Alexandra Starmer, LMHC

Tammy Fischer, LCSW, has been a social worker in human services for over 25 years, including nearly 10 years as an outpatient therapist. She earned her Master’s in Social Work from Aurora University of IL and is trained in evidence-based modalities including CBT, DBT, and mindfulness. Tammy is trauma-informed and skilled in Theraplay, sand tray, EFT, Motivational Interviewing, and TF-CBT. She has also provided counseling to military families at Fort McCoy, WI.

Tammy brings warmth, empathy, and an open, nonjudgmental approach to every session. She values trust, clear communication, and cultural competency. Tammy believes clients are not broken—they have the ability to empower themselves with the right tools and guidance. She collaborates with patients to set goals and supports them in building skills to navigate life’s challenges.

Using a person-centered approach, Tammy develops rapport and carefully explores each patient’s history, concerns, and goals. She creates individualized treatment plans and a supportive environment where patients feel heard, respected, and encouraged to grow at their own pace.

LMHCNudedrose Guirand, also known as Rose Guirand, is a Licensed Mental Health Counselor in New York City who has been practicing since 2017. Rose has worked directly with clients of various demographics such as people with disabilities and neurodivergent people living with a variety of mental health conditions for 6 years. She graduated with a Master of Science in Education, Mental Health Counseling at Hunter College of The City University of New York. During her studies, she attended an internship at Boston Road Medical Center, Psychiatry Department in Bronx, New York. Rose's central approach to therapy is eclectic and based on the needs of each client. She frequently uses person-centered, Strength-based, and collaborative therapy. Also, she enjoys using CBT, ACT and DBT which draw upon the whole person and their intrinsic qualities and talents to forge a thriving way of life. Essentially, Rose likes to empower clients to find their passion and set their goals not only to survive but also to thrive in life. Rose enjoys helping people on their journey and sees the rewards of clients winning themselves back. Rose's work as a therapist comes from the heart and holistic space, and being there for her clients truthfully and inspiring them to become the expert of their lives.

Diana Veliz, LCSW, obtained her MSW from Fordham University. Diana has over 3 years of experience providing client-centered therapy. Her practice is sensitive to race and culture, and trauma-informed. Diana has experience working with adults, and adolescents experiencing anxiety, depression, and other mental health disorders. She has worked in outpatient/inpatient clinics and in an educational setting supporting children with social emotional learning. Diana believes that the best approach is to work collaboratively with the client while also considering that each person's experience is individual to them. The client is an expert in their lives, and as a clinician, she is there to meet the client where they are at and begin the healing journey through non-judgment and compassion. Diana uses cognitive behavioral therapy, solution focused approach, and psycho-education. She also considers the client's place in society and how culture and race can contribute to challenges. Diana takes passion in working with clients to improve self-esteem, recognize schemas, regulate emotions, and develop self-awareness.

Bracha (Brooke) Winograd is a licensed clinical social worker with comprehensive experience working in the mental health field. Brooke has worked directly with clients of various ages and demographics living with a variety of mental health conditions. Brooke completed her undergraduate degree with The College at Brockport in Upstate New York and her master's degree in social work through Nazareth University in Rochester, NY. In her work with an outpatient mental health clinic and day treatment programming, Brooke collaborated closely with psychiatric prescribers to meet clients� diagnostic and therapeutic mental health needs. Brooke has been practicing clinical social work in a variety of settings, focusing on treating depression, anxiety, trauma, and other mental health symptoms that challenge individuals on their journey to wellness. Working with Brooke is collaborative in nature, with the goal being to have the client's goals and preferences front and center throughout treatment. Brooke is trained in cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), trauma-focused CBT, person-centered care, and motivational interviewing (MI). Brooke is passionate about her work and empowering her clients to build the skills necessary to reach their goals.

Bernadette Hulsinger, LPC works with individuals from young adulthood through senior adulthood and has experience across inpatient and outpatient settings. She is a clinical trauma counselor with expertise in crisis intervention, risk assessment, TBI, ASD, and couples and family counseling. Bernadette has provided telehealth services since 2017 and holds Board Certification in Telemental Health (BC-TMH). She also serves as a supervisor for counselors working toward licensure.

Bernadette’s style is warm, conversational, and wellness-focused. While she may challenge clients, it is always done in a non-confrontational and supportive manner. She provides a judgment-free space for all clients, including those in poly relationships. Sessions emphasize collaboration, with clients setting their own goals while receiving guidance and exploration along the way.

The first session focuses on understanding a client’s history, life experiences, and previous counseling. Bernadette works collaboratively to develop a treatment plan with attainable goals, emphasizing steady progress and overall wellness—being “just a bit more well today than in past days.” She regularly checks in about the therapeutic relationship and values feedback, always prioritizing client safety, comfort, and fit.

Jessica Brusgul is a LMHC with over nine years of experience working with individuals with a wide range of mental health challenges. She attended Oswego State and completed her undergraduate degree as an older, non-traditional student. She then pursued graduate school at SUNY Oswego, which she completed in 2016. During this time, Jessica has gained a great deal of experience with clients from various backgrounds who are faced with numerous life challenges. This includes anxiety, depression, relationship issues, and those in need of anger management. Jessica has also worked with those faced with substance abuse related problems, life transitions, career counseling, and parenting education. Her approach is to get to know her clients, their presenting concerns, and some history as well. Through these conversations, Jessica helps her clients feel comfortable in a non-judgmental setting and express themselves freely. Jessica also incorporates a sense of humor, when appropriate, as well as assisting people in identifying their inner strengths and skills. Jessica believes that everyone can overcome their obstacles and make positive changes for themselves. She incorporates such modalities as encouraging clients to maintain a journal and share entries during session, exercise regularly, and begin their journey towards overall wellness. Jessica has found that an eclectic approach, depending upon the needs of the individual, and the client's adherence to this between sessions, can be highly beneficial.