Common Concerns | Jones Regional Medical Center
UnityPoint Health - Jones Regional Medical Center

Common Concerns  About Counseling

David Kleist MA, LMFT, is a licensed marriage and family therapist at Jones Regional Medical Center and has been in practice for 22 years. He is skilled in working with couples and with people who have issues with depression, anxiety, and post-traumatic stress disorder, including victims of abuse. He can be reached at 319-481-6386 or at

"How does talking about things help? It just makes me feel bad."

If one feels sad or "bad" it could be an indication that healing is needed.

"I can't change the past."

You can't change the event, but YOU CAN change the feelings around the event.

"There are some things I just don't want to talk about."

You never have to have talk about things you don't choose to talk about.

"I'm afraid if I go to counseling that my relationships will change."

Counseling can help you overcome obstacles to fulfilling relationships and parenting roles.

"I'm afraid if I go to counseling I'll change and not like the change."

The change that people experience in counseling always allows people to be more true to themselves, and thus feels positive.

"If I come to counseling it means I am weak."

In life, no one can be expected to know how to fix or change everything or get to where we want to go alone. That's why we have maps, plumbers, doctors, carpenters, electricians, and counselors.

"I can't afford to do counseling. How can I pay for this?"

If you don't have insurance, you can apply for financial assistance. If you qualify, it may pay up to 100%; you can speak to the Jones Regional business office or talk to David Kleist directly. All information is confidential.

"Others might find out I'm in counseling and I'll feel ashamed or embarrassed."

All records are confidential and are maintained in the counseling department. If your doctor refers you, you will need to sign a release for the therapist to be able to talk to him/her. If you have a partner, they cannot get any information about your counseling, or even if you were here. You are free to share information about your counseling with anyone if you choose.

"Coming to counseling means I am crazy."

In 22 years of counseling I have never seen a "crazy" person, but I have seen many people who have done the best they can to cope with extreme circumstances.