Meet Our Team

Garner | Cary

One-Eighty Counseling | Administrative Staff

Click to: Garner | Cary

Sarah Coates
Practice Owner

Named Dynamic Entrepreneur of Johnston County, Sarah is the founder & owner of One-Eighty Counseling P.A. She started the group in 2007 and has facilitated the company's growth to become one of the largest Mental Health & Substance Abuse private practices in our area. Sarah is a Licensed Professional Counselor licensed in North Carolina (LPC), Nationally Certified Counselor (NCC) and Distance Credentialed Counselor (DCC). The Distance Credentialed Counselor (DCC) identifies those professional counselors who are uniquely trained in best practices for delivering traditional counseling through technological means. DCCs have met nationally established distance counseling criteria and adhere to the National Board for Certified Counselors (NBCC) Code of Ethics and Policy Regarding the Provision of Distance Professional Services.

She specializes in treating female adolescents and adults with anxiety disorders, panic, and stress. She also focuses on treating mood disorders, depression, self-harming, divorce/separation, grief & loss, relationship issues, maternal mental health concerns and supporting wives of alcoholics. In addition, Sarah provides couples and marriage counseling for infidelity and communication deficits and provides Christian or faith based counseling upon request of the client. Her therapeutic approach centers on integrating Cognitive Behavioral Therapy (CBT) with a client-centered and strengths-based focus. She also incorporates Acceptance & Commitment Therapy (ACT), Yoga therapy, Mindfulness and Motivational Interviewing.

Sarah currently serves on the Campbell University Counselor Education Department Advisory Board is involved in the Greater Cleveland Chamber of Commerce and the Greater Cleveland Women's Network. She is available for speaking engagements to promote mental health wellness & education for churches, schools, organizations, corporations & Employee Assistance Programs.

Sarah also provides business coaching and mentoring for female entrepreneurs . Sarah has established herself as a successful entrepreneur in Southeastern NC and assists women in launching and expanding their vision. She easily relates to the entrepreneurial mom who has a dream in her heart and wonders how to balance family and business while developing that dream.

You can reach Sarah for Business Coaching & Mentoring or for speaking engagements at 919-772-1990 ext. 225.


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Jennifer Latsha
Practice Manager

Jennifer comes to us with a love for the healthcare field and a broad expertise in many aspects of it. From administrative to billing to management, Jennifer has experience with it all. She received her Inpatient / Outpatient Billing and Coding Certificate with High Honors from Fayetteville Technical Community College and went on to receive her Certification as a Professional Coder with the AAPC in 2012.

Her primary focus is on providing excellent customer service and making sure that our client's and counselor's needs are well taken care of. In order to make this happen she makes sure that our claims are filed efficiently and properly so that the client's insurance benefits can be utilized at their maximum benefit.

In her free time, Jennifer cherishes raising her two children, Connor and Samantha. She also enjoys cooking, taking trips to the beach and spoiling her dogs, Piper and Tina.

Please feel free to contact Jennifer if you have any questions regarding your insurance and billing and she will be glad to help you.

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Sara Bingham
Front Office Manager | Garner

Sara began her career teaching at Johnston Community College as an instructor for their Pharmacy Technology Program. She holds an Associate Degree in Applied Science with a course of study in Pharmacy Technology that she received from Johnston Community College. After 4 years of teaching, Sara felt called to go back to school and she earned her Bachelor's Degree in Healthcare Management at the University of Mount Olive.

As the Front Office Manager for One-Eighty Counseling, Sara's cheery voice is who you hear when you call into our offices. She oversees new patient referrals and appointment scheduling, is responsible for patient check-in, assists with verification of insurance, processes records requests, and handles all front office needs.

Sara has always had a passion for the healthcare field. She has a heart to provide genuine care for the emotional and physical well-being of others and is excited to be a part of the One-Eighty Counseling team. Sara enjoys spending her free time with family and friends and is very involved in her church.

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Sequoia Miller
Front Office Coordinator | Cary

Sequoia Miller is a born and raised North Carolina native with a sweet southern charm. She has an Associates of Science degree in Behavioral Science from Campbell University and is in the process of completing a Bachelors degree in Psychology at Campbell. Her passion for mental health started at a young age as she realized the impact of living with and caring for her relatives suffering from mental illnesses.

Sequoia is responsible for all Patient Coordination in the Cary office. She is the bright cheery voice you hear when you call in to schedule your appointment.

In her free time, Sequoia enjoys hanging out with friends and family.

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One-Eighty Counseling | Garner

Click to:  Cary | Administrative Staff

69 Shipwash Drive
Garner, NC 27529
Phone: (919) 772-1990
Fax: (919) 772-1978

Jenny Ayscue

is a Licensed Clinical Social Worker. She earned both her Master’s degree in  Social Work and her Bachelor’s degree with Honors from the University of  North Carolina at Chapel Hill.

Jenny has over 15 years of experience working with individuals and families  in crisis, serving a number of organizations focusing on mental health,  suicide prevention, domestic violence, sexual assault and child abuse. Not  only is she adept at assisting those experiencing acute crisis but also enjoys  helping people be the best they can be.

Jenny feels that the therapeutic relationship is of the utmost importance  and strives to put people at ease, providing a safe and caring,non-judgmental environment where clients can really process through  issues, focus on what they want to achieve and work towards that.

She uses an eclectic approach in treatment, recognizing that no one  particular modality fits everyone. Jenny utilizes a number of  evidence-based practices including Cognitive Behavioral Therapy (CBT),  Dialectical Behavior Therapy (DBT) and Solution Focused Brief Therapy,  all with a client-centered approach. Psychodynamic Therapy is also often incorporated in her practice to identify the foundation and formation of a client’s psychological processes in order to decrease symptoms and  improve life overall. 

Jenny is comfortable working with children, adolescents and adults, dealing  with a variety of issues such as mood, anxiety and bipolar disorders,  parenting, relationships, behavior, stress-management and crisis  intervention. She also has a special passion for working with individuals living with a chronic mental or physical illness, recognizing the additional  stressors and the special strength those experiencing chronic illness have.  Jenny is trained in distance counseling and may provide telehealth sessions  upon request.

