You don’t need to arrive at therapy with the answers. You just need a place where you can begin asking the questions.
Telehealth for clients located in Alabama · $55 per session · Sliding scale available

Maybe you have learned to keep your emotions contained, push through difficult experiences, take care of everyone else, or tell yourself that what you are carrying “isn’t that bad.” Perhaps the coping strategies that once helped you survive are now creating problems of their own. Or maybe you simply know that something needs to change, even if you aren’t quite sure what that change looks like yet.
At Holding Space with Kay, counseling is a collaborative process built around curiosity rather than judgment. I want to understand not only what is happening in your life, but also the beliefs, circumstances, environments, experiences, and relationships that helped shape how you learned to navigate it.
“Understanding those things does not remove accountability.
It gives us somewhere meaningful to begin.”
Being able to say, “I’m struggling,” without being reduced to your struggle.
Exploring the why behind patterns while also asking, “What do I want to do differently?”
The space between knowing something needs to change and feeling ready to change it.
Not an addiction, a diagnosis, a mistake, a trauma, or the worst thing that happened to you.
Associate Licensed Counselor under the supervision of John Ruffin, LPC-S, Supervising Counselor.
My counseling approach is person-centered and trauma-informed, with an emphasis on authenticity, collaboration, empathy, and respect for your autonomy.
Most importantly, I see you as a person — not an addiction, a diagnosis, a mistake, a trauma, or the worst thing that has happened to you.
I work with adults individually and with couples, by telehealth. Depending on what you need, our sessions may move between insight and action. You set the pace — I bring structure when it helps and space when it doesn’t.
I don’t believe compassion means avoiding difficult conversations. And I don’t believe accountability requires shame. Therapy can make room for both.
You are met with curiosity, not judgment — including the parts of your story you’d rather not say out loud.
We can look honestly at the choices and patterns that brought you here, without shame doing the talking.
You don’t have to rewrite the past to create something different moving forward.
Send a short note through the Connect page. You don’t need the right words — a sentence is enough.
We talk briefly about what’s bringing you here and whether I’m the right fit. No obligation either way.
We start where you are. Together we’ll shape what you want this work to do for you.
Holding Space with Kay is exactly what the name suggests — a place where you do not have to perform, pretend, or have all the answers.
Telehealth for clients located in Alabama · $55 per session · Sliding scale available
Prefer to call? (256) 733-2626
Counseling services are provided by Kerensa Houston, M.A., Associate Licensed Counselor under the supervision of John Ruffin, LPC-S, Supervising Counselor.
Kerensa Houston, M.A., Associate Licensed Counselor under the supervision of John Ruffin, LPC-S, Supervising Counselor.
I am licensed by the Alabama Board of Examiners in Counseling and provide counseling services to clients located in the State of Alabama.
Clinical supervision is an important part of the associate licensure process and supports continued professional development, ethical practice, and quality client care. While I am your counselor and our therapeutic relationship remains central to our work together, my practice is conducted within the scope of my associate license and under the supervision required by the state.
License status may be verified with the Alabama Board of Examiners in Counseling at abec.alabama.gov.