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Not sure where to begin? This page helps you find exactly what you're looking for — whether you're a new client, a parent, or just exploring your options.
Welcome to Heart & Vine Counseling. I'm Adrian Aswegen, LMHC — a licensed mental health counselor in Iowa specializing in DBT, Positive Psychology, teen therapy, and faith-based counseling. I see clients in person in Colfax and via telehealth anywhere in Iowa. Browse the sections below to find the right place to start, or reach out directly and I'll help you figure it out.
Find Your Focus Area
Dialectical Behavior Therapy — practical skills for managing intense emotions, tolerating distress, and building healthier relationships. The foundation of nearly all my work.
DBT-based counseling for anxiety, panic, chronic stress, and worry that won't turn off. Practical nervous system tools you can use in real life.
Safe, paced support for PTSD, complex trauma, childhood abuse, and adverse experiences. You set the pace — healing never has to be forced.
Adolescent counseling for anxiety, identity, trauma, academic stress, and life transitions. A space where teens can actually be honest about what's going on.
Christian faith thoughtfully integrated into therapy — for clients who want it. All beliefs warmly welcomed; faith integration is always client-led and optional.
The science of what makes life worth living — building joy, meaning, and resilience alongside healing. The philosophy behind "have a smile on your face and a song in your heart."
Secure online therapy available anywhere in Iowa — same quality care as in-person, from the comfort of your own space. No commute, no waiting room.
Mental health education for schools, churches, employers, and community organizations across Iowa. DBT skills, Positive Psychology, trauma awareness, and more.
Find Me by Location
In-person in Colfax (30 min east) + telehealth across the Des Moines metro.
In-person in Colfax (minutes away) + telehealth across Polk County.
In-person in Colfax (short drive) + telehealth statewide.
Telehealth available to any client located in Iowa at the time of their session.
Other Helpful Pages
Ready to Take the Next Step?
Reaching out is the hardest part. I'll respond within 2–3 business days — no commitment required.
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