Richard States, LPC

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.

Nekeisha Hutchinson, LPC, earned her Master's Degree in Clinical Mental Health Counseling at Post University in 2017 and has worked with a diverse demographic in a clinical capacity including outpatient and in-home settings conducting both individual and family therapy, within the Department of Corrections with clients struggling with substance use challenges and crisis services over the past seven years. Prior to becoming a therapist, Nekeisha spent 10 years working in early childhood education and seven years working as a Family Support Specialist in homes with both prenatal and postnatal mothers providing support in attachment building and assisting them in securing community resources. Nekeisha has experience working with adolescents, adults, senior citizens and families. Nekeisha uses a variety of evidence-based interventions including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI) and Solution Focused Therapy (SFT) to help clients develop appropriate tools to address their challenges and live more fulfilling lives.

Nekeisha Hutchinson has experience working with youth, adolescents, adults, the elderly and families. She specializes in treating anxiety, depression, substance use disorders, parenting challenges, stress management and conflict resolution. Nekeisha utilizes evidence-based practices such as cognitive behavioral therapy (CBT), Motivational Interviewing (MI) and solution focused therapy (SFT) to enable clients to develop effective coping skills to overcome their challenges. She provides a safe and judgement free environment that supports exploration and healing. Please allow me to assist you in your journey of self-discovery and wellness.

I believe that establishing a healthy therapeutic alliance begins with communication and establishing trust. My communication style is direct and assertive, and I use open-ended questions and active listening so that clients can express themselves freely. I enjoy providing a safe environment for clients so that they can share their narratives while receiving empathy and positive regards. I place great effort in fostering collaboration in an effort to gain understanding of the situation and the symptoms in order to form an appropriate diagnosis, identifying goals, working together in treatment planning and monitor progress. I encourage clients to participate in their care through commitment, shared decision-making and reflective listening.

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.

Vincent is a licensed professional counselor who has earned his full licensure from the State of Texas. Vincent earned his bachelor's degree in Criminal Justice with a Minor in History from the University of Texas at San Antonio. He earned his Master of Arts in Counseling and Guidance from Texas A&M San Antonio. Vincent's counseling approach is eclectic, utilizing various modalities including, but not limited to Gestalt, Reality, Narrative, and Solution focused therapy. He is devoted to empowering individuals to free themselves from the excessive burdens of life by a remorseless society. He encourages you to become genuinely free and absolutely understand that you are the master of your own destiny. Vincent's treatment specialties and experience include working with adults, seniors, and adolescents from diverse populations and cultures. Whose suffering included, but not limited to anger, depression, career dilemmas, anxiety, stress, marital problems, collegiate status, self-esteem, family issues, as well as other unforeseen predicaments life unveils. Vincent uses these modalities in a holistic approach assessing clients within their culture, environment, community, and family system to gain a better insight into your distinctive reality. This holistic approach allows us to work together and tailor therapy to your needs. Allowing our collaboration to address the root causes of your current state of wellbeing. Our sessions, along with my education, background, and extensive life experience, have given me a reinforced foundation to assist you in facing the harsh realities of the world. Vincent will inspire you to live your life to its fullest without regret and create healthy tools of positive armor that will guide you eternally. Vincent's platform of therapy will fortify your weaknesses, enhance your strengths, and alleviate your fears where your voice is amplified and capable of surviving the vile discernment of others.

Barbara (Barb) Pack is a Licensed Professional Clinical Counselor with the Supervision Endorsement and a Licensed Independent Chemical Dependency Counselor, Clinical Supervisor Endorsement who has been providing mental health treatment for over 24 years and addiction treatment for over 27 years. Barb utilizes a combination of approaches in working with her clients, including person-centered, cognitive behavioral therapy, motivational interviewing, solution focused techniques, and a variety of other techniques. She has experience in several different types of treatment settings and treatment modalities in both Ohio and Florida. Barb enjoys working with individuals who also have co-occurring disorders, both mental health and substance use. Barb has experience working with a wide range of age groups and mental health issues including but not limited to depression, anxiety, trauma, stress management, grief, relationship issues, and a wide range of substance use issues. She will assess individuals' needs in their first few visits and work with them to develop an individualized treatment plan. Barb works to provide the empathetic listening and emotional support that her clients need to reach their goals. Her dream has been to work herself out of a job, as she wants to help her clients find healing and happiness. Barb attended the University of Akron for graduate school in a Community Counseling Program and attended Malone College, now University, and majored in Psychology.

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.