Meet the therapists at TCR who specilize in treating OCD and Anxiety related disorders. OCD and Anxiety Team We provide specialized treatment for OCD and a range of anxiety-related concerns, including social anxiety, panic attacks, and specific phobias. We are Bowling Green's #1 choice for anxiety related care. Our clinicians have advanced training in evidence-based approaches such as Exposure and Response Prevention (ERP), Inference-Based Cognitive Therapy (ICBT), and Supportive Parenting for Anxious Childhood Emotions (SPACE). ERP is also used in the treatment of phobias and avoidance-based anxiety, while body-focused repetitive behaviors (BFRBs), such as hair pulling and skin picking, are addressed using the Comprehensive Model of Behavior. Treatment is individualized and focused on reducing avoidance, disengaging from intrusive thoughts, and helping clients build trust in their own thinking and decision-making. Megan Harden, LCSW Megan has many years of specialty work with OCD, phobias, and anxiety. She is trained in ERP, ICBT, SPACE, and CoMB. She provides training and consultation in the treatment of OCD. Donald Evans, LCSW Donald has treated OCD for many years using ERP. He enjoys working with individuals who are in the LGBTQ+ community and struggling with anxiety or OCD. Austin Weiler, LCSW Austin has high level training from the IOCDF in ERP and treats OCD, GAD, panic disorder, and Body Dysmorphic Disorder. He is skilled in treating OCD with the overlap of trauma. Olivia Ellis, LPCA Olivia specializes in eating disorders but treats a range of anxiety issues and is trained in ERP. She is skilled in addressing comorbidity of food related concerns, trauma, and OCD. Peyton Collins, LCSW Peyton treats OCD and anxiety in all ages. He also specializes in ASD and works well with individuals who are Autistic and also dealing with anxiety or OCD symptoms. Bella McCall, LPCC Bella's caseload is entirely devoted to the treatment of OCD, phobias, and anxiety related conditions. She is trained in ERP and ICBT and focuses on the treatment of adults. Cejay Moore, LPCC Cejay treats OCD and anxiety conditions. She is trained in ERP and ICBT. She enjoys the overlap of OCD and religious concerns/ scrupulosity. She works with GAD and panic disorders. Brittany Jinkins, LCSW Brittany is working towards specialty in OCD. She enjoys treating individuals who are neurodiverse and also managing OCD or anxiety issues. She is currently pursuing her PsyD. Emma Graviss, CSW Emma treats children and teens with anxiety and OCD. She works collaboratively with parents to work on reducing accommodations that perpetuate anxiety related issues.

Testimonials We regularly survey our clients to get feedback on the care that we provide. This helps us to continue to grow and challenge ourselves to provide the best possible services. 2025 Survey Results Show: My therapist seems knowledgable about my issues... On average on a scale of 0 to 5 we scored a 4.8. Account Director The opportunity to have appointments after a normal workdays and on weekends is revolutionary and unbelievably helpful to working clients. The Cognitive Refinery is a very excellent place to go see a therapist. My experience has been great. I am thankful that I found the Cognitive Refinery, because the staff have went above and beyond my expectations. Grateful for the experience that I have had so far and hoping that I can truly make some decisions that will help take some of the stresses of my life away. It took me awhile to seek therapy when I needed it most, but after being here for several months I feel like I have a lot more control in my personal relationships and can maintain healthy ones. Everyone is great. Couldn’t have found a better therapy “home.” I thoroughly enjoyed my sessions and everything that I got out of them. TCR is a wonderful company with competent staff. The best part was how friendly the staff were & the treatment/help I received. It helped me in ways I did not realize I needed. It was very laid back and not "stuffy" for a 14 year old. My daughter felt comfortable, secure, and felt heard. The results I’ve seen since beginning treatment have been phenomenal. I cannot thank the staff enough. Office decor is excellent. It doesn’t feel like you’re in a healthcare type setting. I really liked how friendly the front staff was, the small talk was honestly greatly appreciated! Ease of office space from pulling in parking lot, waiting area, and therapist session designed for acceptance, calm and peace. Love the apple cider and tea! I have been able to have a safe and comfortable and welcoming environment for each session regardless of topics discussed that day I feel very safe and comfortable at TCR and put at ease to explore some of the things that led me to seek out treatment in the first place. There isn't one thing that sticks out as best, as the experience as a whole has completely changed