Mental Health & Child Welfare Stakeholders Sign-on Letter

Joint Statement from Mental Health and Child Welfare Stakeholders: Remaining Committed to Supporting Gender Affirming Care

In response to the February 18, 2022 non-binding opinion from Texas Attorney General Ken Paxton and subsequent letter from Governor Greg Abbott to Department of Family and Protective Services Commissioner Jaime Masters, the undersigned 56 mental health organizations, child welfare organizations, and advocates write to express intense concern about any further action that would, by policy, practice, or statute, define gender-affirming care as child abuse and/or neglect. Any attempt to characterize gender-affirming care, including medical and mental health treatment, as “child abuse” carries significant potential negative consequences for families, transgender children and adults, mental health and medical professionals, as well as for professionals working in and around the child welfare system.

The undersigned group of stakeholders has remained opposed to any redefining of child abuse, including through proposed legislation filed during the 87th Legislative Session and in response to Commissioner Jaime Masters’ August 11, 2021 letter to Governor Greg Abbott regarding investigating child abuse. We will continue to oppose any such changes, as we know that this puts children and youths’ lives in danger and will punish families for providing care that has been determined by trained and licensed professionals to be medically appropriate and necessary for their child.

According to a national survey conducted by the Trevor Project, 94 percent of LGBTQ+ youth report that such actions have negatively impacted their mental healthi. Equating gender-affirming care with child abuse in any form goes against evidence-based practices, misleads the public, generates needless confusion, causes potential professional liability for mandatory reporters, and creates unnecessary barriers to accessing medical care for trans and gender diverse youth - barriers which are clearly and demonstrably associated with substantial risk of harm to children and adolescents.

All credible, major medical associations and mental health professional associations such as the American Academy of Child and Adolescent PsychiatryAmerican Academy of Pediatrics, American College of Obstetricians and Gynecologists, American Psychological Association, the American Medical Association, the American Psychiatric Association, and the World Professional Association for Transgender Health, believe that gender-affirming care for transgender youth is life-saving, best-practice, and medically necessary based on currently available research evidence; the National Association of School Psychologists, the National Association of Social Workers, and the American Counseling Association also support medical gender affirming care as best practice for transgender and gender diverse youth. These positions are well grounded in medical and social science literature. Although transgender youth experience higher rates of PTSD, depression, anxiety, suicidal ideation, suicide attempts, and self-harm when their health and mental health care needs are not met, rates of mental illness and suicide decrease when youth are accepted, affirmed by who they are by parents, schools, and peers, and provided with appropriate medically necessary care.

Collectively we are concerned about any change equating gender-affirming care to child abuse because of broader implications for the child welfare system. Classifying gender-affirming medical and mental health care as child abuse creates unnecessary stress on families, preventing children and adolescents from receiving the evidence-based, lifesaving, and medically necessary care they need, due to the looming threat of targeted and undue DFPS reports and investigations. The potential for families to suffer unintended consequences of a referral - including loss of employment, prevention from future employment or even the ability to adopt a child - are significant if a parent ends up on the child abuse registry.

Beyond investigations, if gender-affirming care is classified as child abuse, children could be removed from protective parents who are prudently following professional medical and mental health recommendations. Such removals constitute an impermissible intrusion by the state government into the lives of private citizens and caring families. This will infringe upon parents’ rights and freedom to make critical healthcare decisions, made in consultation with qualified providers, they deem is in the best interest of their child. LGBTQ+ youth are already 3x more likely to enter foster care than their non- LGBTQ+ peers. LGBTQ+ youth are more likely to enter care for reasons related to family hostility and less likely to enter for things like parental substance use that generally drives children into the foster care system. We should not push transgender youth into the foster care system at a time when there is broad bi-partisan aupport, and recently enacted federal legislatoin under the Families First Prevention and Services Act (FFPSA), to reduce the number of children and families involved in the child welfare system. Importantly, we should not push transgender youth into the foster care system in the midst of an ongoing foster care placement crisis.

Any interpretation of child abuse to include gender-affirming care would negatively impact foster care staff and agencies, including those working in residential settings who are responsible for the safety and well-being of youth in their care. These agencies are not only responsible for faciliting medical care for the children they serve, but also for helping them heal and thrive. LGBTQ+ youth in foster care experience more instability and are less likely to be reunited with their biological family, adopted, or placed in kinship care. Additionally, they are more likely to be place in group care facilities. Through testimony and reports in the federal lawsuit against Texas foster care system, we have seen that these facilities often pose a greater risk of harm to children ranging from further physical and sexual victimization to preventable death. As recently as February 14, 2022, the Department itself has committed to develop guiding principles that support LGBTQ + youth in its care, and to do so by February 28, 2022. LGBTQ+ youth in foster care are at heightened risk of ongoing trauma while in the state's care, including physical and sexual abuse. LGBTQ+ youth in foster care also experience higher rates of homelessness and often view the streets as a safer alternative to foster care. We should not make it harder for foster care providers to care for transgender youth in a well manner.

