About Samantha Keiser
Therapy for People Who Are Tired of Handling Everything Alone.
I help young adults break free from anxiety, perfectionism, and the pressure to have it all figured out so you can trust your own decisions again and actually enjoy the life you've been working so hard toward. This isn't a generic wellness space. It's down-to-earth, specific to you, and built around what's actually going on in your life right now.
Who I Work With Best
People Who Look Fine and Feel Anything But
You've got the job, the degree in progress, the reputation for having it handled. Inside, you're overthinking every decision, replaying conversations, and never quite believing you've done enough. Imagine feeling proud of what you've built instead of just anxious about whether it's enough.
People in the Middle of a Big Change
New job, new city, a relationship ending, figuring out what's actually next after years of following a plan someone else set. Change doesn't have to feel like free-fall. We can make it feel like something you're steering, not something happening to you.
LGBTQ+ Affirming, No Explaining Required
You shouldn't have to brief your therapist on the basics before you can talk about what's actually going on. I offer a space where your identity isn't the thing we're managing around, it's part of who you are while we do the real work.
You Don't Have to Be Falling Apart to Deserve Support
You Don't Need a Crisis to Justify Being Here
A lot of people wait until things get bad enough to "count." If you're waiting for permission: you don't need one. You don't need a diagnosis, a five-year plan for therapy, or certainty about what's wrong. You just need to be tired of carrying it by yourself. That's plenty to start with.
Helping You Find Your Footing Through Life's Challenges
I'm Samantha Keiser, founder of Stone & Sapling Psychotherapy. I got into this work because I wanted to be the kind of therapist who actually listens. Someone who helps you trust your own decisions instead of replaying them at midnight.
My training focused on how the people, experiences, and environments around us shape how we think and cope. This means I'm not just looking at your anxiety in isolation. I'm looking at the whole picture: your job, your relationships, the expectations you grew up with, all of it.
That shows up in how I work: collaborative, practical, grounded in your actual week. You know your life better than I do. My job is to bring the clinical tools and ask the right questions; yours is to bring the honesty. Together, that's usually enough to start moving.
The Person Behind the Screen.
I think you're the expert on your own life. Nobody else has lived it. So my job is to help you see your own patterns clearly enough to actually change the ones that aren't working.
And they can change. Anxiety and perfectionism aren't personality traits carved in stone. They're patterns you picked up somewhere, usually for good reason at the time. We'll figure out where yours came from and build something that works better.
I'll be straightforward about something: this work is personal to me. I've dealt with my own anxiety and perfectionism, and I know exactly how exhausting it is to feel like you're never doing enough. Therapy helped me stop treating my worth like something I had to keep re-earning. I'd like to help you get there too.
Outside of work, I'm usually outside hiking with my rescue dogs, gardening, or finding the next adventure. I run my practice where you don't have to leave any part of yourself at the door.
Real Conversations. Practical Support. Meaningful Growth.
Sessions are conversations, not scripts. You'll have room to say the thing you haven't said out loud yet, without it turning into a whole production. I bring the clinical background and the tools; you bring what's actually true for you. What we build together comes out of both.
Your Time Matters
I know your schedule is already full. Every session is built to be worth the hour, not another obligation on your calendar.
No Wrong Way to Show Up Here
Messy, unsure, mid-spiral, or just tired: there's no version of you that's "too much" for this space.
Tools You Can Use Outside of Session
Therapy should change your Tuesday, not just during session. We'll build things you can actually use when anxiety shows up at work or 2am.
We're Actually Working Toward Something
This isn't open-ended venting. We'll know what we're working on and whether it's working.
A Space Where You Don't Have to Hold It All Together
Most of my clients come in exhausted, not from one big thing, but from years of managing anxiety, perfectionism, and pressure quietly and alone. Therapy gives that somewhere to go.
I use Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Solution-Focused Therapy, and Motivational Interviewing not because the acronyms matter, but because they give us concrete ways to interrupt the spiral instead of just talking around it. We'll look at the patterns underneath the anxiety, and build something sturdier in their place.
Also Don't Forget About The Self-Care Coordinator.
If you hear a soft snore or see a tail wag in the background, that's Ender, the official Self-Care Coordinator at Stone & Sapling. While he doesn't have an LCSW, he takes his job very seriously.

His responsibilities include professional napping, requesting walks, and reminding everyone nearby to slow down and enjoy the moment. Ender is also a good reminder that healing doesn't always happen through big breakthroughs. Sometimes it looks like taking a deep breath, getting outside, slowing down, or giving yourself permission to rest.
You Don't Have to Navigate This Alone
If any part of this page sounded like you, that's usually worth paying attention to. You don't need to be in crisis or have a plan just curious about whether this could feel different. I'd love to hear from you.