In addition, Jenny is also the therapist behind One-Eighty Counseling’s  social media presence. 

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Mary Baran

Mary is a Licensed Professional Counselor (LPC). She holds a Bachelor of Arts in Sociology, which she obtained in 2010 from the University of North Carolina at Wilmington. In addition, she holds a Master of Arts in Mental Health Counseling, which she obtained in 2015 from Campbell University in Buies Creek, North Carolina.

Mary works with individuals of all ages, but has a special interest in treating children, adolescents and families. She can work with a variety of concerns including anxiety, depression, self-esteem, body image, behavior, and parenting. Mary also helps teenagers working through problems they have at home or school. In addition, she has an interest in working with LGBTQ populations.

Mary has an eclectic counseling style, which is rooted in Person-Centered Therapy. In her counseling, she incorporates play, art and music. Currently, she is interested in pursuing certification in Play Therapy and becoming a Registered Play Therapist (RPT).

Domonique Blackmon

Domonique is a Licensed Professional Counselor (LPC) and Licensed Clinical Addiction Specialist Associate (LCASA). Domonique earned her Bachelor of Arts in Psychology and Master of Science in Mental Health Counseling with a concentration in Rehabilitation counseling from North Carolina Agricultural & State University.

Domonique has more than 4 years of experience serving various populations in Outpatient and Inpatient settings. Domonique has experience providing individual and group therapy to adolescents and adults struggling with a variety of issues and concerns including substance abuse, serious and persistent mental illness, criminal justice involvement, mood disorders, anger management, anxiety, grief, self-esteem, ADHD/ADD, and individuals who have experienced domestic violence/sexual assault.

Every individual is unique in their own way, so Domonique’s approach varies based on each individual experience. Cognitive Behavioral Therapy, Person-Centered, and Solution Focused Brief Therapy are the three primary therapeutic approaches she uses. Domonique believes in nurturing a positive trusting relationship between counselor and client which will result in a positive outcome.

Victoria Butler
M.Ed., LPC

Victoria is a Licensed Professional Counselor. Victoria earned her Master's degree in School Counseling from Campbell University and her Bachelor's degree in English with honors from Mount Olive University. She earned her certificate for the practice of Cognitive Behavioral Therapy in 2017, and she is trained in EMDR techniques.

Victoria has over 10 years of combined experience in providing counseling and educational services to children, adolescents, and adults. She provides a safe, client-centered environment for her clients to explore their feelings and patterns of thinking while setting and working toward their personal goals. Victoria believes that the most valuable component to successful therapy is a trusting and accepting relationship between the client and counselor, and she strives to build a solid foundation for trust and collaboration for each of her clients.

Victoria utilizes evidenced-based practices including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and client-centered therapy. She also uses the Trauma Resiliency Model (TRM) to help clients learn self-care and resiliency skills. She integrates self-compassion and emotional intelligence exercises into the therapeutic process. She also enjoys incorporating play and art therapy techniques in her practice with children and adolescents.

Victoria is available to provide services to individuals and families seeking treatment for anxiety, depression, bi-polar disorders, personality disorders, OCD, ODD, grief and loss, adjustments, behavior management, parenting strategies, divorce, ADHD, women's issues, conflict resolution, stress management, and anger management. She is also passionate about teaching her clients about brain-based techniques founded on neuroscience to help them better understand how to cope and manage stress. She offers group counseling for women and teenagers dealing with stress, anxiety, and/or depression, and she is available to speak about these topics and other mental health concerns for community agencies, churches, or businesses. Victoria offers Christian counseling upon request.

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Cory Clark
is a Licensed Professional Counselor Associate (LPCA). Cory holds a Bachelor’s degree from the University of North Carolina at Chapel Hill, where he graduated with honors in Psychology. After graduating from UNC, Cory spent several years in Asia as a behavior therapy consultant, working with children with externalizing behavior issues and associated diagnoses, such as ADHD, Oppositional Defiant Disorder and Autism Spectrum Disorders. ?After living abroad, Cory went on to earn his Master’s degree in Clinical Mental Health Counseling from North Carolina State University. He is currently earning his doctoral degree in Counselor Education at North Carolina State University, with research interests in the areas of behavior and aggression in adolescents and barriers to mental health counseling across multicultural populations.

Cory has over ten years of experience working with a variety of clients but especially children and families. He has worked with children from preschool age through early adulthood. Cory’s love for serving children and families stems from his early experiences as an early childhood educator where he realized how deeply he could connect with children on an individual level. Cory believes that kids can intuitively sense the genuineness and level of comfort an adult has when interacting with them?and Cory has had a natural rapport with kids for as long as he can remember.

Cory’s passion is serving individuals across the lifespan in the areas of behavior issues, developmental disorders (ADHD, ASD, etc.), family and parenting issues, mood disorders, anxiety, relationship issues, life transition dynamics, personality disorders, trauma, abuse, self-esteem concerns, social skills issues and school issues.

When working with clients, Cory uses an eclectic approach that is adaptable to match the needs of each individual person. His approach tends to be person-centered in nature, with a focus on empowering clients to take control of their lives and find meaning in the journey of finding their better selves. Although he is naturally humanistic in his techniques, he draws from other modalities to fit the needs of certain clients, such as behavior therapy (especially with young children), family systems therapy, dialectical behavior therapy (DBT) and existential therapy. As a former early childhood educator, Cory offers a unique perspective and expertise for potential clients who are looking for support with children and with school related challenges. Additionally, Cory is researched-trained in many childhood assessments including (but not limited to) the Autism Diagnostic Observation Schedule (ADOS), Wechsler Intelligence Scale for Children (WISC), the Child Behavior Checklist (CBCL) and the ADHD Rating Scale. He can assist families and parents in understanding and using these types of assessments to guide therapy goals and treatment.

Cory lives in Cary with his amazing wife, young son, and his two dogs. They love traveling, hiking, trying new foods and enjoying good movies together!