We ask the Governor’s office and the Department of Family and Protective Services to consider the dire consequences, given the issues involved in the Texas federal foster care litigation and the Department’s recent problems involving Children Without Placement (CWOP), of interpreting the definition of child abuse to include gender affirming practices. We ask that the Governor’s office and DFPS seriously consider this information and withdraw any determination to equate gender-affirming care with child abuse.

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    American Academy of Child and Adolescent Psychiatry (2019). Statement Responding to Efforts to ban Evidence-Based Care for Transgender and Gender Diverse Youth. Available at: https://www.aacap.org/AACAP/Latest_News/AACAP_Statement_Responding_to_Efforts-to_ban_Evidence-Based_Care_for_Transgender_and_Gender_Diverse.aspx.

    American Psychiatry Association (2018). Position Statement on Access to Care for Transgender and Gender Variant Individuals Available at: https://www.psychiatry.org/File%20Library/About-APA/Organization-Documents-Policies/Policies/Position-2018-Access-to-Care-for-Transgender-and-Gender-Diverse-Individuals.pdf.

    American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70, 832– 864.

    Bauer G.R., Scheim A.I., Pyne J., Travers R., Hammond R. (2015). Becerra-Culqui T.A., Liu Y., Nash R., et al. (2018). Mental health of transgender and gender nonconforming youth compared with their peers. Pediatrics, 141(5),e20173845.

    Chew, D., Anderson, J., Williams, K., May, T., & Pang, K. (2018). Hormonal treatment in young people with gender dysphoria: a systematic review. Pediatrics, 141(4), e20173742.

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    Durwood L., McLaughlin K.A., & Olson K.R. (2017). Mental health and self-worth in socially transitioned transgender youth. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 116-123.

    Endocrine Society. (2021, April 14). Endocrine Society condemns efforts to block access to medical care for transgender youth [Press release]. https://www.endocrine.org/news-and-advocacy/news-room/2021/endocrine-society-condemns-efforts-to-block-access-to-medical-care-for-transgender-youth

    Hatzenbuehler M.L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5),707–730.Hatzenbuehler, M. (2010). Social factors as determinants of mental health disparities in LGB populations: Implications for public policy. Social Issues and Policy Review. 4(1):31-62.

    Hill, B.J., Crosby, R., Bouris, A. et al. (2018). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3), e20153223.

    Ryan C., Huebner D., Diaz R.M., & Sanchez J. (2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352.

    Ryan C., Russell S.T., Huebner D., Diaz R., & Sanchez J. (2010) Family acceptance in adolescence and the health of LGBT young adults. Journal of Child & Adolescent Psychiatric Nursing, 23(4):205–213.

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    Stanley, A., Vincent, P., & Meltzer, J. (2022, January 10). Recommendations for improving Texas’ Safe Placement and Services for Children, Youth and Families: A Report of the Expert Panel Appointed under the Collaborative Agreement of the Texas Department of Family and Protective Services, Texas Health and Human Services Commission, and the M.D. v. Abbott Plaintiffs. Available at https://www.courthousenews.com/wp-content/uploads/2022/01/tx-foster-expert-panel-report.pdf On page 15, the Panelists recommended that DFPS develop guiding principles based on values that among other things ensure that "The system . . . provide equitable and just treatment for all, by addressing racism and eliminating practices that add trauma to vulnerable children, including those who identify as LGBTQ." DFPS committed to doing this in their response dated February 11, 2022, which was filed with the federal court on February 14. Specifically, in their response, they said, "1) Develop Guiding Principles, Page No. 14. The state should immediately adopt a set of shared values and principles that guides their work in eliminating the problem of children without placement. HHSC/DFPS Response: HHSC and DFPS are working together to implement this recommendation. Timeline: HHSC and DFPS expect to have the Guiding Principles completed by no later than February 28, 2022."

    Testa R.J., Michaels M.S., Bliss W., Rogers M.L., Balsam K.F., Joiner T. (2017). Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors. Journal of Abnormal Psychology,126(1), 125–136.

