Christian Counseling · Paducah, KY & Online

Something inside feels off? Let’s take the next step, together.

Evidence-based counseling for couples, individuals, teens and children that integrates compassionate faith.

Clinically excellent, always warm. Faith-informed, never preachy.
Shelby Rhea Miller, Olivia Lanier and Molly Riley-Nichol of Sycamore Counseling Services
Accepting new clientsIn person & virtual
Historic downtown office517 Broadway Street, Paducah
Secure telehealthAnywhere in Kentucky
Private pay · Sessions from $50No insurance limits on your care
Does this sound familiar?

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.”

The Sycamore difference

Faith-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.

Meet our team

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.

Sycamore Counseling
Olivia Lanier, LCSW
Meet

Olivia Lanier, LCSW

Therapist
Adults, teens & children
Trauma, anxiety, depression, relationships
In person & virtual
$120 per session
Accepting new clients
Sycamore Counseling
Molly Riley-Nichol, BS
Meet

Molly Riley-Nichol, BS

Counselor in Training
Children, teens & adults
Anxiety, depression, OCD, life transitions
In person & virtual
$50 per session · reduced-fee sessions with a supervised counselor in training
Accepting new clients
Sycamore Counseling
Shelby Rhea Miller, LPCC-S
Meet

Shelby Rhea Miller, LPCC-S

Founder | Lead Therapist
Couples & adults
Marriage, premarital, anxiety, OCD
In person & virtual
Not accepting new clients
The front door of the Sycamore Counseling office
Sycamore counselors sharing a laugh in the office
The Sycamore experience

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.

Warm, private offices in a historic building
Same care in person or by secure video
A team that knows you by name
Getting started

Three simple steps to begin

1

Reach out

Request an appointment online or call us. We’ll answer your questions and listen to what you’re looking for.

2

Get matched

We’ll pair you with the counselor who best fits your needs, in Paducah or online anywhere in Kentucky.

3

Begin healing

Share your story at your own pace. You don’t have to have it all figured out to start.

From$50Per session

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.

Questions

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.

Sycamore Counseling Services logo

Restoring. Renewing. Rooted in hope.

We’re ready when you are.