RICHELLE MASSENGALE
MS LPC LMHC
COUNSELOR COACH SPEAKER AND TRAINER
How Sage Holistic Counseling Can Help
Counseling
Sage Holistic Counseling was founded with the vision of reaching people who find themselves struggling, helping them to heal, grow, and build a life that will feel comfortable and promote peace. Individual hourly sessions or we can meet for an intensive, which means we can meet for up to three hours.
Consulting
As a successful private practice owner, Richelle enjoys helping new counselors create a business plan, set up their practice, and create and impelment sustainable, lasting systems to set them up for success, life satisfaction and balance.
Speaking
Do you want to learn new techniques for managing and overcoming burnout, caregiver fatigue, chronic illness, or healing from grief and loss? Richelle loves to teach and speak about all of these and would love to meet you!
ABOUT RICHELLE
I specialize in helping clients who are struggling with chronic illness, grief and loss related to losing someone or major life changes, caregiver fatigue, end-of-life issues and related burnout. Having personally experienced all of these things, gives me a true understanding and unique perspective while working with clients.
Through past work and my own personal journey with caregiving, deep grief, end-of-life issues, chronic illness and related burnout, I realized that my special talents lie in helping people who are seeking help with these things themselves. I love teaching and speaking for groups who want to learn more about these topics.
I believe in a holistic approach to living and a balanced lifestyle and look forward to helping my clients achieve their dreams. When I am not working, I enjoy spending time with family, being out in nature, photography, reading, learning, walking, yoga, and spending time with my cat, Carl. I am currently missing my giant Lab, Dugan. Fly high, Buddy.
GRIEF AND LOSS
Experiencing grief is something that happens to all of us and one of the things we dread the most. Grief can come in the form of losing someone we love, having experienced a major life change such as a job loss, increased health issues, or the end of a relationship. There are many "stages of grief" that we have all heard about, but what does that mean and how does it work? The first step is realizing that grief is a life-long process. It's not something to "get over and move on from", but rather something we carry with us each day. Together, we will talk about what you are dealing with and you will have a comforting place to speak freely about anything that is on your mind. Sometimes, while our friends or family mean well, they just don't know what to say. Grief counseling provides a way for you to process your loss without the fear of answering unwelcome questions or hearing hurtful, or unsolicited advice. I have experienced deep grief, and truly enjoy working with and supporting others who have also had this experience.
PET GRIEF
The loss of a beloved pet is deeply personal and often misunderstood by others. Pet grief counseling sessions offer a safe, compassionate space to process that loss—whether you're grieving a recent passing, coping with anticipatory grief, or struggling to navigate daily life without your buddy. They are more than pets, they are our family. As a cat and dog mom, I have eperienced thsi more times than I care to admit. I would be honored to help you in this painful journey.
COMPASSION FATIGUE
Caring for loved ones can be deeply rewarding, but also extremely stressful and difficult. As a caregiver, you become tired, feel overwhelmed, experience decision fatigue (from so many important things to decide), experience grief (for the way your lives used to be), anticipatory grief (thinking of sad times ahead), and may even feel angry or resentful at times, leading to a deep sense of guilt and shame. All of these feelings are natural and you have a right to feel what you feel. Sometimes, we just need a place to talk things through and rest. I have experienced all of these things, and enjoy supporting caregivers helping them remember and find ways to care for themselves on their journey.
CHRONIC ILLNESS
Living with chronic illness can be a constant struggle, not only physically, but emotionally as well. You feel weak, unwell and sad because you can no longer do the things you used to be able to do and enjoy. You may feel guilty, or like you are a burden to your family. You may also be continually researching, seeking answers and attending appointments, while wondering just how you are going to pay for all of the things you need in order to rest and heal. These things pile up, are overwhelming at times, and can lead to a sense of hopelessness. I have been where you are, and would love to offer support to you during these tough times.
END OF LIFE ISSUES
Whether facing end-of-life issues for yourself, or for a loved one, it is something we all experience and maybe the scariest thing we have to go through. Making decisions about quality of life, palliative care, hospice, estate planning, funeral arrangements and just day-to-day life can be overwhelming and exhausting. Coming from a place of personal experience, I will consistently sit with you through it all, supporting you as you find your way.
BURN OUT
Struggling with grief and loss, caregiver fatigue, chronic illness, end-of-life issues, job transitions or financial pressures can cause us to feel burnt out on a deep level. Mentally, physically, and spiritually, the feelings of overwhelm, exhaustion, and not feeling like you are enough can be too much sometimes. If you are experiencing the heaviness of any of these issues, I can help you find ways to make life much more manageable regaining your peace again.
CRISIS COUNSELING
Crisis counseling provides immediate, short-term support for individuals navigating moments of emotional overwhelm, trauma, or urgent distress. Whether you're grappling with grief, panic, loss, relationship upheaval, or a mental health emergency, our sessions will offer you a safe space to feel heard, grounded, and supported. These sessions are self-pay only, do require an appointment, and can last from 1 to 3 hours. I will schedule you as soon asI can, and either continue seeing you as a permanent client, or help you find and secure an appropriate and trusted resource to help.
You can expect gentle exploration of your current crisis and emotional needs, stabilization tools to calm the nervous system and restore a sense of safety, validation of your experience-because there is nothing wrong with you, support that is non-judgemental, confidential, and trauma informed, encouragement and connection.
If this is an emergency, please call the Suicide Hotline at 988, or dial 911 for assistance.
