Michael Sieger, LCPC

Kimberly Jones is a Licensed Professional Counselor (LPC) who earned her counseling degree from Missouri Baptist University and a Master’s in Corporate Leadership from Colorado State University Global. Since 2013, she has provided care in agencies, hospitals, virtual hospitals, and private practice. Licensed in MO, OR, and NJ, she treats anxiety, depression, trauma, OCD, eating disorders, life transitions, ADHD, autism, grief, family concerns, and other mental health needs.

Kimberly believes in meeting patients where they are and supporting them as they discover their authentic selves. She provides a safe, nonjudgmental environment where thoughts and feelings can be explored openly. Her approach is collaborative, empathetic, and, when appropriate, incorporates humor and whimsy to help patients feel comfortable and engaged.

Kimberly begins by listening to each patient's concerns, goals, treatment history, and past barriers to care. Together, they identify strengths and create an individualized treatment plan tailored to the patient's needs, helping build meaningful progress and long-term success.

Jacky Gramazio, LCSW, began her career in 2003 providing community outreach to adults living with severe mental illness. She earned her Master of Social Work from the University of South Florida in 2007 and has worked in outpatient, home-visiting, and inpatient settings. Independently licensed since 2018, she has advanced training in trauma-informed care, exposure and response prevention (ERP), and acceptance and commitment therapy (ACT). In 2025, she became a Florida Qualified Clinical Supervisor. Her clinical focus includes anxiety, OCD, body-focused repetitive behaviors, hoarding, depression, and trauma-informed care.

Jacky provides warm, responsive, and collaborative care tailored to each person's needs. She approaches every patient with curiosity, respect, and compassion, creating a safe, supportive environment where individuals feel heard and empowered. She integrates evidence-based cognitive, behavioral, and somatic interventions to help patients build on their strengths and achieve meaningful goals.

Jacky begins by getting to know each patient's experiences, concerns, and goals. Together, they develop an individualized treatment plan that reflects the patient's values and priorities. She partners with patients throughout treatment, using evidence-based approaches to build practical skills, monitor progress, and support lasting change.

Gina Miller, LPC, has worked in mental health and human services since 2010 across hospital, community, school, correctional, addiction treatment, and veterans' settings. She earned a BA in Psychology from Saint Leo University and an MA in Clinical Mental Health from Messiah University. Gina is a Certified Clinical Trauma Professional (CCTP II), certified in Choice Theory/Reality Therapy, EMDR trained, and has additional training in DBT and Motivational Interviewing.

Gina creates a safe, consistent, and trusting environment where clients feel respected, heard, and valued. She believes therapy is collaborative, honoring each client's autonomy, goals, and pace. Gina views clients as the experts in their own lives while providing evidence-based care to support meaningful, lasting change and hope.

Gina begins by understanding each client's history, concerns, and strengths. Through deep listening and collaboration, she helps clients build realistic, measurable goals and an individualized treatment plan. Her approach emphasizes resilience and empowerment, partnering with clients every step of the way to create practical solutions and lasting progress.

Samantha Hanson is a Licensed Professional Counselor (LPC) and Registered Art Therapist (ATR) with a Master of Science in Mental Health Counseling, specializing in Art Therapy, from Springfield College in Massachusetts. With 11 years of licensed experience, she has provided care across residential, inpatient, day-treatment, and outpatient settings, working with children through older adults. She is an active member of the American Art Therapy Association and the American Counseling Association.

Samantha provides virtual care for residents of Wisconsin, Colorado, and Florida, with Missouri coming soon. She uses a client-centered, trauma-informed, humanistic, and narrative approach while incorporating evidence-based practices such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). When desired, she integrates traditional counseling with art therapy in ways that are meaningful and adaptable to telehealth. She also offers Creative Clini-Coach®️ services for individuals seeking professional guidance and accountability outside of therapy.

Samantha believes every treatment plan should be tailored to the individual. She collaborates with clients to identify goals, determine the therapeutic approach that best fits their needs, and create a supportive environment where they feel comfortable exploring challenges. Drawing from both professional expertise and lived experience with ADHD, chronic fatigue, and complex medical conditions, she offers compassionate, affirming care that recognizes each person's unique journey.

