Heart and Solutions is a strength-based counseling agency serving Iowa individuals, couples, and families with a team of dedicated therapists. We believe in the inherent strength and resilience of people, and we are passionate about empowering clients to reach their full potential.
1. Mental Health & Counseling
We offer individual, couples, and family therapy for a variety of concerns including:
- Difficulty concentrating or following directions
- Bullying or being bullied
- Depression, anxiety, sadness, or excessive worry
- Relationship difficulties
- Grief and loss
- Trauma and abuse
2. Behavioral Health Intervention (BHIS)
This in-home program provides intensive support and interventions for children and adolescents struggling with behavioral issues.
3. Telehealth Counseling
Get the support you need from the comfort of your home through secure video sessions with our therapists.
4. Community Outreach
We partner with local schools to provide therapy services within the school setting.
Our Team
Our team consists of over 40 dedicated therapists and support staff, all passionate about empowering individuals and families. We are committed to providing personalized and compassionate care to meet your unique needs.
Where We Are
With seven office locations across Iowa, we are conveniently located to serve you wherever you are in the state. We are also proud to offer telehealth services for added flexibility and accessibility.
Our Approach
We believe in a strength-based approach to counseling, focusing on building on your existing strengths and resources to achieve positive change. We utilize evidence-based interventions tailored to your individual needs and goals.
Contact Us
To learn more about Heart and Solutions and how we can help you, please visit our website or call us at 800-531-4236. We look forward to hearing from you and embarking on this journey with you.
Problems and Concerns
The majority of the reviews are negative, describing a range of issues with the company. Reviewers have expressed frustration with the business practices, poor communication, and lack of transparency. Several reviewers have reported being pushed to meet therapist quotas, leading to harassment and stress.
Abusive and Unprofessional Behavior
Some reviewers have accused the director of being rude, money-grubbing, and having anger problems. Others have experienced harassment and belittling behavior from therapists, including being threatened with cancellation of sessions.
Financial Issues
Several reviewers have reported financial difficulties and lack of transparency surrounding costs. Reviewers have been charged exorbitant fees, and some have had issues getting their bills paid.
Lack of Respect for Patients' Time
Reviewers have reported therapists being late, canceling sessions at the last minute, and not providing adequate notice. Some have also reported being unfairly charged for sessions that were not attended.
Unprofessional Conduct
Reviewers have accused the company of having no direction or ambition to help patients, and being more interested in milking clients for payment. This has led to a lack of trust among patients and a sense of disrespect for their time and well-being.
Contrasting View
One reviewer, Alison Rust, had a positive experience with the company, stating that she has never worked for employers who care about her as much as the one she works for. This stands out as a stark contrast to the overwhelmingly negative reviews.

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