Our Cary Team.
Our therapists are located at 1151 Executive Circle, Cary, NC 27511. We provide caring support for children, adolescents, and adults to help you through life's challenges. Our dedicated team of therapists are committed to creating a safe space for healing and growth. Contact us today to begin your journey toward wellness.

Megan Czuba MSW, LCSW
Accepting New Clients
Insurance: Aetna, BCBS, Cigna,
MedCost, & Self Pay
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In Person (Cary Office) and Virtual
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Children ages 5+
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Tweens
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Adolescents
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Young Adults
Specialties: ADHD, Autism, Behavioral Issues, Depression, Divorce, Anxiety, Executive Functioning, School Issues, Emotional Regulation, Self-Esteem, Life Transitions, Trauma, Grief/Loss, Anger, Mood Disorders, Self-Harm, LGBTQIA+
Life today is a lot; school, work, partners, social lives, social media-you name it. Whatever you are feeling and going through, therapy can help. I am deeply committed to creating a space where children, adolescents, and young adults feel safe, seen, and understood. I know that life can feel overwhelming at times, especially when navigating challenges like anxiety, depression, grief, trauma, self-esteem or difficult transitions. My goal is to walk alongside you or your loved one as we work together toward healing, self-discovery, and growth. My approach is individually centered, meeting personal needs with honest communication, humor, warmth, compassion & empathy. I utilize different therapeutic styles, such as art and play therapy, that meet the goals we set together. My commitment is to be there every step of the way, creating a space where you or your child can feel understood and supported. I am proud to support and affirm all identities and experiences, including those from LGBTQIA+ communities, neurodivergent individuals, and people from diverse cultural backgrounds. I believe that embracing who you truly are is an essential part of healing, and I am here to help every child, teen, or young adult feel confident and empowered in their journey.

Lacey Rothfuss MS, LCMHCA
Accepting New Clients
Insurance: Aetna, BCBS, Cigna,
MedCost, Self Pay
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In Person (Cary & Virtual)
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Children ages 4+
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Tweens
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Adolescents
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Young Adults
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Adults
Specialties: Child/Teens/Tweens w/t ADHD/ASD, ARFID, Anxiety, Grief & Loss, Depression, Behavioral Issues, Trauma, Divorce, Family Issues, School Issues, Parenting, Body Image, Self Esteem, Bariatric, Obesity, IVF, Women's Issues, LGBTQIA+
I believe therapy works best when it's built around the person in front of me ... not a checklist, not a diagnosis, not a one-size-fits-all protocol. When you talk with me, that's just it: you talk with me. I meet kids, teens, and adults where they are, and I bring my own neurodivergence and facial differences into the room as part of that, not as something to explain away, but as proof that difference can be a source of curiosity, resilience, and self-discovery rather than something to hide from. Before becoming a therapist, I spent years working directly with kids and individuals with disabilities as a teacher's assistant, a daycare teacher, and a habilitation technician. That hands-on experience shaped how I show up in the therapy room today, I learned early how to meet people exactly where they are developmentally and emotionally, how to build trust with kids who don't trust easily, and how to support individuals working toward greater independence in their daily lives. It's part of why my approach with children stays genuinely child-centered rather than borrowed from adult frameworks. My work spans a wide range of life stages and transitions. With children and teens, I use a child-centered approach that respects their pace and their voice. With adults, I often support two populations navigating deeply physical and emotional crossroads: bariatric patients preparing for and recovering from surgery, and individuals and couples going through IVF — including the specific grief that comes when a round doesn't succeed. These are experiences that reshape identity and body and hope all at once, and I walk alongside my clients through all of it. I hold an active LCMHCA credential in North Carolina and am working toward full licensure (LCMHC) under board-approved clinical supervision. I earned my M.S. in Clinical Mental Health Counseling with distinction, and my B.A. in Psychology from the University of Mount Olive. Above all, I want the people I work with to feel curious about themselves again — to explore who they are without fear of judgment, and to know that their story, whatever shape it takes, is welcome here.

