Jill C. Ascari, Ph.D., LCP
Dr. Ascari joined CCA in December 2006 as a clinical health psychologist who primarily works with adults, ages 18 and up. She received her Ph.D. in clinical psychology from Virginia Commonwealth University in August 2005 and completed her postdoctoral fellowship in clinical health psychology in the Department of Psychiatry at VCU Medical Center in September 2006.
During her graduate work and postdoctoral fellowship, Dr. Ascari received extensive specialized training in the area of health psychology that covers a spectrum of medical disorders, including bariatric surgery, obesity, organ transplantation, liver disease, cardiac disease, cancer, and gastrointestinal disorders.
Dr. Ascari’s areas of specialization include pre-surgical psychological evaluations for patients considering weight loss surgery, organ transplantation and evaluations for individuals interested in living organ donation. Dr. Ascari uses the pre-surgical psychological assessments to identify psychosocial risk factors and to make recommendations to both the patient and the surgical team with the primary goal of facilitating the best possible surgical outcome for the patient.
Dr. Ascari specializes in working with patients with primary medical conditions who have difficulties coping with their chronic disease and those who may need to modify lifestyle factors to reduce risks associated with their illness. Dr. Ascari provides therapy for individuals, couples and families to help with adaptation to illness through the use of behavioral and psychotherapeutic methods. She utilizes cognitive behavioral therapy, motivational interviewing and a variety of relaxation techniques. Other areas of interest include depression, anxiety disorders, pain management, stress management and smoking cessation. Dr. Ascari is a licensed clinical psychologist in the state of Virginia and practices at our West End location.
Linda Baxter, RN, PhD, PMHNP/CNS-BC, ANP-BC is a nurse practitioner who obtained a master’s degree, adult nurse practitioner certificate and PhD in Nursing from Virginia Commonwealth University. She also has a specialty certification as a psychiatric mental health nurse practitioner and clinical nurse specialist from the University of Virginia. She has extensive experience and expertise in the areas of women’s health, stress management and issues related to chronic illness and disability, with particular interest in caregiver issues, including caregiver grief, stress, and self-care. Her practice philosophy is holistic, emphasizing the integrative principles of mind-body-spirit care. She believes that medication is an important aspect of treatment but is only one approach. Balance and health, including mental health, occurs with the integration of multiple approaches, including, but not limited to, self-care and self-nurturing activities, creative expression, physical health practices, stress management, and therapeutic counseling. Dr. Baxter is committed to providing respectful and comprehensive care based on each individual’s unique needs and experiences.
For many years, Dr. Baxter has held an adjunct faculty position in the VCU School of Nursing.
Currently, she is a member of the Chesterfield County Community Services Board and is a
strong advocate for disability rights. For her own mental health, she enjoys creating art
through photography, treasure-hunting on the beach, and spending time at the water with family and friends.
Dr. Baxter sees adult patients 18 and older for medication management at the Midlothian office.
She also provides psychological counseling for individuals experiencing any type of
Dr. Bender joined Commonwealth Counseling Associates in August 2005 and works in the West End office. In her current practice, she provides individual, couples, and family therapy. She also performs cognitive and personality assessments for children and adolescents. Her specialty areas include family and marital relationships, coping with medical illnesses, mood disorders, stress management, bereavement, and parenting issues.
Dr. Bender completed her clinical internship at the Kennedy Krieger Institute and Johns Hopkins University School of Medicine where she received training in both pediatric medical psychology and family therapy. After relocating to Richmond, she completed a post-doctoral fellowship at the Virginia Treatment Center for Children. During her fellowship year, Dr. Bender worked with children and families in outpatient, day treatment, and acute programs. She served on the Child Psychiatry Consultation Service by providing brief consultations for medically ill children at the Virginia Commonwealth University Medical Center. In addition, Dr. Bender offered psychological services to children and families in the ASK Pediatric Hematology/Oncology Clinic. In this clinic, she worked with a wide range of issues, such as needle phobias, grief related to a child’s illness, adjustment to diagnosis and treatment, and sibling relationships.
Dr. Bender enjoys working with clients from a variety of backgrounds (ages 5 to adult), and presenting problems. Her approach relies on techniques from cognitive-behavioral, process-oriented, and family systems therapies. In the early stages of therapy, Dr. Bender places importance on developing a supportive and empathic alliance with her clients. She then tailors her interventions to address the unique goals of each client. Some of these interventions may include child behavior management, coping skills/relaxation training, play therapy, diagnostic evaluations, and services for families and couples. In particular, Dr. Bender is interested in working with clients who would like to make meaningful changes in themselves and in their relationships.
Dr. Bender received her B.A. in Psychology from Haverford College and her Doctorate in Clinical Psychology from the University of Virginia. She is a member of the American Psychological Association.
Dr. Benesek is a licensed clinical psychologist who joined Commonwealth Counseling in 2012. He received his Psy.D., in Clinical Psychology from the University of Hartford and interned at Mississippi State Hospital. Following this, he worked with the University of Mississippi Medical Center and Veterans Affairs (VA) Medical Center in Jackson, MS, where he worked primarily with tobacco cessation, substance abuse/dependence, and group therapy. Following this, he returned to Virginia and worked at Central State Hospital (forensic unit), Rivers Correctional Institution (Winton, NC), and the Virginia Department of Corrections (Community Corrections), prior to being hired with McGuire VA Medical Center, where he has worked since 2004. In addition to my private practice, I am employed as a psychologist at McGuire Veteran Administration Medical Center. He also holds an Assistant Professor position with VCU School of Medicine (Psychiatry). In addition to his primary emphasis on PTSD, he has experience with patients with a variety of problems and mental health disorders including psychosis, mood disorders, anxiety, adjustment disorders, and relationship concerns.
Dr. Benesek practices in the Midlothian office as a cognitive behavioral therapist and is trained to work with adults. His practice at Commonwealth Counseling will emphasize promoting health through behavioral change; treating mood and anxiety disorders; facilitating stress management and coping; and counseling couples.
Dr. Benton joined CCA in May 2014 as a clinical psychologist who primarily offers child, individual and family therapy in the Hanover office. Her clinical interests are in providing cognitive behavioral therapy for children with depression, anxiety, medical problems and/or behavioral issues.