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Cathy Clement

Cathy Clement is a Licensed Professional Counselor Associate. Cathy had a diverse background in business, government, and non-profit organizations before pursuing her real love of counseling. She earned her Master of Arts degree with high distinction in Professional Counseling from Liberty University in December 2017. She served her practicum and internship at 180 Counseling throughout 2017, helping clients experiencing depression, anxiety, grief, hoarding, career struggles, and marital issues. She has also volunteered at her church as a lay counselor for individuals and couples needing guidance and mentoring. Cathy feels a calling for working with adult individuals and couples. She tailors her therapeutic techniques to the client, but primarily uses cognitive behavioral therapy (CBT) for individuals and emotionally-focused therapy (EFT) for couples. As a partially-trained EMDR Therapist, Cathy is also able to help individuals impacted by trauma in their lives.

Cathy integrates Christian values and faith for those looking for counseling from a Christian worldview. She sees each person’s life as their own individual story with unique events, and each person has the ability to write future chapters. Recovery from separation and divorce, career challenges, and communication in relationships are of special interest to Cathy.

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Jenny Compton

Jenny is a Licensed Professional Counselor (LPC) and a Certified Sex Offender Treatment Professional (CSOTP) with a diverse background in counseling and business. She spent 20 years in corporate America serving in various leadership and individual contributor roles. She earned her Master of Arts degree in Professional Counseling and Bachelor of Science degree in Psychology and Christian Counseling from Liberty University.

Jenny enjoys working with adolescents, adults, couples and families. She has provided both outpatient and inpatient care and has clinical experience in the areas of anxiety, depression, bipolar, behavioral problems, trauma, sexual abuse, grief, anger and issues of marriage and family (including step and blended families) and more. She is adept in affair recovery and provides Christian or faith based counseling upon request of the client.

Her therapeutic approach centers on integrating Cognitive Behavioral Therapy (CBT) with a client-centered and strengths-based focus. Jenny completed Level 1 Training in Gottman Method Couples Therapy, and uses Gottman Method Couples Therapy in her couples work. Jenny is in the process of completing an EMDRIA approved EMDR Therapy Basic Training Program. She also incorporates Dialectical Behavior Therapy (DBT) and Trauma Focused Cognitive Behavioral Therapy (TF-CBT) when appropriate.

Jenny is a member of the international John Maxwell Team as an Independent Certified Coach, Teacher, and Speaker. She offers workshops, seminars and speaking engagements on the topics of leadership, mental illness, and affair recovery. She has provided keynote addresses at church retreats and conferences. She is an ordained minister in the Nazarene Church.

Julie DeFalco
is an accomplished psychotherapist who is trained in Dialectical Behavior Therapy (DBT) and play therapy. As a Licensed Clinical Social Worker with over 20 years experience, Julie has a natural affinity for working with all types of clients, and she is very culturally competent. She believes clients need positive affirmation and empathy along with guidance to learn how to make healthy choices for themselves. She strives to help clients develop into happy, productive members of society. Julie takes a client-centered approach, combining cognitive-behavioral techniques with psychodynamic, insight-oriented therapy. Counseling is tailored to each client's individual needs and preferences.

Julie is experienced in providing individual and family therapy. Her specialties include adolescent development, parenting training, and treating mood disorders (depression, anxiety and Bipolar Disorder). She helps parents understand what's to be expected with ?normal? adolescent development and what might indicate a problem. She is adept at helping children and teens understand the motivation for their behaviors and teaching them more positive coping skills and healthy emotional expression. In conjunction with this, she helps parents learn how to set appropriate limits and to encourage positive behaviors.

Other treatment areas include grief, sexuality issues, ADHD, anger management, and eating disorders.

Julie holds a Master's Degree in Social Work from Loyola University Chicago and a Bachelor's Degree in Psychology from Southern Illinois University. Julie is available to provide community lectures and trainings on Communicating with Teens, Parenting Teens, and Teens & Technology.

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April Dupree

April Dupree is a Licensed Professional Counselor Associate (LPCA). She provides an eclectic approach while assuring that her therapeutic techniques are what best suit the client. While specializing in counseling for depression, anxiety, life transitions, couple issues, domestic violence, PTSD-civilians, and more, she primarily uses client-centered and cognitive behavioral therapy; faith-based counseling is offered upon request. As a partially-trained EMDR therapist, she is also able to help individuals impacted by trauma in their lives. April is seeking to gain more skills through continuing her education, while balancing her work life, in order to assist her clients in meeting their goals for a happier life.

As a graduate of Liberty University, she received her Bachelor of Science degree in Christian Counseling and a Master of Arts degree in Professional Counseling. She completed her undergrad internship at InterAct in Wake County, North Carolina. She completed her graduate practicum and internship at One-Eighty Counseling. She has also worked in an administrative role at One-Eighty Counseling. April has a diverse background in business, real estate, and designing houses, but has always felt that she was being called to help others. She believes when given proper guidance, people can become more capable of drawing out their own strengths and realize their potential to live fulfilling and happy lives.

April is a proud member of the American Counseling Association and the American Christian Counseling Association. As an advocate with the American Foundation for Suicide Prevention, she is also trained in presenting “Talk Saves Lives” and “More Than Sad”.

When April isn’t helping others, she enjoys reading, spending quality time at the lake with family and friends, watching movies, and listening to music.

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John Eklund

is a Licensed Clinical Social Work Associate (LCSWA). He earned his Bachelor's degree from Evangel University in Springfield, MO, and graduated with Honors with a Master's Degree in Social Work from Delaware State University.

John started his career in 1999 as a Family Crisis Therapist for the state of Delaware working with at risk children, teens and families and has, over the past 17 years enjoyed providing client-centered counseling services to an incredible variety of populations including: children, youth, families, veterans, incarcerated individuals, state and federal probationers, abused and neglected children, foster children, physically, emotionally and sexually abused individuals, those dealing with domestic violence, depression, anger, anxiety, codependency, parenting struggles, relationship issues, marital problems, grief and loss, eating disorders, substance abuse, gambling addiction, sexual addiction, and self-harm.

John is the Eastern National Director of Celebrate Recovery, a Christ-centered 12 step program that helps individuals and families find hope and healing from their hurts, hang-ups and habits. Ordained as a minister, John started, and currently leads the Celebrate Recovery program at Temple Baptist Church in Selma, NC.

John is a generalist practitioner familiar with a vast range of theoretical practices and theories. He is happy to provide Christ-centered counseling services upon request.