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    WPATH (2020). Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People Version 8. https://www.wpath.org/soc8

    WPATH (2016). Position Statement on Medical Necessity of Treatment, Sex Reassignment, and Insurance Coverage in the U.S.A. Available at: https://www.wpath.org/newsroom/medical-necessity-statement

Organizational Signers

Borderland Rainbow Center

Equality Texas

National Alliance on Mental Illness (NAMI) Texas

National Association of Social Workers - Texas Chapter

Young Invincibles

Plumeria Counseling Center

GT Therapy Group, PLLC

Discovery Counseling Austin, PLLC

Austin Teen Therapy, PLLC

Austin City Counseling, LLC

Inclusive Therapists

Texas Counseling Association

Moving Parts Psychotherapy PLLC

Willow Tree Collective, PLLC

Wild Cactus Therapy, PLLC

Colors of Austin Counseling, PLLC

Ecotherapy Austin PLLC

Ample and Rooted, PLLC

Violet Crown Therapy - Austin, LLC

Deep Eddy Psychotherapy, PLLC

Bat City Counseling, LLC

Embracing Hope Counseling & Family Services PLLC

Pediatric Treatment Group

Peaceful Living Counseling and Wellness

Texas Working At The Intersection for Safe Families

Texas Society for Clinical Social Work

Anxiety Treatment Center of Austin, PLLC

Tonality Counseling, PLLC

Salvation Army

Inherent Wisdom Therapy, PLLC

Austin Counseling and Trauma Specialists, PLLC

Ovation Integrative Care, PLLC

Austin DBT Associates, PA

Strong Roots Psychotherapy, PLLC

Center for Survivors of Torture

Austin LGBTQIA2+ Elder Task Force

Embrace Austin

Ilumina Counseling, PLLC

Enhancing Intimacy Austin, Individual & Relationship Counseling

Austin Women’s Counseling, LLC

Ola Wellness, PLLC

Therapy Austin, PLLC

Clarity Child Guidance Center

Hogg Foundation for Mental Health

Culture in Mind, PLLC

Texas School Nurses Organization

Austin Concierge Therapy

Greenbrier Counseling

Texans Care for Children

True North Wellness, PLLC

Dugan Psychotherapy, PLLC

Tahirih Justice Center

Transgender Education Network of Texas

Austin Counseling and Nutrition, LLC

Family Eldercare

Red Koala Counseling

 

Individual Signers

Micki Washburn, PhD, LMSW, MAll, LPC-S

Irene Arlette Werthmann, LCSW

Karen J. Langsley, JD, CWLS*

*Child Welfare Law Specialist, certified by the National Association of Counsel for Children and the Texas Board of Legal Specialization

Jessica Sanchez, MSW, MEd

Elizabeth A Felthous, LPC

Brittanie Ash, MSW, PhD

Erin Underbrink Newins, PhD

Jessica Begans, LCSW

Courtney Gilkison, LPC Intern

Catelyn Devlin, LMSW, LCPAA-I

Nancy Sullivan SPED Teacher

Katie Malinski, LCSW-S

Devyn Box, MA, LMSW

Blake Tierney, MA

Michelle Zadrozny, LCSW-S

Rebecca Cole, LCSW-S

Blake Howard Norton, LMFT-S

Kyler Shumway, PsyD

Amy Odin, LCSW

Rebekah Kate Coffield, LCSW

Renee Brown, LCSW

Sarah Jones Park, LCSW-S, CDWF

John Nowicki, LCSW-S

Megan A. Mooney, PhD

Maura Kinney, LMSW

Elizabeth Duffey, LMSW

Jessica Deimler, LCSW

Lindsay G Camp, LMFT

Christian A Littlejohn

Gianna Viola, LCSW-S

Katy Manganella, LPC

Courtney Harris, M.Ed.

Charmecia Morris, LPC

Tanya N. Rollins, MSW

Brenda Risch, PhD, LCSW

Jennifer Wilhelm LCSW-S

Brian Kunde, LCSW

Carly Bassett, LCSW-S

Sarah Aberg, LCSW-S

Ashley Heidebrecht, LMSW

De’An Roper, PhD, LCSW-S

Jessica Chester, CD(DONA), CHWI, CHW, CLC, CPST

Laura Reid, CHW

Charlotte Howard, Ph.D.