Melinda Brett is a Licensed Mental Health Counselor in Florida and a Licensed Clinical Professional Counselor in Maryland with more than 27 years of clinical experience. She holds a master's degree in Community Counseling and has provided individual and group psychotherapy in private practice and outpatient behavioral health settings. She works with adults experiencing depression, anxiety, stress, grief, life transitions, relationship concerns, and other mental health challenges.

Melinda strives to create a warm, supportive environment where clients feel heard, respected, and understood. Her approach is compassionate and practical, helping clients gain new perspectives and tools they can apply in everyday life. She believes each person is unique and works collaboratively to develop a treatment approach based on individual strengths and goals. Trust, honesty, and respect are the foundation of her therapeutic relationships.

Melinda begins by exploring each client's concerns, personal history, and goals for therapy. Together, they develop an individualized treatment plan that reflects the client's needs and priorities. Throughout treatment, she focuses on building insight, strengthening coping skills, and supporting meaningful change while regularly reviewing progress and adjusting the plan as goals evolve.

*NOTE: Casey provides audio-only appointments by phone. At the start of your appointment, he will call the phone number listed in your chart.*

Casey Thompson is a Licensed Professional Counselor (LPC) licensed in Missouri and Texas. He earned a Master of Arts in Rehabilitation Counseling from Maryville University in 2011 and has extensive experience providing outpatient counseling to adults and couples. His background includes Christian counseling, vocational counseling, life transition support, and treatment for depression, anxiety, relationship concerns, grief, and work-related stress. He is passionate about helping clients recognize their strengths, build resilience, and create meaningful change.

Casey uses a solution-focused, strength-based approach that emphasizes practical strategies and measurable progress. He creates a supportive, nonjudgmental environment where clients feel heard, respected, and empowered. He works collaboratively with clients to reduce symptoms of anxiety, depression, stress, and emotional overwhelm while building lasting coping skills. For those who desire it, He integrates Christian principles and a biblical worldview to support emotional, relational, and spiritual growth.

Casey begins with a comprehensive assessment to understand each client's concerns, strengths, history, and goals. He collaborates with clients to create individualized treatment plans and uses evidence-based interventions alongside solution-focused techniques to promote positive change. Throughout treatment, He helps clients challenge unhelpful thought patterns, strengthen coping skills, and build resilience. Progress is reviewed regularly, and treatment is adjusted as needs evolve. When requested, He incorporates prayer and faith-based perspectives to support holistic healing and growth.

*Note: Casey provides therapy exclusively via audio-only phone sessions*

Brandie Ajisefinni is a Licensed Clinical Social Worker with over a decade of experience working across hospitals, medical clinics, hospice, community mental health, and telehealth settings, serving individuals of diverse ages and backgrounds. After serving on active duty in the military, she earned her Master of Social Work (MSW) from Simmons College. Her broad clinical experience has shaped a compassionate, adaptable approach to care.

Brandie is a dedicated ally of the LGBTQ+ community and actively promotes anti-racism through awareness, open dialogue, and listening to others’ lived experiences. Clients often share that sessions feel warm, conversational, and comfortable—like talking with a trusted friend. She values collaboration and uses tools from CBT, DBT, and other therapeutic approaches to help patients build skills for managing stress and anxiety.

Initial sessions begin with a clear overview of what therapy will look like, including what questions may be asked and identifying goals for treatment. Brandie works collaboratively with patients to set expectations around session frequency, between-session exercises, and how progress will be measured over time.

Andrea Rako, LCSW, is a Licensed Clinical Social Worker with more than 30 years of experience working with individuals across diverse backgrounds and throughout the lifespan. She earned both her Bachelor’s and Master’s degrees from Southern Illinois University at Carbondale and is dedicated to providing compassionate, individualized care that supports each patient’s unique needs and goals.

