Two Locations

Real Connections Counseling, LLC

3829 71st Street, Suite A
Urbandale, IA 50322

Real Connections Counseling, LLC

1217 N 6th Avenue, Suite 3
Winterset, IA 50273

We want to value everyone’s concerns in this time of COVID-19. To help with this, if you feel sick, have been recently exposed, or have a concern of meeting at our office, we want you to know that we offer the option of web-based (telehealth) counseling sessions. Ideally, we like to meet our clients for the first session in person, but these are unique times. We have a private office space and our own separate entrance, with only 4 - 6 people in the office at one time. We take time to wipe down touchable surfaces (knobs, seating, etc.) in between sessions. We are also willing to wear masks or face shields upon request during your session. We will still plan on being available for ‘in person’ sessions in our office space.

Our Services


You receive a rare opportunity at Real Connections Counseling. Co-Therapy. Co-therapy means Monique and Rick go together with you into counseling! Be better heard, understood, respected, and healed with co-therapy.

Counseling Services

Play Therapy For Couples

Remember the last time you played with your spouse or partner? At Real Connections Counseling you’ll learn to play again. Playing together gives you a renewed opportunity to create intimacy and be your best version of your relationship.

Play Therapy

Let's Talk Soon!

Thanks for stopping by! We're here to help, please don't hesitate to reach out.

Success Story

We can help you make your life better. We can help you understand, and better your relationships. And we can say with full confidence that... It's Your Life. Your Story. And it Matters! Read more about our counseling & therapy services…

About Us

About Rick and Monique

Rick & Monique Are Your Counseling Team

Welcome! We are Real Connections Counseling, LLC. Our names are Rick & Monique Elgersma, and we are Couples and Family Therapists working primarily in the Greater Des Moines, IA area. Our practice is located smack in the heart of Urbandale, IA and we also have a branch in Winterset!

We focus our work for couples. We work through and past whatever hurts and harms your relationship such as transitions, trouble, anxiety, depression, anger, infidelity, infertility, loss, communication issues, and/or confusion. We also help couples to start their relationship off right with a solid marriage prep program! Our work is to help clients give themselves their best opportunity to grow their lives into something amazing, beautiful, and flourishing. Make your best relationship happen here!

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Our Blog