About ECM Counseling
Serving Clients in Pennslyvania & Florida for Mental Health Counseling & Therapy
Overcome mental, emotional, and physical barriers, to embrace your true self, and heal to live your best life.
Mental Health Therapy & Counseling Focused on Elevating Your Life
At ECM Counseling, we are here to show that small changes can lead to meaningful personal growth. We are here to empower humans to know they have a choice, and they can live fully and authentically as themselves. We believe that suffering is optional, and you don’t have to do it alone.
Our unique approach combines authenticity, compassionate support and connection to help you dig deep and ask the tough questions that elevate your life and well-being.
About Us
ECM Counseling Background Story
Katie Hoffman-Reed started ECM Counseling to honor the women who raised her. For most of her career, she was both a first responder and a therapist. She has over 20 years of experience as a first responder and 17 years as a therapist, bringing a unique perspective and approach to therapy and counseling.
When she started ECM Counseling in 2022, she wanted to make a difference in the world because she saw first-hand how many people weren’t able to get the care and support they needed for mental health, substance abuse, and so much more.
ECM Counseling now provides therapy in-person at our Florida office and telehealth appointments in Pennsylvania. Our team is growing and we are here to provide therapy services leading the way for healing, growth, and expansion as our clients learn to stand in their authenticity.
We believe in providing holistic and inclusive care.
Our team believes that together healing is possible and it doesn’t have to take forever either. By digging deep, having tough conversations, and by making new choices.
Our Values & Commitment to You
Safe Space to Create the Freedom to Be Yourself
At ECM we show up as we are, and you can show up as who you are. We are not going to ask you to do anything that we are not willing to do. By being human together we can learn to be vulnerable, live as ourselves, and fully embrace every part of who we are.
You are an important human, and this is about being and celebrating all of who you are.
We’re in This Together
This is the support, empathy, care, trust, respect and loyalty that we bring to our clients. We like to ask tough questions, actively listen, and understand you. We are on this rollercoaster together.
We are here to navigate the ups and downs, empower you to have a voice, sit in the uncomfortable, make new choices, and get you to a space where you feel more confident in being who you want to be. Teamwork makes the dream work. Ultimately, we’re here to help you find the freedom where you know anything is possible.
Your Time & Focus is Valuable
At ECM Counseling, we believe that we have the ability to choose what and where we put our time and focus. Life is precious. When we put our energy towards things that do not support us, it overwhelms us.
As part of the healing journey, it’s important to acknowledge that we can choose where we put our time, energy and focus. It is time to stop going through the motions, and to start saying no to things you no longer want to do. This is about living life on your terms, so you can be and do the things that you actually want too.
We’re here to help you discover that your time and energy is a gift, and where you choose to put that focus truly matters.
Conversations That Have a Point
Let’s be real, I’m not here to avoid anything. We are going to dig deep, talk about it, real and raw, together. This is about getting uncomfortable and asking the hard questions. Through these conversations, we will discover what’s there for you, what you want, and what you want to do about it.
This is a marathon, not a sprint; it’s a process, so even if you feel scared, it takes a while to make that change. We’re gonna keep on swimming, swimming, swimming, swimming. The point is to help you get to where you want to be, free from the loops in your head, and the overwhelm of life.
Suffering is Optional, Healing is a Choice
Life is about taking actions towards what’s possible. It’s about being who we want to be and living life to the fullest. We all go through things we don’t want to, or plan on. We must acknowledge it, and recognize it, and know we have a choice on what we do with the lessons and the things we learned from our experiences.
We are here to shift and make the changes necessary to stop suffering. Your willingness to do the work, will drastically influence your ability to be free from what limits you.
Meet Our Team
Katie Hoffman-Reed
Founder of ECM, Clinican & Therapist
Serving Clients in Pensylvania & Florida
More About Katie
Katie brings over a decade and a wealth of experience in assisting individuals and couples from diverse backgrounds. This includes extensive knowledge and expertise working with first responders, substance abuse, forensic clients, kids and adolescents, couples, and LGBTQ.
Katie has been a first responder for almost 20 years and can bring that unique experience and perspective to her therapy. Katie is an expert in helping her clients navigate the tough stuff in life and knows how to apply that to all sorts of different people in different life settings ensuring a rich learning environment.
Katie works with adolescents, adults, and couples, she focuses on supporting the LGBTQ+ community and individuals dealing with anxiety, depression, couples, marriage counseling, ADHD, substance abuse, addiction, and first responders.
Katie’s therapeutic style is characterized by out-of-the-box thinking, saying what you mean, and meaning what you say. She uses an authentic and compassionate approach within an inclusive environment.
