Counseling and Therapy Sessions in Brighton and Plymouth, MI.

At McCaskill Family Services, we have psychologists who specialize in working individually with adults with a variety of difficulties.

Online Counseling Services Available For Patients Throughout Michigan

Meet with a licensed psychologist by phone or video

Teletherapy is safe and private & follows all HIPPA guidelines

We are out-of-network with insurance companies; however we are a recognized out-of-network provider with BCBS of Michigan. Patients are expected to pay at the time of service. Receipts are provided so patients can submit them to their insurance company for possible reimbursement.

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Coordinate an online counseling session with our Michigan based team today.

Brighton Office

Plymouth Office

Common Types of Anxiety We Treat:

Anxiety

Stress and anxiety are certainly common to all of us. However, when your anxiety increases to the point where it is affecting your daily life, it is time to get help. You may have been struggling with anxiety throughout your life (excessive worrying, panic attacks) or perhaps your anxiety has come on quickly as a result of a more sudden change or hardship in your life, such as the birth of a child, death of a loved one, job loss, school failure, car accident, etc. People who have not experienced your level of anxiety may not understand how difficult it is to live with anxiety and may give you suggestions such as “it will get better”, “you will be ok”, or “just suck it up”. However, if you have anxiety, you know that these suggestions, although well intended, are not helpful. We understand exactly what you are going through and you are not alone. Decades of research on anxiety have proven that anxiety is a result of chemical imbalances in the brain. Using the most widely-used, empirically-based treatment called Cognitive-Behavioral Therapy (CBT), we have proven techniques that work (often without medication) to reduce anxiety so that it is no longer negatively impacting your life. Treatment is often short-term and immediately effective.

There is no reason to wait to schedule an initial consultation appointment with one of our experts to see if Cognitive-Behavioral Therapy is the solution to you leading a happier and more content life. We have specialized in assessing and successfully treating anxiety for many decades. Our doctors stay on top of the leading research in anxiety through our direct affiliation with universities, who are on the front lines of the newest and most effective treatments for anxiety.

See Our Anxiety Treatment Services

Excessive Worrying

Worrying about things is as common as breathing. However, if you are finding that your worrying is excessive or you are worrying about things more than usual, it is time to get help. You may have always been a “worrier”, but perhaps something has changed in your life to cause it to increase. Things such as hormonal changes, major life transitions such as moving or job change, the birth of a child, death of a loved one, recent tragic news events or an accident can cause anxiety to increase.

See Our Anxiety Treatment Services

Social Anxiety

Social Anxiety is the fear or apprehension of interacting with other people leading you to feel self-consciousness in social situations. You may feel as though you are being negatively judged and evaluated or that people are talking about you behind your back. You may feel excessively embarrassed, inferior, inadequate, humiliated, lonely and depressed. You often avoid or withdraw from social situations when in fact you want more than anything to be able to socialize with others and fit in.

As alone as you may feel when suffering from this condition, you are definitely not alone. Social anxiety is very common and we can help. By using empirically-validated treatment approaches such as cognitive-behavioral therapy and mindfulness approaches, your anxiety reduces in social situations. As a result, you become more relaxed and confident. You will find that you are able to speak to others just as well as you do when talking to a close family member or friend. You will have more friends and feel happier and content.

OCD

All people worry. However, you may notice that you can't stop worrying and your worries frequently cause you to do certain things repeatedly in order to get rid of the worrying thoughts. These rituals or compulsions ( such as frequent hand washing, checking, touching objects in a repetitive fashion, focus on evenness, etc. ) stop the scary thoughts and help you to feel safe, clean or okay in some way.

Your attempts to stop these behaviors may not be working or you may not know why you are engaging in these behaviors. Perhaps you try to hide these rituals, but those close to you are starting to notice and become concerned. We specialize in anxiety and in particular, Obsessive-Compulsive Disorder. After a brief consultation, we will be able to tell you if the difficulties you are experiencing are something that will pass or if it is something more serious that can cause further difficulties if not treated. Anxiety and OCD are genetically inherited much like eye or hair color. If anxiety or OCD runs in your family, this is even more reason to address it as early as possible. Our clinicians at McCaskill Family Services specialize in the most empirically-effective treatment for OCD, known as Cognitive-Behavioral Therapy ( CBT ) including exposure and response prevention techniques. Through our extensive training and experience using this treatment approach, you will learn strategies in a caring, supportive environment to effectively manage your symptoms of anxiety.

Stress Management

Stress is part of everyone’s daily life. If you are experiencing stress, it simply means that the demands of the current situation are not matching what you are reasonably able to handle at this time. Although stress is normal, chronic stress can result in cognitive impairment such as memory loss, poor concentration and focus and medical conditions such as high blood pressure, heart attack and stroke.

