Our Counseling program offers professional counseling by state licensed and master's degree-level therapists for individual, couples (married or otherwise) and families.
Who We Treat
We treat children as young as 3-5 years old, teens, young adults through older adults. We serve families, individuals, parents, and couples.
How We Can Help
We all go through hard times at some point in our lives. Some individuals seek out counseling to receive support through a normal yet stressful life transition such as coping with the stress of school or a new job, being able to better handle parenting challenges, facing the empty nest, dealing with retirement, etc. Other times, life presents us with unexpected challenges such as coping with the loss of a loved one, marital difficulties, going through a divorce, dealing with chronic health problems, losing a job, etc. Whether you are dealing with one of life’s challenges or have a mental health concern such as clinical depression, anxiety, bipolar disorder, PTSD, ADHD, substance abuse, etc., we can help.
Below are just some of the issues our counselors can help you with:
- Anger Management
- Attention Deficit Disorder
- Bipolar Disorder
- Childhood Disorders
- Childhood Sexual Abuse
- Communication Problems
- Couples' Issues
- Divorce Adjustment
- Grief Issues
- Job Stress
- Mood Disorders
- Obsessive Compulsive Disorder
- Oppositional Defiance Disorder
- Panic Disorders
- Parenting Issues
- Physical & Verbal Abuse
- Post Traumatic Stress Disorder
- Stress Management
- Substance Abuse
- Workplace Issues
What To Expect At The First Appointment
When you call to make your initial appointment, our counseling receptionist will ask you some questions including why you are seeking counseling, what the age of the client is, whether you are covered by private health insurance, an employee assistance program, Medicaid, Medicare, HIP.2, or another funding source. If you do not have coverage, they will tell you about our sliding fee scale and what you need to bring to your initial session in order to be eligible for a possible fee reduction. At that time, they will try to assign you to the therapist that appears to be the best fit for you and your needs.
Your first appointment will take approximately an hour and a half. When you arrive, you will be given a packet of intake paperwork to fill out, or you can download it from our website and complete it prior to your first appointment - (Intake packet ADULT
, Intake packet CHILD).
Your counselor will then meet with you and gather information about what problem brought you to counseling, what your background and family history are, what kind of support system you have, and what your goals for treatment are. At this time, you and your counselor will discuss how often you will meet, and what treatment is recommended.
We understand that the information you share in counseling is of a personal nature, and that you would want it to remain private. Therefore, it is important for you to know that your therapist is very committed to maintaining your confidentiality and will only speak to others when you have given specific written permission to share information regarding your treatment with a specific person or organization and in compliance with HIPAA laws (click here for our Notice of Privacy Practices). That said, it is important to state that there are also three situations in which we are required by law to disclose information about you:
When there is a court order or subpoena from a judge;
When there is reasonable suspicion of child or adult abuse, neglect, and/or endangerment;
If we believe that you are in real danger of harming yourself or someone else.
Our Counseling Staff
Annette Brehm, MSW, LCSW~ is a Licensed Clinical Social Worker, specializing in the treatment of children and teens, ages 9 and up. Annette is experienced in assisting clients and their families with problems such as ADHD, Oppositional Defiant Disorder (ODD), Autistic Spectrum disorders (ASD), depression, anxiety, trauma (e.g., sexual abuse, domestic violence), loss (e.g., death of a loved one, moving), and life adjustment problems. Annette utilizes a developmental perspective, age-appropriate cognitive-behavioral (CBT) strategies, parent training, attachment theory, age-appropriate mindfulness training and solution-focused therapy. She also counsels individual adults with a wide range of issues and utilizes treatment strategies informed by family systems, trauma recovery, EMDR, mindfulness, CBT, developmental theories, interpersonal effectiveness and, if requested by the client, spirituality. Annette is married, has 2 children and resides in West Lafayette.
Kayla Carlson, LSW ~ is a Licensed Social Worker who provides therapeutic treatment to individuals 4-years and older. In therapy, Kayla strives to create a space for self-exploration and growth, as individuals explore current struggles and past hurts or traumas. Kayla has worked as a social worker for 7 years and specializes in working with children. She also works with adult clients and has experience working with issues ranging from ADHD, depression, anxiety, anger, adjustment to phase of life circumstances, traumas (abuse/neglect), losses (death of a loved one, separation, etc.), self-esteem issues and stress management. While each case requires individualized treatment, Kayla often utilizes cognitive behavioral therapy, solution-focused therapy, mindfulness, play therapy, and parenting education/strategies with a strengths-based perspective. Kayla is married and enjoys taking time for creative activities, walks, reading, and general self-care.