Sherri Duerksen
Executive Assistant
Caitlin Romano, LPC
Clinician & Therapist
Serving Clients in Florida & Pennsylvania (Telehealth Only)
More About Caitlin
Caitlin Romano is a licensed professional counselor (LPC) with years of experience in case management and counseling. She has worked with children, adolescents, young adults, and older adults in a variety of settings, including homes, schools, and community-based environments.
Caitlin values self-expression through art and other creative outlets and may incorporate expressive arts into the healing process. She specializes in anxiety, depression, mood concerns, and trauma-related disorders, and also supports neurodivergent individuals and members of the LGBTQ+ community.
She is trained in person-centered therapy, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT). Her approach is genuine, compassionate, and nonjudgmental, with a focus on understanding, empathy, and helping clients build hope for the future.
Caitlin’s experience supporting youth in homeless shelters, residential facilities, and alternative placements has given her insight into the importance of meaning, resilience, empowerment, and a growth mindset.
Sydney Hart, RMHCI
Registered Mental Health Counseling Intern
Serving Clients in Florida
Telehealth and In-Person
More About Sydney
Sydney works with individuals and groups ages 14 and up. Her experience includes anxiety, mood concerns, trauma, identity and self-esteem, and adjustment to disability, illness, or major life transitions.
She strives to create a safe, supportive space for clients who may feel unseen, unheard, or misunderstood. Sydney is LGBTQ+-affirming, disability- and neurodivergent-affirming, and sex-positive.
Her approach is relational, collaborative, and flexible. She blends practical skill-building, problem-solving, and nonjudgmental exploration of thoughts, emotions, and behaviors. When helpful, she may also incorporate Geek Therapy, gaming, media, fandom, and expressive arts to make therapy feel more natural and engaging.
Sydney’s goal is for every client to feel genuinely welcomed, respected, and supported from the very first session. She hopes to be a trusted co-pilot as clients work toward meaningful change.
Sydney provides services under the supervision of Katie Hoffman-Reed.
Our Approach
At ECM Counseling, we believe therapy should feel genuine, supportive, and down-to-earth. We combine compassion with honest, straightforward guidance to help you work through challenges, strengthen relationships, and create meaningful change. Our goal is to provide an inclusive space where you feel comfortable showing up exactly as you are.
Modalities We Specialize In
There are a variety of modalities that our team specializes in.
CBT
DBT
Inquiry & Reflection
Psycho-Somatic Work
Our Areas of Expertise
Couples and Relationship Counseling
Separation & Divorce
Dating & Premarital Counseling
Trauma & PTSD
First Responders
Personality Disorders
Anxiety & Stress
Depression & Mood Concerns
LGBTQ+ Identity & Relationships
Substance Use & Recovery
Life Transitions
and More
Client’s We Work With
Individual Therapy
Adolescents & Adults
Couples Counseling
LGBTQ+ Individuals
Neurodiversity & Neurodivergence
First Responders
Frequently Asked Questions
Therapy
Are all sessions telehealth or do you offer in person sessions?
We have in-person appointments at our Florida office, along with telehealth throughout Florida.
In Pennsylvania, we are currently providing telehealth appointments only.
Do you provide LGBTQ + affirming therapy?
Yes. ECM Counseling Services provides affirming, nonjudgemental therapy for LGBTQ+ individuals and couples. Our therapists support clients with identity, relationships, family concerns, life transitions, anxiety, self-esteem, and other challenges while respecting each person's unique experiences and goals.
Is LGBTQ+ therapy available in both Florida and Pennsylvania?
Yes. ECM Counseling Services provides LGBTQ+ affirming therapy in Florida and Pennsylvania. In Florida, we offer both in person and telehealth appointments. In Pennsylvania, services are currently available by telehealth.
Do you work with LGBTQ+ couples?
Yes. We provide affirming couples therapy for LGBTQ+ partners who want support with communication, turst, intimacy, conflict, relationship changes, and other concerns. Therapy is tailored to your relationship and goals, with a focus on helping both partners feel heard and supported.
Billing & Insurance
What Insurance do you take in Florida?
- Aetna
- Anthem
- BlueCross and BlueShield
- EAP
- Empire Blue Cross Blue Shield
- Florida Blue
- Highmark
- Meritain Health
- Optum
- United Medical Resources (UMR)
- UnitedHealthcare UHC | UBH
- Out of Network
What Insurance do you take in Pennsylvania?
- Aetna
- Anthem
- BlueCross and BlueShield
- EAP
- Empire Blue Cross Blue Shield
- Highmark
- Meritain Health
- Optum
- United Medical Resources (UMR)
- UnitedHealthcare UHC | UBH
- Out of Network
What does therapy usually cost at ECM Counseling?
This depends on your insurance.
If you are paying out of pocket then an appointment is typically $135 for an individual session, and it is $160 for a couples therapy session.
What methods of payment do you take?
Pay by ACH Bank transfer, American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Visa, Zelle