my life. I've found my self-worth, learned to communicate my needs better, found several resources to help me and have been able to tackle my mental health challenges. I’d have to say the best part of my experience is that therapy has gave me someone I can talk to about all my problems with without feelings judged and also feeling genuinely cared for by another person. The help I have received and knowing that someone understands what I am going through and I have someone I can speak to about issues that I may not want to share with friends or family. I have had the two best therapists I've ever seen with TCR. They have been incredibly understanding and patient. The overall atmosphere is calm and the therapists are highly trained, truly listen and give the client what they need to hear and things to work on. Knowing in my heart that this one decision to reach out for therapy has given a lot of insight but also learning about self love. TCR is a very safe environment that allows others to open up and heal. I've had a great experience so far and would recommend TCR to anyone looking. My experience with TCR has been nothing short of helping me regain control of my life. I am forever grateful for my therapist and the work we have accomplished today and will continue to do in the future. Therapy has changed my life. No matter where you are in your life, TCR can meet you there and help. Great experience all around, thankful that I gave therapy another try and that The Cognitive Refinery was the first place I reached out to! I enjoyed every appointment that I had, and all the skills that I learned are still helping me. Very nice place to go for mental health counseling. It's been a really great experience! I've only been attending sessions for a few months but I'm already starting to detangle some the pain points I've experienced over a lifetime. TCR became a beacon of hope and a safe harbor during many dark days. I’m grateful for the help and support I’ve found there, and I recommend TCR to just about anyone who says they need therapy. The Cognitive Refinery has been transformative for me and my son. It is a safe, caring, and open-minded environment with an exceptionally talented staff that uses evidence-based practices for helping clients from all backgrounds. I have been singing TCR's praises for almost ten years now. How is that even possible? This is the first clinic I went to that I didn't quit. I felt heard, I felt understood. I have overcome so much, found a new outlook on life, relationships and myself. I feel that I have had a great experience with the staff at TCR and I have made major steps in my mental health.

Dr. Peck has extensive experience working with couples and is a Gottman level 3 clinician. Dr. Evelyn Peck I specialize in: Couples Counseling Mood Disorders Trauma Life Transitions About Me With more than 25 years of clinical experience, I am a licensed psychologist dedicated to helping individuals and couples create meaningful, lasting change. I bring an evidence-based, compassionate approach to therapy, blending clinical expertise with genuine human connection. I specialize in couples therapy and blended families drawing on research-supported methods to help partners deepen understanding, strengthen communication, and rebuild trust. I also work extensively with mood disorders, using Cognitive Behavioral Therapy (CBT) to help individuals manage depression, anxiety, and related challenges. For those navigating life transitions, healing from trauma, or looking for deeper personal growth, I integrate EMDR and a variety of therapeutic approaches to create a plan that fits who you are—not a one-size-fits-all model. I am licensed in Kentucky, Tennessee, California, and New York, and I approach every client with the same respect and care I would want for myself or someone I love. My goal is to create a safe, encouraging space where you feel understood, supported, and empowered to grow. If you’re ready to take the next step or just want to see whether we’re a good fit, I’d be honored to connect. Contact Are you looking for a therapist to help you navigate relationship challenges? I have the experience and training that you are looking for! dr.evelyn@cognitiverefinery.com 270-266-1188

ABOUT US We are not typical therapists and typical therapy is not our goal. The Cognitive Refinery is a private practice agency located in downtown Bowling Green, KY. We serve clients locally and across the state utilizing telehealth. The Cognitive Refinery opened in 2016 and is owned by Megan Harden, LCSW. We began with the intention of bringing specialty treatment to a part of Kentucky that has many faith based and generalist counselors, but few specialists. Our team is constantly growing, learning, and adapting to meet the needs of our community. We look for quality continuing education opportunities to develop our skills and take advantage of consultation opportunities with other therapists all across the world who are experts in the field. We are constantly striving to improve our business and offer more for our clients who deserve our best! We would love to hear your feedback on our services and welcome you to get in contact with us! Message the Owner

