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Envision Counseling Team Members

Stephanie Barbour, LPC, LSATP, ASAM Certified 

Stephanie Barbour, LPC, LSATP, ASAM Certified 

Therapist/Program Director

Stephanie.Barbour@NCGenvision.com

I am a Licensed Professional Counselor with over 20 years of experience in the mental health and substance abuse field, working with adolescents, young adults, adults, couples, and families in a variety of settings. My areas of specialty include substance abuse, depression, stress, work/life balance, anxiety, relationships, and self-esteem. I am licensed in Virginia and D.C., so I can see clients from both areas.

I incorporate some form of physical exercise to promote mental well-being into clients' treatment goals. Each client is the guide of their own individual therapeutic journey, and through collaboration and connection, we can work together to achieve their therapeutic mental health and wellness goals and improve their overall quality of life.

Lauren Garner, LCSW

Lauren Garner, LCSW

Director of Business Operations

lauren.Garner@ncgcare.com

Lauren is a Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist with over 14 years of extensive experience in mental health. She earned both her Bachelor of Science and Master of Social Work degrees from Western Carolina University. Lauren's career began at Broughton State Hospital, where she provided direct care to patients in both group and individual settings. Since 2011, she has been an integral member at our ncgCARE partner in western NC, Appalachian Community Services.

In 2024, Lauren leveraged her extensive expertise in direct care roles and her keen interest in community and organizational management to join Envision Counseling as the Director of Business Operations. Committed to delivering exceptional care, she remains deeply passionate about her work while also enjoying quality time with her two daughters, exploring new destinations through travel, and engaging in recreational pursuits.

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Kathy Dodson, LCSW

Welcome to Envision Counseling! I understand how big of a step it can be to seek therapy support, so let me tell you how I can help you. I provide telehealth therapy tailored to your needs. This can be short- or long-term therapy with a goal to solve a current problem or to overcome a persisting barrier. I have over 20 years of experience working with people of all ages struggling with both mental health and substance use challenges. Let me walk with you on your journey of recovery. I always use a trauma-informed, supportive approach with a strength-based focus. Additional interventions that I provide include: grief counseling, mental health and substance use recovery and support planning, family systems theory, healthy relationships/social skills training, psychoeducation, parent coaching, CBT, ACT, solution-focused, and mindfulness. I encourage you to contact me with any questions you may have about starting your therapy journey. If you prefer to have a 'getting to know you' call, I'm happy to accommodate. I typically respond to voicemail and email inquiries within 12 hours.

KellyZadow

Kelly Zadow, LPC, CSAC, NCC, LSATP

I am a Licensed Professional Counselor with 10 years of experience in the mental health and substance use field working with adolescents, young adults, adults, and families in outpatient, inpatient and home-based settings. My areas of specialty include substance abuse, depression, stress management, anxiety, anger, and self-esteem.

I work with Court Ordered adolescents and adults, and have spent a significant amount of time working with college age students struggling with substances and life transitions. I use solution focused brief therapy, motivational interviewing and mind-body wellness goals to assist in achieving positive lifestyle changes.

I have had supervision roles in both home-based and outpatient settings. I provide clinical counseling for individuals who are dually diagnosed, as well as education for them and their families.

I am passionate about nutritional wellness and enjoy cooking. In my free time I enjoy anything outdoors and travel with my husband and family.

Molly McKeon-Howard, LCSW, CCTP, CGCS, ASAM Certified   

Molly McKeon-Howard, LCSW, CCTP, CGCS, ASAM Certified   

Are you or a loved one struggling with getting through the day and feeling overwhelmed? Life can be difficult and at times feel hopeless. Whether this is your first time looking for a therapist or you need to find a new therapist, call me and let’s get you feeling better. I am available for both telehealth and in-person sessions.    

I enjoy working with children, teens, and adults, and helping them to use their strengths to manage their stressors and mental health symptoms. I am trauma- and grief-certified and enjoy using different types of therapeutic interventions that allow the individual to heal through talking, art, or other methods.

Over the last 15 years, I have worked with individuals that have struggled with severe mental health and unsafe behaviors. Whether you are struggling with anxiety, trauma and/or a complex mental health diagnosis, recently or for years, I can help.   

