Feel better. Live Better. Communicate Better.

I'll provide a welcoming and safe space to help you navigate life's transitions, open up new possibilities, improve relationships, and overcome obstacles to emotional health.
Client Portal
Offers Telehealth
Online Payments
Accepting New


Insight. Experience. Support.

I have more than 20 years of clinical experience working with people across the lifespan, across genders and orientations, in the midst of getting to know themselves or coming out, and facing a variety of life stressors. I would like to help you find a pathway to lasting change and improved communication. I enjoy working with individuals, couples, and families going through difficult times or life transitions. I offer in-person and telehealth appointments. The time and money that you put into therapy is a true investment with benefits that will last long after our sessions together. Fit is important -- contact me to decide if we should collaborate on your individual or relationship wellness.
Heather Elston, LCSW-R
Licensed Psychotherapist


  • Anxiety
  • Depression
  • College Mental Health
  • Family Conflict
  • Blended Families
  • Communication Issues
  • Adjustment Disorder
  • Couples Counseling
  • Compassion Fatigue
  • Medical Professional Stress
  • Caregiver Issues
  • Codependency
  • Coping Skills
  • Divorce
  • Emotional Disturbance
  • Grief
  • Life Transitions
  • Marital and Premarital
  • Social Anxiety
  • Stress
  • Parenting
  • Peer Relationships
  • Relationship Issues
  • Work Stress


  • Compassion Focused
  • Family/Marital Therapy
  • Person-Centered
  • Behavioral Therapy
  • Queer Friendly
  • Cognitive Behavioral Therapy (CBT)
  • Family Systems
  • Interpersonal
  • Psychotherapy
  • Solution Focused Brief (SFBT)
  • Strength-Based
  • Structural Family Therapy
  • Supportive Therapy

Insurance Accepted

  • Private Pay
  • Out of Network
  • FSA/HSA accepted


  • Individual (50 minutes): $110
  • Couples/Families (50 minutes): $150


Conveniently located office near Panorama Trail on Rochester's Eastside

A street map for office location at Rochester, NY 14625

Rochester, NY 14625