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Larry Ellsworth

earned his Bachelor's of Science degree in Psychology from the University of Northern Colorado and a Master's Degree in Social Work from the University of Wisconsin-Madison.

Larry has many years of experience providing clinical services for children, adolescents and families dealing with a wide range of mental health issues. Larry was a clinician and then program supervisor at Wake County Mental Health/Human Services where he developed and managed an innovative treatment program for children and families dealing with sexual abuse. During Larry's tenure with Mental Health/Human Services he also provided clinical supervision, consultation and community education.

Larry's extensive experience working with families struggling with trauma, loss and family disruption has given him a deep appreciation for the effort involved when families take their first step towards healing. Larry has 10 years of experience providing Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) and is rostered with the North Carolina Child Treatment Program as proficient in providing that evidence based treatment. Larry also has considerable experience assessing and treating adolescents and families involved with juvenile court and/or child protective services, assisting many of those families with reunification. Larry provides a safe and supportive framework for families to begin to understand and overcome their challenges.

Larry is a former Adjunct Professor and Field Instructor with the UNC School of Social Work and a statewide trainer on mental health issues for the Area Health Education Centers (AHEC). Larry serves on the SAFEChild Advocacy Center Multi-Disciplinary Team and Oversight Committees, and is past president and current board member for the North Carolina Association for the Management and Treatment of Sexual Offenders (NCAMTSO).

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Allison Ernest

is a Licensed Marriage and Family Therapist (LMFT). She earned her Master's degree from Thomas Jefferson University in Philadelphia, PA, with a specialization in Sex Therapy. She completed her internship at the Council for Relationships (formally the original Marriage Council of Philadelphia) working with diverse populations including couples, individuals, families, and children, all from a variety of backgrounds.

Allison works with various areas including depression, anxiety, relationship issues, self-esteem, past trauma, sexual abuse, marital/ couples work, identity, family dynamics, communication, grief/ loss, stress, and anger management. One of her specialties is sex therapy, which can include concerns with desire/ arousal, sexual pain/ dysfunction, gender identity, sexual abuse, sexual identity/ orientation, and sex addiction. She believes in creating a safe, caring, and nonjudgmental environment for people to explore these difficult matters.

In addition, Allison has a dance/ movement background (BFA in Dance from the University of the Arts) and loves to incorporate this into her work. Her therapy can often include mindfulness, stress-reduction, breathing, bodily awareness, and overall mind-body health.

Allison is experienced in utilizing different systemic models of therapy, including Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Narrative Therapy, and Solution-Focused Therapy. With that, she strives to thoughtfully shape the therapeutic experience to each client's specific needs. She is passionate about using a strengths-based perspective to assist clients in reaching their personal goals. In short, Allison believes in collaborating with clients to help them lead happy and fulfilling lives.

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Karen Finn

Sometimes life gets complicated and “just plain tough." Through a combination of professional training, research (psychology and neuroscience), wisdom, and life experience, Karen works with clients in a confidential, non-judgmental environment to explore ways to access a sense of well-being.

Everyone experiences stressful events and difficult relationships. The vast majority of challenges we face are common to all of us. Karen believes that the difference between success and failure is how we react to them. Together, she and her clients explore patterns of thoughts/feelings/behaviors that cause stress and a sense of loss of control. Her mission is to explore solutions to life’s challenges resulting in clients having more good days than bad days.

She believes self-awareness is critical to change but is highly underrated and seldom accomplished without effort and guidance; clients should pay attention to the past but not be defined by the past. Karen’s clients are not judged, they are heard, supported, and encouraged. By identifying our values, what motivates us, and our specific goals for the future, we can bring a sense of calm and that elusive contentment we all cherish.

Karen’s 20+ years of combined classroom and counseling in schools as well as in the private setting, have provided a wealth of wisdom and insight into the challenges and behaviors of adolescents and pre-adolescents. In addition to teens, she works with adults and couples in the areas of: Stress, Anxiety, Depression, Anger-Management, Self-Injury, Grief, Sexual Orientation and Gender-Identity Issues, Problem-Solving Skill Building, Goal Setting, Parenting Skill Building, and Relationship Conflict Resolution. Her treatment orientation is a combination of the following: Mindfulness-Based Therapy, Solution-Focused Brief Therapy, Reality Therapy, and Person-Centered Therapy. Karen is currently in the process of completing an EMDRIA-Approved EMDR Therapy Basic Training Program.

Originally from Pennsylvania, Karen studied at Penn State University and Wilkes University where she earned a bachelor’s degree in English Education. She has lived in North Carolina twenty years and earned her Master’s in Counseling degree from Campbell University. She is a North Carolina Licensed Professional Counselor.

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Luz Florio

is a bilingual Licensed Professional Counselor licensed in the State of North Carolina and a certified Trauma Professional. Luz earned her Master's degree in Professional Counseling with honors from Liberty University.

She has over 5 years of experience providing counseling to pre-teens, adolescents and adults with mood and personality disorders, as well as those who have experienced abuse or trauma. During her time working for Interact of Raleigh, Luz gained much experience treating survivors of domestic violence and sexual assault. She also specializes in helping individuals struggling with anxiety, depression and other distressing symptoms such as those associated with Post Traumatic Stress Disorder (PTSD).

Luz can help you overcome the issues, both past and present that stand in the way of living a happy and productive life. Providing a compassionate and caring environment necessary for the healing process, Luz will help you to challenge/change the thoughts and behaviors that stand in the way of peace and happiness. If you are coping with major life stressors, abuse or simply desire personal growth, Luz can help you achieve your goals and restore emotional wellness.

In addition to her CCTP (certified Trauma Professional) certification, Luz has been trained in EMDR (Level 1) and intensively trained in DBT through the Linehan Institute. She also uses person-centered supportive therapy and Cognitive Behavioral Therapy (CBT) when working with her clients.

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Michael Garner

is a Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT) as well as a Distance Credentialed Counselor (DCC). The Distance Credentialed Counselor identifies professional counselors who are specifically trained in delivering traditional counseling through technological means including video chat and more.  Michael earned his Master of Arts in Professional Counseling from Liberty University and his Bachelor's degree from Southeastern University.

