Louise Roush, LCSW, in Oklahoma City: Individual Therapy with a Substance Abuse and Trauma Focus

Louise Roush is a licensed clinical social worker offering individual psychotherapy in Oklahoma City, with clinical depth in trauma recovery, grief work, and addiction-related counseling. She operates as a solo practitioner, which means sessions are direct and unmediated by office staff or intake systems, and her caseload remains smaller than larger practice settings.

What You Get in Sessions

Roush provides talk therapy structured around your stated concerns. Sessions last 50 minutes (standard across most Oklahoma City mental health practices) and occur weekly or on a schedule you agree to. Her stated clinical focus is trauma and substance abuse recovery, but she also works with general anxiety, depression, and life transitions. She does not prescribe medication; if pharmacological support becomes part of your treatment plan, she will refer you to a psychiatrist or your primary care doctor.

Pricing and Insurance

Individual session fees run in the $80 to $120 range, which is mid-market for licensed clinical social workers in Oklahoma City (therapists with PhD credentials or MD psychiatry licenses typically charge $120 to $200 per session in the metro). Roush accepts most major insurance plans; verify your coverage and copay before booking, as policy details vary. Some clients pay out-of-pocket to avoid insurance documentation, which is a realistic choice if your plan carries high copays or requires behavioral health referrals. Ask whether she offers a sliding scale for uninsured clients; not all solo practitioners do, but the question is direct enough to ask in an initial phone call.

How She Differs from Other Oklahoma City Options

Larger group practices (such as those affiliated with Integris or OU Health) offer faster appointment booking and on-site psychiatric care, which matters if you also need medication management or psychiatric evaluation; they also have structured intake, evening hours across multiple locations, and often lower copays under certain insurance plans. Roush's advantage is continuity and a simpler referral path: you contact her directly, and you work with the same therapist across the full course of treatment without rotating through a clinic system. For someone with untreated trauma or substance use history who needs stability and detailed relational work, the smaller setting is often preferable. For someone without insurance or in crisis, a large clinic's intake flexibility and 24-hour behavioral health lines are more practical.

Who This Suits

Roush is a fit if you have prior therapy experience or are comfortable in unstructured settings. You need to self-advocate: no office staff will follow up if you miss an appointment, and scheduling relies on direct communication. Her trauma and substance abuse focus means she is equipped to work with complex histories, including concurrent addiction and mental health concerns. She is not a fit if you need crisis support (she does not offer emergency or same-day appointments), medication management, or a practice that accommodates walk-in sessions. If you are in active substance use without a willingness to address it, or in acute suicidal crisis, go to an emergency department or call the 988 Suicide and Crisis Lifeline instead.

First Session and What to Expect

Call or email to schedule a brief phone screening. Roush will ask about your reason for seeking therapy, current symptoms, and whether you are safe. Bring your insurance card and a list of any medications you take. The first full session includes history-taking (childhood, family, substance use history if relevant, trauma timeline) and a mutual discussion of what you want from therapy. Do not expect a treatment plan printed the first day; many therapists develop that over the first two or three sessions as they understand your situation. Bring a notepad if you want to write down next steps.

Hours and Logistics

Roush operates by appointment only, Monday through Friday during daytime hours, though specific hours vary by season and administrative load. Call ahead to confirm availability; she does not maintain an online booking system. Her office is located in central Oklahoma City (verify the exact address when you book, as solo practices sometimes change locations). Parking is street or lot parking; not a concern in most Oklahoma City locations but worth asking if accessibility matters to you. Most sessions are in-person; ask about telehealth availability if you prefer remote sessions or have transportation barriers.

Why She Belongs Here

For someone in Oklahoma City seeking competent, focused trauma and addiction work with professional consistency, Roush provides clinical depth without the overhead and depersonalization of larger systems. She is not the fastest or cheapest option, but she is reliable for long-term therapy that requires trust.