Andrea uses an eclectic approach that incorporates Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavioral Therapy (DBT), while always maintaining a supportive, person-centered foundation. She believes a strong therapeutic relationship is essential for positive change and creates a warm, respectful environment where patients feel heard, empowered, and supported through open communication and collaboration.

Andrea begins by giving each patient space to share their story in the language and at the pace that feels most comfortable to them. She strives to make therapy a safe space where patients can be their authentic selves. Together, she and her patients develop individualized treatment plans aligned with their goals, while regularly evaluating progress using empirically based measures.

Maria Pisani is a Licensed Professional Counselor (LPC-MHSP) with experience in both mental health and substance use treatment settings. She earned her Master’s degree in Counseling and Bachelor’s degree in Psychology from St. John’s University. Maria is also a Licensed Clinical Alcohol and Drug Counselor (LCADC) and Certified Clinical Supervisor (CCS), with experience in outpatient counseling, assessments, treatment planning, and clinical supervision. She has worked with individuals navigating anxiety, depression, PTSD, anger, stress, and substance use disorders.

Maria provides a supportive, confidential, and nonjudgmental environment where clients feel safe exploring their challenges. She works collaboratively to help individuals better understand their thoughts, emotions, and behaviors while using a compassionate, practical approach tailored to each person’s needs. She incorporates Cognitive Behavioral Therapy and motivational techniques when appropriate and believes in meeting clients where they are in their personal journey.

Maria begins by learning about each client’s concerns, personal history, and goals. She develops individualized treatment plans designed to address each person’s unique needs while helping clients build coping skills, emotional awareness, and healthier thought patterns. Through supportive, goal-oriented sessions, she encourages progress and personal growth while adapting treatment approaches as clients’ needs evolve over time.

Porschia Fisher, LPC, NCC, MSW, is a Licensed Professional Counselor with over 10 years of experience supporting children, adolescents, adults, couples, and families. She specializes in anxiety, depression, life transitions, women’s issues, and relationship challenges. Porschia uses a compassionate, individualized approach to help clients build resilience, discover purpose, and create meaningful change.

Porschia creates a safe, nonjudgmental space where clients feel heard, respected, and empowered. Her approach is warm, collaborative, and goal-oriented, blending Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to help clients manage emotions, challenge unhelpful thought patterns, and develop practical coping skills tailored to everyday life.

Porschia begins by building rapport and learning about each client’s concerns, emotional experiences, and goals for therapy. She then develops a personalized treatment plan and tracks progress using evidence-based tools such as the PHQ-9, GAD-7, and C-SSRS, while adjusting care to support lasting growth and overall well-being.

I value open communication and collaboration in the therapeutic relationship. I work closely with clients to build insight, develop coping skills, and reach personal goals. I prioritize creating a trusting environment where individuals feel safe to openly share their experiences.

I am a Licensed Clinical Social Worker (LCSW) with a Master's degree in Social Work. I have experience working in both inpatient and outpatient settings, supporting individuals with a range of mental health needs across different levels of care.

I begin with a comprehensive assessment to understand each patient's background, concerns, and goals. I partner with clients to set realistic objectives and develop a strengths-based treatment plan. Ongoing sessions focus on building coping skills, increasing insight, and tracking progress in a supportive, flexible way.

I create a warm, supportive, and nonjudgmental space where clients can be fully themselves. My approach is collaborative and practical, helping individuals understand patterns while building tools for daily life. I work with clients facing relationship challenges, anxiety, depression, ADHD, and questions about faith or identity, and I am known for holding space for both emotional healing and deeper reflection on values and meaning.

I begin with an initial session to understand each client's story, challenges, and goals. Together, we develop a personalized plan using approaches like CBT and trauma-informed care. Sessions focus on insight, coping strategies, and healthier relationship patterns. When meaningful, I incorporate spirituality or faith exploration. Progress is reviewed regularly to ensure alignment with client goals.

I am a Licensed Professional Counselor (LPC) with over nine years of experience across telehealth, outpatient, school-based, and integrated care settings. I am licensed in Texas and Washington and am a National Certified Counselor. I hold a Master of Arts in Counseling and a Master of Divinity from Wake Forest University. I use evidence-based approaches such as CBT, trauma-informed care, and measurement-based treatment, with special interests in relationships, anxiety, depression, ADHD, and spirituality. As an ordained minister, I thoughtfully support clients exploring mental health and faith.