Pat Contreras, Psy.D., LMFT, QMHP-C, QMHP-A

Pat Contreras, Psy.D., LMFT, QMHP-C, QMHP-A

I am a bilingual (English & Spanish) Licensed Marriage and Family Therapist (LMFT) with over 25 years of clinical experience working with individuals, couples and families. I specialize in trauma, PTSD, anxiety, depression, sexual abuse, psychosis, and loss and grief.

I hold a Masters degree in Clinical and Family Psychology and a Doctoral degree in Clinical Psychology (Psy.D) and have extensive experience applying multidisciplinary treatments such as Cognitive Behavioral Therapy (CBT), Neuro-Linguistic Programming (NLP), Eye Movement Desensitization Reprocessing (EMDR), Gestalt Therapy (TG), Motivational Interviewing, Structural and Strategic Family Therapy, Cerebral Integration Technique (TIC), and Brain Gym, among others.

I aim to provide the highest quality of care in a safe and compassionate space to assist individuals to become the best versions of themselves.

Jes Conway, LMFT, ASAM Certified

Jes Conway, LMFT, ASAM Certified

My name is Jes Conway and I am a licensed Marriage and Family Therapist with over 19 years of experience working with individuals, families and couples. I really am excited to get to know you and to see how I might be of service. You and I both have knowledge to bring to our work together, for you are the expert on your own life and experiences, and I have skills and methods to help you find ways to practice these that best suit your personality and preferences. 

Of particular interest to me is exploring with clients how alcohol/substance use is affecting their lives. I find that some of my most rewarding work is with people who suspect or know that they are having difficulty due to powerlessness over substances. I utilize a non-judgmental and curious approach and truly am interested in helping others discover what substances are doing for them, so that we can find alternate ways to achieve the same results. If abstinence or recovery is already your goal, it's helpful to know that outpatient counseling is a wonderful compliment to your chosen recovery program.

In addition, I enjoy working with clients who are experiencing anxiety, depression, lack of purpose or meaning, low self-esteem/ self-worth, life transitions/feeling "stuck," and relationship issues. I am also a strong proponent of communication and assertiveness training; I believe that it’s essential to affirm and validate one another's experiences, regardless of whether we agree or disagree.  

Lindsay Rohde, LCSW

Lindsay Rohde, LCSW

My name is Lindsay, and I am a Licensed Clinical Social Worker with a passion for working with adolescents, young adults and families. I have over 10 years of experience working with individuals experiencing depression, anxiety, life transitions, low self-esteem, trauma, self-harm, family conflict and interpersonal struggles. 

I strive to help all my clients and their families attain a sense of safety, and I recognize that progress looks different for everyone. I use a strengths based, non-judgmental approach, listen with empathy and respect, and recognize that it takes courage and effort to work through issues.

I utilize several techniques including solution-focused therapy, DBT and CBT. I also use a family systems approach, and believe healthy communication and validation of self and others is key. I look forward to meeting you and providing you with a positive therapeutic experience! 

Kristi Rakes, LCSW

Kristi Rakes, LCSW

Life is hard and everyone deserves to have an outlet to talk about their feelings. I approach my practice with compassion, empathy, and nonjudgmental understanding. With my holistic mindset, I seek to help people navigate stress, mental health issues and "life" in general. 
I am a Licensed Clinical Social Worker and have been working in the field of mental health for 15 years. I have extensive training in mental health diagnosis, end of life care, and women's issues. I am also certified in Trauma Focused CBT. I value anyone who is brave enough to seek help, and I attempt to help people identify their strengths in times of vulnerability and pain. I utilize strength-based practice modalities, CBT, TFCBT, Motivational Interviewing techniques, mindfulness and self-esteem building to help people achieve their goals for wellness. 
My hope for all encounters, either personal or professional, is to bring something positive to the lives of people I meet. I want to help you heal, help you see your worth, and help you find a better future in your strengths and abilities.