Melanie (JaeHee) Chung-Sherman, LCSW-S

Ilyse Kennedy, LPC, LMFT, PMH-C

Ashlyn Riley, LPC, LCDC

Marilyn Adams, LCSW

Emily Kerzin, PhD

Meg Mattingly, LPC

Soledad Gonzalez, Middle School Teacher

Marie Gray, LPC-S

Hannah Stewart, MS

Elizabeth Kotin, PsyD

Ian Woodwick, PsyD

Ashley Taylor, LPC

David Hutsell, PsyD

Sally Lineback, PhD

Lauren David, PhD

Brian Trager, PsyD

Robyn Trimborn, LPC

Rachel Villareal

Ernesto Villalobos, SPED Teacher

Paige Avedician

Caitlin Coyner, LCSW-S

Shannon Haragan, LPC

Vanessa Newton, LCSW-S

Kerry S. Walker, MA, LPC

Elizabeth Baker, LCSW-S

William Shoaf, Middle School Teacher

Erin K. Ebert, LCSW-S

Rachel McCarthy, PsyD

Tess Lipscomb, LMSW

Stephanie Banuelos, PhD

Celine Redfield, LMFT+ ATR

Elizabeth Robles, LPC, CT

Cristopher Zubia, M.S. LPC- A

Stephanie Otero

Alexandra Gomez, M.A. LPC-A

Anna Cohen, LCSW

Savannah Parnell, LCSW-S

Diane M Harvey, LCSW

Amber Jekot, LCSW, RPT, Mdiv

Laura Conner, M.S., LPC

Monica Lenker, LCSW-S

Michael Azarani, PhD

Nooshin Valizadeh, Ed.D, MBA

Anoosh Razian, LCSW

Leah McCollum, LCSW-S

Samantha Meyer, M. Ed., LPC

David C. Smith

Jaime Caplis, LICSW

Julie Hsu, PhD

Harriet Stares, PsyD

Daniel Singelyn, PsyD

Victoria Reyna, M.A., LPC.

Shawn Walker

Zarina Moreno, LCSW

Annie Farmer, PhD

Alice Bradley-Harmon. LCSW

Sheena Yazdandoost, LCSW

Charlotte Mulgrew, LPC

Alicia Soto, LMFT

Neathery Falchuk, LCSW-S, CGP

Amanda Pouncy-Ross, LMSW

Jenna Bock, LMSW

Dana Reichman, LMSW

Alison Clifton, LMSW

Sarah-Louise Leyva

Julie Falchuk, LMSW

Monica Munoz, PsyD, LP, LSSP

Jessie Lewis, LCSW

Maureen Havelka LCSW-S

Colleen Bardelli, LMHC, LPC

Natalie Kretsch, PhD

Julie Burke, LPC

Karen R. Mengden, PhD

Alison Devlin, M.A., LPC

Bri Craig, LMFT

Lindsay Legé, LCSW-S

Erica Heller, LCSW, LCDC

Julie C Carolan

Greg Hansch, LMSW

Catherine Ferguson-Mappus, LMSW

Shelly Hogan, LMFT

Kelseanna Hollis-Hansen, PhD, MPH

Janna Greeson, PhD

Stacy Nakell, LCSW

Inbal kleinerman, PhD,

Spenser Crain, LPC

Shawna Williams, LCSW

Angie Lutts, LCSW-S

Morgan Rupe, LPC

Hannah Alexander, M.A.

Taylor Vest, LPC-Associate

Morgan Shingle, LMSW

Sara Bushey-Reyes, LPC

Claire Griffy, LPC

Paola Ortiz, LMFT

Catherine LaBrenz, PhD, LMSW

Andrew Fernandez, LMFT Associate, LPC Associate

Alice E. "Bess" Green, LPC AT/S

Christopher Scott, Ph.D., Licensed Psychologist

Marianela Dornhecker, Ph.D., Licensed Psychologist

Megan Morris, LCSW

Miranda Nadeau, Ph.D., Licensed Psychologist

Megan Hunter, LCSW

Brooklie Benson Gonzales, LPC

Natalia Amari, LCSW

J. Aaron Waggoner, PhD, High School Teacher

Marie Carlson, Ph.D.

Marian Thompson, LCSW

Grace Shook. LPC

Alexandra Rosen, LMSW

Maria Cordero Robinson, LPC-A

Bianca Segura, LMFT Associate

Leslie Vaughn, LPC-A

Callye Lawrence, LPC

Anastasia McAteer, LMFT, LPC

Eva Lorini, LPC

Abby Lubran, LCSW

Joel Sanchez, LCSW

Kristal DeSantis, LMFT, Guardian Ad Litem -Travis County

Richard Hoefer, Ph.D.

Jason York, LPC

Annette Morales, LCSW

Victoria Elizarde, LCSW

Candyce Ossefort-Russell, LPC-S

Katie Green, LPC Associate

Edgar Talavera LMSW

Alison Mullett, B.A., M.Ed., LPC

Maricela Salazar, LCSW

William Rain-Shadid, LMSW

Rociel Martinez, Psy.D.

Stephanie Stoeckl, MA, LPC

Crystal Morales, LMSW

Alex Parnell, LMFT

Wendi Kozlowski, LPC-S

Karen E Hill, MD, MBA, FACP, FAAP

Kaleigh J. Blanchard, LPC-A

Linda Mockeridge, LCSW

Fabiola Ekleberry, LPC-S, NCC

Ellen Lindsey, LCSW

Norma W. Reed, MSW, LCSW-S, LSOTP-S, BCD

Monrovia Van Hoose, LCSW

Ussama Taha, LMSW

Irek Banaczyk, LMSW

Catherine Mok, LMSW

Jenna L. Steen, LPC

Kathleen Fahrner, Ph.D.