I bring a direct, nonjudgmental, and holistic approach to therapy. I am caring and compassionate, creating a safe, affirming space where clients can explore their needs without fear or shame. I encourage each person to show up authentically, supporting them as they navigate complex emotions, relationships, and life transitions. I believe nothing in therapy is one size fits all. I partner with clients to identify strengths, address challenges, and build practical skills. Sessions focus on empowerment and actionable insights clients can use immediately. Progress is celebrated, and treatment evolves as clients grow and their needs change.

I earned a Bachelor of Science in English and Psychology from Grand Valley State University and a Master of Education in Clinical Mental Health Counseling from Lamar University. I spent five years as a K–12 English and Special Education teacher before transitioning to community mental health, serving children and adolescents across three East Texas counties. I later moved into private practice and now practice at Talkiatry. I am trained in EMDR, somatic therapy, TF-CBT, and DBT, and am also a registered yoga teacher.

I have experience working with a diverse range of mental health concerns in both inpatient and outpatient settings. I work with individuals facing a variety of life challenges and am committed to supporting clients across different stages of their personal and emotional journeys.

I believe that all people have the desire and ability to grow and develop. I enjoy partnering with clients in their growth by creating a safe, supportive, and collaborative therapeutic space where individuals feel heard, respected, and empowered. I draw from a broad range of therapeutic approaches and tailor treatment to each client's unique needs. Together, my clients and I explore the sources of distress and identify meaningful solutions to promote insight, healing, and lasting change.

I specialize in stress, anxiety, self-esteem, motivation, depression, and coping with life changes. In my work, I use a wide range of clinical approaches in talk therapy, including client-centered therapy, cognitive behavioral therapy (CBT), mindfulness, motivational interviewing, and solution-focused support.

I am a licensed mental health therapist with 26 years of professional therapy work, currently licensed in NE, OK, KS, and CO.

Your comfort and desired changes are extremely important to me. I'd love to hear how I can support you in the changes you want to make in yourself.

My style is warm, collaborative, and direct, balancing validation with gentle challenge when patterns are no longer serving the client. I prioritize transparency, autonomy, and pacing therapy in a way that feels safe, respectful, and empowering. I am trained in trauma-informed, evidence-based approaches emphasizing attachment, nervous system regulation, emotional safety, and sustainable coping skills. I understand how overwhelming it can feel to navigate mental health, medical, or recovery systems that often move faster than emotions can process.

I am a Licensed Professional Counselor with experience across inpatient acute psychiatric settings, inpatient substance use and addiction recovery, and outpatient care. My clinical background includes supporting individuals experiencing acute mental health crises, co-occurring disorders, and complex psychosocial stressors. I also bring firsthand experience advocating for medically complex children and their families, which informs a deep understanding of caregiver stress, medical trauma, and systems fatigue. My approach is grounded and shaped by work in high-acuity environments.

I begin by taking time to understand each client's story, goals, strengths, and current challenges. Early sessions focus on building trust, stabilizing where needed, and identifying patterns shaped by past experiences. Together, we develop an individualized treatment plan aligned with the client's values and readiness. Sessions may include skill-building, trauma processing, recovery support, and strengthening emotional regulation and self-awareness, with regular check-ins to ensure therapy remains collaborative and effective.

I am dedicated to creating a safe, supportive, and collaborative environment where clients feel heard and empowered. My treatment style is integrative and person-centered, utilizing evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma therapy, Motivational Interviewing (MI), Solution-Focused Therapy, Interpersonal Therapy, Psychodynamic Therapy, supportive therapy, goal-oriented therapy, and mindfulness-based techniques. I specialize in treating anxiety, depression, trauma, grief and loss, and life transitions. I help clients explore their thoughts, emotions, and patterns while developing practical tools for coping, healing, and growth. I believe in tailoring each treatment plan to the unique goals, strengths, and values of the individual, and take pride in walking alongside my clients through life's challenges with compassion and respect.