Tia Coleman, LPC

Tia Coleman, LPC

I graduated from Marymount University with a Masters in School Counseling and am a Licensed Counselor working with children and families, along with adolescents, at-risk populations, teens, and young adults. I provide a welcoming environment with an empathic approach to meeting clients where they are. I believe in the therapeutic relationship and create a safe and nonjudgmental space where clients can learn, grow, and achieve goals through the approaches of play therapy, reality therapy, solution-focused, CBT, positive psychology, family therapy, behavioral therapy, and mindfulness-based interventions.
I also have an interest in intellectual disabilities, depression, anxiety, trauma, family conflict, child-parent relationship, anger, conduct disorders, gender identity, relationship concerns, and grief.

Chris Mishik

Chris Mishik, LPC, MA

I am a licensed professional counselor with 10 years experience helping adolescents, young adults, and their families achieve their mental health goals. I have enjoyed working with my clients to navigate their depression, anxiety, and traumatic experiences which have impacted their lives. I practice using a person-centered approach and integrate CBT/DBT techniques to change maladaptive thoughts and behaviors.

I hope to create an environment where you feel comfortable, listened to, and able to be your most authentic self.  I aim to highlight your strengths and create strategies that work for you to help reach your goals.  I am excited to meet and join you in your journey. 

Elizabeth Spresser, MS, LMFT

Elizabeth Spresser, MS, LMFT

I am a Licensed Marriage and Family Therapist with 20+ years experience working alongside individuals, couples, and families. My therapeutic style consists of a non-judgment, validation, and supportive confrontation to promote change and growth. It is my goal to provide safe, compassionate, collaborative space to best meet the unique needs of each client. My experience inludes working with individuals dealing with anxiety, trauma/PTSD, depression, stress management, mood disorders, self-esteem, grief and loss, adjustment, women’s issues, relationship and co-dependency issues, as well as children of parents or partners with borderline or narcissistic personality disorder.

Ezra Randle

Ezra Randle, LPC

Ezra is a Marine veteran that has been called to assist families, couples, and individuals as they navigate through difficult times in their life. His journey in the counseling field began more than 30 years ago, and his work transcends beyond his education as he also has real world experiences assisting individuals with mental health concerns. He has raised children with autism, bipolar, and schizo-affective disorders.

He started working with couples as a Certified Coach. He has also provided services for individuals dealing with anger and teens struggling with difficulties in their home. In the therapeutic setting, he has provided services as a community based counselor, TDT worker, substance abuse counselor, and other outpatient services. He completed his Bachelor’s at Nyack College with a degree in Organizational Management and went on to earn a graduate degree in Human Services from Liberty University. He returned to Liberty to complete his Master’s in Professional Counseling.

Ezra has worked with juveniles battling addiction through the court systems, as well as adults that are laboring with various difficulties including: anxiety, depression, panic attacks, ADHD, and patients with history of sexual abuse, trauma, and other mental health conditions. Ezra utilizes a variety of therapeutic techniques and understands that each client deserves the person-centered approach to receive a holistic healing. He will walk alongside the individual and provide a caring and non-judgmental atmosphere throughout the healing process.

Cassaundra Ogden, LPC

Cassaundra Ogden, LPC

I am a licensed professional counselor with 8 years experience in the mental health field. I understand and believe that it is the human experience to sometimes feel “stuck” in our anxieties, negative thoughts, and behaviors that we wish we could change but need someone to talk to and support us through in a non-judgmental space for us to heal and reach our goals. 

I have experience working with women and men with anxiety, depression, trauma, anger, family and relationship issues, and grief through the approaches of CBT, TF-CBT, DBT, Mindfulness-based, narrative, and solution-focused approaches. I believe in meeting the client where they are and provide a welcoming, safe, and warm environment for you to share your story. I look forward to walking alongside you to make your next chapter the best yet.

Reba James

Reba James, LCSW

Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. Reba was born in Grenada, West Indies and migrated to New York City with her family.  She received her Bachelor’s Degree from the University of Rochester with a major in Political Science. Reba went on to earn her Master’s in Social Work from Virginia Commonwealth University, followed by her LCSW.