Madison Reese LCMHC, NCC
Insurance: Aetna, BCBS, Cigna,
MedCost, Optum, UHC, Self Pay
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In Person (Cary Office Fridays) and Virtual
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Teens 16+
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Young Adults
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Adults
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Couples
Specialties:
Anxiety, High Achievement/ Perfectionism, Postpartum Transitions, Perinatal Mental Health, Women’s issue, Parenting Support, Relationship issues, Communication, Divorce, Trauma, Eating Related Concerns, OCD, Body Image Concerns, Birth Trauma, Life Transitions, Self-esteem/confidence.
Modalities: ACT, Client-Centered, CBT, Mindfulness-based.
Hello, and welcome! My name is Madison, and I am a Licensed Clinical Mental Health Counselor. I have been practicing for nearly six years and have had the privilege of supporting individuals from diverse backgrounds facing a wide range of mental health concerns and life challenges. I have a heart for walking alongside individuals as they navigate life’s most tender and complex moments. My approach is warm, genuine, and deeply curious. I believe that healing happens in spaces where we feel truly seen, heard, and supported without judgment. I specialize in working with trauma, anxiety, eating and body image concerns, relationship challenges, perinatal mental health, and postpartum transitions. These experiences often come with layers of emotion, identity shifts, and vulnerability and I consider it an honor to help clients explore and understand their stories in a way that fosters self-compassion and empowerment. Whether you’re feeling overwhelmed by anxiety, stuck in patterns with food or your body, navigating the ups and downs of relationships, or adjusting to pregnancy and life after baby, I offer a safe and grounded space to help you reconnect with your inner wisdom and resilience. I see therapy as a relationship rooted in trust and curiosity, where we work together to uncover the patterns that no longer serve you and explore new ways of being that align with who you are and what you value. If you’re ready to take that next step toward healing, I’m here to meet you with warmth, empathy, and respect, wherever you are on your journey.

Kyera McCrimmon MA, LCMHCA
Insurance: Aetna, BCBS, Cigna,
MedCost, Self Pay
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In Person (Cary Office) and Virtual
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Children ages 5+
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Tweens
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Adolescents
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Young Adults
Specialties: Neurodiverse Parent Coaching, Relationship Issues, Child/Teens/Tweens w/t ADHD/ASD, Anxiety, Grief, Self esteem concerns, depression, Exposure Therapy, attachment concerns, family challenges, Stress/Transitions, Career Counseling, Grief and Loss, LGBTQIA+, Behavioral Concerns, Christian Counseling (at request), school concerns (can provide IEP/504 support/guidance)
Welcome! I am passionate about creating a space where children, teens, and their families feel accepted, understood, and empowered. I specialize in working with neurodivergent individuals, particularly those with Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder. I provide therapy for children and teens, and also offer parent coaching sessions to support caregivers independently in navigating the challenges of raising a neurodiverse child. Raising a neurodiverse child can come with unique challenges related to emotional regulation, sensory sensitivities, and behavior. I work closely with families to understand the “why” behind behaviors and provide practical, evidence-informed strategies that support progress at home and beyond. My approach is warm, collaborative, and tailored to each child’s needs, using Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and play-based techniques to help children build coping skills, strengthen emotional awareness, and navigate social experiences. When working with parents, I incorporate CBT-informed strategies and parent coaching to help you feel more confident and equipped—and yes, we might laugh, keep it real, and even cuss a little along the way. If you’re feeling overwhelmed, whether as a parent or for your child, you don’t have to navigate it alone. I’m here to support you.

Kat Anderson MS, LCMHCA
Accepting New Clients
Insurance: Aetna, BCBS, Cigna,
MedCost, Self Pay
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In Person (Cary & Virtual)
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Children ages 6+
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Tweens
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Adolescents
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Young Adults
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Adults
Specialties: ADHD, Anxiety, Behavioral Issues, Trauma, Identity-Related Stress, Self-harm, Depression, Divorce, Family Issues, Mood Disorders, Interpersonal Conflict, Grief & Loss, School Issues, Parenting Issues, Infertility, Life Transitions, Women's Issues, Men's Issues, LGBTQIA+
No matter the age, we all understand the power of being deeply understood. I’ve always been fascinated by the ways people tell their stories—through imagination, humor, honesty, or the things they care about most—and I offer a space where those stories can unfold with support and curiosity. I’m a therapist who supports children, tweens, adolescents, young adults, and adults as they navigate the complexities of growth, identity, relationships, and emotional wellbeing. My work is grounded in a warm, person‑centered approach that honors each individual’s lived experience, while integrating trauma‑sensitive and developmentally informed practices to support meaningful, lasting change. With younger clients, I use play therapy and creative expression to help them communicate what they can’t yet put into words. With tweens and teens, I create a space where they can explore their emotions, strengthen self‑awareness, and build a more grounded sense of agency during a time of rapid developmental change. I bring in games, creative activities, and genuine interest in their interests—whether that’s music, art, sports, or the latest fandom—to help them feel connected and invested in the work we’re doing together. With young adults and adults, I offer a supportive environment to explore identity, relationships, stress, anxiety, trauma, and life transitions. I help clients deepen insight, build emotional resilience, and develop practical tools for navigating challenges with clarity and confidence. I aid in building self compassion, and the wonderful effects it has on our inner and outer world. My therapeutic approach draws from person‑centered therapy, cognitive behavioral therapy, and play therapy, allowing me to tailor treatment to each client’s developmental stage, goals, and strengths. Person‑centered therapy guides the relational foundation of my work—offering empathy, acceptance, and attunement. CBT provides concrete strategies for understanding thoughts, feelings, and behaviors, supporting clients of all ages in building skills they can use in daily life. Play therapy supports younger clients in expressing themselves naturally and safely, especially when words feel too big or too small. Across all ages, my goal is to create a space where people feel safe, supported, and empowered as they move toward greater emotional resilience, self‑understanding, and a more grounded sense of self. I stand firmly in my belief that all identities deserve affirmation, and all humans deserve acceptance.

