
"Stand them in the stream, head them upstream, rejoice as they learn to love this space they live in, its sticks and leaves and then the silent, beautiful blossoms."
Mary Oliver "Upstream: Selected Essays"
About Upstream
Upstream Counseling Services LLC is a group practice of mental health providers seeking to provide you with effective, compassionate, and experienced mental health counseling.
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Our providers are experienced in treating a variety of mental health concerns, including but not limited to:
• Anxiety
• Depression
• ADHD
• Anger/Aggression
• Defiance/Behavioral Concerns
• PTSD/Trauma
• Health Trauma
• Infant & Early Childhood Mental Health
• Self-Esteem
• Adjustment Issues
• Family Conflict/Parenting
• Social Skills
• Autism Spectrum
• Grief/Loss
• LGBTQA2I+ Issues
• Women's Issues

Providing experienced counseling services to you and your family, across the lifespan.
Emily J. Mick
M.Ed., LPC, LPC-S
(she/her/hers)
Alexandria C. Cosma
M.S., LPC, NBCC
(she/her/hers)
Maddi Goodman
M.Ed., LPC
(she/her/hers)
"I believe strongly that mental health counseling is not just for when we are in crisis; it is just as important to maintain our mental health as we do our physical health, and seeking counseling services is a powerful tool in overall wellness.
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Desmond Tutu said, 'There comes a point where we need to stop just pulling people out of the river. We need to go upstream and find out why they're falling in.' Being able to address the emotional, interpersonal, and mental outcomes of our lives' struggles, traumas, and complicated experiences requires us to not only look at the past and repair what resulted, but also examine the present and develop new skills for emotional and mental safety and success moving forward."
"Hello there! I’m Alexandria Cosma or Allie.
I enjoy working with children, adolescents, and adults regarding various issues, problems, and figuring out how to navigate life. I enjoy helping people grow. This can look like so many things and sometimes that is the best part. We can learn ways to move forward. Let’s make it happen."
"I work with adults feeling stuck and overwhelmed who are looking to gain confidence, control and understanding of their emotions, and connection with themselves and others. I also work with individuals on navigating life changes and symptoms of depression and anxiety. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) and other modalities to help adult individuals discover and create change!"


