Michael Sieger, LCPC

Ashley Peugh is a Licensed Independent Social Worker with Supervision Designation (LISW-S) with over six years of clinical experience. She holds a Doctor of Human Services (DHS), Master of Social Work (MSW), Chemical Dependency Counselor Assistant (CDCA), and Certified Dialectical Behavior Therapy (C-DBT) credentials. Ashley has worked with children, adolescents, and adults in community mental health and outpatient settings and specializes in anxiety, depression, trauma, PTSD, bipolar disorder, ADHD, grief, self-esteem, anger management, and life transitions using evidence-based approaches.

Ashley provides a compassionate, supportive, and judgment-free environment where patients feel heard and respected. She believes therapy is collaborative, tailoring treatment goals to each person's needs and strengths while fostering trust through honesty and open communication. She emphasizes practical coping skills, resilience, confidence, and steady progress at a comfortable pace.

Ashley begins by learning each patient's history, concerns, strengths, and goals before completing a comprehensive assessment to create an individualized treatment plan. She collaborates with patients to set measurable goals, uses evidence-based techniques, provides psychoeducation and coping strategies, and welcomes ongoing feedback to keep treatment aligned with each patient's evolving needs.

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.

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.

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 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.