Three decades of clinical work have given Susan Marie Guenther a clear-eyed view of how distress takes shape across a lifetime. Practicing as a Licensed Psychologist from her private home office in Des Moines’s Drake Neighborhood, she works with individuals, couples, and groups navigating everything from mood and anxiety disorders to addiction, trauma, and the particular weight of abuse and neglect that can follow a person for years.
Her caseload spans teenagers and adults, men and women, and she brings the same grounded attentiveness to a college student’s spiraling anxiety — the kind that gets worse at midnight when the phone is still in hand — as she does to a couple in crisis or a group working through recovery together. Online sessions extend her reach for those who need flexibility without sacrificing the quality of care.
Over her career, Susan has helped people carrying diagnoses, difficult histories, and situations that resist easy labels: burnout that hollows out a career, addictions that took root quietly, personalities and relationships that need more than surface-level attention. Her practice holds space for complexity without flinching from it.
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