If you are looking for some help with stress management, you have come to the right place. We will work with you to develop an individualized stress management plan and will teach you specific, highly-effective techniques to reduce your stress. All of our strategies are based on research from top universities and medical centers. You will feel better and will be much more effective and efficient in your work and daily life activities. We are well-known for effectively teaching stress-management techniques to local CEOs, physicians, attorneys, politicians and elite athletes on teams such as the Tigers, Lions and Pistons.

Job Dissatisfaction

What do you do? That’s often one of the first questions people ask you when they meet you. As an adult, most of your waking hours are spent at work. Your work is a big part of your identity and if you are not satisfied with your job, it can lead to anxiety, depression, relationship struggles and feelings of being trapped and hopeless.

Whether it is simply a job or perhaps a career choice that is the problem, we understand what you are going through and we can help. The first step is to come in for a confidential clinical intake appointment, during which one of our clinicians who specialize in this area will ask you a series of questions and obtain a thorough history of your life and employment. We will develop a personalized game plan to help you to improve your situation. Even if you think you have thought of all possibilities to no avail, there may be something that you are not considering. Through decades of working with adults in situations similar to yours, we may be able to offer a plan or suggestion that you haven’t thought of to change your life for the better.

Life Dissatisfaction

Are you feeling unhappy or dissatisfied with your life? Are you simply just getting through each day only to face another day of the same monotony? Is this really all there is to life? Perhaps you feel trapped in your current situation and can’t see a way out. Maybe depression or anxiety has set in, making it even more difficult to find the energy to make changes to improve your situation.

We understand what you are going through and we can help. The first step is to come in for a confidential clinical intake appointment, during which one of our clinicians will ask you a series of questions and obtain a through history of your life, detailing your past, present and your ideas for the future. We will develop a personalized game plan to help you to improve your situation, step by step, and we will help you every step of the way. Through decades of working with adults in situations similar to yours, we may be able to offer a plan or suggestion that you haven’t thought of change your life for the better!

Safe and Effective Treatments for PTSD

If you've experienced a traumatic event of any sort that negatively affects your daily life, call us. We can help. Watch our video to learn more about PTSD, behaviors that can be attributed to PTSD, and how we approach healing experiencing PTSD.

Divorce

If you are going through a separation or divorce, you may feel overwhelmed, confused and alone. Perhaps it was your decision after years of feeling unhappy and trapped in a marriage that wasn’t working. Maybe your partner has decided to leave or has had an affair and found someone else. If you have children, it is even more complicated and upsetting as you try to navigate your way through this, all while trying to protect them.

The divorce rate is estimated to be over 60%, so you are not at all alone and are actually part of the majority. We have been working with couples for decades in all phases of considering separation, to filing for divorce, to post-divorce care. Emotions are high and coming to an agreement on things, especially as it relates to the children, often seems impossible. We are here to help.

Common Types of Depression We Treat

Depression

If you are experiencing symptoms of sadness, crying more than usual, hopelessness, low energy, decreased interest in things you used to enjoy, appetite or sleep changes, irritability or just a general sense of the blues, you may be suffering from depression. Depression can be a lifelong struggle or can be triggered by an event such as the loss of a loved one, job loss, breaking-up with someone, separation or divorce.

You are not alone and we can definitely help. Depression is more common that you might think, and most people suffer through at least one episode during the course of their life. Advances in treatment have made it possible for people like you who may suffer from depression to live happier, more content and well-balanced lives. We specialize in the most empirically-established treatment for depression, called Cognitive Behavioral Therapy (CBT). First, you will meet with one of our clinicians to discuss your situation in a confidential, comfortable setting. We teach you techniques proven to work and (if you do your minimal homework), most treatment can be completed by meeting once a week with your therapist for about 8 – 12 sessions, although it varies by individual. We specialize in Cognitive-Behavioral Therapy (CBT), the most well-established, proven method to treat depression.

*If you are concerned that your child or teen is depressed, please see Child Depression or Teen Depression

Grief and Loss

Losing someone you love can be devastatingly painful. Losing your mother, father, sister, brother, daughter, son, spouse, partner, best friend or pet hurts so badly. You want to speak to them or hold them one more time and you can’t. You may have regrets for things you said or didn’t say. Grief can also come in the form of a relationship ending, losing your job, your house, or your physical abilities due to an injury.

