We take pride in our friendly and professional staff. Our therapists are certified at the WI state levels. We regularly attend seminars and conventions to ensure that our work is informed by the most advanced psychoanalytic methods.

Meet Our Therapists

Ann Fleming, MSW, LCSW


Ann is a Licensed Clinical Social Worker who enjoys working with children, adolescents, adults and couples.


Her areas of clinical interest include ADHD, anxiety, depression, mood disorders, trauma, divorce issues, couples therapy and parenting issues.  


In addition to working in an outpatient setting, Ann has experience working with in-home family therapy and inpatient mental health care.  Ann also has further training in Trauma counseling.


Her goal as a therapist is to allow people the space to feel supported and understood.  Ann believes that her clients and parents are the experts on their situation and her role is to educate, collaborate and support the client and/or family to facilitate change.  Ann uses a combination of therapeutic techniques to best help each person's individual needs.

Debra Johansen-Goh, Ph.D.


Deb is a licensed psychologist listed on the National Register of Health Care Providers.  She earned her doctorate degree from Marquette University.


Deb believes that change can occur at any time during the lifecycle.  She has extensive experience working with children as young as age three, and adults well into their later years.  


Deb's primary approach to facilitating change is a cognitive behavioral one.  Simply put, the focus of treatment is on thinking, and how thinking influences emotional reactions and behavior.  By shifting our thinking, we can improve how we feel and the way we act.  The approach is supportive, direct, and interactive.  After an initial assessment, a treatment plan, which specifies goals and expected outcomes, is developed with the client.  The frequency with which the client needs to be seen, and the estimated time to complete treatment is jointly decided.


When working with children, parental involvement is crucial.  Children are more likely to express their concerns through behavior than with words. The initial assessment of a child involves gathering information and observations from people who know the child best.  That information is used in developing a treatment plan.  Young children may be seen in play therapy.  Older children may be seen individually with parental involvement.  The focus is on improving coping skills, and other issues identified in the assessment.  Parents may be seen to expand and improve upon their parenting skills.

Nicole Johnson, MS, LPC, LMFT


Nicole is a Licensed Professional Counselor and a Licensed Marriage and Family Therapist who works with children, adolescents, adults, and couples in private practice.  


She also has experience working in treatment fostercare, in an outpatient hospital setting, as well as providing supervision of an in-home therapy program.  


Her areas of clinical interest/specialized practice include depression, anxiety, trauma, divorce adjustment, blending families, parenting and couple's therapy.


Nicole's goal as a therapist is to bring experienced insight to the situations and problems of her clients.  She believes that progress occurs when people are helped to recognize and enhance their strengths, empowering them to arrive at their own solutions.  She has a collaborative approach, working as a partner with her clients to clearly identify conflicts and set short term goals.  She believes it is important to focus on the future by building upon each individual's life experiences, skills and values.

Jessica Tuma, LPC


Jessica is a Licensed Professional Counselor who has an extensive and varied professional background.


Her experience in the Milwaukee area has focused on mental health, family and children's problems.


She offers clients a non-judgemental and compassionate approach, while working in partnership to help them find a positive outlook, an inner balance and an expanded set of skills to manage their life issues.


She has a special interest in improving the health and quality of life for people struggling with personal life challenges. 


As a therapist, Jessica has worked in depth with children, adosescents and adults.


Her work has addressed the personal issues of physical, emotional, and sexual abuse and trauma, depression, anger management, pervasive mental health disorders, children's functional problems at home and school, and bereavement counseling.

Michael Houle, LCSW


Michael Houle,  is a Licensed Clinical Social Worker.  Michael works with adult men and women dealing with depression, anxiety, sexual identity and couples with relational/marital issues. 


He primarily uses a cognitive behavioral approach.  He encourages his clients to explore their perceptions of their situation to see what is stopping them from getting what they want out of life or their relationships.  Michael plays an active role in the sessions but keeps the focus on the client’s thought process and feelings, while aiding them in finding what changes are needed in their lives.  He focuses on the clients’ strengths and assists them in finding ways to empower themselves to face life’s challenges.


Michael has extensive training and experience in addictions, which he utilizes, if addictions are a part of the client’s situation, but not their primary clinical need.

Michael has also worked with the gay community helping them with sexual identity, coming-out, and relationship issues.

Lauren Barnhart, LPC


Lauren is a Licensed Professional Counselor who completed a Master's in Counseling from Arizona State University.


She works with adolescents and adults in individual and couples formats and specializes in the treatment of emerging adults.


Her areas of clinical expertise include depression, anxiety, trauma, grief, relationship issues, and stress management. Lauren has completed extensive training in Trauma Focused Cognitive Behavioral Therapy, which is an evidence-based treatment of trauma for individuals up to age 18.


She uses a strength-based, non-judgmental, and collaborative approach with clients that uses cognitive-behavioral skills to enhance coping.   

Maria Bishop, LPC


Maria received her B.A. from Alverno College in Psychology and Professional Communications. She earned her M.S. in Clinical Counseling from Mount Mary College and has pursued advanced training in following areas: Treatment for trauma related issues, integration of mind, body awareness through Mindfulness Based Stress Reduction training, art & sand tray therapies, Jungian dream analysis, sex addiction and related issues.

Maria is an EMDR certified clinician through the EMDR institute. In addition, she completed certification in a Mindfulness program called “.b”, for adolescents, through the University of San Diego. Maria also holds a 200 hour certification in Hatha Yoga and Pilates instruction and is an adjunct professor at Mount Mary College within the Master's level counseling program. She enjoys giving back to the mental health field, to aspiring clinicians, through clinical supervision.

In October of 2016, Maria began a non-profit called “Breath of Courage’, in which the mission is working with sexually abused and trafficked survivors through the therapeutic modality of photo-art. The mission encourages hope and healing through photo storytelling, while survivors embrace a self- narrative, free from shame. Breath of Courage has a Facebook page that documents the heart of the mission, of this hope and healing, that is occurring in Southeastern Wi.

As a mental health professional, Maria assists individuals in finding clarity and inspiration in their lives. In a holistic and safe environment, she is supportive within the process of unearthing heart values in order for individuals to find their own congruent answers. Maria likes to explore life with sincere passion and joy, acknowledging how the intrinsic values of interpersonal relationships within our lives can bring transformation. In addition to her clinical work, Maria's has a love for the outdoors and water, believing that nature can reach deep within to bring awareness and healing.

Jen Sarafin, LCSW


Jen is a Licensed Clinical Social Worker who works with adult individuals, couples and adolescents. She has experience working with life transitions, anxiety, depression, aging, and caregiver issues. Her particular areas of interest include gender and sexual identity, relationship issues, family issues, problems with attachment, and eating problems.


Jen believes that her clients are the experts in their own lives and that her job as a therapist is to help them to look at old problems in new ways. She uses primarily psychodynamic and attachment approaches, as well as mindfulness and cognitive behavioral tools when appropriate. Regardless of theory or technique, she works to create a warm, safe, comfortable space where clients feel able to think and talk about vulnerable topics. Jen believes that her relationship with the client is the foundation of that space and the most basic, important aspect of the therapy.