She received her B.S. in Psychology from the College of William and Mary in 2001, her M.S. in Health Psychology from the University of Sciences in Philadelphia in 2002 and her Psy.D. in clinical psychology from Regent University in May 2008. She completed her postdoctoral fellowship in pediatric psychology at Arkansas Children’s Hospital in August 2009.
Dr. Benton specializes in working with children with medical problems, specifically, feeding problems, weight management concerns, and sleeping problems. She works with children and their families to improve overall coping methods and compliance with treatment. Additionally Dr. Benton is interested in treating children with depression or who have behavioral difficulties, providing family therapy with a focus on improving the overall communication within the family, and working to improve parenting skills. Dr. Benton enjoys working with a wide range of patients, age 3 to adult.
Dr. Benton is a licensed clinical psychologist in the state of Virginia.
Dr. Bullock is the Founder and Executive Director of Commonwealth Counseling Associates, PC. Prior to starting the practice in June of 2001, Dr. Bullock had served for nearly 10 years on the faculty of the Department of Psychiatry at the Medical College of Virginia. During the last three years of his tenure at MCV, he also served as Director of Clinical and Network Operations for the Behavioral Health Division of Trigon Blue Cross Blue Shield. He retains an Associate Clinical Professorship in the Department of Psychiatry at the Medical College of Virginia.
Over the course of his 25 year career, Dr. Bullock has held a variety of administrative and consulting positions with healthcare companies, including Trigon BCBS (now Anthem BCBS), Magellan Behavioral Health, and United Behavioral Systems. He served as Director of Outpatient Services for Henrico Area Mental Health Authority, provided consultation-liaison (medical psychology) services to Richmond area hospitals and medical practices, directed efforts to integrate service delivery to persons with complex health and social service needs, and worked extensively with community-based efforts to assist victims of crime, including persons dealing with the murder of a close relative.
Dr. Bullock’s clinical specialties include cognitive therapy of mood and anxiety disorders, the treatment of Post Traumatic Stress Disorder, the assessment of Adult Attention Deficit Hyperactivity Disorder, and Couple Therapy. Presently, Dr. Bullock limits his clinical practice to “second opinion” consultation regarding diagnosis or psychotherapeutic treatment involving more complex, treatment resistant behavioral health conditions.
Dr. Bullock received his BS degree in Psychology from the College of William and Mary. He went on to complete his Master’s Degree in Experimental Psychology from Wake Forest University, and his Doctorate in Clinical Psychology from the Virginia Consortium for Professional Psychology with a specialization in family & strategic systems therapies. He then went on to train at the Medical College of Virginia and at the Institute for Law & Psychiatry at the University of Virginia.
Current professional affiliations include the Richmond Academy of Clinical Psychologists, the Virginia Academy of Clinical Psychologists, the Virginia Psychological Association, and the American Psychological Association.
Dr. Chambers joins Commonwealth Counseling Associates as a general adult psychiatrist. He sees adults ages 18 and up at the Hanover office for psychiatric evaluation, medication management, and psychotherapy. He received his undergraduate degree from the University of Virginia and his medical degree from Vanderbilt University Medical School. He completed his residency training in the Department of Psychiatry at the University of Virginia.
Prior to his medical education, Dr. Chambers received his law degree from William and Mary Law School and practiced law for five years in Richmond, Virginia. With his unique background, he is particularly interested in the relationship of law, medicine, and ethics in the practice of psychiatry. In addition to experience with the general adult population, he spent a significant amount of time in training at the University of Virginia working with the college-aged population at the student health center.
Although the practice of psychiatry has trended more and more toward medication management, he believes that it is essential for a psychiatrist to have a broad understanding of the roles of both medication and psychotherapy for symptomatic relief and long-term healing. He has extensive training and experience in psychotherapy, particularly psychodynamic psychotherapy, a branch of therapy focused on the unconscious drives beneath our thoughts, emotions, and actions. He has particular interest and experience in treating anxiety, panic attacks, obsessive-compulsive tendencies, and psychosomatic disorders, in which emotions manifest themselves in physical ways.
In addition to outpatient clinical practice at the Hanover office, Dr. Chambers has joined Commonwealth Counseling’s consultation service to Bon Secours’ Memorial Regional Medical Center in Mechanicsville, and he provides psychotherapy supervision for resident physicians in training as an Assistant Clinical Professor in the Department of Psychiatry at Virginia Commonwealth University.
Dr. Cohen joined Commonwealth Counseling Associates in April of 2004, as a general adult and consult-liaison psychiatrist. Along with her experience in private practice, Dr. Cohen is an Assistant Clinical Professor in the Department of Psychiatry at Virginia Commonwealth University.
Dr. Cohen sees primarily adults, age 18 and up in the West End office. She views therapy as a collaboration between the client and physician, and considers her approach to therapy interpersonal or “patient centered”. One of Dr. Cohen’s specialty areas is working with clients with significant medical illnesses. She has extensive experience working with oncology patients, and provides palliative care in home and hospice environments. She is also interested in nutritional and alternative methods of healing.
Dr. Cohen earned her BA degree from Harvard University, and her MD degree from University of Pennsylvania School of Medicine. She did her psychiatric residency at Yale University. She also completed two fellowships, both at the Medical College of Virginia, in Consult-Liaison Psychiatry and in Palliative Care. She is board certified in Psychiatry.
David Dameron, Ph.D. joined CCA in September of 2004 after spending 10 years in private practice in Hawaii. While in Hawaii, Dr. Dameron practice was primarily in Neuropsychological Assessment and Addictions treatment. While there he developed and directed two major addiction treatment programs. Dr. Dameron is the President of the Institute for Psychological Growth, Inc., a clinic in Honolulu, Hawaii that has been in operation since 1999 to present. The program provides treatment to individuals and their families recovering from the impact of substance abuse and addiction.
Dr. Dameron has also written and produced multimedia materials including a DVD that are used to educate patients regarding their privacy rights under HIPAA.
His current practice includes child, individual, and family counseling. Dr. Dameron has a strong interest in the “process of change” and how the change process is manifested in therapy. Dr. Dameron’ s specialty areas include the treatment of ADHD, Anxiety, Panic and Mood Disorders, Change of Life Issues, and Loss and Bereavement. His methodology is Cognitive-Behavioral with a focus on establishing a collaborative partnership between himself and his clients.