INTENSIVES
Some moments in life require more than an hour. Our intensive counseling sessions together will offer you extended time and presence for navigating complex emotional terrain—from recent loss or health changes to sustained compassion fatigue, crisis experiences, and end-of-life reflections.
These longer-format sessions provide a gentle, uninterrupted space to slow down, go deeper, and explore difficult emotions with the guidance of a compassionate professional. Whether you're processing layered grief, caring for others while neglecting yourself, or facing uncertainty in illness or aging, this is where your experience gets to be fully witnessed.
These are deep support sessions ranging from 90-minutes to 3 hours in length and offer an extended period of time for healing. These sessions are cash pay only.
COMMUNITY MEMBERSHIP AND CLASSES
BEATING BURNOUT COMMUNITY MEMBERSHIP
This membership is NOT therapy, but a once monthly online course where you will learn valuable tools and insights that will help you overcome burnout, feel better and be better. We will meet via Zoom for 60 minutes once every four weeks where you will learn new skills and information, become part of a community who understands and supports you, and be able to ask me anything that you wanted to ask a therapist but haven't been able to. Monthly therapist access for only $47.
This community is for those struggling with burnout caused by grief and loss, caregiver fatigue, chronic illness, or end-of-life issues.
CLASS: WHAT NOT TO SAY TO SOMEONE WHO IS GRIEVING
What do we say when someone we care about is grieving? We feel powerless to help, not knowing what to say to make things better. The thing is, nothing we can say will make grief better, it's what we don't say that will help. This class will help you learn what to say and how to support those who are deeply grieving. You will gain a sense of peace and comfort with the knowledge of both large and small ways you can lend support and strength to those in need.
CLASS: BURNOUT SERIES: BURNOUT RECOVERY AND REBUILDING
Living with chronic illness can be a constant struggle, not only physically, but emotionally as well. You feel weak, unwell and sad because you can no longer do the things you used to be able to do and enjoy. You may feel guilty, or like you are a burden to your family. You may also be continually researching, seeking answers and attending appointments, while wondering just how you are going to pay for all of the things you need in order to rest and heal. These things pile up, are overwhelming at times, and can lead to a sense of hopelessness. I have been where you are, and would love to offer support to you during these tough times.
SPEAKING ENGAGEMENTS
Do you have a group that would like to learn more about grief and loss, caregiver fatigue, chronic illness, end-of-life issues or burnout caused by any of these circumstances? I would love to provide a presentation followed by a Q and A session either in-person or online. Reach out to discuss custom accommodations.
PRIVATE PRACTICE CONSULTING FOR THERAPISTS
GOAL SETTING AND FEASIBILITY
I will help you organize your thoughts paper. Together, we will develop a solid plan of action for getting your counseling practice off the ground and put your goals on paper.
OFFICE SET UP
Step-by-step, we will work together getting everything you need in order so all of your structure is in place before you see your first client.
FINANCES
You will have your business finances organized and ready to go, as well as the support you need to keep things running smoothly.
MARKETING AND NETWORKING
I will share my personal successes and knowledge as well as brainstorm with you to come up with contacts and skills that you can personally utilize to build your business and brand.
LAUNCHING YOUR PRACTICE
You're finally ready! All your hard work has paid off. Now it is time for your grand opening celebration!
CONTINUING SUPPORT
Just because you are open for business does not mean I will abandon you! There will be questions that come up and situations that arise you need support with, and I will be here to help you every step of the way!
ONE TIME CONSULTS
I offer one-time, two-hour consults for counselors in private practice who have questions and are looking to build or improve an area of their current practice.
View Success Stories
SPEAKING ENGAGEMENTS
Do you have a group that would like to learn more about grief after loss, caregiver fatigue, chronic illness, end-of-life issues or burnout caused by any of these circumstances? I would love to provide a presentation follwed by a Q and A session either in-person or online. Reach out to discuss custom accomodations such as Lunch-and Learns conveniently at your office.
View Success Stories
COURSES COMING SOON!
View Success Stories
POPULAR QUESTIONS
FREQUENTLY ASKED QUESTIONS
What is holistic counseling?
Holistic counseling is based on the belief that an individual is a whole person with all parts of their lives connected. Physical, mental, emotional, and spiritual components are vital to a healthy, balanced, and happy life. Working to balance these areas can help you feel better.
What does consulting involve?
As a successful private practice owner, I absolutely love helping other entrepreneurial-minded, motivated counselors venture out on their own. If this is you, let's talk about working together! I have created a step-by-step consulting program that will help you develop and execute your business.
TESTIMONIALS
WHAT OTHERS ARE SAYING
Richelle is great with clients and has helped many individuals cope and heal from the impacts of anxiety, depression and trauma. In my interactions with her, it is evident that she cares greatly for the work she does and her clients' healing.
Shannon Atherton
MS LPC LMHC
Richelle is an asset to our local therapy community. Personable, engaging, generous, and always working for the best interest of her clients. Recommend.
Boyd Allen
MS LPC CSAT CMAT
Richelle's firsthand understanding of burnout, chronic illness, and caregiving through lived experience means that she knows and lives the skills to address these issues. She's practical in her approach, offering real solutions you can use immediately.
Melody Brave
MSW MCSW
Coaching and Counseling That Work
Quick Links
HomeTitle
About Us
Services
Testimonials
FAQ's
Blog
Quick Links
Phone: 417.319.4227
Counseling in MO and IA.
Coaching Globally.