ROBINSON & SOUTH HILLS, PA · TELEHEALTH STATEWIDE
David Como, NCC
“I walk alongside you — it is your journey, and you do not take it alone.”
David Como is a National Certified Counselor who has worked in counseling since 1990, seeing clients at CPA Counseling’s Robinson Township and South Hills offices and by secure telehealth across Pennsylvania. He works with adults, couples, seniors, and veterans on relationship difficulty, anxiety, depression, ADHD, trauma, grief, addiction, and life transitions. His approach is eclectic and rooted in the mind-body connection.
WHO DAVID WORKS WITH
Who he’s for
David works with adults, couples, seniors, veterans, and college students. Since 1990, across school counseling, private practice, and graduate teaching — which is a long time to watch what actually helps.
why work with David
Since 1990, and still pattern-matching
Most of what brings people in is not unprecedented — it only feels that way from inside it. David has been doing this since 1990, across schools, private practice, and training other counselors. That depth is the thing you are actually buying.
HOW DAVID WORKS
Thirteen approaches, and he knows which
Eclectic is an easy word to say and a hard thing to do well. David has had more than three decades to learn which approach suits which person, and he teaches this material to graduate students.
CONDITIONS TREATED
What David treats – who David sees
- Anxiety
- Depression
- Trauma
- ADHD
- Marriage & Couples
- Family Issues
- Addiction
- Controlling Relationships & Gaslighting
- Life Transitions
- Grief & Loss
- Codependency
- Men’s Mental Health
- LGBTQ+
- Caregiver Stress
- School / Academic
- Workplace Stress
- Chronic Pain
- Self-Esteem
- Anger Management
For couples
Gottman Method — and decades of watching it work
“Ready to roll up your sleeves and lean into vulnerability — even when it is uncomfortable.”
CARE PHILOSOPHY
Alongside you. Not ahead of you.
David describes his role as walking alongside you rather than leading — which sounds soft until you hear the second half of it. The clients who get the most out of this are the ones ready to roll up their sleeves and lean into vulnerability, including the parts that are uncomfortable. He will make the room safe. He will not make it easy.
The orientation is holistic in a specific sense: mind and body are treated as one system, because distress reaches the body long before most people have words for it. Ignoring that half is how people spend years managing a symptom instead of addressing what is driving it.
A career since 1990 sits behind all of it — school counseling, private practice, and teaching graduate counseling students at Waynesburg and Duquesne. What that buys you is someone who has seen your particular combination before and is not improvising.
ABOUT DAVID
Since 1990, and still curious
David Como is a seasoned mental health professional with over thirty years of experience helping people navigate the most difficult stretches of their lives. His empathetic, person-centered approach gives clients a supportive space to explore what they are feeling, find some clarity, and move toward change that holds.
He brings a background in both communication and psychology, which shows in how he works — a blend of insight, creativity, and clinical judgment. He specializes in relationship matters, anxiety, ADHD, stress, overwhelm, and emotional distress, using an eclectic style rooted in the mind-body connection.
David is a Nationally Certified Counselor and a doctoral candidate in Counseling Education and Supervision. Alongside his individual and couples work at CPA Counseling, he spent years as a high school counselor in Avonworth, Hampton, and Mt. Lebanon, and has taught graduate and undergraduate counseling courses at Waynesburg University and Duquesne University.
He holds certifications in trauma and crisis, anxiety and stress, grief and loss, and solution-focused practice, and stays active in the American Counseling Association and the American School Counselor Association. Through tailored support and compassionate care, he helps clients unlock their potential and build fuller, more balanced lives.
In Counseling Since
Robinson & South Hills
Couples & Relationships
Gottman Method · mind-body
Personalized Care Plans
No program commitments required
CONDITION GUIDE
Therapy guides from David Como
Mental Health
Why Insight Doesn’t Always Change Behavior
You can fully understand a pattern — why you do it, where it comes from, what it costs — and still repeat it, because insight alone doesn’t change behavior. Old patterns are automatic and live in the nervous system, not just the thinking brain, and self-criticism tends to make change harder, not easier. Change is a practice built on reps and self-compassion, not a single decision. Dana Werner, LMSW helps clients bridge the gap between knowing and doing at CPA Counseling in Pittsburgh’s Robinson area and by telehealth across Pennsylvania.
Addiction
Addiction Therapy in Pittsburgh’s South Hills
Addiction therapy can address far more than stopping substance use. It can help you understand what alcohol or drugs have been doing for you, develop other ways to manage difficult emotions, and begin building a life that is no longer organized around using. Nicole Duley, LPC provides therapy for substance use and related concerns through CPA Counseling’s South Hills office in Pittsburgh and by telehealth across Pennsylvania.
Anxiety
When the Feeling Arrives Before the Thought
Sometimes your body reacts before your mind catches up — your chest tightens, you snap, you’re suddenly not okay and nothing happened in between. That isn’t a malfunction; the body’s threat response simply runs faster than conscious thought. Body-based (“somatic”) regulation skills — slow out-breaths, orienting, grounding — help you settle in the moment. Jaye Sobieski, MS, NCC, EMDR trained, works with trauma at CPA Counseling in the South Hills and by telehealth across Pennsylvania.