Patricia Ashby, LISW

Insurance Accepted:
Wellmark Blue Cross/Blue Shield, United Healthcare/UBH/UMR/Golden Rule, Midlands Choice/Cigna, Coventry/Aetna
NOT a Medicaid/Medicare Provider

Office Hours:
Monday 1pm-3pm
Tuesday 3pm-5pm

Call for an appointment: (515) 727-1338

Office Location: Johnston, IA

Education: Master of Social Work from University of Iowa; Bachelor of Arts, Social Work from University of Northern Iowa; 1 year Biblical Studies from Azusa Pacific University


Patricia Ashby is a Licensed Independent Social Worker with over 25 years of counseling experience with individuals, couples and families.  She is the owner of Family Legacy Counseling and also the owner/director of Workplace and Family Life Services, an employee assistance program providing counseling and referral services for the past 25 years for an Iowa company of 2800 employees.  As part of that work, Pat created a chaplaincy program for the company and hired and supervises three full-time chaplains.  Pat earned her Master’s degree in Social Work with a clinical emphasis in Family Therapy from the University of Iowa.  She also studied at Azusa Pacific University in southern California, earning a major in Biblical studies.  Pat and her husband, Dr. Ed Ashby, have served in pastoral ministry for 25 years, as well.

Areas of clinical practice for Pat include

  • Anxiety
  • Depression
  • Codependency/Boundaries
  • Marital health
  • Relational conflict
  • Divorce recovery
  • Women’s adjustments in their life stages

Her practice models include Cognitive Behavioral Therapy (becoming aware of self-talk and learning how thoughts and feelings impact behavior) and Family Systems Therapy (learning to recognize messages and themes received growing up and how they impact our lives today).  For clients who are Christian faith based in their life perspective, Pat enjoys integrating faith and scripture in counseling conversations, which provides a unique setting for healing and restoration of hope.  In the counseling relationship, Pat offers warmth, humor, and practical ideas for growth.

In addition to counseling, Pat’s day to day schedule includes the overall management of the Family Legacy Counseling practice, which currently includes two locations, 21 therapists and four office staff.  As a speaker at women’s conferences, church groups, community seminars, and business groups, Pat’s strength is in her authentic and humorous connection with the day to day issues of her audience.  Her talks include such topics as marriage, managing anxiety and depression, spirituality, and parenting.


Therapist’s Statement:

I love the work of investing in people’s lives.  It’s a sacred privilege to sit with those who share their deepest longings and hurts and who are looking for hope.  I don’t take their trust lightly, but fully invest myself in walking with them on their journey.  It’s my goal during the counseling session to have each of my clients feel valued, safe, accepted, and cared about, and to leave feeling more hopeful.

As the owner of the practice, I’m enjoying being involved in the growth and development of Family Legacy Counseling and partnering with the next generation of counselors as they find their places to serve here at FLC.  We have a terrific staff of clinicians and administrative assistants, and it’s my privilege to see them in operation, working with enthusiasm and passion on behalf of our clients.

Personally, at this stage in life, I’m in really rewarding years.  My husband and I enjoy our home in the woods and having groups of friends out to enjoy it with us.  My nine young grand kids are the best, and spending time with them is one of my favorite things to do!  Time spent with my friends rounds out my life, bringing both vulnerable sharing as well as buckets of laughter that makes my sides hurt. Creating fun memories and joyful times are what life’s about for me.  Travel is my other great passion, and these past few years have been adventure-filled with some terrific bucket list trips of a lifetime.  My motto: “I haven’t been everywhere yet, but it’s on my list.”