Something inside feels off? Let’s take the next step, together.
Evidence-based counseling for couples, individuals, teens and children that integrates compassionate faith.

You don’t have to have it all figured out to begin.
Many of the people we see are holding it together on the outside while something feels heavy underneath. Whatever brought you here, it’s reason enough to reach out.
“We keep having the same fight, and we feel so far apart.”
“I’m functioning, but I’m not okay inside.”
“My anxiety won’t let me rest.”
“Something from my past still has a hold on me.”
“My teen won’t talk to me anymore.”
“I want my faith to be part of my healing.”
Counseling for every season of life
Choose the area that fits where you are today. Each page explains what to expect and who on our team can help.
Couples & Marriage
Rebuild trust, break stuck patterns, and find your way back to each other.
Learn morePremarital
Build a strong, faith-filled foundation before you say “I do.”
Learn moreAnxiety
Quiet the overthinking and find steady ground again.
Learn moreTrauma
Gentle, evidence-based care for the past that still feels present.
Learn moreTeens
A safe space to be heard while navigating the pressures of growing up.
Learn moreChildren
Support for big feelings, and guidance for the parents who love them.
Learn moreChristian Counseling
Clinical care that welcomes your faith, at your pace.
Learn moreOnline Counseling
Secure telehealth sessions from anywhere in Kentucky.
Learn moreFaith-informed. Clinically excellent. Deeply human.
Your faith is welcome here, integrated at your pace and never imposed. Every session pairs proven, evidence-based tools with genuine warmth, so you always know you’re in capable hands.
Restoring. Renewing. Rooted in hope.
Excellent clinical care
Licensed, trained, and evidence-based.
Holistic health
Mind, body, relationships, and spirit.
Restoring families
Stronger marriages, stronger homes.
Compassionate Faith
Hope grounded in faith, offered with respect.
Find the counselor who fits you
Every counselor at Sycamore brings warmth, skill, and faith into the room. Read a little about each of us, then book with the person who feels right.

Olivia Lanier, LCSW
Therapist
Molly Riley-Nichol, BS
Counselor in Training
Shelby Rhea Miller, LPCC-S
Founder | Lead Therapist

A calm place to land, right in downtown Paducah
From the moment you walk through our door on Broadway, we want you to feel cared for, safe, and unhurried. Grab a coffee, settle in, and take a breath. You’re in good hands.
Three simple steps to begin
Reach out
Request an appointment online or call us. We’ll answer your questions and listen to what you’re looking for.
Get matched
We’ll pair you with the counselor who best fits your needs, in Paducah or online anywhere in Kentucky.
Begin healing
Share your story at your own pace. You don’t have to have it all figured out to start.
Rates vary by counselor. See each counselor’s rate on their card above. Sycamore is a private-pay practice, so your care is shaped by you and your counselor, not an insurance company. Good Faith Estimates are always available.
What people often ask us
Still wondering if counseling is right for you? Here are a few answers. You’ll find more on our Fees & FAQs page.
Do I have to be a Christian to see you?
No. We welcome everyone. Faith is integrated into counseling only if you want it, and always at your pace.
Do you take insurance?
We do not partner directly with insurance companies in your care. This creates more personalized and confidential care for you. We can provide you with a superbill for services received in order to take advantage of any out-of-network benefits you may have.
Do you offer online counseling?
Yes. We offer secure telehealth sessions to clients located anywhere in Kentucky, and in-person sessions at our downtown Paducah office.
Who do you work with?
We see children, teens, adults, couples, and families. Common reasons people reach out include marriage and relationship struggles, anxiety, depression, trauma, life transitions, and parenting stress.
How do I know if my struggles “qualify” for counseling?
If something is weighing on you, that is reason enough. You don’t need a crisis or a diagnosis to benefit from counseling. Reach out and we’ll help you figure out the next step.

Restoring. Renewing. Rooted in hope.