You may feel like the pain is too much to handle and you cannot go on. We often describe grief as the most intense physical pain you have ever experienced without the option to go the emergency room for pain relief medication. You are not alone and we can help you. The most important step that you can take right now is to make that first appointment and allow us to get you through this so that the pain becomes more manageable and you can begin to function better. Through empirically-proven treatments such as mindfulness, Cognitive-Behavioral Therapy (CBT) and interpersonal therapy, you will feel better and get some relief.

*If your teen or child is experiencing Grief, please see Teen Grief or Child Grief

Learn more about New Hope Center for Grief Support

Death of a Parent

Losing a parent may be a totally different level of pain and grief than you have ever experienced. You want to speak to your mom or dad again, or hold them one more time and you can’t. You may have regrets for things you said or didn’t say, did or didn’t do. Losing a parent is a sign of the loss of your childhood and the realization that you are now “officially” an adult and no longer a “child”. The pain comes and goes in waves and you may feel like it is too much to handle and you cannot go on.

You are not alone and we can help you. The most important step that you can take right now is to make that first appointment and allow us to get you through this so that the pain becomes more manageable and you can begin to function better. Through empirically proven treatments such as Mindfulness, Cognitive- Behavioral Therapy (CBT), and Interpersonal Therapy you will feel better and get some relief.

Death of a Child

Losing a child is the most devastatingly painful thing that can happen to any parent. You are meant to protect your child and you couldn’t. You want to speak to him/her or hold them one more time and you can’t. You may have regrets for things you said or didn’t say, did or didn’t do. You are not alone and we can help you. The most important step that you can take right now is to make that first appointment and allow us to get you through this so that the pain becomes more manageable.

Death of a Spouse

Losing a spouse creates a multitude of levels of grief. You have lost your best friend and perhaps the father or mother of your child or children. You want to speak to your husband or wife again or hold them one more time and you can’t. If you have children, you are finding it difficult to be strong for them. The most important step that you can take right now is to make that first appointment and allow us to get you through this so that the pain becomes more controllable.

Death of a Sibling

Losing a sibling is an incomparable amount of grief. You want to speak to your brother or sister again or hold them one more time and you can’t. You may have regrets for things you said or didn’t say, did or didn’t do. Losing a sibling is a loss of someone who has been with you since you were a child. No one knows your childhood the way your sibling did. The most important step that you can take right now is to make that first appointment and allow us to get you through this so that the pain becomes lessened.

Low Self Esteem

Self-esteem is your overall opinion of yourself and self-confidence is your trust in your own abilities, qualities and judgment. If you are suffering from low self-esteem or low self-confidence, you may be insecure, underachieving, unhappy, unmotivated, angry, withdrawn, and/or have a poor self-image. You may have a fear of making mistakes and therefore are not working to your highest potential.

Low self-esteem/self-confidence can lead to relationship problems, underachieving at work or at school, depression and anxiety. Self-esteem and self-confidence are on a continuum that can fluctuate at different times in your life, with the goal of trying to keep it balanced in the middle, not too high and not too low.

Many people suffer from low self-esteem/self-confidence. You are not alone. Fortunately, individual therapy is highly effective for these conditions. With advances in treatment approaches using components of Cognitive-Behavioral, interpersonal and Dialectical Behavioral treatment, you do not have to suffer any longer. We can help you and therapy is often short-term. You will feel better about yourself and your abilities. As a result, your relationships, mood and productivity will improve.

Bipolar Disorder

Living with Bipolar Disorder is no easy task. The ups and downs of your mood can be challenging to regulate. Medication compliance can be difficult, particularly when you are feeling well. We have experts who specialize in Bipolar Disorder and are here to help you. Treatment yields the best outcomes when medication is combined with individual psychotherapy. We use Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, acceptance therapy and components of interpersonal therapy to help you to reach your highest potential.

*We also offer treatment for Child BiPolar Disorder

Types of Health Conditions We Treat

ADHD

ADHD in adults is often unidentified or misdiagnosed; please do not rely on questionnaires administered by your physician. Many symptoms of ADHD such as distractibility, hyperactivity, disorganization, absentmindedness or forgetfulness can actually be symptoms of another disorder such as a learning disability, anxiety or depression. We conduct comprehensive evaluations in order to make sure that these symptoms are actually the result of the neurological condition of ADHD. Treating ADHD when it is not ADHD can be harmful to you. On the other hand, not treating ADHD because you didn’t know you had it is also harmful. Just because you can pay attention, sit still and can organize your belongings does not mean that you do not have ADHD. If someone in your family has ADHD (or suspected ADHD), it is even more important get an evaluation since ADHD is hereditary and runs in families. We will conduct a very thorough neuropsychological evaluation in order to determine if you have ADHD and we will tell you exactly what to do. We specialize in ADHD assessment and treatment (without medication). If it is not ADHD, the evaluation with determine what is going on and provide you with a detailed plan on how to improve your situation.