Serena Roberts MA, LCMHC
Insurance: Aetna, BCBS, Cigna,
MedCost, Optum, UHC, Self Pay
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In Person (Cary Office) and Virtual
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Adolescents
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Adults
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Couples- Self Pay
Specialties: Anxiety, Depression, ADHD, Behavioral Issues, College & School Issues, Life Transitions, Communication Issues, Parenting, Interpersonal Relationship Conflict, Grief, Gender and Sexuality, Men's issues, Women's Issues, Pregnancy, Postpartum and Self-Esteem, Marital Issues
Hello! My name is Serena Roberts. I have my master’s degree in clinical mental health counseling from West Virginia University and I am a national certified counselor. I have experience working with children, adolescents, and adults of diverse identities and backgrounds. I am trauma-informed and provide gender affirming and culturally sensitive care. I use evidence-based theories and interventions such as Cognitive Behavioral Therapy, Transactional Analysis, Solution-Focused Brief Therapy, Mindfulness interventions, Play Therapy based techniques and approaches, Person-Centered Therapy, and Acceptance and Commitment Therapy. I tailor my therapeutic approach to each client to best support their needs and growth. I am here to actively listen and provide you with the tools and strategies to help improve your overall well-being and relationships. I help set personalized goals for each of my clients and work collaboratively with clients in a safe, non-judgmental space. Everyone has a different journey with their mental health and I am here to support you!

Anna Brooke O'Quinn MSW, LCSWA
Insurance: Aetna, BCBS, Cigna,
MedCost, Self Pay
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In Person (Cary Office) and Virtual
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Children ages 3+
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Tweens
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Adolescents
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Young Adults
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Adults
Specialties: ADHD, Autism, Behavioral Issues, Depression, Anxiety, Eating Disorders, Body Positivity, ARFID, Self-Esteem, Grief & Loss, Trauma, Family Issues, Sports Performance, School Issues, Chronic Illness, Women's Issues
Being a kid, teen, or young adult today can feel like a lot. Big feelings, school stress, friendship drama, family changes, and the pressure of “what’s next.” The good news? You don’t have to face it alone. That’s what I’m here for! I love helping kids with autism build confidence, discover what makes them shine, and find tools that actually work! I also support teens and college students navigating stress, anxiety, and all the ups and downs of growing up. Therapy with me isn’t about sitting stiffly on a couch. You can show up exactly as you are, silly, anxious, quiet, loud, or overwhelmed. We’ll tackle the hard stuff, celebrate wins, and practice strategies that make life feel lighter! For my younger clients, play is the magic. I keep my space full of Play-Doh, crayons, paint, games, and fidgets! Mess, laughter, and creativity are encouraged always. Therapy here isn’t just helpful. It can be fun, exciting, and even joyful!

Patrick Tawil MS
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In Person (Cary/Durham & Virtual)
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Adolescents
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Young Adults
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Adults
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Couples
Specialties: Anxiety Disorders, College/Career Support, Depression, Bipolar Disorder, Trauma, Performance & Academic Anxiety, Relationship & Interpersonal Concerns, Marital Issues, Self Esteem, Identity Development, Coping Skills & Emotional Regulation, Suicidal Ideation, Borderline Personality Disorder, Personal Growth, Stress, Body Image, Mindfulness, Life Transitions
Accelerated Resolution Therapy (ART), Emotional Focused Therapy (EFT), Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT).
Hello! My name is Patrick, and I am a Mental Health Counselor. I believe therapy is a place where you feel heard, understood, and accepted as you are. My approach is supportive and collaborative. Rather than focusing only on what may be “wrong,” I want to help you better understand yourself, recognize the strengths you already have, and feel more confident in your abilities. I primarily practice from a Person-Centered and Acceptance and Commitment Therapy (ACT) approach, while incorporating Cognitive Behavioral Therapy (CBT) and Emotionally Focused Therapy (EFT) when helpful. I am also trained in Accelerated Resolution Therapy (ART), which can quickly help people process distressing or traumatic experiences without requiring you to talk about them in detail. I don’t believe we have to eliminate every uncomfortable thought or feeling to live a meaningful life. Instead, therapy can help us learn to make room for difficult feelings and emotions while continuing to move toward the people, values, and experiences that matter most to us. Whether you’ve been in therapy before or this is your first time, we’ll start wherever feels right for you and create a space where you can feel comfortable being yourself. We’ll work together at a pace that feels right for you. My goal is for you to leave each session feeling supported, encouraged, and empowered to take meaningful steps forward!
Location
1151 Executive Circle Suite 201 B
Cary, NC 27511