Lisa Carroll, LCSW

Diane Cenotti is a Licensed Professional Counselor (LPC) with experience working with children, families, and adults in residential, intensive in-home, school, outpatient, and inpatient settings. She is a Certified Cognitive Behavioral Therapist and Certified Accelerated Resolution Therapist and holds ICISF certification for group and individual crisis intervention. Diane’s diverse background informs her compassionate and practical approach to therapy.

Diane’s style is friendly, nonjudgmental, and collaborative, allowing clients to express their experiences and develop clear treatment goals. She supports individuals managing life transitions or seeking to understand symptoms, focusing on self-awareness, practical skills, and ongoing support. When working with youth, family involvement is integrated as appropriate to align with treatment goals.

Treatment is guided by each client’s goals, allowing them to shape the pace and focus of therapy. Initial sessions focus on building a solid therapeutic foundation, reviewing history, concerns, and previous challenges. Mutual feedback is encouraged throughout the process to ensure strategies are effective, flexible, and responsive to each individual’s needs.

Rebecca Johnson, LCSW, is a dedicated mental health professional with experience in a variety of settings. With a MSW from Louisiana State University and licensure in multiple states, she brings a well-rounded, evidence-based approach to therapy.

Rebecca’s work spans multiple roles across in and outpatient settings, with a strong focus on individuals facing substance use, domestic violence, and co-occurring conditions. At Lower Key Medical Center, she served as an inpatient social worker and the Intensive Outpatient Program (IOP) coordinator, where she provided crisis intervention, therapy, and groups. In her role as IOP coordinator, she managed IOP tracks, ensuring patients receive comprehensive psychotherapeutic support via group and individual therapy.

Previously, her work at the Guidance/Care Center molded her expertise in crisis response, relapse prevention, and intensive therapeutic interventions, in various settings. Finally, her work as a Clinical Counselor at the Children’s Home Society, working closely with parents involved in the child welfare system, providing therapy and court-informed treatment recommendations further solidified this knowledge.

Rebecca uses a person-centered and eclectic style, modalities such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Internal Family Systems, and mindfulness-based. She believes in tailoring interventions to each client’s unique needs, fostering resilience and self-efficacy in their journey toward healing.

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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Linda Boothe, LCSW, brings over three decades of experience across outpatient, inpatient, and teletherapy settings. She earned her Master’s Degree in Social Welfare from UCLA and is licensed in NC, FL, and CA. Since becoming an LCSW in 2006, she has served in acute medical care, veteran outpatient services, hospice, and inpatient behavioral health. She is trained in CBT and integrates DBT, ACT, expressive arts therapy, and Art4Healing into her work.

She strives to provide a warm, safe, and non-judgmental environment where clients feel heard and respected. Linda brings a holistic mind-body-spirit approach to care, values open communication, and honors the courage it takes to begin therapy. Her goal is to help clients move compassionately and confidently toward meaningful change.

In the first session, she spends time getting acquainted, answering questions, and understanding each client’s history, concerns, and hopes. Together, you will identify treatment goals and develop a collaborative, individualized plan tailored to your needs.

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Yvette Ramirez is a Licensed Professional Counselor with over a decade of experience providing care to individuals, couples, and families. She began her career working in-home with patients to build understanding around diagnosis, symptoms, and medication adherence. She later transitioned to integrated care, using solution-focused therapy for clients with co-occurring medical and mental health conditions. Yvette is trained in Cognitive Behavioral Therapy, Cognitive Processing Therapy, and Eye Movement Desensitization Reprocessing (EMDR), and has provided trauma-informed care across various populations, including children, adolescents, and teenagers.

Yvette offers a compassionate, supportive space where patients feel heard, safe, and respected. She integrates EMDR and trauma-focused CBT to help adolescents, teenagers, and adults process trauma and enhance well-being. Her creative use of play, art, and narrative therapy fosters emotional expression in younger clients. She has experience supporting LGBTQ+ individuals and families navigating identity and relationship concerns. Patients can expect open communication and collaborative goal setting throughout their journey.

Yvette begins treatment by learning about the patient’s concerns and sharing the therapies she offers. By the second session, she works collaboratively with patients to create personalized treatment goals. From the third session onward, sessions focus on progress, practical tools, and check-ins to reinforce healing. Every step of care is structured, collaborative, and empowering.

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Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.