Find out what treatment approaches are used by therapsits at The Cognitive Refinery. Treatment Approaches We are committed to providing high-quality care through evidence-based treatment. We prioritize continuing education to ensure that our team stays informed with the latest developments in the field. Cognitive Behavioral Therapy (CBT) Cognitive Behavioral Therapy (CBT) is a practical, evidence-based treatment that focuses on the connection between thoughts, feelings, and behaviors. The goal of CBT is to help clients identify unhelpful thought patterns, understand how those thoughts influence emotions and actions, and then learn new ways of thinking and responding that promote healthier coping and improved well-being. All of the therapists at TCR have a foundation in CBT and receive continuing education to improve their skills. Acceptance and Commitment Therapy (ACT) Acceptance and Commitment Therapy (ACT) is an evidence-based approach that helps people relate differently to difficult thoughts and emotions rather than trying to eliminate them. Instead of focusing on “getting rid of” distress, ACT teaches skills to accept what is outside of one’s control and take committed action toward what truly matters. In sessions, clients learn mindfulness strategies, practice defusing from unhelpful thoughts, and identify personal values to guide behavior. The goal is to build psychological flexibility—the ability to stay present, open, and engaged in life even when facing challenges. ACT has been shown to be effective for anxiety, depression, OCD, trauma, chronic pain, and stress, and it empowers clients to live a life more consistent with their values while developing healthier ways of coping with emotional experiences. All the therapists at TCR have training in ACT! Cognitive Processing Therapy (CPT) Cognitive Processing Therapy (CPT) is a specialized form of cognitive-behavioral therapy designed to help people recover from trauma and post-traumatic stress disorder (PTSD). CPT focuses on how traumatic experiences can change the way a person thinks about themselves, others, and the world. These changes in thinking—sometimes called “stuck points”—can keep painful memories and emotions active long after the trauma has passed. In CPT, clients learn to identify and challenge unhelpful or distorted thoughts related to their trauma. Through guided practice, they work toward developing more balanced and accurate beliefs, which helps reduce the intensity of distressing emotions such as guilt, shame, anger, or fear. CPT is structured, time-limited (often around 12 sessions), and highly effective. Research shows that it helps many people experience significant reductions in PTSD symptoms, improve daily functioning, and regain a greater sense of safety, control, and connection in their lives. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment created specifically for children and adolescents who have experienced trauma, as well as their caregivers. The approach helps young people process traumatic memories in a safe and supportive way while building skills to manage distressing thoughts, feelings, and behaviors. TF-CBT combines cognitive-behavioral strategies with trauma-sensitive interventions. Children and teens learn coping skills such as relaxation, emotional regulation, and identifying unhelpful thoughts. Over time, they are guided to gradually share and process their trauma story, which helps reduce the power of painful memories. Caregivers are also included in the process to support the child’s healing and strengthen family communication. Research shows TF-CBT is highly effective in reducing symptoms of post-traumatic stress, depression, anxiety, and behavioral difficulties. It also improves overall functioning and helps children and families regain a sense of safety and hope. Exposure Response Prevention (ERP) Exposure and Response Prevention (ERP) is a highly effective, evidence-based therapy for Obsessive-Compulsive Disorder (OCD) and related conditions. ERP helps people gradually face the thoughts, images, objects, or situations that trigger their anxiety (the “exposure”) while learning to resist the urge to engage in compulsive behaviors (the “response prevention”). Instead of avoiding triggers or performing rituals for relief, clients practice staying present with their anxiety until it naturally decreases. Over time, this retrains the brain to recognize that feared situations are not dangerous and that anxiety does not need to be controlled through compulsions. ERP is usually structured and collaborative, with the therapist and client working