This might be for you if you notice
- Work stress that follows you home and into the weekend
- Feeling worn out, distant or flat about a job you used to care about
- A big decision you keep circling: stay, leave, go back to school or change fields
- A layoff, promotion, new role or retirement that has shaken your sense of who you are
- Trouble sleeping or relaxing because your mind stays on work
- Wanting work to fit better with the rest of your life
What career counseling is, and what it is not
Work takes up a large part of life, so it makes sense that it shapes how you feel. Career counseling gives you a calm, private place to talk about the pressure, the doubts and the decisions that come with working life, with a licensed therapist who is trained to listen and help you think clearly.
It helps to be clear about what this is. Our therapists are licensed professional counselors and licensed clinical social workers. They provide counseling. They do not place people in jobs, write resumes, run interview drills or act as recruiters. If that is what you need, a career services office or a job coach is a better fit, and many people use both.
What counseling can offer is different: a clearer sense of what matters to you and steadier ways to handle stress.
Work stress and burnout are real, and they can change
The National Institute for Occupational Safety and Health describes job stress as the harmful physical and emotional responses that occur when the requirements of a job do not match the capabilities, resources or needs of the worker. It also notes that job stress can lead to poor health.
Burnout has its own description. The World Health Organization calls burn-out an occupational phenomenon, not a medical condition, that results from chronic workplace stress that has not been successfully managed. It names three parts: feeling drained or exhausted, feeling more distant or cynical about your job, and feeling less effective at work.
According to MedlinePlus, long-term stress may contribute to problems such as trouble sleeping, headaches, anxiety and depression. Noticing these signs is not a weakness. It is useful information, and it is a good reason to talk with someone. If worry or low mood has started to spread beyond work, our pages on anxiety therapy and depression therapy explain how we help with those.
How counseling for career concerns works
Your therapist starts by getting to know your situation: what your work days are like, what has changed, and what you hope will be different. From there you set goals together. Depending on the therapist and what suits you, the work may draw on approaches such as cognitive behavioral therapy (CBT), solution-focused therapy, person-centered therapy or mindfulness-based approaches.
The National Institute of Mental Health describes CBT as a way to become aware of automatic thoughts that are inaccurate or harmful, question them, and change patterns of behavior that work against you.
Things people often work on
- Sorting out a stay-or-go decision without rushing it
- Setting limits around hours, email and availability
- Handling conflict with a manager or coworker more calmly
- Rebuilding confidence after a layoff or a hard review
- Managing stress with sleep, movement and relaxation skills
- Planning a change such as a new field, a return to work or retirement
What online sessions look like
Every session is a secure video visit. There is no office to travel to, which helps when your schedule is already full. The National Institute of Mental Health notes that virtual visits do not require travel and can offer more flexible hours, and that they do require an internet connection and a device such as a smartphone or computer.
Choose a spot where you can speak freely. Many people use a room at home with the door closed, or a parked car. A work computer or an open office is usually not the right place to talk about work. Evening and weekend appointments are available, and exact times depend on the therapist.
You need to be physically located in Pennsylvania, West Virginia or Arizona during each session. Sessions are confidential, with legal exceptions that your therapist will explain. Your employer is not told that you are in counseling.
Getting started
Locascio Wellness does not provide emergency services. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Our crisis resources page lists more options.
Many people find that once they have room to think out loud, the next step at work looks clearer than it did before. Reaching out is an ordinary, sensible thing to do, and things can get better.
- Book a free consultationStart with a free 15-minute consultation. You can book online and tell us a little about what is going on at work.
- Get matched with a therapistWe match you with a therapist who is licensed in the state where you live and whose experience fits your goals. You can read about our therapists on the team page.
- Check your coverageHealth plans generally pay for treatment of a diagnosed condition, so coverage for career-focused counseling depends on your plan. Ask us to verify your benefits, or see insurance and fees. Self-pay is available.
- Meet by video and set goalsIn your first sessions you and your therapist agree on what you want to change and how you will know it is working.
Therapists for career counseling
These therapists describe related experience in their own profiles. We will help you find the best fit and confirm who is licensed in your state.
Questions people ask
Is career counseling the same as career coaching or job placement?
No. Career counseling here is counseling with a licensed therapist. We help with the emotional side of work: stress, burnout, confidence, and the thinking behind big decisions. We do not find job openings, write resumes, prepare you for specific interviews or contact employers. Some people work with a job coach or career services office at the same time, and that can pair well with counseling.
Does insurance cover career counseling?
It depends on your plan. Health insurance generally covers treatment of a diagnosed mental health condition, such as an anxiety disorder or depression. Counseling that is focused only on career questions may not be covered. Ask us to verify your benefits before you start, or visit our insurance and fees page. Self-pay is also available.
How do online career counseling sessions work?
Sessions are held by secure video. You need a private spot, an internet connection, and a phone, tablet or computer with a camera. You must be physically located in Pennsylvania, West Virginia or Arizona during the session. We do not offer in-person visits. Evening and weekend appointments are available, depending on the therapist.
Is burnout a mental health diagnosis?
The World Health Organization describes burn-out as an occupational phenomenon that results from chronic workplace stress that has not been successfully managed. It does not classify it as a medical condition. That does not make it less real. Counseling can help you look at what is driving it and what you can change, and a therapist can also notice if something else, such as depression or anxiety, may be part of the picture.
Will my employer know I am in counseling?
We do not tell your employer. Sessions are confidential, with legal exceptions: a risk of serious harm to yourself or others, and suspected abuse or neglect of a child or vulnerable adult. Your therapist will go over these limits at the start.
Do I need to be in a crisis at work to start?
No. Many people come in while things are still manageable, because they want to make a thoughtful decision or stop stress from building. Others come after a layoff or a hard stretch. Either is a good reason. A free 15-minute consultation is a simple way to find out whether counseling fits what you need right now.
Sources
- Centers for Disease Control and Prevention (NIOSH): Stress and Work
- World Health Organization: Burn-out an "occupational phenomenon": International Classification of Diseases
- MedlinePlus: Stress
- National Institute of Mental Health: Psychotherapies
- National Institute of Mental Health: Getting Mental Health Support Virtually
Published by Locascio Wellness. Last updated October 9, 2026. Clinically reviewed by Anthony Locascio, PsyD, LPC. This page is general information, not medical advice or a diagnosis.


