re grieving a version of yourself you never got to understand. The relationships, the career, the identity. This is significant work, and it deserves real support.

Clinical approach

Three frameworks.
One coherent practice.

Framework 01
Imago Relationship Therapy

A structured dialogue process that slows communication down to the speed where both people can genuinely hear each other. Particularly effective when reactivity interrupts connection before it begins – and for any professional couple where being truly heard has become rare.

Framework 02
Gottman Method

Research-backed tools targeting the Four Horsemen — criticism, contempt, stonewalling, defensiveness — that predict relationship breakdown. Concrete, behavioral, and measurable. Professionals respond well to specific, evidence-based frameworks. This is exactly that.

Framework 03
Solution-Focused Brief Therapy

Strengths-based and future-oriented. Used in individual ADHD work for adults, children, and adolescents. We build on what already works rather than analyzing what doesn’t. Practical, goal-directed, and designed to create momentum rather than just insight.

Services & investment

Specialized care.
Transparent pricing.

Private pay only
Couples & Relationship Counseling

Following Imago Therapy and Gottman Method for all couples. Premarital, long-term, navigating transitions, recovering from trust ruptures. Superbill available for out-of-network reimbursement upon request.

$250/ session
02
Private pay only
ADHD Couples Therapy

Imago & Gottman through a neurodivergent clinical lens. For couples where ADHD is part of the dynamic — diagnosed or suspected. One of the most underserved intersections in couples work.

$275/ session
01
Private pay only
Adult ADHD Therapy

Solution-Focused, strengths-based approach for adults navigating ADHD — especially those diagnosed later in life reexamining relationships, career, and self-understanding through a new lens.

$200/ session
03
Private pay only
ADHD Parenting and Family Therapy

For parents of children and teenagers with ADHD. Gottman emotion coaching adapted for neurodivergent kids, with support for the whole family system. Telehealth from home — no commute after school.

$195/ session
04
Private pay only
Half-Day Couples Intensive

3–4 hours of concentrated couples work via secure video. For couples with demanding schedules or those who want to accomplish in one session what weekly therapy takes months to cover.

$1,200/ intensive
05
Private pay only
Full-Day Couples Intensive

A full day of immersive couples work via telehealth. Equivalent in depth to several months of weekly sessions. Available for professional couples across Ohio on weekends to accommodate demanding schedules.

$2,500/ intensive
06

Couples therapy is private pay. Individual therapy superbills available for out-of-network reimbursement. Contact me to verify insurance coverage for individual sessions.

How I work

In plain language.

“I tend to be a bit more direct and try to keep therapy moving forward. I call balls and strikes — and I invite you to do the same.”
— Lisa Clodfelter, LPCC · Ohio

You already know what direct feedback feels like. Whether it’s a senior partner who cuts to what matters, an attending who expects you to think under pressure, or a mentor who told you the truth instead of what you wanted to hear — you know the difference between someone who respects you enough to be straight and someone who doesn’t. Therapy with me works the same way.

If something I say doesn’t land right, tell me. I won’t be defensive. The best therapeutic work happens when both people are honest from the beginning, and that starts with you knowing you can push back.

Present, not passive

I’ll name the pattern when I see it, ask the uncomfortable question when it matters, and share a direct observation rather than waiting for you to arrive there independently.

Efficient by design

Sessions have direction. Your time has real value and I treat it that way — including ending when the important work is done rather than filling fifty minutes.

Outcomes you can name

We set specific goals and return to them regularly. You should be able to articulate what has changed — not just feel vaguely better.

Available where you are

Telehealth from your office, home, or wherever works. Early morning and evening appointments available to fit around demanding professional schedules.

Confidentiality

Your care is
entirely yours.

No insurance record

Private pay means no diagnosis required for billing, no third-party access to your sessions, no insurance trail. For physicians, attorneys, and anyone with professional licensing considerations, this is a genuine access decision — not just a billing preference.

No organizational access

Your therapy is protected by HIPAA and professional ethical standards. No employer, institution, or professional body has access to your care. Payment comes directly from you.

Encrypted telehealth · Ohio statewide

All sessions via fully encrypted, HIPAA-compliant video. Not recorded. Available anywhere in Ohio — Cincinnati, Columbus, Cleveland, and everywhere between. Early morning and evening slots available.

The first step is a
15-minute conversation.

No forms. No insurance information. No commitment. Just an honest conversation about what you’re looking for and whether this practice is the right fit.

Schedule Your Free Consult

Responding within one business day · Telehealth statewide across Ohio · All services private pay

Lisa Clodfelter, LPCC · Breakthrough Counseling · Ohio LPCC #E. 2505435 · Phone: 618-302-1466
Cincinnati · Columbus · Cleveland · Find Your Breakthrough