Melissa Davis, LMSW

Melanie Dyer, LPC

Vanessa Gill, LPC

Katherine Collier, LMSW

Danielle Hayes, LCSW

Elena Espinoza, A.A, Elementary School Tutor

Caitlin O'Keefe

Jason Mallonee, DSW, LCSW

Erin Clark, RD, LD

Dakota Milloway, LMSW

Michelle Silva Segura, LPC-S, LMFT-S, SEP

James A. Baker, LPC Associate

Michael J. Balsan, Ph.D.

Monica Faulkner, Ph.D., LMSW

Shana Varnell, Psy.D.

Courtney Caudill, LMSW

Ana De Leon, LPC-A

Darrell Wiggins

Kalila Homann, LPC-S

Seja Rachael, LPC-S

Eden Stone, LPC-A

Mark Lusk, Ed.D., LMSW

Bernadette Pinon, LPC

Stephanie Blackburn, LMSW

Asha Ramkumar, LMSW

Deborah Torrey Fisher, MS, RDN, LD

Amalia Monica Segura, M.Ed, LPC

Jorie Himmel, PsyD

Sandy Magaña, MSW, PhD

Natalie Fikac, EdD

Caitlin Gannon, Ph.D.

Michele Sharon, MS, LPC

Tanya Voss, MSSW

Dante Daniel Vargas, LBSW

Megan Campbell, MSW

Mary Beer, LCSW-S

Lauren Gulbas, PhD

Terry Greenberg

Melissa Quackenbush, LMSW

Cindy Martinez, LCSW

Paula Morales

Cory Morris, MSW

Anacani Gonzalez, MSW

Ashleigh Moses

Natasha Horner, LMFT-Associate, LPC-Associate

Uriel Navarrete, PsyD

Julia Pynes

Cheri Yadon M.Ed. LPC LMHC

Ashlyn Bellamy, LMFT Associate

Alyssa Baker, MSW, LICSW

Jairo Leon

Melissa L. Trejo

Sara Bybee, LCSW, PhD

Calandra Bradford

Tamera Linseisen, ACSW, LCSW-S

Tessandra Lancaster

Diana Damer, Ph.D.

Nicholas Taylor, Ph.D.

Rachel Goold

Tiffany Adeigbe, PsyD

Julieta Caamano

Margaret Ainsworth

Destiny Garza

Barbara Ball, Ph.D, LPC

Whitney Wheeler, PhD

Lisa Gianandrea, LPC Associate

James Green

Brooke Robb, LPC

Anna Wasim, LMSW

Elizabeth Brown, early childhood educator

Beth Lewis, LPC

Patrick Lloyd, LMSW

Farya Phillips, PhD, CCLS

Ashley Welch

Kayla Chauvin, LPC-A

Megan Case

Erin Nielsen, LCSW

Ryan Smith, LPC, NCC

Kate Cotnam, LPC

Chauncey Stephens

Austin Chatillon-Reed, LMSW

Andrea Zarate

Erika Esquivel, LPC

Jay Treloggen

Marian Mahaffey, LMSW-AP

Beatriz Vera, BSW, MA

Patricia A. Cody, PhD, MSW

Rachel Sixkiller Maccabee, MS, NCPM

Ashlyn Simmons, LMSW

Sarah Shah, LPC

Farah Hussain Asghar, LMSW

Ryan P. Douglas, Ph.D.

Caroline Touma

Christopher Bobicchio, Graduate Social Work Intern for Cap City Kids

Clara Hayes, Graduate Counseling Intern

Aaron Geringer, LPCC

Suzanne Potts, LMSW, MPH

Deanna Shahady, LMFT Associate

Hannah O’Brien, MSSW

Emily Gardner, MS, CTRS

Jennifer Rae Comeau, LPC

Sara Hammond, LMSW, JD

Maggie Manning, LCSW

Megan Fox Navarro, LCSW

Miranda Nolen, JD, LMSW

Rachel Jacobs, LCSW

Lauren “Ren” Reed, LMFT Associate, LPC Associate

Tiffany Dancer, LPC-S

Kaity Dallas, MA, LMFT-Associate, LPC-Associate

Kady Maxwell Wise, MA, LPC Associate

Cossy Hough, LCSW

May Matson Taylor, Ph.D.