Dr. Dameron received his BS in Psychology from Pacific Union College in Angwin, California, MA in Clinical Psychology from John F. Kennedy University in Orinda, California and his PhD was completed at United States International University in San Diego in 1992 with specialization in Neuropsychology. Post-doctoral work was completed during his three years as Chief of Outpatient Psychiatry at Kenner Army Hospital at Fort Lee, Virginia.
Dr. Dameron currently practices in the Chesterfield Office of CCA. However, with a passion for projects, he is offering a new location for an expansion of services in Fredericksburg, Virginia. He plans to develop this practice base into a full service Behavioral Health Clinic over the coming year.
Dr. Bridget Dunnavant joins the Hanover office of Commonwealth Counseling Associates as of December 2013, primarily offering individual, couples, and group counseling to adults of all ages. She assists individuals with a variety of presenting concerns such as feelings of depression and anxiety, relationship and family distress, decision-making and general life transitions, and loss. Some of Dr. Dunnavant’s areas of particular interest include LGBTQ and gender concerns, and issues surrounding grief and end of life.
Her approach to therapy is broadly humanistic, as she seeks to build with each of her clients mutual understanding of himself or herself as a whole, inclusive of difficulties and strengths. The focus of treatment often explores development of identities and values, how we all continually create and cope with both individual and societal systems of meaning, and ultimately how to better connect with our selves and our senses of purpose.
Dr. Dunnavant received a BA in Psychology from Transylvania University and a MS in Community Counseling from Austin Peay State University, earned a PhD in Counseling Psychology from The University of Memphis, and interned at the University of Florida Counseling and Wellness Center. She is licensed in Virginia as a Clinical Psychologist.
Dr. Ellwood has been with Commonwealth Counseling Associates since June of 2001. He has also worked as a staff psychologist at the Hunter Holmes McGuire VA Medical Center since March of 2001, where he is assigned to the Spinal Cord Injury and Disease unit. Other previous experience includes an Assistant Professorship of Psychiatry at the Medical College of Virginia. In that position, Dr. Ellwood provided assessments and treatment for geriatric, chronically ill, and pain patients and their families.
Dr. Ellwood provides a full range of clinical psychological services, including psychological and neuropsychological evaluations in the Hanover office. His approach to therapy is cognitive behavioral and solution focused. Dr. Ellwood works with children, school age and up, adults, couples, families, and groups. He enjoys working with couples to resolve marital issues. Other areas of interest include pain management and coping with physical disabilities.
Dr. Ellwood received his BA in Psychology from Hamilton College in Clinton NJ. His MS, as well as his Ph.D. in Clinical Psychology, was completed at Virginia Commonwealth University. Dr. Ellwood is also a Certified Forensic Evaluator for the state of Virginia.
Dr. Face joined CCA in January 2011 as a licensed clinical psychologist with extensive clinical experience with adolescents and young adults. In her current practice, Dr. Face works with children, adolescents, and adults of all ages as well as couples and families in the West End office. Areas of clinical interest include developmental issues and phase-of-life problems, learning and academic difficulties, career difficulties, parenting and relationship issues, mood and anxiety disorders, psychological trauma and Post Traumatic Stress Disorder, Attention-Deficit/Hyperactivity Disorder, disruptive behavior disorders, Asperger’s Disorder, and grief/loss issues, including pet bereavement.
Dr. Face works with her clients to develop individualized treatment plans and goals to facilitate positive changes in their lives and lifestyles. In sessions, she tends to assume an interpersonal, eclectic, and collaborative approach, based on the client’s needs and personal goals. She has received training in psychodynamic, interpersonal, solution-focused, cognitive-behavioral, and couples and family systems therapies.
Dr. Face received her Ph.D. in Counseling Psychology from Virginia Commonwealth University in April 1997. In addition to clinical experience in several college counseling centers, Dr. Face worked for five years with the Department of Juvenile Justice providing treatment to incarcerated adolescents. Prior to joining CCA, Dr. Face worked with Charlottesville City Schools providing treatment and consultative services to children and adolescents with emotional disorders and learning disabilities that impacted their academic success.
Dr. Face also holds adjunct faculty positions in Psychology with J. Sargeant Reynolds Community College, University of Richmond, and University of Phoenix and provides consultative services for threat assessment and violence prevention in higher educational settings.
Greg Fisher, MD joined CCA in June of 2013 and is based at the Mechanicsville/Hanover office. Dr. Fisher is a native of the city of Richmond. He attended the Massachusetts Institute of Technology (MIT) where he earned Bachelor’s degrees in both Physics and Humanities (Classical Studies). He received his medical school education as well as his internship, residency and fellowship training in Psychiatry and Child and Adolescent Psychiatry at MCV/VCU. Dr. Fisher is Board Certified both in general Psychiatry as well as in Child and Adolescent Psychiatry.
After completion of his training, Dr. Fisher was recruited to Lynchburg, Va. by Central Virginia Baptist Hospital where he practiced for over 20 years. For much of that time, he treated children and adults in his outpatient office as well as in the hospital. He also held various administrative posts, including Chairman of the Department of Psychiatry at Centra, and for several years was the Medical Director of the outpatient part of the practice, Piedmont Psychiatric Center. For the last seven plus years, he worked full-time as the Medical Director of Virginia Baptist Hospital’s acute inpatient Child and Adolescent Psychiatry Unit.
Dr. Fisher has been very active in organized medicine, being a member of the Medical Society of Virginia, the Lynchburg Academy of Medicine (LAM), the American Psychiatric Association (APA) / Psychiatric Society of Virginia (PSV), and the American Academy of Child and Adolescent Psychiatry (AACAP) / Virginia Council of the AACAP. He is a past-Secretary-Treasurer and general Board member of LAM. He served as President of both the PSV and Va. Council of the AACAP and is currently the Member Chair of the PSV. He has been chosen as a Distinguished Fellow of both the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry.
Dr. Fisher is looking forward to being back in his home-town and joining CCA. Though he will see adults, he is planning to focus the majority of his practice on treating youngsters. He employs a biopsychosocial approach and emphasizes close collaboration with other professionals including primary and specialty care physicians and other mental health professionals.
Kim is a Licensed Clinical Social Worker who joined Commonwealth Counseling in June 2013. Kim earned a B.S. from Virginia Tech and a Master of Social Work from VCU.
Her theoretical preference is cognitive behavioral therapy. She focuses on pragmatic, strengths based, and solution focused interventions. Kim provides her clients with therapeutic homework, which may include reading, writing, and other behavioral tasks. When a client has been prescribed psychotropic medication, Kim strongly believes that communication between the prescribing physician and the therapist is an important aspect of treatment.