Reba has worked in a variety of clinical settings such as group homes, residential treatment facilities, crisis centers, detention centers, a juvenile drug court, and outpatient practice. Her clinical experiences include working with children, adolescents, and adults from a variety of ethnic, racial, socioeconomic status, gender, sexual orientation exceptionalities, religious, geographical areas, and academic/professional background. Reba has worked with an array of mental illnesses, but she acknowledges that she has a passion for individuals with intellectual and developmental disabilities.

She creates an open and safe environment where true thoughts and feelings can be shared without fear of judgment. Reba considers herself to be a serious-minded person who believes in strong work-ethics and is detailed-oriented. She also considers herself to be a social, fun, and open-minded person. One of her favorite quotes is, “The only
way to do great work is to love what you do.” (Steve Jobs)

Theresa Shuart, LMFT

Theresa Shuart, LMFT

Theresa Shuart is a Clinical Fellow in the American Association of Marriage and Family Therapists with more than 35 years’ experience working with patients in the mental health field, helping people of all ages (age 4 and above), and she specializes in marriage and family therapy. Her clientele is diverse; she works with individuals, couples, and families. Typical treatment issues include anxiety, depression, behavioral problems, blended families, marriage issues, and military family issues.

Theresa has several treatment approaches in order to offer the best treatment for each problem. Therese treatments include different types of systemic therapies (great for family work), brief therapy for goal planning (to ensure the client is included in the goal development), cognitive behavioral therapy, and  Eye Movement Desensitization and Reprocessing (EMDR), a type of therapeutic hypnosis that has been shown to work quickly and effectively, especially with phobias. (Note: This is only done with client permission and after an explanation of the process.)

Theresa did her undergraduate training in Psychology at James Madison University, and earned her graduate degree in Counseling at the University of Virginia. She further studied with experts in the field for more years to specialize and become licensed in marriage and family therapy (LMFT).

For fun, Theresa likes sewing crafts and birding from her back porch.

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Paige Reitz, LCSW

Hi! I’m a nonbinary AuDHD licensed clinical social worker (LCSW) with about a decade of experience in the mental health field, working with children through adults in community and outpatient settings. My experience

includes operating an evidence-based program, Multisystemic Therapy (MST), in Northern Virginia. I earned my bachelor’s and master’s degrees in social work at Longwood University and University of Houston respectively. 

My areas of interest and specialty are in neurodiverse clients, particularly Autistic and ADHD, as well as supporting clients in grief work. I primarily work with adolescents and adults at present, and I do both individual and family work. I am LGBTQ+-affirming and come with an antiracist and neurodiversity-affirming lens. I have a systemic worldview and believe we do not exist in vacuums, thus I challenge the various -isms as they come up in my life and am always working to better myself and both recognize and reduce my personal biases.

I see myself as a guide on your journey, and I am here to facilitate that journey, not to direct it. I operate from a strengths-based perspective, and I use a wide variety of therapeutic modalities dependent on what works best for you. I am a giant nerd and sometimes bring my fandom self into the therapy space if it is helpful. I am an avid reader and incorporate a lot of Dr. Brene Brown’s and Dr. Kristin Neff’s work into my therapeutic space.

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Christine Salo-Sokolowski, LPC, CPDPE, CPDCE

Do you experience negative or racing thoughts, anxious, depressed feelings or mood swings? Are your relationships hard? If you answered “yes” then we should talk. Improving quality of life through thought change, healthier coping skills, new perspectives and learning how to take control of interactions is what I do.  

You deserve to wake up energetic and excited for the day, head to work looking forward to doing what you love, engage in activities you enjoy, have fun and easy relationships, think healthy thoughts and make choices that will lead to your best life. Change can feel scary, it does not need to.  Together we will clarify what you want out of life, work to change what is no longer working for you and likely laugh along the way.

If you can see yourself making the changes necessary to begin feeling better, I can show you how.  I am a Licensed Professional Counselor, Certified Positive Discipline Parent and Classroom Educator and enjoy working with adults, parents and couples through tele-health.  Together, we can create a safe, non-judgmental relationship for you to begin improving your quality of life and have fun in the process!

