- Family of origin patterns
- Relationship difficulties
- Stress and anxiety
About Cassandra
Cassandra Golden Kruse is an Ohio LISW with 30 years of clinical experience. She helps adults who notice old family patterns, relationship strains, anxiety, depression, addiction concerns, and parenting stress. She also offers support around ADHD, self-esteem, anger, and life changes.
She works in straightforward, practical ways. Sessions focus on identifying recurring beliefs and roles that came from the family of origin. Then she helps people practice different choices and skills that change how those patterns play out now. Conversations include clear steps to manage stress, improve communication, and reduce unhelpful reactions.
Her approach emphasizes understanding where patterns came from and testing small changes in everyday life. She encourages clients to list their priorities and use their strengths to make steady progress. Work may include building emotion regulation skills, changing interactions with others, and addressing problems that co-occur with mood or substance use concerns.
Cassandra draws on three decades of experience to offer steady, measured support. She aims to help people replace stuck behaviors with workable alternatives. That can mean learning new ways to ask for support, set boundaries, or manage grief and loss.
People who want practical, relationship-focused work often find her straightforward style useful. If someone is unsure whether her approach fits, she asks a few questions up front to clarify concerns and goals before scheduling a first session.
Therapeutic approaches and working online
Two common evidence-based approaches she uses are practical skills-based work and relational exploration. Skills-based work teaches concrete strategies for emotion regulation, stress management, and coping with cravings or strong impulses. It is useful for anxiety, mood symptoms, and addictive behaviors.Relational exploration focuses on how early family roles and expectations shape current relationships. This kind of work helps people notice patterns, try different responses, and repair how they relate to others. It is often used when family of origin issues or attachment concerns are central.
Finding the right mix of approaches is part of the work. She collaborates with clients to pick techniques that match their goals, preferences, and daily demands. That collaborative planning helps shape each session and the pace of change.
Confirm the current session options before booking, as formats were not specified in the biography. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. Phone calls may work when less bandwidth is available, while video can allow for face-to-face interaction and visual cues. Ask about which formats are available when you schedule so sessions fit your routine.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
30+ years
Listed in
Ohio
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with relationship strain, family of origin patterns, trauma and abuse, depression, anxiety, addictions, parenting stress, ADHD, and related concerns such as attachment and codependency.
What is her therapeutic style like?
Her style is practical and focused on changing recurring behaviors. She helps people identify beliefs from their family background and practice new skills in daily life.
How much experience does she have?
Cassandra has 30 years of clinical experience working with adults on relationship and family concerns.
What are her credentials and location?
She is an LISW holding an Ohio LISW credential and practices in Ohio.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients.
How are sessions priced?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin the process?
Click the See online therapy options button, complete the short matching questionnaire, and schedule a first session to get started.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.