Special areas of interest include mood disorders, adjustment disorders, and relationship difficulties. Kim also has many clients who are in therapy to address codependency and low self-esteem. In addition, Kim enjoys working with families who have a loved one diagnosed with a mood disorder, including serious mental illness, as this can often provoke or exacerbate stress within the family system.
Kim has experience working in a psychiatric hospital, in Chesterfield County Public Schools, in community mental health, and in private practice. She is very familiar with a multitude of community resources to supplement therapy. She is a volunteer with NAMI (National Association on Mental Illness), and has served as a Field Instructor for VCU School of Social Work graduate students.
Kim maintains her membership in the National Association of Social Workers. She is looking forward to seeing current and new clients in Commonwealth Counseling’s Midlothian office.
Dr. Iguchi currently provides individual, couples and family therapy to clients from age 2 to adult. She enjoys working with clients on a variety of presenting problems, including depression, anxiety, trauma, eating disorders, relationship issues, behavior disorders and inattention. Dr. Iguchi relies on an integrative approach to therapy, utilizing techniques from interpersonal, cognitive-behavioral, DIR/Floortime and family systems therapies. After developing a collaborative relationship with her clients in a safe environment, she designs interventions to address the specific needs of each client or family. Dr. Iguchi also provides cognitive, educational and personality assessments for children, adolescents and adults to assess for Attention Deficit/Hyperactivity Disorder, learning disabilities, behavioral disorders, Autism and emotional functioning. Dr. Iguchi has developed a special interest in the assessment and treatment of children with Autism and other developmental disorders, including mood swings and behavior problems related to disorders in sensory processing.
Dr. Iguchi joined the Hanover office of Commonwealth Counseling Associates in January 2011. In addition to her clinical work, she was a Visiting Assistant Professor at the College of William & Mary and worked for several years as a School Psychologist in local public schools providing services to preschool, elementary and middle school children and their teachers and families. Before beginning her clinical training, Dr. Iguchi enjoyed teaching at a local private school for children with learning disabilities.
Dr. Iguchi earned her B.A. from the University of Virginia and her Doctorate in Clinical Psychology from George Mason University. She is licensed in Virginia as a Clinical Psychologist and licensed by the Virginia Department of Education as a School Psychologist. She is a member of the American Psychological Association.
Dr. Jenkins is a clinical psychologist that joined Commonwealth Counseling’s Chesterfield office in November 2009. Prior to that Dr. Jenkins lived and worked in southern Vermont. She worked in a school setting for two years and then established and ran her own private practice providing individual therapy for adolescents and adults, parenting consultation and psychological/educational evaluations.
Her current practice focuses on individual therapy with young adults, adults and couples. She also offers parenting support, often short-term, to help parents navigate the normal but sometimes overwhelming developmental issues that children present. She enjoys helping people learn about themselves, identify and meet their personal goals and explore new coping skills. She works collaboratively with each client helping them discover their unique answers to life’s challenges. Her specialty areas include treatment of ADHD, depression, anxiety, relationship and adjustment issues. She is very interested in the dynamics between emotional health and physical health and the power of a trusting, collaborative therapeutic relationship. She developed an app for the iPhone with Dr. Dameron called eMotions Tracker to help individuals and parents identify emotional patterns and track the change process.
Dr. Jenkins received her Bachelor’s degree in Psychology at the University at Albany. She obtained her Master’s degree in Developmental Psychology and her Ph.D. in Clinical Psychology from the University of Virginia.
Dr. Johnson joins Commonwealth Counseling Associates as a general adult and young adult psychologist practicing in the West End office. She completed her graduate education and training in the Washington, D.C. area, where she has worked in a variety of clinical settings. Prior to joining CCA in 2005, Dr. Johnson was employed at university counseling centers and enjoyed working with undergraduate and graduate students of all ages. She has worked with clients in individual therapy as well as led Relationship Groups, Women’s Groups, and Support Groups for International Clients.
Dr. Johnson employs an interactive, dynamic style in therapy. She believes that the root of problems are often best addressed by helping clients to learn more about themselves, and to see themselves and their relationships in a new and deeper way. Dr. Johnson believes that when clients are able to define the root of the problem, they are better able to take control and to make changes. She and clients work together so that clients are able to apply their increased understanding to a variety of situations.
Dr. Johnson has special interests in general anxiety, panic attacks, depression, women’s issues, postpartum depression, working with clients with chronic medical conditions, and family relationship issues, including parent-adult child relationships,. She also has experience working with a diversity of clients, including international clients, and gay and lesbian clients.
Dr. Johnson earned her Masters degree in Developmental Psychology from George Mason University, her Doctorate in Clinical Psychology from The George Washington University, and completed her Clinical Internship at The American University.
Dr. Jones joined CCA in March of 2007 and practices in the West End office. After earning her Bachelor’s degree in Toxicology from the University of the Sciences in Philadelphia, Dr. Jones attended medical school at the Medical College of Virginia. She completed her residency in General Psychiatry at the University of Alabama Hospitals in Birmingham, Alabama and her fellowship in Child and Adolescent Psychiatry at the Virginia Treatment Center for Children.
After completing her training, she worked at Henrico Mental Health for 5 years and Insight Physicians for almost 10.
Michael Keaveny, Psy.D. is a licensed clinical psychologist who specializes in mindfulness and acceptance based therapies. Dr. Keaveny helps his clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. With a strong emphasis on values clarification, he helps clients discover what is truly meaningful in their lives and works together to find ways to make active, long lasting change.
Dr. Keaveny works with a wide range of psychological stressors but specializes in treating eating disorders, self-injury, relationship concerns, personality disorders, anxiety, and depression. In addition to individual psychotherapy, Dr. Keaveny provides couples counseling as well as psychological and educational evaluations.
Dr. Keaveny received his Doctorate in Clinical Psychology from the Illinois School of Professional Psychology (ISPP) and has worked in private practice, community mental health, and hospital settings. He completed his internship and post-doctoral work at Linden Oaks at Edward Hospital in Illinois working primarily with individuals struggling with eating disorders at the inpatient, partial hospitalization, and intensive outpatient levels of care. Dr. Keaveny has held multiple workshops on mindful eating and weight management. He specializes in “third-wave” cognitive-behavioral therapies including Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and Functional Analytic Psychotherapy (FAP) and has helped in the training of therapists to utilize these models.
