Alexandra Starmer, LMHC

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania.

He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 1999, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University.

Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick appreciates the challenges related to anxiety, stress, depression, substance use, and trauma, and he employs various tools to help folks manage (e.g., cognitive behavioral therapy, psychodynamic therapy, humanism, mindfulness/somatic psychology, etc.).

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Paul Fairbanks is a Licensed Clinical Professional Counselor (LCPC) with 11 years of experience supporting individuals from diverse backgrounds. He has worked in both outpatient and inpatient settings and holds a Master’s Degree in Counseling from Argosy University. He maintains independent licenses in Illinois and Arizona and is dedicated to fostering growth and well-being in his patients.

Paul uses a client-centered approach grounded in acceptance, understanding, and empathetic connection. He believes positive change is possible with the right environment and mutual commitment. He partners closely with patients, utilizing Cognitive Behavioral Therapy and other evidence-based methods to achieve the best outcomes.

Paul works collaboratively to navigate life’s challenges, whether they are personal, family, or relationship-related. He provides tailored solutions for each patient, with experience in marriage and couples counseling, blended families, individual therapy, adolescents, ADHD, anxiety, and depression. His goal is to create meaningful progress that empowers patients to succeed.

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Amanda Sager is a Licensed Professional Counselor (LPC) with experience working in group practice settings and Post-Traumatic Stress retreat environments. She works with individuals who have experienced trauma and significant life stressors. Amanda earned a master’s degree in Counseling from Concordia University Irvine, as well as an additional master’s degree in Coaching and Athletic Administration.

Amanda is a compassionate and dedicated therapist who specializes in helping individuals navigate profound life challenges, build resilience, and move toward meaningful healing. She provides a safe, non-judgmental space where patients can process pain, reconnect with inner strengths, and reclaim their personal narratives. Her therapeutic approach is integrative, collaborative, and trauma-informed, with an emphasis on creating a strong, trusting relationship where patients feel truly seen and understood.

Amanda begins treatment by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. From there, she works collaboratively with patients to create individualized treatment plans that align with their personal goals and support sustainable growth and healing.

Sebrina Cotton is a passionate advocate for mental health and holistic well-being. With over 7 years of experience in the mental health field, she has worked with diverse populations seeking support in managing various challenges, including depression, anxiety, trauma, relationship/marital issues, grief/loss, and life transitions. Sebrina's approach is person-centered and collaborative. She will hold you accountable to the goals you want to accomplish through a combination of empathy, active listening, and skillful interventions. Sebrina welcomes you to a warm and safe space to bring all of who you are to each session. She will walk alongside you through your therapy journey towards a more fulfilling and meaningful life. In her time outside of sessions, Sebrina enjoys working out at the gym, teaching/practicing yoga, and traveling.

Anne Tormos, LCPC, LPC-MHSP, believes that every person has the ability to live a happy, healthy, engaging life, but at times individuals need an objective observer to help uncover what that life looks like. She treats clients ages 15 and up struggling with a variety of challenges, including mood disorders, anxiety, and life transitions. Anne is a National Board-Certified Counselor. She is a Licensed Clinical Professional Counselor in the State of Illinois and a Licensed Professional Counselor � MHSP in the State of Tennessee. Anne earned a BA in Psychology from North Central College and an MS in Clinical Psychology from Benedictine University. Her experience includes working at an inpatient psychiatric hospital and outpatient group practice, which allowed her to utilize different types of care with people from all backgrounds with many different life stressors. She also has experience working within PHP and IOP settings. Anne is trained to utilize many therapeutic techniques, including CBT and DBT.‍Anne is prepared to join you on your journey to self-fulfillment. She believes that everyone has their own story to tell, and her approach is client-centered, strength-based, and solution focused. She cherishes all client relationships and devotes her time and energy to the healing process.

Dr. David Guggenheim is an experienced clinical psychologist and health care administrator. He has worked with patients at different stages of life, including children, adolescents, and adults, and he has treated patients living with a wide range of mental health conditions, including anxiety, depression, post-traumatic stress disorder (PTSD), substance use, and attention-deficit hyperactivity disorder. Dr. Guggenheim has specific training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, and foundational training in dialectical behavioral therapy. Prior to joining Talkiatry, Dr. Guggenheim served as the Chief Behavioral Health Officer at Callen-Lorde Community Health Center in New York City, specializing in LGBTQ+ health care. In that role, he oversaw teams of providers including psychiatrists, psychologists, and social workers, who collectively provided care to thousands of patients in the New York metropolitan area. While at Callen-Lorde, he also served as co-chair for the behavioral health subcommittee of the Community Health Center Association of New York State; worked as an Adjunct Professor at Post University; and performed volunteer clinical work at the Weill Cornell Center for Human Rights. Before joining Callen-Lorde, Dr. Guggenheim worked as Associate Chief Behavioral Health Officer at Community Health Center, Inc., a federally qualified health center in Connecticut. A recognized expert, Dr. Guggenheim has delivered lectures to audiences ranging from medical schools to corporate executives, and he has been quoted in national media including The Advocate, Yahoo Finance, and Teen Vogue. Dr. Guggenheim has also been honored with an Early Career Achievement Award from the American Psychological Association in 2016. Dr. Guggenheim received his Bachelor of Arts from the University of Connecticut in 2002 and his Doctor of Psychology in Clinical Psychology from the American School of Professional Psychology at Argosy University/Washington, DC in 2009.