together to design personalized exposure exercises that build confidence step by step. Research shows ERP is one of the most effective treatments for OCD, with many people experiencing significant and lasting symptom reduction. Inference Based Cognitive Behavioral Therapy (ICBT) Inference-Based Cognitive Behavioral Therapy (ICBT) is a specialized treatment for Obsessive-Compulsive Disorder (OCD) that focuses on how intrusive doubts begin in the imagination rather than in real evidence. People with OCD often experience “inferential confusion”—a tendency to confuse imagined possibilities (“what if this happens?”) with actual, here-and-now reality. This leads to doubt, anxiety, and compulsive behaviors. ICBT helps clients learn to recognize when they are relying on imagined scenarios instead of real-world evidence. Through guided exercises, they practice grounding themselves in the present moment, evaluating facts, and building confidence in their senses and reasoning. Over time, clients develop alternative, more realistic explanations for their intrusive thoughts, which reduces doubt and lessens the urge to engage in compulsions. Supportive Parenting for Anxious Childhood Emotions (SPACE) Supportive Parenting for Anxious Childhood Emotions (SPACE) is a parent-based treatment program designed to help children and adolescents struggling with anxiety, OCD, and related difficulties. Unlike traditional therapy that works directly with the child, SPACE focuses on empowering parents to make changes in how they respond to their child’s anxiety symptoms. In SPACE, parents learn to reduce “accommodations”—the well-intentioned ways they may change routines, provide excessive reassurance, or help their child avoid feared situations. While accommodations can bring short-term relief, they often keep anxiety strong in the long run. Through supportive communication and gradual adjustments, parents help their child face fears, build independence, and develop healthy coping skills. Research has shown SPACE to be highly effective: many children improve significantly even without direct therapy sessions, and results are often comparable to individual child-based treatments. SPACE provides parents with practical tools to reduce family stress while fostering long-term resilience in their children. Prolonged Exposure (PE) Prolonged Exposure (PE) is a specialized, evidence-based treatment for post-traumatic stress disorder (PTSD) and trauma-related difficulties. The approach is based on the understanding that avoidance of trauma reminders—such as memories, feelings, places, or situations—keeps fear and distress alive. While avoidance may bring temporary relief, it prevents healing in the long term. In PE, clients work gradually and safely with a therapist to confront trauma memories and reminders instead of avoiding them. This process includes two main strategies: imaginal exposure, where clients repeatedly revisit and recount their trauma memory in a supportive setting, and in vivo exposure, where clients gradually face real-life situations they’ve been avoiding. Over time, these practices reduce the intensity of fear, build tolerance for distress, and help clients regain a sense of control and safety in daily life. Research has shown PE to be one of the most effective treatments for PTSD, with many clients experiencing significant and lasting reductions in symptoms such as intrusive memories, avoidance, hyperarousal, and negative mood. Eye Movement Desensitization and Reprocessing (EMDR) Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based therapy designed to help people heal from traumatic experiences and distressing memories. EMDR is based on the idea that trauma can overwhelm the brain’s natural ability to process information, leaving memories “stuck” and continuing to trigger painful emotions, thoughts, and physical sensations. In EMDR, clients recall aspects of a traumatic memory while engaging in guided bilateral stimulation, such as following the therapist’s hand with their eyes or listening to alternating tones. This process helps the brain reprocess the memory, reducing its emotional intensity and allowing the person to integrate the experience in a healthier way. Unlike traditional talk therapies, EMDR does not require clients to give detailed descriptions of their trauma. Instead, it focuses on helping the brain resolve unprocessed memories so that they no longer cause the same level of distress. Research has shown EMDR to be highly effective in treating post-traumatic stress disorder (PTSD), as well as helpful for anxiety, depression, and other trauma-related conditions. Many clients experience significant symptom relief in a shorter time frame compared to some other therapies. Written Exposure Therapy (WET) Written Exposure Therapy (WET) is a brief, evidence-based treatment for post-traumatic stress disorder (PTSD) and trauma-related distress. The