Michael specializes in marriage and family therapy, including helping couples and individuals navigate relationships, parenting, blended family, communication and high conflict. He has extensive experience working with adolescent and parenting issues. His background includes nearly 15 years working with adolescents and their parents in several community organizations, which has provided him a great understanding of family, marriage, and parenting dynamics. Michael primarily uses Cognitive Behavioral Therapy (CBT) as well as a Family Systems approach when working with family and parenting dynamics. Michael is also a trained facilitator for PREPARE/ENRICH which is an assessment designed specifically for couples to explore and strengthen their relationships. Having served in a pastoral role in a church for several years, Michael is able to offer Christian counseling to those who request a Christian perspective or those who desire to integrate their faith.

Michael works hard to create a strong therapeutic relationship in which he comes along side of the client to help establish goals that will encourage him or her to grow into the individual they want to become. Michael is available to provide individual, couples, or family therapy covering a variety of topics such as anxiety, depression, anger, family issues, parenting skills, relationship issues, behavioral problems, men's issues and much more.

Marriage Renewed
Paula Lavocat

Paula is the Clinical Director for Substance Abuse and Addiction Services at One-Eighty Counseling. She earned her Master’s degree in Clinical Mental Health Counseling from Campbell University and her Bachelor's degree in Communication from North Carolina State University. Paula’s credentials include Licensed Professional Counselor (LPC), Licensed Clinical Addiction Specialist (LCAS), National Board Certified Counselor (NCC), Certified Clinical Trauma Professional (CCTP), Distance Credentialed Counselor (DCC), and EMDRIA Certified EMDR Therapist.

Paula provides assessment and treatment of mental health, substance abuse, and behavioral addictions. Areas of treatment include Post-Traumatic Stress Disorder (PTSD) and complex PTSD, depression, anxiety, adult ADHD, relationships, cultural/racial identity, weight challenges and bariatric surgery support, career/educational support and planning, support for families living with addiction, and others.

Paula delivers non-judgmental, client-centered services utilizing an integrated approach that includes Eye Movement Desensitization and Reprocessing Therapy (EMDR), Cognitive-Behavioral Therapy (CBT), Person-Centered Therapy, Motivational Interviewing (MI), among others. She is trained in multiple substance abuse/addiction specific treatment modalities to serve clients.

Paula is a trauma-focused clinician specializing in EMDR Therapy, an evidence-based psychotherapy utilized in the treatment of PTSD and trauma. EMDR Therapy has been proven to be highly effective for treatment of PTSD and traumatic stress. It has also been demonstrated to be beneficial for treatment of other mental health concerns such as depression, anxiety/panic, grief/loss, fears/phobias, chronic pain, substance abuse and behavioral addictions, in addition to other disturbing memories caused by adverse life experiences.

Paula has extensive experience working with current and former public safety personnel (911 communications, police, fire, EMS), as well as current and former military personnel. She served in a public safety role for over 7 years and understands the importance of meeting the unique needs of public safety and military clients.

Paula is able to provide substance abuse assessments and treatment, as well as drug testing services. She has experience working with government agencies such as social services/child protective services, probation/parole, and court systems to assist clients in resolving legal matters.

Paula is designated as a Qualified Clinical Supervisor through the North Carolina Board of Licensed Professional Counselors and is available to provide supervision services to LPCAs working toward full licensure. She is contracted with The Institute for Creative Mindfulness, founded by Dr. Jamie Marich, Master EMDR Therapist and Trainer, distinguished trauma expert, speaker, and author. Paula co-facilitates EMDR Basic Training courses and as an EMDR Consultant in-Training (CIT) working toward EMDRIA-Approved Consultant status, she is able to provide EMDR Therapy consultation to clinicians in Basic EMDR Therapy training or completing requirements toward EMDRIA Certification in EMDR.

Paula welcomes adolescents over 16 years and adults. She embraces the opportunity to work with clients of diverse backgrounds.

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The Institute for Creative Mindfulness
Dr. Kristen Moran

is a doctoral level licensed professional counselor associate in North Carolina. She is also a fully licensed professional counselor in South Carolina. Kristen earned her Masters degree in School Counseling and PhD in Counselor Education and Supervision from Virginia Tech. She earned her Bachelor's degree from William and Mary.

Kristen has over 10 years of combined counseling experience working with a variety of populations. She worked as a school counselor in the elementary, middle, and high school levels and enjoys working one-on-one to help children and adolescents. She also has a passion for working with parents in helping to build strong families as well as with women who are struggling with a variety of concerns (stress, life balance, etc.). Other areas of focus include anxiety disorders, depression, stress management, occupational issues, and grief. Kristen also has experience conducting small counseling groups on topics such as stress management, academic issues, and anxiety.

Julia Smith

is a Licensed Clinical Social Worker. She earned her Master's degrees in Social Work with Honors from the University of North Carolina at Charlotte and her Bachelors in Social Work with Honors from Appalachian State University. Julia has been a NC LCSW since July 2012 and is available to provide clinical supervision to associate level professionals.

Julia has a variety of experience working with high risk children, adolescents, adults, and families in outpatient and inpatient settings. Julia values utilizing evidenced-based practice to provide the most effective treatment to her clients. In 2014, Julia became a rostered Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) clinician through the NC Child Treatment Program.

Julia specializes in treating individuals who are experiencing symptoms of post traumatic stress, depression, anxiety, and behavioral disorders. Throughout the therapy process, Julia values the use of holistic approaches to engage individuals and families.

When treating her client's needs, Julia utilizes an integrated therapeutic approach. Julia often draws from Motivational Interviewing (MI), Mindfulness Based Stress Reduction, and Cognitive Behavioral Therapy (CBT) throughout treatment. In session, Julia loves getting creative with the use of art and movement when teaching skills for relaxation, emotional expression, and compassionate thinking.

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One-Eighty Counseling | Cary

Click to: Garner | Administrative Staff

113 Edinburgh South Drive, Suite 130
Cary, NC 27511
Phone: (919) 462-8308 
Fax: (919) 462-0433

Jennifer Burroughs

Jennifer is a Licensed Marriage Family Therapist Associate (LMFTA) and a Licensed Substance Abuse Counselor Associate (LCASA). She graduated with her Masters in Counseling and Marriage Family Child Therapy from the ground campus of University of Phoenix Costa Mesa. She received her Bachelor of Science degree in Sociology from the University of Santa Barbara California.