ADHD is one of our primary specializations at MFS. We have extensive training directly from experts across the country and bring this to you. We have spent decades on the cutting edge of advancements in the field of ADHD. Dr. McCaskill is the professional advisor for ChADD, a national organization for research and treatment of ADHD in children and adults.

Click here to listen to Dr. McCaskill's interview about ADHD on the ADHD & Me Podcast.

See ADHD Testing Services

Eating Disorder

If you or someone you know thinks you may be suffering from an eating disorder, it is crucial that you get help immediately. The longer that it goes untreated, the more difficult it is to treat on an outpatient basis and may lead to hospitalization. Restricting your food intake resulting in being underweight, an intense fear of gaining weight, excessive focus on body image and inability to recognize the severity of the situation are common symptoms of Anorexia Nervosa. Binge Eating Disorder involves episodes of consuming very large amounts of food with a feeling of being out of control followed by intense feelings of guilt and shame. Bulimia Nervosa is similar to Binge Eating Disorder, although attempts are made to prevent weight gain by vomiting or other methods.

Eating disorders are quite common; however, because the person affected by the condition is often not able to see how serious it is, it is often a loved one who prompts them to get help. If you are reading this and you are concerned about someone with a potential eating disorder, we can help you. If you are not able to get the person to agree to come to an initial consultation appointment with us, it is perfectly ok and advisable that you come in yourself. We will help you to know what to do next.

See Our Eating Disorder Treatment Services

Weight Loss

Why is it so difficult to lose weight and keep it off? You are a successful, strong, motivated person, yet time and time again your attempts at losing weight and maintaining a healthy weight have failed. Diet after diet, you know them all at this point and have probably tried most: Weight Watchers, Atkins, South Beach, Paleo and the list goes on.

The reason over 75% of people trying to lose weight are not successful is because a key part of any behavioral change, including weight loss, is that we believe we have more control over our behavior than we really do. Stress, depression, anxiety and addiction take control of our actions in a very powerful way. You are not an unmotivated, lazy person. Our behavioral psychologists have helped hundreds of people like yourself lose weight and keep it off by treating the core brain components preventing you from losing weight and keeping it off.

Chronic Health Problems/Pain

Living with a chronic health problem is very difficult and can often lead to depression, anxiety, low self-esteem, social withdrawal or dysfunction due to chronic pain. Common diseases that can result in more difficulties are asthma, cardiac problems, kidney disease, COPD, Crohn’s Disease, Diabetes, Epilepsy, Hypertension, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Lupus, Fibromyalgia, ulcers and more.

There are many people with chronic health conditions who live happy, well-balanced lives who were right where you are today. Individual psychotherapy is a necessary component to give you the support you need from people like us who understand your struggles. Our doctors have received advanced specialized training in medical psychology at University of Florida/Shands Hospital, one the leading medical centers for pain disorders. We use Cognitive-Behavioral and mindfulness techniques to teach you effective strategies to manage pain, depression and anxiety. We will help you to live the life you deserve and improve your current situation.

Fibromyalgia

As you know, living with Fibromyalgia syndrome is a constant struggle. The chronic muscle pain, fatigue, sleep difficulties and painful trigger points make it difficult to get through the day. People may not understand and sympathize with what you are going through because they can’t “see” it.

Treatment for Fibromyalgia includes medications, lifestyle changes and stress management. We specialize in the lifestyle changes and stress management part. Since our doctors specialize in chronic health problems, specifically Fibromyalgia, we know what you are going through and we can help.

By using empirically-supported treatments such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (CBT), mindfulness, acceptance and interpersonal therapy, we can alleviate some of the pain and discomfort you are experiencing.

Migraines

As you know, living with migraines is very difficult. They often come on suddenly and interrupt your daily functioning. Pain medications are only minimally effective at times and you hate to always rely on narcotics to manage your pain in fear of addiction. Over time, living with migraines can lead to depression, anxiety, low self-esteem, social withdrawal and low productivity due to chronic pain.

There are many people with chronic migraines who live happy, well-balanced lives who were right where you are today. Individual psychotherapy is a necessary component to give you the support you need from people like us who understand your struggles. Our doctors have received advanced specialized training in medical psychology at University of Florida/Shands Hospital, one the leading medical centers for pain disorders. We use Cognitive-Behavioral and Mindfulness techniques to teach you effective strategies to manage your migraine pain and associated depression and anxiety. We will help you to live the life you deserve and improve your current situation.

