The other six days: what therapy asks of you between sessions
An hour a week is roughly six tenths of one percent of your waking life. Whatever changes, changes mostly in the other 99 percent, and the sessions are where that change gets designed, reviewed, and corrected. People who understand this early get considerably more out of therapy than people who treat the hour as the whole intervention.
What between-session work actually looks like depends entirely on the approach and the problem, and it is rarely arduous. For anxiety it might be a short daily record of what triggered a spike and what you did about it, because the pattern is almost never what people expect before they write it down. For panic it is often a deliberately structured practice of doing the avoided thing in small increments. For depression it is frequently behavioural activation, which means scheduling specific, small, achievable activities on specific days precisely because motivation is the thing that has gone missing and waiting for it to return is a losing strategy.
For couples work it is usually a communication structure practised at home. For OCD it is exposure practice, which is the whole treatment rather than an accessory to it. For trauma work, and this is the important exception, the between-session assignment is often the opposite of effort: rest, grounding practice, and deliberately not going back over the material alone.
Two honest observations about all of this. First, not doing it is information rather than a failing. If the homework did not happen, the useful question is why, and the answer is usually either that the task was too big, that it was not clearly connected to anything you care about, or that something got in the way that is itself worth discussing. A therapist who treats undone homework as a moral matter is a therapist who will not learn what you needed them to learn.
Second, this is the reason weekly attendance matters more than it seems to. Fortnightly sessions are frequently a reasonable adaptation to a real life. But early on, a week is roughly the interval at which momentum holds, and stretching it to three weeks turns each session into a recap of what happened rather than a continuation of the work. If reliability is the constraint, that is worth solving directly at the start rather than discovering it in month three.
No office in Land O' Lakes, and why that works in your favor
Here's the delivery model, stated plainly. Therapy with Ascend is built telehealth-first for this area. Our talk-therapy team is led by a Florida-licensed clinical supervisor based at our Lakeland office, and the therapists see Florida residents by secure video wherever they live, from a house near Lake Padgett to an apartment in Connerton. Your therapist's license attaches to the state of Florida, not to a city, so "near me" matters much less than it used to.
If sitting in a room with someone matters to you, that option exists too. Ascend has no Land O' Lakes office; the Wesley Chapel office is at 27724 Cashford Circle, Suite 102, and Tampa-Carrollwood is at 3971 Moran Road, Suite 101. Many patients use those offices for psychiatry or primary care while keeping therapy itself on video, which is often the combination that actually survives a busy season of life.
One more thing worth saying: a Florida telehealth session requires you to be physically in Florida during the call, and it requires a private spot. A parked car in your own driveway counts. So does a bedroom with a closed door while the kids watch a movie. Our coordinators have helped plenty of people solve the privacy question before their first appointment, so ask if that's the sticking point.
Who actually picks up your case
Names, not stock photos. Skyler Anderson, RMHCI, is a Registered Mental Health Counselor Intern who focuses on trauma, PTSD, chronic illness, anxiety, and depression, and is the clinician most commonly matched with Land O' Lakes patients. The RMHCI credential means exactly what it says: Skyler is a post-graduate counselor completing Florida's registered internship, practicing under the supervision of a licensed clinician, with reduced-fee sessions available because of that status. We'd rather explain the credential honestly than hide it in fine print.
The supervision behind that work belongs to Kaylee Mills Brenneman, Ed.S, MEd, LMHC, a licensed mental health counselor and clinical supervisor who leads the Ascend Lakeland therapy team. Every supervised case gets reviewed by a licensed set of eyes. That structure isn't a workaround; it's how the counseling profession has trained new clinicians for decades, and it's why intern-delivered therapy can be a genuinely good deal rather than a compromise.
You can see the full roster, photos, modalities, and licensure on our providers page, filtered to therapy and counseling. If you want a specific clinician, say so when you book. If you'd rather be matched, the intake conversation covers what you're dealing with, what you want out of therapy, and what fee tier fits, and the match follows from that.
What we treat from a Land O' Lakes living room
The team covers the full breadth of outpatient therapy. Anxiety in its many shapes: generalized worry, social anxiety, panic, health anxiety, agoraphobia. Depression, whether that's a major depressive episode, a persistent low-grade version that's been running for years, postpartum struggles, or a seasonal pattern. Trauma and PTSD get particular attention here, including childhood trauma, accidents, medical trauma, the aftermath of domestic violence, combat-related PTSD, and complex trauma, with EMDR available for reprocessing work.
Grief belongs on this list too, and not only the recent kind: anticipatory grief, complicated grief, and pet loss are all legitimate reasons to sit down with someone. We also work with ADHD-related challenges such as emotional dysregulation, executive function strain, and the toll ADHD takes on relationships, with a referral pathway for diagnostic evaluation if you've never been formally assessed. OCD is treated with Exposure and Response Prevention, the protocol with the strongest track record for that condition. And life transitions, divorce, job loss, relocation, retirement, new parenthood, count as real clinical territory, not a lesser tier of problem.
The team is LGBTQIA+ affirming, with multiple providers trained in affirming care. Modalities across the roster include CBT, DBT, EMDR, IFS, and ERP, applied where they fit rather than as a menu you have to decode.
What a session looks like on a Tuesday night
Individual sessions run 50 minutes; couples and family sessions run 60. The platform is Zoom for Healthcare operating under a business associate agreement, which is what makes the call HIPAA-compliant by design rather than by hope. About 30 minutes before your appointment, a secure link lands in your email or texts. There's no app to install and no account to create. You click, you're in a private video room, and the hour is yours.
