Therapy & Counseling · Cranford, NJ

Individual, Couples & Family Therapy in Cranford, NJ

Most people don't book therapy the week something goes wrong. They book it after months of telling themselves it isn't that bad, that everyone's tired, that they should be able to handle it alone.

Or call (908) 258-1939 for a free 15-minute consultation

You don't have to be in crisis to deserve support. Feeling stuck, exhausted, resentful, or numb is reason enough.

Bethel Behavioral Healthcare Services offers therapy and counseling in person at our Cranford office and by secure telehealth across New Jersey — for individuals, couples, and families in Cranford, Westfield, Kenilworth, Roselle Park, and the rest of Union County.

Last updated October 2026

Therapy and counseling session at the Cranford, NJ office
What we work on

What therapy can help with

Therapy isn't only for diagnosable conditions. It's for anything that's harder to carry alone than it should be.

Anxiety & overthinking

Constant worry, racing thoughts, panic, and the exhaustion of always being on edge.

Depression & low mood

Flatness, loss of interest, guilt, and the sense that everything takes more effort than it used to.

Trauma & PTSD

Past events that still shape how you react, sleep, trust, and relate to people now.

Grief & loss

The death of someone you loved, or the loss of a relationship, a role, or a future you expected.

Relationship & couples issues

Recurring conflict, communication breakdown, trust, and patterns that keep repeating.

Stress & burnout

Work pressure, caregiving strain, and running on empty long past the point it was sustainable.

Self-esteem & identity

Self-criticism, people-pleasing, and questions about who you are outside what you do for others.

Life transitions

Career change, parenthood, divorce, retirement, immigration, and cultural adjustment.

Family conflict

Breakdowns between partners, parents and adult children, or across generations.

Care is Christian, faith-based, and culturally sensitive. Faith can be part of your therapy if you want it to be, but it's never required — your background and beliefs are respected, never treated as something to be corrected. LGBTQ+ affirming.

Our approach

Evidence-based behavioral therapy, matched to you

No single therapy works for everyone. The approach is chosen around your goals — and changed if it isn't working.

Cognitive behavioral therapy (CBT)

Identifying the thought patterns driving how you feel and act, and building practical alternatives you can use day to day. CBT is one of the most studied treatments for anxiety and depression.

Trauma-focused therapy

Working through past experiences at a pace you control, without being pushed to relive anything before you're ready.

Motivational interviewing

For when part of you wants change and part of you doesn't. Ambivalence is worked with, not argued against — especially useful around substance use.

Positive psychology

Building on strengths, values, and what's already working — not only fixing what's wrong.

Couples counseling

Structured sessions on communication, conflict, and trust, with both partners heard equally.

Family sessions

Focused on communication patterns rather than blame — so people who care about each other stop misfiring.

Which do I need?

Therapy, psychiatry, or both?

The question almost everyone has and almost nobody asks. Here's the straight answer.

Therapy

  • Talk-based treatment, no medication
  • Best for patterns, relationships, processing, and skill-building
  • Usually weekly or every other week, 45–60 minutes
  • Progress measured in how you cope, relate, and think

Start here if what you're facing is situational, relational, or long-standing but manageable day to day.

Psychiatry

  • Medical evaluation, diagnosis, and medication management
  • Best when symptoms disrupt sleep, work, or daily function
  • Longer first appointment, then shorter follow-ups
  • Progress measured in symptom response and side effects

Start here if symptoms are severe, or if you've tried therapy and need more. See adult psychiatry.

For many people the answer is both — and because Bethel provides both, your care stays coordinated in one practice. Not sure? That's what the free consultation call is for.

What to expect

How the first few sessions work

1

Free consultation

A 15-minute call to hear what's going on and confirm the fit. No cost, no obligation, nothing diagnosed.

2

First session

In person in Cranford or by video. Background, what brought you here, what you've tried, and what you want to change. You control how much you share.

3

Goals and direction

Together you'll agree what you're working toward and how. You'll know which approach is being used and why.