Hannah Godbout PsyD, LP, Counseling Center director

Adam McCormick, MSSW, PhD

Brian Ellis, DISD

Ariane Corcoran, LMFT, LPC

Clarissa Pedraza, LMSW

Carly Boland, LMSW

Laurie Cook Heffron, PhD, LMSW

Larisa Corder, LMSW

Chelsea DeBernardis, LMSW

Samantha Zuniga Thompson, LCSW-S

Samraat Saxena, MPH, CHES®

Michael D. Romero, LCSW-S

Heissel Herrera, LMSW

Kaleigh R. Emerson, MPH

Ricky Waite, LMSW

Maria Martinez, LCSW

Karli Kucko, LPC-A

Annelisa Pedersen, PhD, Clinical Psychologist

Ariel Wilson, MFA

Denise Garcia, PMHNP-BC

Maggie Weisenberger, LCSW-S

Jael Williams, RN

Matthew Steele, RN

Jamie Falco, LPC

Tiffany Nicely-Williams, LCSW

Hannah Sims, LPC, CCTP

Jamie Delgado, LPC, NCC

Jill Baumgarner, LPC

Haley Marshall, LCSW

Cassandra Mendoza, MSW

Peyton Jones, PsyD

Karen R. Mendoza, LCSW-S

Sheridan Aguilar, Graduate Social Work Intern

Hannah Bobker, MSSW Graduate Student

Natalie Beck Aguilera, DSW, LCSW-S

Becky Morales, LCSW-S

Ursula Fernandez, LMSW

Laura Sandoval-Sweeney, LCSW

Kathy Armenta, LCSW, ACSW

James Butler, M.Ed.

James Baker, MPH Graduate Student, Sexual Health profressional.

Noell Busch-Armendariz, PhD, LMSW, MPA

Korin Schruben, LCSW

Brittany Houston, PsyD

Kimberly Bird, LMFT, LPC

Heather Hart Gause, LCSW

Sarah Torok, PharmD, RPh

Nadia Velasquez, LCSW

Celestie Nguyen, LMSW

Shannon Rueter, LCSW

Halana Kaleel, MPH Graduate Student, Public Health Educator

Emily Shelton, MSW Candidate

Beth Gerlach, PhD, LCSW

Giana Martinez, M.S., LPC-Associate

Joan Powell, case aide,

Valerie Whiting, LCSW-S

Monica R-Graham, PsyD, LPC-S

Krystal Green, LPC

Jessi Davis, MHPS, RSPS

Gina Torres, LCSW

Karlie Rowley, LPC-A

Ashley Brignac, MD

Cheryl Young, LCSW-S

Stephanie Garcia, LPC

Ana Vidina Hernández, MSSW, MA

Drew Dubcak, M.Ed., LPC, LCDC

Kyle Harmon, LMSW

Christine Schumacher LMSW

Sara Balkanli, LPC Associate

Pamela Geisinger LPC-S

Sabrina Smith, LCSW-S

Alyiah Plummer, LPC Graduate Student Intern

Victoria Shepard, MD

Catherine Dilger, LPC

Molly Lopez, PhD

Carolina Machado, MSW Candidate

Stephanie Waitt, LPC, CEDS

Monette Woods, LPC

Mary Mulvaney, LMSW, ACSW, Clinical Professor Emerita

Nicole Meitzen, LCSW

Maricela Mayo Roller, LMFT-A

Angela Vallejo, RN

Jenna Burns, LPC

Debra Burkhardt, LCSW

Keri Riggs MA, LPC-S

Emily D. Harrington-Cheney, LPC Associate

Erica Mathis, Ph.D.

Ariana De Andrado, MA, LPC

Ayla Peret, LCSW

Julia Herrera, QHMP

Kim Nguyen, Grants Coordinator at HIV Resources Administration Unit

Arna Erega, PhD, LPC

Paige Loria, Professional Counseling student

Russell Kauitzsch, MS, LPC-S

Amy Schenck LPC Associate

Victoria Latifses, Ph.D.

Brianna Hamlyn, LPC Associate

Mayan Herman, LCSW

Avery Perez, LCSW

Amy Hoffman, LMSW

Daniel Edens, M.Ed., LPC

Stephanie Holmes, LMSW

Eden Blesener, BSW

Mark Provence, PhD

Alex Abbott, MPH, MPAff

Era Steinfeld, MA

Brian Temple, M.D.