Diabetes

Diabetes treatment is provided by a team of healthcare professionals that consists of a physician, diabetes nurse educator, dietitian and psychologist. We have psychologists who specialize in diabetes to provide you with help and support in making lifestyle changes necessary to adhere to your diabetes regimen. We will work with you to hold you accountable to following your meal plan, administering insulin, recording blood glucose and sticking to a regular exercise plan.

There are many people with diabetes who live happy, well-balanced lives. Individual psychotherapy is a necessary component to give you the support you need from people like us who understand your struggles. Our doctors have received advanced specialized training in Diabetes management at University of Florida/Shands Hospital, one the leading medical centers for medical psychology. We use Cognitive-Behavioral techniques to teach you effective strategies to manage your diabetes and cope effectively with your condition. We will help you to live the life you deserve without diabetes taking control.

Lupus

It was probably a challenge even getting the diagnosis of Lupus in the first place. Now that you know what it is that you have, you know that Lupus is a chronic inflammatory disease that occurs when your body’s immune system attacks your own tissues and organs. Inflammation caused by lupus can affect your joints, skin, kidneys, blood cells, brain, heart and lungs.

Treatment for Lupus is primarily medication. However, stress exacerbates the symptoms and stress management therapy must be part of your treatment plan. We specialize in lifestyle changes, stress management and coping with a chronic medical condition. Since our doctors specialize in chronic health problems, specifically Lupus, we know what you are going through and we can help. By using empirically-supported treatments such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (CBT), mindfulness, acceptance and interpersonal therapy, we can alleviate some of the pain and discomfort you are experiencing.

Chronic Fatigue

You have been experiencing extreme tiredness and have been through test after test to try to figure out what is going on. It has affected your ability to concentrate and you may have frequent headaches, joint pain and sore throats. Doctors tell you that you have Chronic Fatigue Syndrome and that there is no cure.

Treatment for Chronic Fatigue Syndrome is physical therapy and psychotherapy to help you to make lifestyle changes and cope with the condition. We specialize in lifestyle changes, stress management and coping with a chronic medical condition. Since our doctors specialize in chronic health problems, specifically Chronic Fatigue Syndrome, we know what you are going through and we can help. By using empirically-supported treatments such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (CBT), mindfulness, acceptance and interpersonal therapy, we can alleviate some of the pain and discomfort you are experiencing.

Epilepsy

As you know, living with Epilepsy is very difficult. The seizures often come on suddenly and interrupt your daily functioning. Over time, living with Epilepsy can lead to depression, anxiety, low self-esteem and social withdrawal.

There are many people with Epilepsy who live happy, well-balanced lives. Individual psychotherapy is a necessary component to give you the support you need from people like us who understand your struggles. We use Cognitive-Behavioral and mindfulness techniques to teach you effective strategies to manage your condition and associated depression and anxiety. We will help you to live the life you deserve and improve your current situation.

Asthma

As you know, living with asthma is very difficult. Asthma attacks often come on suddenly and interrupt your daily functioning. Over time, studies show that living with asthma can lead to depression.

There are many people with Asthma who live happy, well-balanced lives. Individual psychotherapy is a necessary component to give you the support you need from people like us who understand your struggles. Our doctors have received advanced specialized training in medical psychology at University of Florida/Shands Hospital, one the leading medical centers for medical psychology. We use Cognitive-Behavioral, mindfulness, acceptance and interpersonal therapy techniques to teach you effective strategies to manage your condition and associated depression and anxiety. We will help you to live the life you deserve and improve your current situation.

Insomnia

If you are having difficulty falling asleep or staying asleep, you may have a condition known as insomnia. Sleep deprivation can result in increased stress, depression, anxiety, concentration difficulties and significantly reduce your ability to function throughout the day. It is actually a form of torture in some countries!

We specialize in Cognitive-Behavioral Therapy ( CBT ), the most well-established, proven method to treat insomnia. Treatment is typically very short-term and highly effective and may require only a few sessions. Most people who have benefited from this therapy have told us that they wish they would have come in sooner. It is even more effective than sleep medication in many cases. We would be happy to meet with you for an initial consultation appointment to determine the best course of treatment to help you get some sleep!

Tics/Tourette’s Disorder

If you have been diagnosed with Tic Disorder or Tourette’s Syndrome, you have been living with this condition for quite some time as an adult. The social and emotional stress of having verbal and/or motor tics can take its toll.

You are not alone and we can help you. Many adults with Tourette’s or Tic Disorder live happy, healthy lives. They are successful at work and in relationships. Our expert clinicians are trained in Habit Reversal Therapy which has proven to reduce tics in people suffering from this condition. Treatment is generally short-term and very effective.

See Our Tics/Tourette's Treatment Services