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Jena Pulliam, LPC

Hello! I'm Jena Pulliam, a dedicated Licensed Professional Counselor with over eight years of clinical experience. I specialize in treating a diverse clientele, including adults and adolescents who struggle with ADHD, anxiety, coping skills, depression, trauma, and PTSD. Each client brings their own unique story, and it is my role to tailor my approach to fit their specific needs. I integrate a variety of therapeutic modalities. My primary tools include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)—in which I am certified—motivational interviewing, and trauma-focused techniques. I am also EMDR trained, enhancing my ability to address issues related to trauma effectively.

I am also a Certified Clinical Trauma Professional (CCTP), which equips me with the advanced skills necessary to support those affected by trauma. My expertise is further complemented by my training in Eye Movement Desensitization and Reprocessing (EMDR), a distinguished psychotherapy treatment designed to alleviate the distress associated with traumatic memories.

At the core of my practice is the belief that everyone deserves to lead a fulfilling life, free from the burdens of unmanaged mental health issues. I strive to empower my clients, encouraging them to discover and harness their inner strengths to overcome the challenges they face.  If you're seeking a compassionate, professional, and skilled counselor to guide you through your mental health journey, I would be honored to work with you. Let’s embark on a path to healing and growth together.

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Sofia Crowe, MSW, LICSW, LCSW

I have been a clinical therapist for 21 years. I graduated from the University of Maryland Social Work program in 2003. I have enjoyed wide-ranging training and employment in many arenas, including as a supervisor for a county-wide suicide hotline, in adolescent residential treatment, intensive outpatient and in-home therapy.  I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation.

I have trained in many therapeutic modalities, including DBT with Marsha Linehan, dual-diagnosis treatment, Imago and communication focused couples therapy, mediation training, structural and/or brief solution-focused family therapy, CBT, behavioral activation, schema therapy, motivational enhancement, meditation and mindfulness. Areas of expertise include ADHD, parenting and family communication, working with young adulthood issues post-COVID, depression, anxiety, bipolar and other affective disorders, addiction, co-occurring issues and a variety of couples issues.  I also treat substance use and abuse, including behavioral addictions such as eating and gambling. More recently, I have expanded into treatment of high functioning autism. I am experienced in child trauma, adult PTSD and adjustment disorders, including psychosocial stress. I am skilled in working with chronic pain, disability issues, and crisis management.

However, my primary focus starts with you as a client—successful treatment is more than any diagnosis or approach! My perspective is flexible and person-centered. I partner to meet your needs and identify areas for change with you. My primary goal as  a therapist is to work with you on ensuring life is worthwhile and worth living. I look forward to meeting you.

Jocelyn Puller, LCSW

Jocelyn Puller, LCSW

I am a Licensed Clinical Social Worker with 10 years of experience in the mental health and child welfare field working with children, adolescents, and families. I have experience in helping clients with anxiety, depression, complex trauma, self-esteem, and suicidal ideation. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support and empower you on that journey.

My mission is to create an atmosphere of understanding and self-exploration that helps people master the skills needed to survive, rise, and thrive in a world that can work against us. I use a holistic, and person-centered approach to propel healing. In addition to that approach, I integrate evidence-based interventions to support people reaching their treatment goals.

Joshua Arnold, LPC, CSAC

Joshua Arnold, LPC, CSAC

I am a Licensed Professional Counselor and Certified Substance Abuse Counselor in the state of Virginia with over 10 years of experience in the behavioral health field.  I have a passion for working with individuals to achieve the highest quality of life possible through use of problem-solving and healthy coping.  In counseling, I endeavor to provide a safe space for individuals to share concerns and struggles they are experiencing, while exploring strategies with them for improved wellness.  My areas of specialty include substance use treatment, anxiety, depression, life transitions, self-esteem, grief and loss, and crisis management.  My approach to counseling incorporates elements of solution-focused therapy, cognitive-behavioral therapy, and motivational interviewing.

