Diane Cenotti, LPC

Lindsey Wittenhagen, LPC, earned a Master of Science in Clinical Psychology from the University of Texas Permian Basin in 2014 and is a Licensed Professional Counselor. She has extensive experience supporting individuals with anxiety, depression, ADHD, self-worth concerns, relationship challenges, stress management, divorce, and life transitions. Lindsey has worked in outpatient settings and as an advocate for trauma survivors, bringing a compassionate and informed perspective to her practice.

Lindsey’s passion is helping clients navigate the ups and downs of life, whether facing overwhelming stress, relational difficulties, or emotional struggles. Her approach is warm, collaborative, and grounded in the belief that healing happens when individuals feel truly seen and heard. Therapy with Lindsey is not about fixing what is “broken” but about fostering self-understanding, exploring what may be keeping someone stuck, and building tools for well-being. She creates a safe, judgment-free space where clients can show up authentically.

Lindsey begins therapy by gaining a thorough understanding of each client’s history, concerns, and goals during the initial session. She then collaborates with clients to develop individualized treatment plans that reflect their unique needs and aspirations. Progress is continually assessed, with goals and approaches adjusted as necessary to ensure growth, resilience, and meaningful change.

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.

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.

Helen Fitzpatrick, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals and families through life’s challenges. She earned her Master’s in Social Work from Loyola University–Chicago and has worked in diverse settings, including crisis centers, hospitals, senior services, and the VA. Helen has extensive experience with adults and children with disabilities, caregivers, and veterans, as well as those managing trauma, medical recovery, or ongoing health issues.

Helen believes that therapy should be a collaborative and supportive process. She takes time to truly listen and understand her clients’ experiences, helping them identify goals that feel meaningful and attainable. Helen creates a space where clients can speak freely—especially when it feels difficult to open up to family or friends—and she brings compassion, patience, and understanding to every session.

Helen begins by exploring what her clients would like to focus on and works together with them to develop realistic and personalized goals. She values open communication and mutual respect, adjusting her approach to meet each person’s unique needs and pace. Her process emphasizes healing, empowerment, and helping clients build confidence as they move toward greater emotional well-being.

Derek Miller is a Licensed Clinical Social Worker, who has extensive experience working in the fields of substance abuse and mental health. Derek has worked with clients with a large variety of concerns and backgrounds, with more experience with male and minority populations. Derek attended undergraduate school in Alfred, NY, graduate school in Rochester, NY, including a school-based visit to Estonia to learn about social work systems abroad. Derek's greatest passion is helping people make lasting change in their lives. His approach draws both on professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, Derek works together with you to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. Derek takes an active approach, which includes asking tough questions while staying respectful, as well as humor and friendly conversations when appropriate. Therapy begins with building trust and a good relationship. Derek utilizes experiences from various practice models, including Cognitive Processing Therapy, Solution Focused Therapy and Motivational Interviewing.

Biankah Kiser-Miranda is a Licensed Mental Health Counselor with seven years of experience supporting teens, adults, and families. She specializes in trauma, depression, anxiety, grief, obsessive-compulsive disorder, mood disorders, and concerns related to self-esteem and self-advocacy. Her approach is warm, collaborative, and strengths-based, with an emphasis on creating a safe, supportive space where clients feel heard and understood.

Biankah believes that every individual has the capacity to heal and grow. She works to build trusting relationships and partners closely with clients to identify goals that feel meaningful and attainable. Drawing from evidence-based practices such as CBT, DBT, person-centered therapy, solution-focused therapy, and mindfulness, she tailors treatment to each client’s unique needs.

Biankah begins by learning about each client’s experiences, strengths, and challenges. Together, they develop a collaborative treatment plan that supports growth, resilience, and practical skill-building. Her work is paced thoughtfully, ensuring clients feel supported as they navigate challenges and move toward lasting change.