therapy focuses on helping people process traumatic memories through structured writing exercises rather than extended verbal recounting. In WET, clients are guided to write in detail about their traumatic experience during therapy sessions, focusing on thoughts and emotions connected to the event. This process allows the brain to revisit and re-organize the memory in a safe and supportive way. Over time, the repeated writing helps reduce the intensity of trauma-related symptoms such as intrusive thoughts, avoidance, and emotional distress. WET is typically delivered in just five sessions, making it one of the most time-efficient treatments for PTSD. Research shows that it is highly effective, with many clients experiencing meaningful reductions in symptoms and improvements in quality of life. Because it is shorter and less intensive than some other trauma therapies, WET is often a good fit for individuals who prefer a more focused and streamlined approach. Narrative Therapy Narrative Therapy is a collaborative, strengths-based approach that helps people view their lives through the stories they tell about themselves. Sometimes, painful experiences or problems can come to feel like they define who a person is. Narrative Therapy works to separate people from their problems, showing that “the problem is the problem” rather than the person being the problem. In sessions, clients are invited to explore how certain stories or beliefs developed and how these may be shaping their current identity and choices. Together with the therapist, they re-author their story in ways that highlight resilience, values, strengths, and preferred outcomes. This process can create space for new perspectives, greater empowerment, and healthier ways of responding to challenges. Narrative Therapy is especially helpful for individuals, couples, and families who want to make meaning of difficult experiences, reduce the weight of negative self-beliefs, and move toward more hopeful and empowering life narratives. Emotionally Focused Individual Therapy (EFIT) Emotionally Focused Individual Therapy (EFIT) is a therapeutic approach that helps people explore, understand, and transform their emotional experiences. Rooted in attachment theory, EFIT emphasizes the importance of emotional bonds—both with others and with oneself—and how these bonds shape identity, coping, and healing. In EFIT, clients learn to tune into their core emotions in a safe, supportive space. By identifying patterns of emotional avoidance or disconnection, clients can work through difficult feelings such as shame, fear, or grief. The therapist guides clients toward experiencing emotions in new ways, creating greater self-compassion, resilience, and the ability to build healthier relationships. Research supports EFIT as an effective treatment for depression, anxiety, trauma, and relationship distress. The approach helps clients not only reduce symptoms but also deepen their sense of connection, belonging, and personal growth. Gottman Method The Gottman Method is an evidence-based approach to couples therapy designed to strengthen relationships, improve communication, and rebuild trust. Developed by Drs. John and Julie Gottman through decades of research, this method focuses on both reducing conflict and deepening friendship and intimacy between partners. In therapy, couples learn practical tools to manage conflict in healthy ways, express needs and emotions more effectively, and repair breakdowns in communication. The Gottman Method emphasizes building a strong foundation of respect and understanding, enhancing emotional connection, and creating shared meaning in the relationship. Therapists trained in the Gottman Method use structured assessments and interventions tailored to each couple’s unique challenges. Research has shown this approach to be highly effective in improving relationship satisfaction, reducing distress, and supporting long-term stability. Unified Treatment Approach for Eating Disorders The Unified Treatment Approach for Eating Disorders is an evidence-based model that addresses the shared emotional and behavioral processes underlying all eating disorders, rather than focusing only on specific symptoms like restriction, bingeing, or purging. This transdiagnostic approach recognizes that struggles with eating often stem from difficulties in managing emotions, rigid thinking patterns, and unhelpful coping strategies. In therapy, clients learn to better understand the function of their eating disorder behaviors, develop healthier ways to regulate emotions, and practice flexibility in their thinking. Treatment often includes cognitive-behavioral strategies, mindfulness, and skills to reduce avoidance and increase tolerance of uncomfortable feelings. By focusing on the common roots of eating disorders, the unified approach can be adapted to each person’s unique symptoms while targeting the core