Jennifer specializes in marital and family counseling, as well as individual therapy for adolescents and adults. She has worked in many community organizations and is also a trained facilitator for Circle of Security Parenting. As a trainer, Jennifer works with parents to help them understand their child's emotional needs and enhance the development of their child's self-esteem.

Jennifer provides treatment for individuals, couples and families dealing with substance abuse. She also provides treatment in the areas of anxiety, depression, grief, trauma, relationship issues, parenting skills, gender/sexual identify, and communication. Jennifer focuses on delivering a client centered, non-judgmental environment utilizing Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), multiple family solution modalities and substance abuse specific treatment modalities. She strives for a caring, empathetic, encouraging environment so the client can reach their fullest potential.

Dr. Ryan M. Denney

is a licensed psychologist and Health Services Provider in North Carolina. He earned a PhD in Counseling Psychology from The University of Southern Mississippi in Hattiesburg, Mississippi and a bachelor's and master's degree in psychology from Midwestern State University in Wichita Falls, Texas.

Dr. Denney provides therapy to adults and teenagers for a wide range of issues and concerns including depression, anxiety, relationship issues, trauma and others. As an adoptive father, he is sensitive to the unique issues involved in the adoption experience and has a special interest in helping clients address adoption-related concerns. He offers Christian and spiritually integrated therapy upon a client's request. He also performs psychological evaluations including personality evaluation, adult ADHD evaluations, Veteran's Administration compensation and pension evaluations and pre-surgical psychological evaluations for bariatric surgery candidates.

In addition to providing therapy, Dr. Denney is also a speaker and has provided inspirational talks and key note addresses for churches, business, professional conferences and other groups, specifically about the intersection of mental health and faith. He enjoys writing on various topics. He is also available to consult with churches, organizations and business and has consulted with and provided interactive educational workshops for medical organizations, business managers and the Mississippi Department of Education to enhance employee performance, leadership and communication.

Coming to therapy takes courage and Dr. Denney works to honor his clients' bravery while inviting them to grow. His approach to therapy is highly flexible, collaborative and tailored to the unique needs of each client. He incorporates multiple therapy modalities based on the client's need including interpersonal, cognitive-behavioral, solution-focused, cognitive processing, ego-state and emotion-focused processes. He has specialized training in Brainspotting and the Comprehensive Resource Model, both of which are highly effective techniques for resolution of emotional difficulties and complex trauma.

Dr. Denney is originally from North Texas, but has lived in several parts of the country throughout his life including Oklahoma, California, Washington State, Tennessee and Mississippi. His hobbies include traveling, reading spy novels, writing and spending time with his beautiful wife, awesome son, family and friends. He has a heart to help his clients discover hope, defeat shame, dare courageously, live authentically, and access their innate healing potential no matter what life challenges they have faced.

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Julie Fann

Julie believes that the collaborative counseling relationship facilitates healing. She creates a comfortable, safe environment in which individuals, couples, and families learn how to get unstuck, accept and love themselves, communicate effectively, and achieve holistic wellness. Julie uses an integrative approach to treat the whole person—body, mind, spirit, and social being—and access the client’s strengths. As therapy progresses, clients gain awareness, begin to experience peace even amidst suffering, and practice connecting with others and/or their spirituality in life-giving ways. She primarily uses the techniques of internal family systems therapy, acceptance and commitment therapy, compassion-focused therapy, trauma-resiliency model, Gottman’s research-based relationship therapy, and spiritually-integrated psychotherapy.  However, her approach is feedback informed, so she adapts to meet clients’ goals, needs, and preferences.

Julie specializes in treating adults and couples experiencing anxiety, grief, and/or relationship issues. She has completed Gottman level 1 and level 2 training, and she loves using that approach to help both heterosexual and same-sex couples improve their relationship, end it amicably, or co-parent during separation or after divorce. She also welcomes clients—including adolescents—with other experiences such as depression, trauma, women’s issues, low self-esteem, disordered sleep, self-harming behaviors, anger issues, and disordered eating. She offers spiritually-integrated psychotherapy; she is a Christian, and she counsels people of all faiths as well as people who do not self-identify as spiritual or religious.

Julie strives to practice with multicultural competence and to understand how clients’ cultural backgrounds and personal identities—including their racial identity, cultural identity, gender identity, sexual identity, and/or spiritual/religious identity—inform their experiences, values, and perspectives. She seeks to promote social justice, advocate for her clients, and help her clients understand that distress may be a rational response to oppressive social systems and norms.

Julie is Licensed Professional Counselor-Associate (LPCA) and a National Certified Counselor (NCC). She earned a Bachelor of Arts from Trinity University in San Antonio, TX and a Master of Education in Clinical Mental Health Counseling from North Carolina State University in Raleigh, NC.

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Heidi Fox

received her Master's Degree in Clinical Counseling from Colorado Christian University in Lakewood, CO, and Bachelor Degree from Appalachian State University. She is a Licensed Professional Counselor (LPC) with over nine years of experience serving various populations in Colorado and North Carolina. Heidi has trained and worked in a wide variety of settings with a diverse clientele in both inpatient and outpatient settings. She specializes in treating adolescents and adults who are facing depression, anxiety, self-esteem and relationship issues, and self-harming behaviors. Heidi works with families to repair relationships, enhance parenting skills, and improve family functioning and dynamics.

Heidi strives to thoughtfully shape the therapeutic experience to each client's specific needs and implements an eclectic approach to therapy. She is trained in Cognitive Behavioral Therapy (CBT), Multi-Systemic Therapy (MST), and Motivational Interviewing. She often uses Mindfulness Based Cognitive Therapy, which can include grounding and mindfulness, stress-reduction, breathing techniques, bodily and emotional awareness, and overall mind-body health. Heidi is passionate about using a strengths-based approach to help clients achieve their potential, reach their goals, and find hope along their journey. At some point everyone struggles, and she firmly believes that by therapeutically and non-judgmentally coming alongside her clients and meeting them where they are, facing obstacles together can provide hope, empowerment, and healing. When requested by the client, Heidi is happy to offer faith-based Christian and spiritually integrated counseling.

