Richard States, LPC

Maria Fiore is a Licensed Professional Counselor who has experience with a broad range of people and situations. Maria attended school at the University of Houston - Victoria, and practices in Texas. She continues to study and research in order to bring the best quality of care to each individual that she works with.‍In the time that Maria has been a therapist, she has worked directly with clients needing intense inpatient care, clients in an educational setting, and clients in various outpatient settings. She believes that every individual is unique and the care they receive should reflect that. Maria will work with you to develop therapeutic goals so you can grow into being the best version of yourself.‍She bases her treatment approach on Cognitive Behavioral Therapy, with elements of mindfulness and solutions focused therapy. Outside of work, Maria enjoys gardening, reading, and spending time in nature.‍

Ms. Ellen Ortiz is fully licensed as a Marriage and Family Therapist in multiple states. She has decades of life experience to support her 3 years of full licensure. Ms. Ortiz sees individuals from the perspective of the various environments they interact in and how it impacts them. Ms. Ortiz is enthusiastic about collaborating with clients under the care of one of our psychiatric experts in order to allow for a more complete and personalized approach for each individual's needs.
Ms. Ortiz began her education later in life at Elgin Community College then continued to acquire her bachelor’s degree from Argosy University with honors. Ms. Ortiz forged ahead and completed her Master’s in Family Counseling at the CACREP accredited graduate school, Northeastern Illinois University. Her training included the externship for Emotion Focused Therapy with Dr. Sue Johnson.

Ms. Ortiz incorporates therapy from a Solution Focused perspective including Cognitive Behavioral Therapy, Mindfulness and Attachment theory.  Ms.Ortiz has been trained in Crisis Intervention and Trauma Informed therapy. Her life experience and clientele have spanned all life cycles, races, and medical needs as well as honoring all varieties of human beings. She has also supported clients through medical diagnosis and end of life as well as grief.

Ms. Ortiz brings enthusiasm for each client based on the belief that each person has unique purpose, strengths and abilities on which to draw on. The client's abilities paired with tools and support acquired in therapy will lead each of her clients to a life they choose to enhance.

Natisha Joseph is a Licensed Mental Health Counselor (LMHC) with a Master of Science in Mental Health Counseling from Mercy University and certification as a Trauma Specialist. Her career began even before completing graduate school in 2014, with more than 10 years of experience providing services to youth in residential treatment. She has also served adults with developmental and intellectual disabilities as a Residential Coordinator for 8 years, supported patients in palliative care for 5 years, and has spent the last 4+ years as a dedicated Mental Health Counselor in both inpatient and outpatient settings.

Natisha values open communication and collaboration, working with clients to set clear treatment goals. She creates a warm, respectful, and nonjudgmental environment where individuals feel supported and validated in their therapeutic journey. With a structured yet flexible approach, she helps patients navigate challenges such as trauma, emotional dysregulation, and self-care while fostering healing, growth, and problem-solving.

In the first session, Natisha takes time to understand each patient’s history, concerns, and goals. She builds therapeutic relationships rooted in trust, confidentiality, and respect, and co-develops individualized treatment plans tailored to each person’s needs. Drawing from CBT, ACT, and trauma-informed interventions, she provides active treatment through weekly or biweekly sessions, reviewing and adjusting goals to support ongoing progress.

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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Lisa Carroll is a Licensed Clinical Social Worker with 24 years of experience treating everything from adjustment disorders to Depressive Disorders, Anxiety disorders, and trauma, is eager to help others suffering from mental health issues or just adjusting to new circumstances. She has an eclectic approach to care and treatment based on strengths and person-centered care utilizing cognitive behavioral therapy, motivational interviewing, solution focused approaches, Rogerian theory, mindfulness, dialectal behavior therapy, narrative therapy, psychodynamic theory, cognitive processing therapy and many others. She is more eclectic in her approach because people are different and need a style that fits their individual needs. She is always seeking feedback from her clients to improve clinical outcomes. She does what is necessary and required to make this the best treatment anyone can get. She wants everyone she treats to reach their full potential. Lisa was trained as an undergraduate in psychology at the University of Alabama, graduating in 1991. She received her MSW in 1997 from the University of Alabama. She became licensed clinically in 2000. She has extensive experience and training in a variety of modalities and therapeutic interventions.

Barb VanHouten, LCSW, provides a safe, non-judgmental atmosphere where clients feel heard and supported. She brings a wealth of personal and professional experiences that have shaped her insight, knowledge, and empathy, enabling her to walk alongside others during their most difficult times. Barb believes that everyone has a story, and that life’s challenges can sometimes become overwhelming, leading to feelings of hopelessness, helplessness, and despair.

Barb specializes in treating a wide range of concerns, including anxiety, depression, anger management, addiction, bipolar disorder, antisocial behaviors, family relationships, grief and bereavement, life transitions, job and employment issues, medical and physical health concerns, PTSD, somatic symptom disorders, learning disorders, stress, and trauma. Her goal is to create a therapeutic space where clients feel empowered to explore challenges and build resilience.

Barb uses a variety of evidence-based approaches tailored to each individual’s needs. Her methods include Cognitive Behavioral Therapy (CBT), Motivational Therapy, Solution-Focused Brief Therapy, Emotionally Focused Therapy, Mindfulness, Family Systems, Acceptance and Commitment Therapy (ACT), Trauma-Informed Care, Behavioral Modification, Internal Family Systems, Strength-Based approaches, and Dialectical Behavioral Therapy (DBT). She collaborates with clients to develop practical, effective solutions for growth and healing.