Barbara Jones, PhD, MSW

Megan Satterfield, LPC-A

Becca Harkleroad, RN, NCSN

Ellen Johnson, LPC

Brittany Gilpin, LPC-A LMFT-A

Ashley Porter, LCSW

Sam Robinson, LCSW

Nicole Lansbery, LPC-S, LMFT

Shimarah Mehrotra, MPH, CPH

Richard Mann, LMSW

Tracy Morris, MA, LPC, LMHC

Rebecca Kalomiris, LCSW

Stacey Cholick, LPC

Molly Platz, LMSW

Erika Schiller, MSN, RN, PMHNP-BC

Amanda Robinson, LPC, RPT

Noor I. Zibdeh, LMSW

Amanda Reyes, MSSW student

Jadyn Phillips, LPC Associate

Richard Bondi, HHSC retiree

Ryan Neugebauer, LPC Associate

J. Jade Adair, LCSW-S, LCDC

Anita Guajardo, LCSW-S

Angeline Miller, LPC Associate

Julia Lasker, LMSW

Tessa Lucia, LMFT-A

Jill Hokanson, LCSW-S

Dianna Verduzco, LMSW

Jena Simon, LPC

Annie Holleman, PhD

Leslie Bailey-Smith, LCSW

Sasha Arevalo, LCSW

Kathryn Taylor, BSW

Donna Shanor, LCSW-S

Shailagh Clarke, PhD

Alexandra Elder, LCSW

Molly Mayberry, LCSW

Sara Sloan, MFT-Associate

Marc Geronimo, Hypnotherapist

Lyndsay Brooks, PsyD

Jordan Weinert, LPC Associate

Erica Foster, MSW Candidate

Victoria Ortiz, LCSW

Marianne Stout, Licensed Psychologist

Isadora Cabral, DO

Claudia Thompson LPC-S, LMFT-S

Amanda Fuhr, LCSW

Jocelyn Chamra-Barrera, LCSW

Macey McClenen, MS, LPC Associate

Molly Synnestvedt, MA Counseling Candidate

Ashley Salinas, LPC

Molly Mead, LMSW

Michelle Tran, Graduate Counseling Intern

Philippa Mason, LMSW

Stephanie Davila, LMSW

Karen Pate

Kalee Gower, LCSW

Caitlin Jones, LMSW

Kaleigh Simental, MA

Jen Kahn MA, LPC

Sarah K. Sloan, LCSW-S,

Nick Winges-Yanez, LMSW, PhD

Carol M. Lewis, Ph.D.

Colton Seggern, LPC Associate

Lauren Corbin, LBSW, LPC

Robin McCullough Smith, LCSW-S

Sarah Pollard, LCSW

Ricky Vaughn, LPC

Shlomit Kirsch, Psy.D.

Melanie Kelner, LPC Associate, LMFT Associate

Moné Miller, LMSW

Kate Peoples, LCSW

David Duran, Ph.D.

Lorena Urbina, LCSW

Kerry Sheehan, LCSW

Brianne Blevins, LMFT-S, LPC-S, PMH-C

Matty Jernigan, LMSW

Adam Jimenez, LMSW

Ileana Gonzalez, LPC Associate

Christine C. Leyva, Ph.D.

Shari French, MS, LMFT

Ian Cole Watts, LCSW, LCDC

Michele Pierson, LCSW-S

Gurjit Kaur, LMFT Associate

Colleen Brunell, LCSW

Chelsey Carr, MSSW student

Sarina Lal, MSSW student

Chad Hejl, MSW candidate

Rachel Freedline, MSSW Candidate

Kaleena Prate, LMFT

Cara Presley, LICSW

Marissa A. Rivera, LPC-S

Rachel Ladov, LCSW

Liana Petruzzi, LCSW

Amelia Zique, LPC

Kaitlin Valentine, MD

Anita Franz, OSF, LCSW

Corie L. Cormie, LCSW-S

Jonathan McNutt, LPC

Anne Johnson, LPC

Jeni Wade, LCSW-S

Roxanne Watson, LPC

Hannah Jones, LPC

Zanna Stevanovic, LPC

Alec Wilhelmi, MD

Jack McDaniel, MD

Hilda Torres, MSSW candidate

Courtney Shields, LPC-Associate

Irene M Perez, LPC-Associate

Jade Kestian, Licensed Psychologist

DeLinda Spain, LCSW-S

Christine Molina, LCSW

Elizabeth Madaelil, MSSW Candidate

Benjamin Ehrenfeld, LCSW

Katelynn Kozbial, LPC, LCDC

Iris Baughman, MSSW Candidate

Brittany Baize, Director of Development & Communications at Family Eldercare

Ashley Hogan, LPC-A

Kelly Pajares, LPC

Justin Taylor, MSSW Candidate

Stephanie Ruh, LPC-A

Adriana Sanchez, LPC

Victoria Thorpe - MSSW Candidate

Stephanie Smiley, LCSW

Nataly Sauceda, MSSW

Abigail Findley, MSSW Candidate

Rich Armington, LCSW, CGP, SEP

Colleen Knox, LCSW

Melanie Skyler, LMSW

Mia Pastel, LPC-Associate

Brittany Rettenmeier, LPC-Associate

Alyn Bullock, LPC-Associate

Katie Cullather, LCSW

Samantha Benn, LCSW-S

Mallory Nelson, PharmD

Marsha Lowes, LPC Associate

Kara Nassour, LPC Associate

Mckenzie Martin, MSSW/MPAFF Candidate

Lynne Pierce, LMSW

Elene Drakonakis LCSW-S

Alyssa Schafer, MSW

Laura Marra, MSSW

Susannah Parkin, LMSW

Kyle A. McCall, MA, LPC Associate, LCDC

D L Staples, LPC

Savannah Shivers, MSSW Candidate

Mary Margaret Behle, LCSW

Jack Tsan, Ph.D.