In her free time, Heidi enjoys spending time with her friends and family, volunteering at her church, and is a Guardian Ad Litem for children in the foster care system in Wake County.

Hannah Guffey

is a Licensed Professional Counselor Associate. Hannah's bachelor degree is from the University of Mount Olive where she graduated with honors in Clinical Psychology and then went on to earn her Master's degree from Campbell University in Mental Health Counseling. Hannah has worked with One-Eighty Counseling for over three years in an administrative role, while completing both her undergraduate and graduate internships with the practice.

Hannah's passion is working with adolescents and adults in the areas of mood disorders, anxiety, relationship issues, separation and divorce concerns, anger management, ADHD, women's issues, self-esteem, life transitional dynamics, and work stress. She also thoroughly enjoys working with adolescents and young adults on transitions to high school or college.

Hannah is pursuing a certification in Sports Psychology Coaching. She has been an athlete since the age of 7 and continued athletics all the way through college. She successfully works with athletes through the various stages and stressors that may arise from balancing athletics, academics and other life demands of the individual.

When working with her clients, Hannah uses an eclectic approach suited to each individual for achieving the client's best possible outcome. She may incorporate cognitive behavioral therapy (CBT), solution-focused therapy, and utilize a Person-Centered approach. If requested, she can also provide Christian Counseling.

Hannah has also enjoyed volunteering at Cherry Hospital in Goldsboro, her church, and has completed previous internships with Family Works Psychological Center.

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Phil Guistwite
Clinical Director for Mental & Behavioral Health Services

is a Licensed Marriage and Family Therapist as well as an Approved Supervisor with the American Association for Marriage and Family Therapy. He has worked with children, adolescents and adults in a variety of settings for over 35 years. Phil is an ordained clergyman who served as a US Army Chaplain on active duty for twenty years. During his service, he practiced psychotherapy with Soldiers, Airmen, Marines and Navy and Coast Guard members and their families. Phil served as an instructor for the Chaplain Corps and taught professional pastoral counseling to over 600 Chaplains of all faith groups. He also served as Senior Pastor in three civilian churches. His education includes two master degrees and advanced studies in two doctoral programs. He graduated from Columbus State University, Georgia with a Master Degree in Community Counseling with Special Emphasis in Marriage and Family Therapy.

His practice of therapy involves a systems approach to understanding the strengths of people. As folks encounter life's difficulties they sometimes need assistance in working through issues. He treats depression, anxiety, eating disorders, bi-polar disorder, adolescent struggles, parenting dynamics, familial conflict, marital stress, divorce concerns, ADHD in school-aged children, grief management, anger management, personality disorders, men's issues, women's issues, life transitional dynamics, work stress, addictions and trauma processing. Clients sometimes struggle with sexual identity issues, addiction issues as well as other relationship struggles and Phil has assisted clients in these and other areas of concern throughout his career. Phil treats other mental health disorders as well and he enjoys using EMDR (Eye Movement Desensitization and Re-processing ) to assist clients in the processing of previous trauma including PTSD (Post-Traumatic Stress Disorder). Based on full assessment, a treatment plan that addresses the goals of the client is designed and agreed upon in consultation with the client or client family and then therapeutic interventions are used to assist clients in developing added strengths to what they already do well. Additionally, Phil is specifically trained in spiritually-integrated psychotherapy so that clients who so desire, can address their faith and spiritual issues as part of their therapy. Specifically, Christian therapy is also offered.

Phil also has extensive training and certifications which include, Critical Incident Stress Management; Prepare-Enrich Instruments of Life Innovations; PREP and Christian PREP of the Personal Relationship Enhancement Program; Paiirs Communication Skills; Couple Communication Resources, Englewood, Colorado and using EMDR (Eye-Movement Desensitization and Re-processing) for trauma reduction and process.

A variety of models for therapy may be used based on client need. Phil is an Integrative Therapist and uses person-centered, psychodynamic, systemic, cognitive-behavioral, solution-focused, narrative, internal family systems, structural, metaframeworks and for clients who so desire, he is trained in spiritually-integrated psychotherapy and Christian counseling as well.

—M.Div., M.S., LMFT, Clinical Fellow AAMFT

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E.J. Hanks

is a Licensed Marriage and Family Therapist.

A Cary N.C. native, E.J. graduated with honors from Pfeiffer University, a COAMFTE accredited program, with a Master of Arts in Marriage and Family Therapy. He obtained a Bachelor of Arts with honors from North Carolina Wesleyan College, and completed a graduate level management and leadership program at the University of Louisville, Kentucky.

He works with a diverse group of individuals and couples struggling with a variety of issues including depression, anxiety, parenting difficulties, relationship distress, divorce/separation, grief, stress, and anger management. E.J. has worked extensively with the public safety and the military community focusing on trauma and stress on the family. His approach tends to be cognitive-behavioral (CBT) and family systems oriented. At times E.J. may draw on narrative, solution focused and integrative approaches. All of these models have components of individual, couple and family therapy. He will tailor his approach to the specific need of each client. E.J. has received training in EMDR (bilateral stimulation) and Cognitive Processing Therapy (CPT-C) an effective treatment model endorsed by the International Society of Traumatic Stress Studies and the U.S. Departments of Veteran Affairs and Defense. Additionally, he is a Certified Clinical Trauma Professional (CCTP) through the International Association of Trauma Professionals. E.J. is also a certified facilitator for Prepare/Enrich, a well-researched assessment tool that is uniquely designed for couples to explore and strengthen their relational bond. Through a series of exercises and education, this program has been shown to significantly improve a couple's relationship.

E.J.'s goal is to facilitate a successful therapeutic experience based on a trusting partnership between the client and therapist. It takes combined experience, energy, and effort to work together on developing new perspectives and skills, making positive changes, and forming a new outlook on life. E.J. welcomes the opportunity to work with you to meet your goals.