Zac Doscher, LMHC, MA ~ is a Licensed Mental Health Counselor and has a Master of Arts degree in Clinical Mental Health Counseling. He believes that our ways of thinking and perceptions of both situations and their consequences drive our behavioral and emotional functioning. He enjoys working with adolescents and adults to assist with the development of skills and adjusted ways of thinking to alleviate symptoms related to mood dysregulation, interpersonal difficulties, depressive and anxious presentations, traumatic experiences, and attention and social concerns; he also has experience with and enjoys working with individuals managing substance use concerns. His primary treatment approaches include Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). He has previously worked in substance use residential facilities for adolescent males as well as in a community mental health center.
Ray Graham, LCSW, LCAC ~ started in the mental health field as a psychiatric technician in 1986, and soon after obtained certification as a substance abuse counselor. Ray then went to work at Koala Center in Lebanon, IN, Counseling Center in Indianapolis, IN --- while completing a Master's Degree in Marital and Family Therapy at Butler University in Indianapolis. After graduating in 1994, he worked as a therapist at Willowstone Family Services, back when it was still called Family Services, Inc. During Ray's career, he has also completed a Master of Social Work Degree at the University of Southern Indiana and has worked as a therapist at Ireland Home Based Services in Evansville, IN, the Samaritan Center in Vincennes, IN, and Within Sight, in Evansville.
He lives with his wife Dawn in Lafayette, with Annie the dog and Les Nessman the cat. Ray is an amateur (because he rarely gets paid) actor, having appeared in a number of stage plays and some Indy films.
"I have worked with clients suffering from anxiety and depression and chemical dependency ---- I have always been an advocate for my clients and believe that all have the ability to grow and heal. Other work that I do and that has interested me has been work with issues from family of origin, and work with male issues. In recent years I have done an increasing amount of work with males who are confronting life challenges and transitions."
Dan Lima, PhD, LMHC, LCAC, LSW ~ is a Licensed Mental Health Counselor, Licensed Clinical Addictions Counselor and a Licensed Social Worker. He enjoys counseling children (5-12), teens (13-18) and adults in individual, adolescent groups and family therapy. Issues addressed include ADHD, Oppositional Defiant Disorder (ODD), Adolescent alcohol and drug abuse, Asperger’s/Autistic Spectrum disorders, depression, anxiety, trauma. His treatment approach is Cognitive Behavioral Therapy (CBT) and Rational Emotive Behavioral Therapy and Trauma Focused CBT. Dan has worked in the past in Lafayette for Koala Counselling, Charter Hospital, and Cummins Behavioral Health System, Building Blocks in Education and recently for Community Howard Behavioral Health, were he worked mostly with adolescents from Clinton County Probation.
Jamie Petersen, LSW ~ is a Licensed Social Worker providing treatment to individuals ages 16 and older. She has been in the mental health field for over 10 years, working primarily with adults and older adolescents facing a wide variety of issues, including depression, anxiety, trauma, substance abuse, bereavement, life adjustment issues, relationship problems, and chronic mental illness (such as Bipolar Disorder and Schizophrenia). Jamie is also trained in addressing LGBTQ and gender issues. Her primary therapeutic approaches include Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), solutions-focused strategies, and Cognitive Processing Psychotherapy. Jamie lives in Lafayette and enjoys reading, cooking, going to the gym, and spending time with her loved ones.
Heather Spiering, LMHC ~ is a Licensed Mental Health Counselor and has a Master of Arts degree in Clinical Mental Health Counseling from Valparaiso University. She has experience working with children (ages 4 and up), adolescents, and adults with anxiety, depression, trauma, adjustment issues, substance use problems, ADHD, loss, and parenting. She is interested in helping individuals learn the skills necessary to succeed in various phases of life. Outside of the office, Heather is active with her church and her family.
Sara Tyner, LMFT ~ received her Master of Arts degree in Marriage and Family Therapy from Appalachian State University in North Carolina. Sara enjoys working with teenagers and the unique set of challenges with which they, and their parents, are often confronted. She also has significant experience working with adult individuals and couples. She is trained in treating depression, anxiety, relationship problems, domestic violence, low self-esteem, life transitions, and women’s issues.
To Schedule An Appointment please call 765-423-5361.
Howarth Center, Suite 101
615 North 18th Street
Lafayette, IN 47904
Please do not send an email regarding an appointment, appointments are scheduled by phone only.
Hours Of Operation
Monday, Tuesday & Thursday: 8:00am-8:00pm