4

Ongoing sessions

Usually weekly at first, spacing out as things improve. Progress is reviewed openly — including whether therapy is still needed.

Couples & family therapy

When the problem lives between people

Some difficulties don't belong to one person. Repeating arguments, a teenager who has stopped talking, caregiving strain, blended-family friction, or the aftermath of a betrayal — these sit in the relationship, not in any single member of it.

Couples and family sessions focus on communication patterns rather than assigning blame. Nobody is put on trial. The goal is for people who care about each other to stop misfiring.

When a child or teenager is the main concern, child and teen care may be the better starting point.

Your provider

Who you'll be working with

Augustina Ike, PMHNP-BC

Augustina Ike, MSN, APN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner · Founder
  • 17+ years in nursing and psychiatric care, including inpatient and outpatient psychiatry
  • Clinical focus: therapy, psychiatry, and addiction care
  • MSN, Psychiatric Mental Health — Walden University
  • Licensed in New Jersey and New York
  • NJ APN License 26NJ01306400 · NPI 1235875162
4.7 out of 5 from 140+ verified patient reviews on Zocdoc

More about Augustina Ike

Insurance & cost

In-network with major insurers

  • Aetna
  • Horizon Blue Cross Blue Shield
  • Cigna & Evernorth
  • UnitedHealthcare
  • Optum
  • Medicare
  • AmeriHealth
  • TRICARE
  • Wellpoint / Amerigroup

Not using insurance, or don't see your plan?

Call and we'll check your coverage for you. Self-pay and sliding-scale fees are available, and superbills are provided for out-of-network reimbursement.

If cost is what's stopping you, raise it on the consultation call. It's a normal conversation.

Where we see clients

Counseling in Cranford — telehealth across New Jersey

In-person therapy at 20 Commerce Dr, Suite 135, Cranford, NJ 07016, Monday – Friday · 9am – 6pm, plus secure video sessions anywhere in New Jersey. Directions & contact.

Common questions

Frequently asked questions

Do you offer in-person and online therapy?
Yes. Be seen in person at our Cranford office (20 Commerce Dr, Suite 135) or by secure telehealth anywhere in New Jersey — whichever helps you show up more easily. Many clients mix the two.
Do you offer couples counseling?
Yes. Couples sessions focus on communication, recurring conflict, trust, and life transitions. Individual and family sessions are also available.
Does online therapy work as well as in-person?
For common concerns like anxiety, depression, and stress, research has consistently found telehealth therapy produces outcomes comparable to in-person sessions — and it removes travel and childcare barriers that cause people to drop out. In-person sessions in Cranford are always available too.
How long does therapy take?
It depends on what you’re working on. A specific, current problem may take six to twelve sessions. Long-standing patterns or trauma take longer. Progress is reviewed openly, and you won’t be kept in therapy longer than is useful.
Do I need therapy or medication?
Often both, sometimes one. Therapy works on patterns, relationships, and coping; medication treats symptoms that are physically disruptive. Because Bethel provides both therapy and psychiatric care, the free consultation call can point you in the right direction.
What if I don’t know what to say?
Very common, and not a problem. Starting with “I’m not sure why I’m here, but something isn’t right” is a perfectly good first session.
Is therapy confidential?
Yes. Your information is protected under HIPAA. The narrow legal exceptions — imminent risk to yourself or someone else, or abuse of a child or vulnerable adult — are explained at the start.
Can I use insurance for therapy?
Yes. Bethel is in-network with Aetna, Horizon Blue Cross Blue Shield, Cigna, UnitedHealthcare, Optum, Medicare, AmeriHealth, TRICARE, and Wellpoint / Amerigroup. Self-pay and sliding-scale fees are available, and superbills are provided for out-of-network reimbursement.
Get started

You don't have to carry it alone

Start with a free 15-minute consultation. No cost, no obligation, no judgment — just a conversation about what's going on and whether we can help.

Or call (908) 258-1939

In a mental health emergency, call or text 988 (Suicide & Crisis Lifeline) or dial 911. This practice is not a substitute for emergency services.