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Erin Moser

Erin is a Licensed Professional Counselor (LPC). She holds a Bachelor of Arts in Psychology, which she obtained in 2004 from the University of Toledo in Toledo, Ohio. In addition, she holds a Master of Arts with high distinction in Professional Counseling, which she obtained in 2013 from Liberty University in Lynchburg, Virginia.

Erin enjoys working with children, adolescents, adults, and families, and has over 9 years of experience providing client-centered counseling services to various populations in Ohio and North Carolina. She has provided both inpatient and outpatient care, and has clinical experience in the areas of depression, anxiety, bipolar disorder, adolescent struggles, parenting struggles, behavior problems, ADHD in school-aged children, grief management, anger management, life stress, sexual identity issues, addictions, self-harm, self-esteem, and trauma. Erin is trained in Parent Child Interaction Therapy (PCIT) and is pursuing certification in Eye Movement Desensitization and Reprocessing (EMDR) for trauma reduction and process.

Erin believes the therapeutic relationship is essential to success and works to establish a solid relationship built on trust and understanding. She strives to put clients at ease by providing a safe, open, and non-judgmental atmosphere where they can discuss difficult matters and focus on personal growth. Erin uses an eclectic blend of therapeutic modalities tailored to the individual, which include Cognitive Behavior Therapy, Solution Focused Therapy, Motivational Interviewing, and Motivational Enhancement Therapy. She also provides Christian or faith-based counseling upon request.

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Maria Rau

Maria Rau is a Licensed Clinical Social Worker. She earned her Master’s degree in social work from Boston University and her Bachelor’s degree in psychology from Kansas State University.

Maria has worked with nonprofit organizations for the past 5 years and has enjoyed assisting individuals of many different backgrounds. Maria has experience working with currently and formerly incarcerated men and women and their families, military service members and their families, couples, women’s issues, and children. Maria works with various challenges including anxiety, depression, past trauma, couples work, anger management, stress management, and identity. Through her work with the forensic population and the military, Maria has a special interest in treating “moral injury” and PTSD (Post-Traumatic Stress Disorder).

Maria is trained in Motivational Interviewing, PREPARE/ENRICH couples counseling, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Trauma Treatment and Interventions. Maria enjoys creating a trusting therapeutic relationship and uses an eclectic, person-centered approach to assist individuals in reaching their goals. Having an accepting, nonjudgmental atmosphere is very important to Maria and she strives to offer a safe space for you to process and explore the challenges and triumphs life brings.

In her free time, Maria enjoys spending time with her husband and two children, volunteering for organizations assisting justice-involved women, exercising and being outdoors (unless it’s cold :)).

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Eb Roberts

is a Licensed Professional Counselor (LPC) with over 20 years of clinical experience in treating individuals and couples.

Eb received her Master's in Counseling from the University of North Carolina at Charlotte and her Juris Doctorate from Georgia State University. She has worked with professionals managing depression, substance use/abuse, anxiety, life-work balance stressors, eating disorders, and sexual matters. She has special interest and expertise in treating these issues as well as Asperger's, couples work, pre-divorce counseling, and career/employment counseling.

Drawing from many years serving from a Christian Counseling perspective and working in addiction circles in metro Atlanta, Eb enjoys meeting clients where they are and partnering with them to consider and predict the natural consequences which come to bear based on choices. Her approach to therapy integrates mindfulness with solution-focused and reality approaches.

Often we are driven into counseling either by an internal or external demand which no longer allows us to exist as we are. Counseling is about making a choice to manage life differently, or not — and not making a choice ... is nevertheless still a choice.

"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom."

~ Anaïs Nin

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Alyssa Savino

Alyssa is a Licensed Clinical Social Worker with a Master's degree in Social Work from the University of North Carolina at Chapel Hill. She also holds a Bachelor's degree from the University of North Carolina at Chapel Hill with a double major in Psychology and Spanish. During college she studied abroad in Seville, Spain and has traveled to over twenty countries. Alyssa has a heart for different cultures and offers bilingual services in Spanish.

Alyssa has more than four years of experience conducting therapy with children and adults. She practices from an eclectic approach, but most heavily draws from cognitive behavioral therapy. Alyssa is completing training with the NC Child Treatment Program to be a rostered Trauma Focused Cognitive Behavioral therapist for children. Alyssa specializes in working with children, teens, and young adults with a variety of concerns. She has a passion for working with teens and young women struggling with self-esteem, anxiety and depression. Alyssa recognizes the important role of parents in making progress when working with children, and incorporates parent education and family therapy in her sessions. She also offers Christian counseling upon request.

Recognizing the value of the therapeutic relationship, Alyssa takes time to build this relationship to better understand each individual and their unique backgrounds, needs, and goals. She meets each person where they are to partner with them to impart empathy, compassion, and guidance to walk through their struggles.

Erica Smith

Erica K. Smith, MSW, LCSW is native to Raleigh. She received her B.A. in Psychology from UNC Chapel Hill, with a double minor in Social and Economic Justice and African-American studies. During her time at UNC, she was actively involved in multiple campus and community organizations raising awareness about dating violence, sexual assault and healthy relationships. After graduating, Erica went to North Carolina State University where she completed her Master of Social Work. Erica has always had a focus on interpersonal issues surrounding children and teenagers. While a student, she was able to volunteer and do research in India, Guatemala, and the Dominican Republic to learn more about different culture's approaches to community issues often faced by at-risk populations. After graduate school, Erica first began working for a domestic violence agency, which inspired her to begin her work in mental health. 

For the last few years, Erica has worked as an outpatient therapist for children, teens, and young adults in individual, group, and family therapy settings, most of which have experienced trauma. Erica is in process of completing an EMDRIA-Approved EMDR Therapy Basic Training Program, with the intent to pursue full certification to become a certified therapist in EMDR. Her other trainings includes Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and motivational interviewing which assist clients in reaching the healthy therapeutic and life goals they have set for themselves. She has experience working with a wide range of cultures and socio-economic background, and especially enjoys working with middle school, high school, and young adult ages. Her passion and clinical experience is working with people in the areas of relationship issues, domestic violence, life transitions, self-esteem, anxiety, and depression. Erica uses a holistic, person-centered approach, and also provides faith based counseling upon request. In sessions, she particularly enjoys using a variety of techniques to engage clients in ways that are relatable to each individual.

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