difficulties that keep the cycle going. Research shows that the unified approach improves eating disorder symptoms, reduces anxiety and depression, and helps clients build sustainable coping skills that support long-term recovery and well-being. Unified Protocol (UP) The Unified Protocol is an evidence-based cognitive-behavioral treatment designed to help people who struggle with a wide range of emotional disorders, such as anxiety, depression, OCD, and related difficulties. Instead of focusing only on the symptoms of one diagnosis, the Unified Protocol addresses the underlying patterns that many emotional disorders share—like difficulty managing strong emotions, avoiding uncomfortable feelings, and getting stuck in unhelpful thought patterns. In therapy, clients learn skills to become more aware of their emotions, accept them without judgment, and respond in healthier, more flexible ways. Treatment includes strategies such as mindfulness, identifying and challenging negative thinking, exposure to avoided situations or feelings, and building tolerance for distress. Research has shown that the Unified Protocol is effective across many different conditions, especially for people who experience more than one mental health concern at the same time. By targeting the common core of emotional difficulties, it helps clients reduce symptoms, improve functioning, and live more in line with their values. Comprehensive Model of Behavior (COMB) The Comprehensive Behavioral Model (ComB) is a specialized treatment approach for body-focused repetitive behaviors (BFRBs), such as hair pulling (trichotillomania) and skin picking (excoriation disorder). Unlike a “one-size-fits-all” method, ComB helps individuals understand the unique reasons behind their behaviors and tailors treatment to those factors. In ComB, clients and therapist work together to identify the different triggers that drive the behavior. These triggers may be sensory (touch or physical sensations), cognitive (thoughts), affective (emotions), motoric (habits), or environmental (situations or settings). Once the specific patterns are mapped out, treatment focuses on developing personalized strategies to interrupt the behavior and replace it with healthier responses. The ComB model empowers clients by giving them a clear understanding of why their behaviors happen and practical tools to reduce them. Research has shown ComB to be an effective and flexible treatment for BFRBs, helping many people reduce urges, increase control, and improve daily functioning. Dialectical Behavioral Therapy Dialectical Behavior Therapy (DBT) is an evidence-based treatment that helps people manage intense emotions, improve relationships, and build healthier coping skills. Originally developed for individuals with borderline personality disorder and chronic suicidal thoughts, DBT has since been shown to be effective for a wide range of concerns including depression, anxiety, trauma, eating disorders, and self-destructive behaviors. DBT combines acceptance and change strategies. Clients learn to accept themselves and their experiences while also making changes that support healthier functioning. The therapy teaches skills in four main areas: mindfulness (staying present in the moment), distress tolerance (managing crises without making things worse), emotion regulation(understanding and reducing vulnerability to strong emotions), and interpersonal effectiveness (building more stable and supportive relationships). DBT can be offered individually or in skills groups, and it emphasizes support, accountability, and practical tools that clients can apply in daily life. Research has consistently shown DBT to reduce self-harm, improve emotion regulation, and increase overall quality of life. Internal Family Systems (IFS) Internal Family Systems (IFS) is a compassionate, evidence-based therapy that helps people better understand and heal their inner world. IFS is built on the idea that our mind is made up of different “parts” or sub-personalities—each with its own feelings, thoughts, and roles. Some parts may carry painful emotions from the past, while others work hard to protect us, often through patterns like perfectionism, self-criticism, or avoidance. In therapy, clients learn to connect with their core “Self”—the calm, curious, and compassionate center of who they are. From this place, they can approach their parts with understanding rather than judgment. Over time, this process helps release burdens carried by wounded parts, reduce inner conflict, and foster a greater sense of harmony and self-leadership. IFS can be helpful for trauma, anxiety, depression, relationship challenges, and personal growth. Many people find it empowering because it honors all parts of themselves and promotes healing through self-compassion and integration. Reality Therapy Reality Therapy is a counseling approach that focuses on helping people take