Dr. Keaveny currently practices at the Midlothian Office.
Dr. Kilgour joined CCA in April of 2012 and works in the Chesterfield office. His work has focused on helping people overcome issues with depression, anxiety, and trauma, as well as, helping couples with process issues such as communication and conflict resolution. Dr. Kilgour is interested in helping to facilitate personal growth in all stages of adult development in ways that help foster an improved sense of well-being. Dr. Kilgour is sensitive to personal and cultural values, and incorporates those values into his work.
Dr. Kilgour earned his PhD in counseling psychology from Virginia Commonwealth University, a BA in Psychology from George Mason University and an MFA in Writing also from George Mason University. His early doctoral work focused on “positive psychology”, which is concerned with helping patients find and nurture their own abilities and talents.
Dr. Kilgour was a Co-founder of Richmond Assessment, PLC, and has provided psychological, vocational, educational, and organizational consulting services to the VCU Performance Management Group, Virginia Union University, Jewish Family Services, Virginia Rehabilitation Center for the Blind and Vision Impaired, Randolph-Macon College, and the University of Delaware, where he completed his internship.
Dr. Don Koehler is a Licensed Clinical Psychologist who has been working in the mental health field for 25 years. Dr. Koehler received his doctoral degree from the University of Denver in Human Development & Counseling Psychology. He specializes in the treatment of anxiety, trauma, depression and relationship conflicts. He works with Adults, Couples, and Adolescents in the Chesterfield office. He sees clients in individual, family and couple formats. He has experience in practicing Mindfulness Based, Cognitive and Family Systems Approaches to therapy.
Dr Koehler’s Approach to Therapy
Dr. Koehler approaches his relationship with the client as a collaborator—working with and alongside the client to find new possibilities and solutions that previously were unknown or unseen by the client attempting to solve his or her problems alone. He believes the client already possesses everything they need to address his or her difficulties. So as a therapist, Dr. Koehler facilitates the client’s own resources for healing and growth. His approach involves more than helping clients “manage” their problems—it provides strategies that transform the problems and the ways clients have unsuccessfully attempted to address them. He carefully tracks the progress of therapy and the client’s satisfaction with the effectiveness of the therapy.
Jane Kudlas, Ph.D. Licensed Clinical Psychologist in the State of Virginia and Member of the American Psychological Association
Dr. Kudlas has over 15 years of experience working as a mental health provider in inpatient, school-based, and outpatient settings. She completed her Ph.D. in Clinical Psychology from Virginia Polytechnic Institute and State University in 1992, following a clinical internship at the Medical University of South Carolina. Prior to pursuing her current position as an outpatient psychotherapist with Commonwealth Counseling Associates, she was employed as an Assistant Professor through Virginia Commonwealth University’s Department of Psychiatry where she was responsible for: providing intensive therapeutic services to youth at the Virginia Treatment Center for Children (VTCC), a psychiatric hospital for children; affording individual and family therapy to children and adults in outpatient clinics, and completing comprehensive psychological evaluations. Dr. Kudlas was also an integral part of the psychology internship program at VTCC where she taught and supervised individuals pursuing careers as Licensed Clinical Psychologists.
Based out of the Midlothian office, Dr. Kudlas provides individual and family therapy for children, adolescents, and adults, and psychological evaluations for children ages six to seventeen. She has extensive experience working with youth and adults who present with complicated emotional, behavioral, and interpersonal difficulties, and those reporting a history of loss and trauma including sexual abuse, physical abuse, childhood neglect, life-threatening events, and death of loved-one. Her expertise in providing therapeutic services extends to individuals reporting significant difficulties at home, school, and work due to feelings of anxiety, inadequacy, guilt, and depression.
A native of Richmond, Virginia, Dr. Jenee’ Lewis-Walker received a Bachelors Degree from Elizabeth City State University with a double major in Special Education and Psychology. She began her career as a special education teacher in Hampton Roads, VA. However, after finding herself more concerned with the underlying psychological issues that many of her students and their families faced, she pursued and later earned a Master’s Degree in Community and Clinical Psychology from Norfolk State University. Fascinated with the field of psychology, Dr. Walker continued her education at Regent University in Virginia Beach, earning another Masters Degree from Regent University in Clinical Psychology and eventually a Doctorate Degree in Clinical Psychology with a concentration in Children and Adolescents.
Dr. Walker’s clinical experience includes working with children, adolescents, and adults from a variety of ethnic, genders, ages, and socioeconomic backgrounds, providing services such as psychological assessment, psychotherapy, and research design. She has worked in a variety of clinical settings such as mental health clinics, residential treatment facilities, detention centers, and outpatient private practice. Dr. Walker also works closely and consults with local and other state agencies on improving the quality of care of mental health services as well as providing training on a variety of subject matters such as behavioral management, trauma-informed care in the juvenile justice system, and systemic consultation with children and adolescents with intellectual and developmental disabilities. With a cognitive-behavioral therapeutic approach, Dr. Walker has returned to her passion for the children/adolescents and individuals with intellectual and developmental disabilities. Dr. Walker practices in the Hanover/Mechanicsville office.
Dr. Lee joined CCA in April of 2007. He earned his medical degree from the Medical College of Virginia and then went on to complete his residency and fellowship training at the University of Texas Health Science Center and U.S. Air Force Wilford Hall Medical Center´s combined Residency Training program. Specializing in Child & Adolescent Psychiatry, Dr. Lee practices in the Midlothian office. In addition, he oversees our consultation services to Bon Secours´ Memorial Regional Medical Center and assists Dr. Worrel in delivering consultation services to the St. Francis Medical Center in Chesterfield County. Dr. Lee is a member of the American Medical Association, the American Association of Child and Adolescent Psychiatry, the American Psychiatric Association, and the Richmond Academy of Medicine.