The first session is mostly history and goals: what brought you in, what you've tried, what a good outcome would look like by, say, spring. From there, you and your therapist set a rhythm, weekly for most people at the start. Homework depends on the modality; ERP and CBT tend to come with between-session work, while grief work usually doesn't.
A word on setting, since it decides how good the hour feels. You'll want somewhere you can talk without editing yourself: a bedroom with the door shut, the lanai after the house quiets down, even your parked car by Lake Padgett if home is crowded that night. Headphones help more than people expect, both for privacy and for focus. And if the internet hiccups mid-session, which happens to everyone eventually, your therapist simply calls you and the hour continues by phone rather than evaporating.
Therapy, psychiatry, or both: getting the right door first
One quiet advantage of a multi-specialty practice deserves a paragraph. Plenty of people typing "therapist" into a search bar actually need two things at once: someone to do the talking work with, and a prescriber to evaluate whether medication belongs in the picture. Ascend houses talk therapy, psychiatry, and primary care under one practice, so when your therapist thinks a medication evaluation is worth considering, the referral is an internal handoff instead of a second months-long search. It works in reverse too; prescribers here send patients to the therapy team when symptoms need more than a prescription pad can offer.
You don't need to diagnose yourself before calling, and honestly, please don't try. Describe what's going on to the coordinator at (863) 510-2624 and let the intake process sort which service, or which combination, actually fits. Wrong-door calls are welcome here; redirecting one takes us minutes and can save you a season.
Where telehealth holds up, and where it doesn't
The honest version, because you deserve it before you commit an evening a week. For most outpatient concerns, anxiety, depression, trauma work, OCD, grief, life transitions, the outcome research to date generally finds video-delivered therapy performing on par with office-based care. That's a hedged statement on purpose. Research findings describe groups, not individuals, and no honest clinic can guarantee an outcome for you, in an office or on a screen.
There are also cases where telehealth is the wrong tool, and we'll say so. Active suicidality that needs a higher level of care shouldn't be managed over a video link, and a therapist who spots that will help you get to the right setting. If you're in crisis right now, don't wait on an intake process: call or text 988 for the Suicide and Crisis Lifeline, available around the clock, or call 911 if there's immediate danger.
Paying for therapy without a mystery bill
We keep the fee conversation simple and human. Session rates with a licensed clinician are confirmed by a care coordinator before you ever commit, and supervised intern sessions with Skyler are offered at a reduced rate, which is often the difference between starting therapy this month and shelving the idea again. There's no number on this page because rates belong in a conversation where someone can also check your specific situation; the insurance page covers the current tiers, and (863) 510-2624 gets you a straight answer in one call.
For insurance, we provide superbills you can submit to a PPO plan for out-of-network reimbursement. Whether and how much your plan pays back varies by policy, so it's worth a quick call to your insurer with the superbill codes in hand. The coordinator can walk you through what to ask.
Getting started
Two ways in, both easy. Call (863) 510-2624 and tell us what's going on in a sentence or two, or request an appointment online through the new-patient page. Most new clients are scheduled within about a week. From the first hello to the first session, nothing about it requires leaving the house.
If you've been circling this decision since spring, consider this the nudge: the intake call commits you to nothing except finding out what starting would look like. That's a fair trade for ten minutes on the phone.
FAQs about therapy in Land O' Lakes
Does Ascend Mind and Body have a Land O' Lakes therapy office?
No. Ascend doesn't have a physical office in Land O' Lakes. Land O' Lakes residents see our therapy team via HIPAA-secure telehealth. Our nearest in-person offices are Wesley Chapel, at 27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544, and Tampa-Carrollwood, at 3971 Moran Road, Suite 101, Tampa, FL 33618. If you'd prefer in-person care, both options are available.
Who provides telehealth therapy for Land O' Lakes patients?
Skyler Anderson, RMHCI, with a trauma and PTSD focus, is the clinician most commonly matched with Land O' Lakes patients. Kaylee Mills Brenneman, LMHC, the team's clinical supervisor, is also available. Everyone on the team is Florida-licensed or working under licensed supervision.
How much does talk therapy cost in Land O' Lakes?
Session rates with a licensed clinician are confirmed by a care coordinator; see the insurance page. Supervised graduate intern sessions are offered at a reduced rate, with current tiers listed on the insurance page as well. We provide superbills for out-of-network reimbursement on PPO plans, which often cover a portion of the fee; your plan determines the amount.
Is telehealth therapy as effective as in-person therapy?
For most outpatient presentations (anxiety, depression, trauma reprocessing through EMDR, OCD via ERP, life transitions), research shows telehealth therapy produces outcomes comparable to in-person sessions. Telehealth is not appropriate for patients with active suicidality requiring higher levels of care. If you're in crisis, call or text 988.
What ZIP codes in Land O' Lakes do you serve?
We serve all of Land O' Lakes (34637, 34638, 34639) plus the surrounding central Pasco communities: Wesley Chapel (33543, 33544, 33545), Lutz (33548, 33549, 33558, 33559), Odessa, Trinity, and the rest of Pasco County. If you're a Florida resident, we can see you.
How do I book a telehealth therapy appointment in Land O' Lakes?
Call (863) 510-2624, or request an appointment online at ascendmb.com/new-patients/. Most new clients are scheduled within one week, and we'll send a HIPAA-secure video link before your session.
What conditions do your Land O' Lakes therapists treat?
Anxiety (generalized, social, panic), depression (major depressive episodes, persistent low mood), trauma and PTSD (childhood trauma, accidents, medical trauma, combat-related), grief and loss, life transitions, ADHD-related challenges, OCD treated via ERP, and couples and relational issues. EMDR is available.