I am a Licensed Clinical Social Worker (LCSW) and hold a Master's degree in Social Work. I have extensive experience across outpatient, telehealth, and managed care settings.

I am a Licensed Mental Health Counselor with over 20 years of experience providing compassionate and effective therapeutic care to individuals, families, and groups. Throughout my career, I have worked across diverse settings, including educational institutions, foster care systems, group homes, government agencies, and healthcare organizations. This extensive background has equipped me to address a wide range of mental health challenges, including anxiety, depression, trauma, relationship issues, and life transitions.

I hold a Master of Education and an MBA from Florida Atlantic University, along with a Bachelor of Science in Psychology with a minor in Criminal Justice. I am CFARS Certified and a Qualified Supervisor in the State of Florida. My commitment to professional growth is evident in my numerous certifications and specialized training in ethics, trauma processing, domestic violence, and online counseling.

In addition to my clinical expertise, I have served as an adjunct professor and leader in clinical operations. I am committed to delivering accessible, high-quality care tailored to the unique needs of my clients.

I am a Christian counselor and believe people have need of mind/body/spirit balance to address the emotional pain, psychological turmoil, and physical challenges in life. I meet individuals where they are and, with the focus of accomplishing the wellness goals of the individual, answer the need for therapeutic interventions. I use a variety of modalities dependent on the needs of the patient, including Cognitive Behavioral Therapy, Person Centered Therapy, Solution-Focused Therapy, and Christ Centered Christian Counseling Intervention. Patients should be aware that I specialize in straightforwardness and application of the structure of Cognitive Behavioral Therapy in sessions. Patients are of the utmost importance when receiving therapy and are the key to mental health intervention and thereby change. I respect the wishes of patients with target goals and behaviors, while also providing support, care, and help. I acknowledge and am knowledgeable about getting to the heart of problems, issues, and concerns and identifying what is best in the patient's opinion to address, then addressing them. I typically address the dynamics of a therapeutic relationship with patients, along with asking and assessing what patients hope to obtain or accomplish in therapy, and I discuss each clinical step taken to get to the accomplishments of the patient.

I received my bachelor's from the University of Kansas and my master's from the University of Missouri, and I continue educational opportunities in counseling/therapy and theology. I have decades of experience collaborating with patients providing mental health care and interventions to facilitate health and wellness, and I have worked in all aspects of mental health ranging from crisis care to rehabilitation. I have a great depth of community service connections and resources to link individuals in the community and an opportunity to extend support networks for greater health.

I have worked with a wide range of diagnoses including Anxiety, Depression, Bipolar, Schizophrenia, Marital, Grief, Alcohol and Substance Use, Addictions, Workplace Issues, Relationship and Social Issues, Multicultural Issues, Faith Crisis, and Adjustment Issues.

I recognize the stigma surrounding mental health and view seeking therapy as an act of resilience. I create a safe, comfortable, and nonjudgmental space where clients can be themselves. I value autonomy, support increased self-awareness, and genuinely celebrate each client's progress and healing. I enjoy integrating nutrition-focused psychoeducation and creative expression through play and art-based strategies. I begin by building rapport and gaining a thorough understanding of each client's history, concerns, and goals, then collaborate with clients to create individualized treatment plans that reflect their needs and priorities. I feel honored to walk alongside clients as they grow, heal, and build skills for lasting well-being.

I grew up in Colorado and moved to Waco in 2013 to attend Baylor University, where I later earned my MSW. I hold the LCSW credential and am completing full EMDR training, and I also hold ADHD certification. I have extensive experience supporting children and adolescents ages 4–19, as well as their caregivers, across juvenile detention, PK–12 schools, and homeless outreach.

I am also training my dog, Odin, for Therapy Dog certification.

I am a proud member of the LGBTQ community and prioritize a person-centered approach to care. I value cultivating a safe and affirming environment for all patients, regardless of identity. My primary therapeutic approach is Acceptance and Commitment Therapy, which guides my collaborative and compassionate work with clients.