Dr. Jennifer Lumpkin, Psy.D., ABPP, is a licensed clinical psychologist and board certified rehabilitation psychologist who joined Commonwealth Counseling in 2013. She earned her Psy.D. in Clinical Psychology from Indiana University of Pennsylvania and her B.A. and M.A. degrees from Loyola University in Baltimore, Maryland. She completed a predoctoral internship at the Malcom Randall Veterans Affairs (VA) Medical Center in Gainesville, Florida with a concentration in neuropsychology. After internship and completion of the doctoral degree, she completed a two year postdoctoral fellowship in neuropsychology and rehabilitation psychology at Virginia Commonwealth University (VCU) Medical Center. During this time, Dr. Lumpkin began to specialize in assessment of traumatic brain injury (TBI) as well as conducting individual psychotherapy and clinical research with individuals with a history of TBI. After completion of postdoctoral fellowship, Dr. Lumpkin began working at the Hunter Holmes McGuire VA Medical Center in Richmond, Virginia. Dr. Lumpkin has worked full-time as a neuropsychologist and rehabilitation psychologist at McGuire VA since 2007. In addition, Dr. Lumpkin has taught at the undergraduate and graduate level at VCU and developed an assessment clinic at the Center for Psychological Services and Development at VCU. Dr. Lumpkin provided supervision to doctoral students completing learning disability, Attention-Deficit/Hyperactivity Disorder (ADHD), and neuropsychological assessments.
Dr. Lumpkin practices in the Hanover office as a neuropsychologist and rehabilitation psychologist and specializes in completing neuropsychological assessments for individuals with a wide variety of concerns such as learning disability, ADHD, traumatic brain injury, stroke, and dementia. In addition to providing neuropsychological assessment services, Dr. Lumpkin also practices as a cognitive-behavioral therapist and is trained to work with adults from age 18 through the life span. Dr. Lumpkin has experience working with individuals 65+ in the context of neuropsychological assessment and psychotherapy, as she once worked as a consultant in local nursing homes and assisted living facilities.
Dr. McCune joined Commonwealth Counseling Associates in April of 2004, with over 12 years of experience as a psychotherapist in the Richmond area. She provides individual and group therapy for adults in the Hanover office. Dr. McCune also performs psychological assessments, including cognitive screening and memory and attention evaluations.
Dr. McCune has extensive experience in the area of medical psychology, which focuses on the psychological factors affecting medical conditions, as well as psychological conditions secondary to medical problems. Adjustments to medical problems and new limitations, such as those associated with stroke, are of particular interest to Dr. McCune. Dr. McCune sees adults and has a special interest in working with the older population. Her areas of expertise include retirement age issues, depression, anxiety, and issues of aging. She enjoys working with families on coping with elder care and aging parents.
Dr. McCune received her B.S. in Psychology from Mary Washington College. She completed both her Master of Science in Clinical Psychology and Ph.D. in Clinical Psychology at Virginia Commonwealth University. Dr. McCune was licensed as a Clinical Psychologist in Virginia in 1994, and is a member of the American Psychological Association.
Dr. Beth McGraw is a licensed clinical psychologist who joined the West End office of CCA in October of 2012. She is a graduate of James Madison University and the University of South Carolina, where she earned her PhD in Clinical-Community Psychology in 2006.
She is a cognitive-behavioral psychologist who places importance on providing effective, empirically supported treatments that fit the individual needs of each patient. Although she has been trained to work with people of all ages, her primary focus is on working collaboratively with individuals, age 18 and up, to meet mental health goals and reduce distress in their lives. She has experience treating a broad range of mental health diagnoses including mood disorders and anxiety disorders. In addition to her clinical experience, she has received further specialized training in the treatment of Post Traumatic Stress Disorder (related to both sexual trauma and combat).
Dr. McGraw’s most recent practical clinical experience was in the military mental health setting. As a Captain in the United States Air Force, she completed a rigorous internship in general clinical psychology at Malcolm Grow Medical Center, Andrews AFB, MD, and then worked for three years as a Staff Psychologist at David Grant Medical Center, Travis, AFB, California. In her military mental health positions, she worked with military personnel and their families in outpatient, inpatient, emergency, workplace, and community settings addressing the full range of mental health conditions and community mental health concerns.
While she has a deep interest in continuing to treat those affected by military issues, she looks forward to working with all adults who are motivated to make positive changes in their lives.
Dr. Henry Morris has been practicing in Richmond, Virginia for the past 38 years. His undergraduate training was at the University of Richmond and he received his MSW from Virginia Commonwealth University and his Ph.D. in Clinical Social Work from Catholic University. He completed his group psychotherapy training at the Washington School of Psychiatry and is a Certified Group Psychotherapist through the American Group Psychotherapy Association. He has been teaching clinical practice and group methods at the Virginia Commonwealth University School of Social Work as either full time or as adjunct faculty for the past 25 years. He works in the Chesterfield office with children, adolescents and adults and offers groups for adult relationship issues, covert male depression and leadership training/supervision for clinicians.
Ms. Powell joined CCA in 2003, continuing a career with a wide range of counseling experience in the Richmond area. She works with families, couples, individuals, adolescents, and children using solution focused and cognitive-behavioral therapy. Ms. Powell’s background as an elementary school teacher has enhanced her experience with children and parents in the field of clinical social work.
Ms. Powell practices in the Hanover office and specializes in issues of relationships, divorce, and parenting. She enjoys working with parents as they deal with parenting crises. Ms. Powell has conducted group parenting classes, and has worked with parent education groups for children coping with divorce. She will also be co-facilitating a new group on enhancing marital relationships.
Ms. Powell received a B.S. in Elementary Education from the University of Colorado in Boulder, Colorado. She received her Master of Arts in Elementary Education from Virginia Commonwealth University, and then earned her Master of Social Work from VCU in 1991. She was licensed in 1997 and maintains her membership in the National Association of Social Workers. Ms. Powell is active in her profession through work as a grief support coordinator for the Virginia Public Safety Foundation, and also currently serves the community as a Board Member of Brookfield, a residential treatment center for girls.
As a new addition to CCA in summer 2007, Dr. Primavera provides individual, couples, and group therapy to people ages 18 and up in the Hanover office. She comes from a strong background of over 17 years serving students of all ages at universities across the country including Virginia Commonwealth University, Washington State University, New York Institute of Technology, and Queens College/CUNY. Dr. Primavera also provided community mental health clinical services in Moscow, Idaho. She has served diverse populations including student athletes and first generation college students, individuals with disabilities, and future healthcare professionals.
Dr. Primavera brings an integrative perspective to her practice that considers the individual’s personal beliefs, cultural and societal influences, and the therapeutic relationship itself. She also believes it is important to examine the roles gender, physical health, religion, ethnicity, and sexual orientation play in individual mental health. In addition to working with mood disorders, Dr. Primavera gravitates towards concerns like: grief and loss, unresolved family of origin issues, adult AD/HD, balancing work and family, career and academic difficulties, adjustment, and multicultural issues. She looks forward to facilitating an interpersonal process therapy group at CCA, as she has co-led many such groups in the past and believes fully in the power of group therapy.
