Janine @ 
Big Picture Counseling

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  • About Janine Kosek
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    • About Janine Kosek
Janine @ 
Big Picture Counseling

‬

  • Home
  • About Janine Kosek

Look at your big picture.

Start Your Journey

Look at your big picture.

Start Your Journey

Janine Kosek, LCSW @ Big Picture Counseling is dedicated to providing compassionate counseling and personalized mental health support, especially for those dealing with chronic pain and illness, grief, and depression. Janine is licensed in Arizona and Oregon.


Together, we will work to help you discover your path to healing through our welcoming environment that is LGBTQ+ affirming and accepting of varying spiritual paths. 


We offer telehealth therapy options for your convenience and accept Medicare in Arizona and Oregon.

Counseling Services at Big Picture Counseling

Smiling elderly woman with gray hair and purple glasses.

Background

Janine Records Kosek originally studied fine art and filmmaking, working in graphic design and writing and producing training films and materials. Her interest in Social Work was sparked while caring for a relative receiving hospice care, which exposed her to the challenges of chronic pain and illness and grief. 

In her 50s, Janine returned to pursue her Masters of Social Work (MSW) at the University of Central Florida, where she was honored with a Hartford Foundation Fellowship in Aging Studies. Initially starting as a volunteer, she transitioned into a career focused on compassionate counseling and mental health support, helping individuals review their life stories. 

People can rewrite their scripts and find new meaning.

Focus

With a primary focus on changing one's role and script, Janine offers compassionate counseling that guides clients in exploring new roles while finding meaning and a sense of purpose. Many clients seek mental health support for issues such as: chronic pain or illness, anxiety, depression, adult ADHD, grief, life transitions, aging, end of life, past trauma, and relationships. 

 Janine provides telehealth therapy options to ensure accessibility for those who may be navigating these challenges, including support for Medicare recipients in Arizona and Oregon.

Techniques

Janine provides compassionate counseling using eclectic, evidence-based methods tailored for each client, particularly those dealing with chronic pain and illness. 

Currently, she exclusively offers telehealth therapy to ensure accessible mental health support. Her approaches include Acceptance and Commitment, Positive Psychology, Narrative Therapy, Cognitive Behavioral techniques, EFT - Tapping, Expressive Arts, Family Systems, and Pain Reprocessing, all designed to meet the unique needs of her clients, including those covered by Medicare in Arizona and Oregon.

Insurance and Fees

We believe that therapy, including compassionate counseling for those dealing with chronic pain and illness, should be accessible to everyone. 

Our mental health support services accept a variety of insurances, including Arizona and Oregon Medicare Plan B (no advantage plans), Providence, and Samaritan. Super Bills are available for those with out of network insurance coverage. Flexible scheduling is offered to accommodate your needs. 

A sliding scale is available, so please contact us for a free consultation.

Contact Us

Drop us a line!

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Janine @ Big Picture Counseling

Online or by phone in Arizona or Oregon

‭(541) 908-5983‬ or ‭(520) 727-6474‬

Hours

Mon

Closed

Tue

11:00 am – 05:00 pm

Wed

11:00 am – 05:00 pm

Thu

11:00 am – 05:00 pm

Fri

By Appointment

Sat

Closed

Sun

Closed

We will try to work with your schedule to be sure to see you at a convenient time. We offer a sliding scale and accept Medicare and some insurances.


Request an online appointment:


Copyright © 2025 Janine @ Big Picture Counseling - All Rights Reserved.

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