Who We Are
Midwest Counseling Associates is a locally rooted counseling practice dedicated to providing compassionate, high-quality mental health care. We believe therapy is most effective when it is collaborative, respectful, and tailored to each individual’s needs and goals.
Our therapists use evidence-based, trauma-informed methods to support emotional growth, self-awareness, and healing in a calm, comforting space where clients feel heard, respected, and safe. We value authenticity, empathy, and practical skill-building to help clients navigate both current challenges and long-term wellness.
Our Approach
Meet Our Therapists
Amy Steve, LISW
Owner/Clinical Supervisor/Therapist
Dubuque Office
Hello! My name is Amy Steve. I am a licensed Independent Social Worker, but more importantly, I am a mental health therapist and individual that is compassionate and cares deeply about helping children, adolescents, and adults overcome the roadblocks that they may face on their journey through life.
In practice, I approach each person with acceptance, authenticity, and a safe, nonjudgmental space for you to share your story. I believe that each person is unique, so that is why therapeutic treatment will be individually tailored to meet your specific needs.
I have experience working with a variety of individuals to address a wide range of emotional and behavioral concerns. Special interests include the treatment of anxiety, depression/mood disorders, ADHD, children with emotional-behavioral issues, anger management, life transitions, relationship issues, self-esteem, trauma, stress management, and grief/loss issues.
I utilize person centered, strengths based, and solution focused approaches through integrating a variety of therapy techniques that includes Cognitive Behavioral Therapy, EMDR, Play Therapy, Expressive Art Therapy, and Mindfulness.
I appreciate being a witness to and a part of your journey towards growth and healing.
Brock Osthoff, LMSW
Therapist
Dubuque Office
Hi, I'm Brock Osthoff, and I've lived in Dubuque my entire life, which has given me a deep connection to the community and an understanding of the unique challenges people face here. With a Master's in Social Work from Clarke University, I have a passion for working with individuals of all ages in my community, and have had previous experience working with children and college-aged clients.
In my practice, I use Cognitive Behavioral Therapy (CBT) to help clients identify and reframe negative thought patterns, enabling them to manage stress and anxiety more effectively. I also incorporate Play Therapy for younger clients, giving them an opportunity to express themselves in a safe and creative way to better understand and process their emotions.
My approach is built on empathy, respect, and a collaborative relationship where you feel heard and supported. I believe that everyone has the capacity for growth and change, and I'm committed to helping you find your path of healing, self-discovery, and peace.
Olivia Cummings-Deaner,
t-LMHC
Therapist
Oelwein Office
Life is full of challenges that can test our resilience, emotions, and sense of direction. During difficult moments, mental health can be just as affected as physical health, yet it’s often overlooked. Prioritizing mental healthcare helps people understand their feelings, cope with stress, and develop healthy ways to navigate obstacles. By acknowledging struggles and seeking support, we give ourselves the strength to grow, heal, and move forward.
Hello! My name is Olivia Cummings-Deaner, and I am a temporarily Licensed Mental Health Counselor. I recently graduated and am currently completing the requirements for full licensure. I earned my undergraduate degree from Iowa State University and my master’s from Liberty University. Having lived in Oelwein my entire life, I feel a deep connection to the community and a strong desire to provide care to its residents. I have a passion for working with people of all ages, with experience supporting middle and high school students as well as adults.
In therapy, I focus on creating an open and trusting relationship with each client. Often, it can be incredibly helpful to simply talk to someone about difficult experiences—and that is where I can help. I primarily use Cognitive Behavioral Therapy and Solution-Focused Therapy, and I also incorporate mindfulness, play techniques, and skills-based approaches to help clients manage anxiety, process emotions, and develop effective coping strategies. My approach emphasizes a person’s strengths and the tools they already have within themselves.
I look forward to being a part of your story and supporting you on your path toward healing, growth, and happiness!
Nicole Kaiser, LISW
Therapist
Dubuque Office
I am a Licensed Clinical Social Worker with nearly 20 years of experience in social work and mental health. I believe that every person deserves to feel heard, understood, and supported. My passion is helping individuals find clarity, healing, and a greater sense of balance in their lives. Whether you are working through a difficult season or simply looking for a safe place to talk, I am honored to walk alongside you in that process.
I work with adolescents (15+) and adults facing a variety of concerns, including anxiety, depression, mood disorders, behavioral challenges, family and relationship issues, self-esteem, anger management, and life transitions. I understand that reaching out for support can feel overwhelming, and I strive to create a comfortable, nonjudgmental space where you can speak openly and feel genuinely supported.
My approach is holistic and personalized. I see each client as a whole person — shaped by experiences, strengths, relationships, and goals. I integrate evidence-based practices such as Cognitive Behavioral Therapy (CBT), Strengths-Based Therapy, and Solution-Focused Therapy, tailoring each session to meet your unique needs. Together, we will build on your strengths and work toward meaningful, lasting change.
I earned my Bachelor’s degree from the University of Wisconsin–Platteville and my Master of Social Work degree from Clarke University in Dubuque, Iowa.
I look forward to supporting you on your journey toward growth and well-being.
Vanessa Lechtenberg, LISW
Therapist
Cedar Falls Office
Hello, I’m Vanessa. I’m a Licensed Independent Social Worker with over 20 years of experience, and I truly value the opportunity to walk alongside people during some of life’s most challenging and transformative moments. My goal is to meet you exactly where you are — without judgment — and support you as you grow, heal, and build resilience.
I received my Master’s degree from the University of Illinois–Chicago and have proudly called the Cedar Valley home ever since. Over the years, I’ve worked with adults and families from many different backgrounds who are seeking change, learning new coping strategies, or navigating complex health concerns and major life transitions.
When we work together, you can expect a warm, supportive space where your thoughts and emotions are validated and respected. I focus on your natural strengths and resilience while using practical, solution-focused strategies to help with emotional regulation, stress management, and healing from trauma or emotional pain. I believe you already carry strengths within you — sometimes we just need help uncovering and strengthening them.
Taking the first step toward healing is an important and courageous decision. I look forward to the opportunity to support you in creating lasting and meaningful change.