Dr. Primavera began her mental health training in New York City by earning her baccalaureate in psychology at St. John’s University and her master’s degree in human relations from the New York Institute of Technology. She earned her PhD in counseling psychology at Washington State University and completed her post-doctoral training at Virginia Commonwealth University. She is a member of the American Psychological Association.
Dr. Purcell is a licensed clinical psychologist who specializes in child and family work with children ranging in ages from 1 to 18. Areas of specialty include issues of anxiety, depression, ADHD, behavioral issues, sleep issues, toileting, grief, health/medical issues, issues related to feeding, anger control, developmental issues and disorders, learning or cognitive concerns, and parenting. Dr. Purcell utilizes cognitive behavioral approaches, skill building, parent training, and solution focused techniques to help children and families achieve higher levels of functioning. Dr. Purcell practices in the Hanover/Mechanicsville office.
Dr. Purcell received her Psy.D. in clinical psychology in 1996 from Florida Tech and completed her postdoctoral and residency work with the Virginia Treatment Center for Children where she further specialized with children and families and with children with medical and developmental needs. She has spent the past 18 years building upon her work with children/teens with a variety of needs and their families as this is where her highest interest lies.
Dr. Pushkin joined the West End office of CCA in 2009. He received his undergraduate education at West Virginia University and medical degree from the Marshall University School of Medicine. Dr. Pushkin completed his residency in Psychiatry and fellowship in Consultation-Liaison Psychiatry at the Medical College of Virginia.
Dr. Pushkin served on the full-time faculty at Eastern Virginia Medical School from 1993-2004, in the role of Director of Consultation-Liaison Psychiatry. While there he was an Associate Professor of Clinical Psychiatry and was involved in various levels of medical student and resident education, the psychiatric care of hospitalized medically and surgically ill patients and the provision of outpatient medication management and psychotherapy. During his tenure at EVMS, Dr. Pushkin served on numerous institutional committees including the Faculty Senate, Health Services Board of Directors and the Medical Executive Committee of Sentara Norfolk General Hospital.
Dr. Pushkin returned to the VCU-MCV Hospitals Health System in 2004, where he served on the full-time faculty until 2009. His roles at VCU-MCVH included Director of Consultation-Liaison Education as well as Associate Director of Residency and Psychosomatic Medicine Fellowship Training. While at MCV, Dr. Pushkin also taught at various levels and provided hospital consultation and outpatient care. He will continue to serve as a community faculty member within the Department of Psychiatry.
Dr. Pushkin is Board Certified by the American Board of Psychiatry and Neurology in Psychiatry and the subspecialty of Psychosomatic Medicine.
Dr. Pushkin is a Distinguished Fellow of the American Psychiatric Association and has served as Past President of the Psychiatric Society of Virginia and Co-Chair of its Ethics Committee. He is also a member of the Academy of Psychosomatic Medicine.
Dr. Pushkin has been a consultant to various organizations over the years including the Virginia Retirement System, Anthem Behavioral Health and the Virginia Health Practitioners’ Intervention Program.
Natalie Relph, MD is located in CCA’s Hanover office. Dr. Relph completed both her undergraduate work and her medical training at West Virginia University. She completed her psychiatric residency training at The Ohio State University. She is Board Certified by the American Board of Psychiatry and Neurology, Inc.
Dr. Relph’s training and subsequent private practice work here in the Richmond area provide broad experience with the full range of psychiatric issues affecting adults. Additionally, during her residency at The Ohio State University, she focused extensively on the special issues and mental health needs of the college-aged population.
At Commonwealth Counseling Associates, Dr. Relph provides outpatient pharmacological management to patients aged 18 to 64. She is currently seeing patients on a part time, self-pay basis and is not accepting commercial insurance.
Ms. Revenson has been with Commonwealth Counseling Associates since September of 2001, providing counseling services to adolescents and adults in the West End office. Prior to joining CCA, she worked for Trigon Blue Cross Blue Shield as a Mental Health Case Manager. Ms. Revenson was also previously employed by The Psychiatric Institute of Richmond as a Program Therapist/Case Manager, and worked for 6 years as a Mental Health Therapist at the Crossroads Community Services Board in Farmville, Virginia.
Ms. Revenson works with individuals, couples, families and groups. She practices from a solution focused perspective, specializing in areas that include anxiety and depression, couples therapy for marital enhancement, and issues around life changes. Ms. Revenson will soon be co-facilitating a new group on marital enhancement with a CCA colleague. She has extensive experience with women’s issues, including depression, childrearing, marital problems, and co-dependency.
Ms. Revenson received her Bachelor of Social Work and her Master of Social Work from Virginia Commonwealth University. She became a Licensed Clinical Social Worker in 1990, and maintains her membership in the National Association of Social Workers.
Dr. Rowan is a new addition to CCA practicing in the Chesterfield office as of summer 2012. She provides individual, group, couples, and general relationship counseling to young, middle-aged, and older adults. Her areas of special interest include: romantic relationship issues, family of origin concerns, grief and loss, stress management, career counseling, depression, anxiety, sexual identity and gender identity concerns, diversity and multicultural issues, adjustment problems, and coping with medical illnesses.
Dr. Rowan obtained her doctoral degree in Counseling Psychology from Virginia Commonwealth University in 2007. She also holds a Master’s degree in Counseling Psychology from VCU and a Bachelor’s of Science degree in Psychology from Mary Washington College. She completed her pre-doctoral internship at Appalachian State University’s Counseling & Psychological Services and acquired much of her training at the VCU University Counseling Center as well as at several Richmond area community mental health agencies. After graduating, Dr. Rowan worked as a generalist Staff Psychologist providing individual, group, and couples therapy at Georgia Southern University. Since moving back to her home state of Virginia, she has been teaching several graduate courses as well as providing psychological services to older individuals who are experiencing emotional concerns related to physical illness and loss. She is excited about returning to a more traditional therapy setting at CCA.