Madeleine Brunk, LMSW

Devon Bortfeld, Ph.D. Student in Counseling Psychology

Sarah Chalmers, LCSW

Kyoko Kamishima, LCSW

Holly Casero, LCSW-S

John Sullivan, PhD Student

Kate Storm, MSW

John Betancourt MSSW Student

Andrew Dochen, MSSW Student

Lindsay Burns, LPC Associate

Susan Hilton, LMSW

Lori Axler Miranda, MSSW

Emily Fredericks, LCSW

Jennifer Dockery, Psy.D.

Camille Matthews, LCSW

Joo Lee, MD

Saloni Naik, MD MPH

Haley Fountain, MSSW Candidate

Devin Marsh, M.A., CCC-SLP

Samantha Simms, LPC Associate

Jamie Alger, LPC

Bradley Watson, LCSW

Anna Weinstein-Perez, MSEd, MSSW candidate

Kelly E. Green, PhD, LP

Claire Leight, Ph.D. Student in Counseling Psychology

Katherine L. Goldey, PhD

Sabrina Janecek, LPC

Georges Kim, LPC

Heather E. Thiel, LMSW

Celeste Gusme, M.A., LPC

Luke Steinman, M.A.

Darian Salinas, MSSW Candidate

Jennifer Bernard, MSSW/MPAff Candidate

John “JP” Cardenas, LPC Associate

Alex Sexton, MPAFF

Veronica Rothney, LMSW

Susan Harnden, LCSW

Amber Hunter-Crawford, LCSW-S

Emma Denning (she/they) LPC A

Laura Waltrip, MD

Cyndi Crowell, LCSW, EMDR Trained

Jocelyn Worley, DO

Anya Toskey, MSSW Candidate

Victoria Mireles, MMFT, LMFT-Associate

Kathryn Reynolds, LPC

Jenna VanSpronsen, LLPC

Michael Disch, PhD

Leslie Sirrianni, LCSW

Taylor Cnudde, LPC-A

Shanaz Ikonne, LPC, NCC, RPT

Jody Crenshaw, LCSW

Jessica Schroeder, MSSW Candidate

Katherine Michalske, MOTR/L

Victoria Cane, Ph.D, LP

Stephanie Solis, LMSW

Karen Confer LCSW-S

Camille Smith, LMSW

Rebeka Villarreal, LCSW

Dr. Curtis Simmons, DMA, Music Teacher

Naedean Herrera, LMSW

Lauren Davis, PhD, LMT

Eden Males, LCSW-S

Joyce Hefner, LMSW

Shelley Aubuchon, LMSW

Marina Dewberry, LMSW

Betty A. Twombly, LCSW, NCG

Sarah Sumpter, LPC-A

Dexter Northcutt

Michelle Robertson, PhD

Ann Boden, LPC

Dana Sprute, MD, MPH

Aerin Abrams, MSSW/MPAff Candidate

Kimberly Lacorte, LPC Associate, ATR-P

Laura Aguilera, BSW Intern

Carolyn Hilton, LMFT-A

Elana Carter, LMSW

Blake Smith, LMSW

Jennifer Rivera

Marlene Rodriguez, LMSW

Lindsey C. Taucher, LPC

Lydia Stetson, MA, LLP

Max Bellman-Seeskin, LPC-A

Mikaela Frissell, LCSW

Beatriz Moreno, LBSW

Lynn Panepinto, LCSW

Amanda Norcross, LPC

Elisabeth Bock, LMSW

Jenna Williams M.Ed.

Lisa White, LCSW

Lauren Fazio, LCSW

Aurelia Lopez, Sexual Health Professional

Vanessa Y. Fishel

Jessica R Dugan, LPC

Lisa ArrongeLPC-A

Hannah Vogt, LCSW

Hannah Rupley-Ulbrich, MS, LPC

Abby deSteiguer, MSc

Rachel Weisenburger, Clinical Psychology PhD Student

Poonam Dubal, PhD, LP, LSSP

Ginger Main Chun, MSW

Kadie Rackley, PhD

Victoria Brett Barrier, MSSW Graduate Student

Stephanie Askins, LCSW

Lisa Shenk, LPC

Debb Deitch R.N.

Jessica Russell, LCSW

Emma Holder, LMSW

DDeitch RN

Pam Johnson, LCSW

Joy Uwange, LCSW, LCDC

Jeannetta G. Williams, PhD

LeAnn Dapper, LPC

Jessica J. Chapa, MBA

Rachel Madorsky, LCSW

Emily Nash, MSW Candidate

Lori Holleran Steiker, Ph.D

Shannon Mann-Butler, MSSW, MAC

Kristen Whittington, MS, RD, LD