Compassionate Mental Health Support for You and Your Companion.

Since 2008, we have helped individuals obtain professional emotional support letters to ensure their animal companions stay by their side.

Professional Counseling

Licensed mental health evaluations specifically designed for animal lovers seeking emotional support documentation.

ESA Evaluations

Streamlined clinical assessments to help you obtain the legal letters necessary for housing and travel.

Self-Management

Expert guidance on managing anxiety and stress while maintaining the therapeutic bond with your pet.

Over 15 Years of Trusted Mental Health Advocacy.

Founded by Ritsa Fistes, Hygeia Counseling Services specializes in the vital intersection of mental wellness and the human-animal bond. We provide expert evaluations for all animal lovers seeking emotional support documentation.

Counseling Services

Emotional Support Animal Letters

We provide comprehensive ESA evaluations and letters for ...

Clinical Supervision

Offering structured and supportive clinical supervision for ...

Consulting & Auditing

We provide professional consulting and operational support for ...

Private Practice
Therapy

We offer evidence-based psychotherapy tailored to adults ...

Stress Management & Text-Based Therapy

Specialized support for stress reduction, emotional regulation ...

Crisis Intervention & Mental Health Education

We provide on-site or virtual consultations for organizations ...

Mental health information & support

If you are struggling with your mental health, support is available and seeking help is a sign of strength. Talking to a licensed mental health professional, trusted support system, or crisis resource can help you manage stress, anxiety, depression, and emotional challenges.

Understanding Mental Health

Mental health is an important part of overall well-being and affects how individuals

Our Approach to Care

Our approach to care is compassionate, client-centered, and focused...

Signs You May Benefit from Support

Someone may benefit from therapy when emotional, behavioral, or life challenges begin..

Stress Management & Coping Skills

Stress management and coping skills are essential for maintaining emotional..

Your Support Helps Every Paw and Hand.

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Successfull Therapy

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Medical Branch

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Happy Children

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Real Life Stories

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Awesome Services!

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Sophia Lawrence

Awesome Services!

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