

Individual Telehealth Counseling for Adults in California and New York
Life can bring challenges that leave us feeling overwhelmed, stuck, or uncertain about what comes next. Counseling offers a space to pause, gain perspective, and explore new possibilities.
I'm Elizabeth Payne, founder of Pathways Counseling. I provide personalized, evidence-based counseling for adults navigating depression, anxiety, panic, and life transitions.
My goal is to create a warm, collaborative, and inclusive space where you feel comfortable showing up as your whole self. Pathways Counseling is LGBTQ+ affirming, and all are welcome here.
You don't have to navigate life's challenges alone.
Begin Your Journey
Welcome to Pathways Counseling

Focused Support for Your Well-being
Evidence-based counseling tailored to specific challenges, ensuring focused and effective support.
Anxiety & Panic
Life Transitions
Depression Support
Structured protocols to manage acute anxiety, panic attacks, and generalized worry.
Support through major life changes, fostering resilience and adaptive coping skills.
Targeted interventions to alleviate symptoms and restore emotional balance.


Insurances Accepted
Counseling that meets you where you are, offering direct access to a licensed clinician through secure video sessions, designed for your real life.

CA & NY
Licensed States
100%
Telehealth Sessions
60 Min
Session Length