I graduated from The University of Alabama with a Bachelor of Science in Psychology and French and earned my Master of Social Work from the Brown School at Washington University in St. Louis. I bring 10 years of experience working with children, teens, and adults in residential and outpatient facilities, schools, and private practice.

During the first session, I conduct an intake to understand each patient's background, concerns, and goals. I develop treatment plans collaboratively to ensure they are tailored and meaningful. Known for my empathy and use of humor, I build rapport with patients while guiding them toward personal growth and well-being.

I pride myself on creating a non-judgmental and healing environment that allows for self-discovery and assists clients in identifying their authentic selves. I specialize in anxiety, depression, trauma (including Narcissistic Abuse), and grief. I believe in fostering a collaborative therapeutic relationship where clients feel empowered to set and achieve meaningful goals. From a holistic perspective, I incorporate techniques such as identifying strengths, mindfulness, polyvagal techniques, challenging core belief systems, early childhood, and attachment types to heal the mind, body, and spirit. I have experience in many methods and techniques, ensuring that my approach integrates evidence-based practices with experiential techniques which are tailored to each client's unique needs to allow for nervous system regulation and a sense of safety within themselves.

I hold a Master's in Social Work from the University of Nebraska-Omaha (2008) and am licensed as a Licensed Clinical Social Worker (LCSW), with 16 years of experience in the mental health field.

When not working with clients, I enjoy being outdoors, reading, and spending time with my husband, son, and two dogs.

I have a particular passion and specialty in working with the LGBTQ population, and I also enjoy helping patients address depression and mood concerns, anxiety disorders, trauma, self-criticism and shame, grief and loss, major life transitions, social discontent, and medical conditions such as HIV/AIDS. I work with adults across the lifespan and strive to create an affirming and inclusive therapeutic environment. My work with each patient is individualized and guided by their needs and collaboratively defined goals. Patients can expect a warm, authentic, and direct therapeutic style. My approach is primarily skills-based, most often drawing from Cognitive Behavioral Therapy, within a client-centered and attachment-focused relationship. Therapy often explores how perspective, assumptions, and self-narratives contribute to distress, with practical action plans to support growth. I view therapy as a collaborative process aimed at meaningful change and a more fulfilling, values-driven life.

I am a Licensed Clinical Social Worker with over 15 years of experience across a wide range of mental health and social service settings, including academic outpatient clinics, community health centers, residential programs, clinical research, the VA, EAP services, and HIV/AIDS service organizations. I earned a Bachelor of Arts in Psychology from Saint Louis University and a Master of Social Work in Clinical Social Work/Mental Health from Washington University in St. Louis.

I offer a compassionate, client-centered approach that honors each person's unique journey. I am passionate about supporting individuals through significant life changes, addressing interpersonal challenges, and helping clients develop deeper self-understanding and resilience. Patients can expect a respectful, collaborative environment where they feel heard, supported, and empowered. I begin by learning each patient's best hopes for therapy while gaining an understanding of their personal history and current concerns. I work collaboratively with patients to develop an individualized treatment plan that aligns with their goals, values, and vision for growth, adjusting the approach as needed over time.

I completed my Doctorate in Psychology at the University of St. Thomas in St. Paul, Minnesota, and have specialized training in grief and trauma counseling. I have extensive experience practicing in both outpatient and residential treatment settings. My clinical background allows me to support individuals facing complex emotional challenges with depth, insight, and professionalism.

I am a Licensed Clinical Social Worker with 26 years of experience providing counseling to individuals, teens, couples, and families. I am licensed in 12 states and have worked across diverse clinical settings, delivering both in-person and telehealth care.

I am open, approachable, supportive, caring, and empathetic. I create a warm, welcoming environment where clients feel safe to talk things through at their own pace. I value trust, collaboration, and respect, and believe meaningful change begins with feeling heard and understood.

I begin with a comprehensive assessment that explores personal history, current concerns, and potential solutions. From there, I collaborate with clients to develop individualized treatment goals and a practical plan tailored to their needs, adjusting the approach as progress unfolds.