As a therapist, Dr. Rowan’s predominant therapeutic style involves an Interpersonal Process Therapy approach to counseling in which she focuses on building a strong healing therapeutic alliance with her clients and using this alliance to help clients grow and change. She integrates Cognitive Behavior Therapy techniques into her work as well as guides her clients in building strong coping skills. Dr. Rowan uses a strengths-based point of view and a developmental lens to aid in her understanding of and work with her clients. She especially looks forward to working with clients who are eager to address their concerns in a safe and supportive environment while working toward their goals to enhance personal well-being.
Ms. Shatzkin joins the Midlothian office of Commonwealth Counseling Associates with 10 years of clinical experience working with adults in various settings with a multitude of concerns. Ms. Shatzkin has also worked extensively with military personnel, and their families, with substance use, PTSD, adjustment, and deployment related issues. She earned her Master of Social Work, Clinical Concentration, degree from the University of Kansas and has been independently licensed as a Clinical Social Worker since 2005. She also has experience, extensive training, and previous licensure in addiction treatment.
Ms. Shatzkin’s primary areas of treatment consist of mood and anxiety disorders, chronic and acute pain issues, adjustment problems, and relationship stress for adults. Her specific area of interest and specialty is in the Anxiety Spectrum. This includes OCD, PTSD (combat and noncombat), body focused repetitive behaviors (hair pulling, skin/body picking, nail biting), panic disorder, generalized anxiety, health anxiety, social anxiety, phobias, death anxiety, and end of world/economic/political anxieties. She also accepts clients with a history of substance use problems, who are seeking treatment for mood, adjustment, or relationship issues and are stable in their substance recovery.
Ms. Shatzkin’s approach to therapy is collaborative and client-centered, guiding clients to discover their strengths in developing individualized solutions. She uses primarily a Cognitive Behavioral Approach, helping clients to identify, evaluate and reframe unhelpful beliefs about themselves, the world, and others. She believes Radical Acceptance and mindfulness approaches are useful in assisting clients to acquire situation acceptance, coping skills, and distress alleviation. In addition, solution-building is also used to help clients define concrete behavioral changes, which enhance functioning.
Ms. Shatzkin considers clients to be the expert in their own lives, whereas the therapist’s role is to help navigate the client in the process of defining and achieving their goals. She believes developing insight is important for change, but this is a beginning point and not an end point. Her therapy goal is for clients to develop long-lasting change by bridging insight, changing unhelpful beliefs, and applying new behaviors.
Ms. Shatzkin has received training at the Beck Institute of Cognitive Behavior Therapy. She is an associate member of the Academy of Cognitive Therapy and has been a member of the National Association of Social Workers since 2001.
Dr. Stern joined Commonwealth Counseling Associates in March of 2005, as a general adult and child psychologist practicing in the West End office. She has worked with children and families in residential, day treatment, and outpatient programs and with adults in day treatment and outpatient programs.
Dr. Stern completed her post-doctoral fellowship at the Virginia Treatment Center for Children of the Medical College of Virginia, where she provided therapeutic care to children, adolescents, and families on the residential and outpatient units. She then worked as the only Licensed Clinical Psychologist in a rural community east of Richmond, where she provided therapeutic services to a full range of clients. Most recently, prior to joining CCA on a full-time basis, Dr. Stern worked in a private school for children with developmental disabilities.
Dr. Stern views the relationship between client and therapist as a central component of therapy and takes an interpersonal approach to therapy. She tailors her therapeutic practice to the needs of her clients. After an initial evaluation and with the collaboration of her clients, she determines what services would be most beneficial. She is skilled at using behavior management and consultation techniques, cognitive behavioral techniques, and process-oriented/self exploration techniques. Dr. Stern is particularly interested in family dynamics.
Dr. Stern earned her BA in psychology and political science from Tufts University and earned her doctorate in psychology from George Washington University. She is a member of the American Psychological Association.
Kate Tibbs joined CCA as a Family Psychiatric-Mental Health Nurse Practitioner in February of 2013. At CCA, Mrs. Tibbs provides treatment for both children and adults at our West End and Midlothian offices. She received her Bachelor’s degree from Lynchburg College and her Master’s degree as a Family Psychiatric Mental-Health Nurse Practitioner through the University of Virginia.
Prior to joining CCA, Mrs. Tibbs worked with children and adults within the VCU Health System. While working at The Virginia Treatment Center for Children, Mrs. Tibbs worked closely with traumatized children using a collaborative based problem solving approach. Through both inpatient and outpatient training, Mrs. Tibbs developed expertise and interest in treating mood disorders, ADHD and anxiety disorders.
As a Family Psychiatric Mental-Health Nurse Practitioner, Mrs. Tibbs adopts a multifaceted collaborative approach to patient care. She believes that medication management is just one aspect of a successful treatment plan and that supportive therapy and teaching coping strategies are valuable tools in treatment.
Mrs. Tibbs is a member of the Virginia Counsel of Nurse Practitioners and the American Psychiatric Nurses Association. Her personal interests include traveling, fishing and spending time with family.
Dr. Worrel joined CCA in July of 2006 as a general adult and consult-liaison psychiatrist. After attending college at the University of Virginia and medical school at the Mayo Clinic, she completed her psychiatry residency at the University of North Carolina Hospitals. Dr. Worrel is board certified in psychiatry.
Based at our Midlothian clinic, Dr. Worrel sees primarily adults, ages 18 and up. She understands her role as a psychiatrist to be part of a team that is working together to treat mental illness and improve the lives of her patients. This team always includes the patient and often includes the patient’s therapist, primary care doctor, social support network, and others. Dr. Worrel believes that biological therapies (primarily medications) and psychotherapies, often used in combination, are both valuable in treating patients. Her approach to therapy draws upon several schools of thought and is tailored to the individual patient.
Dr. Worrel has broad interests in general adult psychiatry. Her specialty areas include women’s mental health and consultation-liaison psychiatry.
Debbie York, RN, FNP-BC is a Nurse Practitioner who obtained a Master’s degree Family Nurse Practitioner certificate from the University of Virginia. She received a Bachelor’s degree in Psychology at Mary Washington College and is a member of the American Academy of Nurse Practitioners.
She began working as a Nurse Practitioner in psychiatric medication management in 2003 and joined CCA in 2007. After a three year hiatus, she has returned on a part-time basis to the Mechanicsville office.
Her training and background as Family Nurse Practitioner is invaluable in looking at the client as a whole. She believes in a collaborative practice approach to psychiatry. Medication therapy and psychotherapy, used in combination, are important in treating clients. She works with adults experiencing a full range of psychiatric issues aged 18-64.