responsibility for their choices and build healthier, more fulfilling relationships. Developed by Dr. William Glasser, it is grounded in Choice Theory, which suggests that most psychological distress comes from unsatisfying or disconnected relationships. In therapy, clients are encouraged to look at what they want, what they are currently doing, and whether their behaviors are helping them move closer to or further from their goals. The focus is on the present and future, rather than dwelling on the past, and on practical steps that can improve daily life. Reality Therapy emphasizes personal responsibility, problem-solving, and building connections with others. By learning to make choices that better meet their needs for love, belonging, power, freedom, and fun, clients often find greater satisfaction and effectiveness in their lives. Motivational Interviewing (MI) Motivational Interviewing (MI) is a collaborative, person-centered counseling approach that helps people strengthen their own motivation and commitment to change. Rather than telling clients what to do, MI creates a supportive space where they can explore their values, goals, and ambivalence about change. Through open-ended questions, reflective listening, and affirmations, the therapist guides clients in identifying their reasons for change and building confidence in their ability to take steps forward. The focus is on partnership, respect, and empowering the client’s own choices. MI has been shown to be effective across a wide range of concerns, including substance use, health behaviors, anxiety, and lifestyle changes. Clients often find it helpful because it reduces resistance, increases self-awareness, and supports lasting, self-directed change. Solution Focused Brief Therapy (SFBT) Solution-Focused Brief Therapy is a goal-oriented approach that helps people focus on solutions rather than problems. Instead of spending a lot of time exploring what’s wrong or analyzing the past, SFBT emphasizes strengths, resources, and small steps that can move clients closer to their preferred future. In sessions, the therapist uses questions to help clients imagine what life would look like if their challenges were resolved, identify times when the problem is less intense, and build on what’s already working. The process is collaborative, positive, and practical, often leading to meaningful progress in a shorter period of time. SFBT has been shown to be effective for a wide range of concerns, including anxiety, depression, relationship challenges, and stress. Clients often appreciate its hopeful and empowering focus on what is possible rather than what is wrong. Cognitive Behavioral Therapy for Insomnia (CBT-I) Cognitive Behavioral Therapy for Insomnia (CBT-I) is the leading evidence-based treatment for chronic sleep difficulties. Unlike sleep medications, which often provide only temporary relief, CBT-I works by addressing the thoughts and habits that interfere with healthy sleep and helping people retrain their sleep patterns. In therapy, clients learn strategies such as improving sleep routines, reducing unhelpful thoughts and worries about sleep, and making lifestyle or environmental changes that promote rest. Techniques like stimulus control, sleep restriction, and relaxation training are commonly used to restore a more natural sleep rhythm. Research has consistently shown CBT-I to be highly effective, with most people experiencing significant improvements in how quickly they fall asleep, how often they wake during the night, and how rested they feel during the day. Results are long-lasting, making CBT-I the gold standard for treating insomnia. Mindfulness Based Stress Reduction (MBSR) Mindfulness-Based Stress Reduction (MBSR) is an evidence-based program that helps people manage stress, anxiety, pain, and other challenges through the practice of mindfulness. Developed by Dr. Jon Kabat-Zinn, MBSR teaches participants to bring gentle, nonjudgmental awareness to the present moment. The program usually runs for eight weeks and combines guided meditation, gentle yoga, and mindfulness practices that can be used in everyday life. Participants learn how to notice thoughts, emotions, and body sensations without becoming overwhelmed by them, which reduces stress and promotes greater calm and resilience. Research has shown that MBSR can lower stress, improve mood, reduce symptoms of anxiety and depression, and even support better physical health outcomes. Many people find it helpful for cultivating balance, self-awareness, and well-being in their daily lives. Have a Question? Feel free to reach out to us with any questions about our training, certifications, and skill sets with any of the therapeutic approaches that we use. As a part of your treatment, your therapist will discuss which treatment approaches are used to treat your diagnosis and will develop a plan of care with you to meet your needs.

