David Guggenheim, PsyD

Amanda Favretto is a Licensed Mental Health Counselor who holds certificates as a Nationally Certified Counselor as well as a Certified Clinical Trauma Professional. Working with military service members and faith-based counseling are two of Amanda's passions. Amanda has worked in both inpatient and outpatient settings with individuals struggling with concerns such as low-self esteem, adjustment, anxiety, depression, PTSD, and relationship and communication issues, utilizing such treatment modalities as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, as well as others. Amanda believes in the importance of meeting each individual where they are at, focusing on all aspects of a person: heart, mind, body, and spirit. It has been Amanda's experience that focusing on each layer leads to long-lasting, deeper healing and growth. Believing that each person has it in them to heal and grow, Amanda considers it a unique privilege to assist people on that journey. At each individual's pace, striving to promote a comfortable environment, Amanda will gently encourage deeper self-reflection, mindfulness, challenging oneself, and skill-building. She would like you to feel free to reach out to set up an appointment and answer any questions you may have.

Jos� holds the position of Psychotherapist for Michigan, Florida, and South Carolina at Talkiatry. After completing his Master of Arts in Community Counseling in 2012, he spent 7 years fulfilling his passion for integrated care for adults suffering from substance use disorder and mental health challenges. For the past four years, he has been working in private practice working with clients exclusively via telehealth. Jos� provides cognitive therapy, motivational enhancement therapy, and logotherapy to help his patients gain insight into current stressors related to various diagnoses, including post-traumatic stress, affective mood disorder, depression, anxiety, ADHD, and substance use disorder. He strongly believes that collaborating with a physician for medication management allows patients to be more engaged in therapy, resulting in improved treatment outcomes.

Michelle E. Vásquez has been a Licensed Professional Counselor for over 27 years. She has been specializing in grief work since 2012. Many of her clients are living with the loss of loved ones or experiencing other types of non-death loss, such as divorce, job loss, and other significant life changes. Her primary goal is to truly listen to your experience and help you work through it, creating a plan of action together. It is your therapy, and your active involvement is crucial. When dealing with grief, you may still be in pain and need to talk about it long after others want you to stop talking. This is when therapy can be helpful. Your grief journey is at your pace. Michelle uses Cognitive Behavioral Therapy and Solution-Focused Therapy, along with other approaches that help you address loss and trauma in unique ways to begin to write your healing story. She has also worked with domestic violence survivors and child abuse survivors. Michelle works with clients both in English and Spanish and has experience with immigrant populations from many countries. Michelle graduated from Our Lady of the Lake University in 1993. She is currently studying Internal Family Systems Therapy to help her provide you with new ways to address the challenges that bring you to therapy.

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Alexia Ford is a Licensed Clinical Social Worker with over 20 years of experience in various aspects of mental health and co-occurring disorders. She obtained her MSW from Clark Atlanta University (Atlanta, GA.) and later obtained her MDiv and MPT from Columbia Theological Seminary (Decatur, GA.).

Alexia is a wife, mother, daughter & sister who has also experienced life's challenges that may identify with your story in some way. Alexia is known for her empathic listening and attention to verbal and non-verbal cues. Her approach is individualized and non-judgmental in hopes of creating and holding a safe and comfortable space for all to be their true, authentic selves. Alexia is intentional with developing rapport and meeting clients where they are without criticism but will also gently challenge stagnant behaviors respectfully and when necessary.

Alexia prefers to work with adult age to geriatric age clients and couples using strengths-based and affirming perspectives. She uses several modalities, such as, CBT, ACT, IPT, BA, Solution Focused therapy, Client centered therapy, Mindfulness, meditations, breathing exercises, positive affirmations, spirituality, bereavement, existential concerns and other appropriate evidenced based approaches and interventions. Alexia is a “movie and series buff” and will often incorporate movie scenes, themes and character traits to add to discussion and use to demonstrate examples of behaviors and consequences.

Jill Sinnott is a Licensed Clinical Social Worker. She has practiced in Tennessee for over ten years, in a variety of roles including comprehensive child and family therapy, mobile crisis, and group-based Alcohol and Drug treatment. Most recently, she worked in community mental health for five and a half years. In this role, she focused on individual therapy with clients of all ages. Jill obtained her Bachelor's Degree from Warren Wilson College in Swannanoa, NC, and her Master's of Science in Social Work from the University of Tennessee in Knoxville, TN before settling in Johnson City, TN with her family. Jill's areas of interest include working with the LGBTQIA+ community and incorporating play therapy techniques while working with children. She uses a combination of Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to develop a treatment plan addressing the client's own goals using specific, obtainable steps and recognizing each individual's strengths.