Brandy Peterson, LPC

Brandy Peterson, LPC

I am a Licensed Professional Counselor. I obtained my Bachelor of Science degree in Psychology from Virginia Commonwealth University in 2005 and my Master of Arts degree in Professional Counseling from Liberty University in 2010. I have been working with children and adults in a variety of roles and settings for 18 years. I have experience with many different concerns including anxiety, depression, parenting concerns, stress management, and PTSD. I have specialized training in trauma and integrative medicine, which allows me to provide a holistic approach. I believe that seeking help is a strength and should not be looked down on. I also believe that we can all use some help or guidance at some point in our lives. I strive to treat each person and situation with dignity, respect, and compassion. My approach combines cognitive-behavioral therapy, DBT, and EMDR techniques. My goal is to collaborate with you, as well as to provide the tools and support you need to meet your goals.

Hillary Crenshaw, LPC

Hillary Crenshaw, LPC

I am a Licensed Professional Counselor in Virginia with over 10 years of experience working in different settings which include residential treatment facilities, schools, hospice, hospitals, and community service boards. I am passionate about making sure my clients feel heard and feel safe in their sessions. I definitely rely on humor to help me earn trust and make my clients feel at home. My areas of specialty include depression, anxiety, trauma,  ADHD, OCD, DMDD, mood regulation, stress management, grief and bereavement. The treatment modalities that I most commonly utilize are EMDR, CBT, DBT, and MI. I look forward to helping you reach your goals and living a more fulfilled life!

Jamar Bynum, LCSW

Jamar Bynum, LCSW

I am a Licensed Clinical Social Worker with 15 plus years experience working in mental health and substance use in an array of sectors from schools to community based. I earned a BA in Sociology and a Masters Degree in Social Work from Norfolk State University. I have experience counseling individuals dealing with substance use, depression, life stressors, anxiety, trauma, grief, and other areas. My treatment modalities include CBT, DBT, motivational interviewing, and solution-focused therapy. I am committed to my community through church initiatives and nonprofit efforts. My unwavering humility and the love I have for people are my greatest attributes. My goal is to ensure that individuals are living the best version of themselves as possible. 

Jo Ann Harris, MSW, LCSW

Jo Ann Harris, MSW, LCSW

Life and living can be hard; and the real world issues and concerns that you face deserve real world solutions!  After receiving her MSW from George Mason University, Jo Ann has practiced in various clinical settings such as healthcare, community mental health, and now as a psychotherapist.  These settings taught her to value a holistic approach to wellness… Your mental health is just as important as your physical well-being.  

Jo Ann considers herself an eclectic therapist, using the most appropriate evidence-based interventions in her “toolkit” that would best help you to accomplish your therapeutic goals.  Whether it is anxiety, depression, life stressors/transitions, or grief, Jo Ann takes an empathic approach in assisting you in your wellness journey.

Elizabeth "Liz" Bradshaw, LCSW 

Elizabeth "Liz" Bradshaw, LCSW 

My name is Elizabeth Bradshaw, however, I go by Liz or Lizzy. I have worked in the mental health field for eight years in both inpatient and outpatient settings. I graduated from James Madison University in 2015 and Virginia Commonwealth University in 2016. I enjoy working with adults to heal various aspects of their lives including depression, anxiety, trauma, ADHD, severe mental illness, and stress. I take a holistic approach including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), polyvagal theory, and body-centered psychotherapy as I believe strongly in the mind-body connection. When I am not providing therapy, I enjoy spending time with my husband and dog. I also enjoy reading, learning new things, and various craft projects.

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Donna Sewell, PhD, LCSW

I am a Licensed Clinical Social Worker with more than 25 years of Social Work experience. I have worked extensively with diverse clients including, academics, geriatrics, mental health, HIV/AIDS, military personnel and their families, corrections, and substance misuse. I have earned a Bachelor of Science in Psychology, Master of Social Work, Master of Arts in Industrial/Organizational Psychology, and a Doctor of Philosophy degree in Social Work Planning and Administration and Social Science. I provide solution-focused therapy to adults who are seeking assistance with addressing life’s challenges, such as stress, substance misuse, depression, grief and loss, situational anxiety, and  women’s issues. I also focus on life’s transitions, like empty nest syndrome and retirement. I utilize an eclectic therapeutic approach, so each approach will be tailored to the needs of the individual client. You and I will work together on your quest for self-improvement, healthier coping skills, and an emotionally healthier you.

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