Emma is a children's therapist trained in multiple treatment appraches for trauma. Emma Graviss, CSW I specialize in: Children's Behavioral Concerns Trauma Anxiety About Me Hi, I’m Emma. I’m a Certified Social Worker (CSW) with experience in community mental health, and underserved rural communities. My work has centered on supporting children, adolescents, and families as they navigate behavioral, emotional, and trauma-related challenges. I’m passionate about building a collaborative, empowering healing process. I have experience serving clients ages 5–18+, with particular focus on autism spectrum disorder (ASD), childhood trauma, anxiety, depression, and PTSD. I take a relational and authentic approach—meeting clients where they are, honoring their voice, and creating space for trust, curiosity, and growth. I utilize evidence-based interventions such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Accelerated Resolution Therapy (ART), and Trauma Affect Regulation: Guide For Education and Therapy (TARGET), as well as expressive art therapies to support emotional regulation, trauma processing, and overall well-being. I tailor each approach to the unique needs of the young person and family I’m working with. I’ve had the privilege of supporting children and families across diverse environments—from community settings to clinical private practice. I strive to offer a warm, grounded, and compassionate space where each client feels understood, supported, and genuinely cared for. Contact Looking for a children's therapist to address trauma or anxiety? Lets see if we are a good fit! emmag@cognitiverefinery.com 270-266-1188

OCD Therapy Bella McCall, LPCC I specialize in: Obsessive Compulsive Disorder Phobias Anxiety Disorders About Me I specialize in treating individuals with OCD, panic attacks, and phobias using evidence-based approaches tailored to each client’s unique needs. My work focuses on helping clients navigate and overcome the challenges these conditions present, empowering them to live fuller, more meaningful lives. For OCD, I utilize Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (ICBT), both of which are highly effective in reducing obsessive thoughts and compulsive behaviors. These therapies are designed to help clients confront fears, reframe intrusive thoughts, and break free from the grip of compulsions. In working with panic attacks and phobias, I create a supportive and collaborative environment where clients can develop tools to manage anxiety and gradually face situations they have been avoiding. My approach emphasizes building confidence, reducing avoidance behaviors, and fostering resilience. I’m passionate about helping individuals understand their thought patterns, challenge unhelpful beliefs, and develop practical strategies for long-term success. Whether you're just starting your journey or looking for a fresh perspective, I’m here to help you navigate the path to recovery with compassion and care. Testimonials: My life has positively changed dramatically since starting with Bella. - Client Survey My therapist Bella. She is the best and very informative and helpful. - Client Survey "10/10" - Client Survey Contact In need of an OCD therapist? I offer in person and telehealth appointments! bella@cognitiverefinery.com 270-266-1188

Poly and Kink Jessica "Bird", Licensed Marriage and Family Therapy Associate I specialize in: Open Relationships Non-Monogamy Sexual Concerns Couple's Counseling About Me Building strong relationships with others and with the Self requires effort and understanding, yet despite our best efforts, we can sometimes get stuck in cycles of misunderstanding and frustration. This likely inspired you to venture here today. I specialize in helping individuals, couples, families, and those in ethically non-monogamous (ENM) or kink relationship dynamics work through these stuck points without blaming or pathologizing. My approach is a collaborative journey into individual and relationship issues, sexuality, and sexual concerns, with intimate knowledge and experience in the LGBTQ+, ENM, and Kink communities. I have a certificate in Human Sexuality from Kinsey Institute. I facilitate healing through Emotionally Focused Therapy (EFT), Internal Family Systems, and various other therapeutic modalities tailored to your specific needs. As a systemically trained therapist, I consider the impact various aspects of your life may have on the problem and vice versa to help you develop a holistic understanding of others and yourself. Everyone deserves a supportive space to explore their stuck points and frustrations regardless of social identity, affiliation, or issue. If you believe I can provide that space for you, I invite you to contact me to see if we make a good fit for your healing journey. *I accept Medicaid and private pay. Testimonials: With Bird, we feel listened to and seen. It has been an excellent experience. - Client Survey It’s been a great experience so far and I feel heard and I feel like this is the right therapist for me. - Client Survey Everyone I've encountered from the call I made to schedule an appointment has been very kind, warm, and welcoming. The vibes in the space and from the people are comfortable. I've seen Donnie individually, and Megan and Bird for couples and have felt listened to and cared about by each one. I've not felt judged, even when I'm expressing things I haven't handled the best or need to improve on. I've felt supported to make positive changes. - Client Survey My therapist is awesome! - Client Survey Contact Looking for relationship help? I look forward to getting to know you! bird@cognitiverefinery.com 270-266-1188

Trauma Therapist Normanda Lawless, NCC, LPCC-S I specialize in: Trauma PTSD Life Transitions About Me I have been working in the counseling field since 2015, gaining experience in diverse settings including community mental health, inpatient care, and outpatient services. My areas of expertise include trauma, PTSD, religious trauma, and navigating life transitions. I am passionate about using evidence-based approaches to help clients reduce the impact of trauma responses and lead more fulfilling lives. I am trained in Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Written Exposure Therapy (WET), and Prolonged Exposure (PE). These therapeutic methods empower clients to identify and manage trauma responses, improve self-worth, build healthy coping skills, and make trauma memories less pervasive. I work with adolescents (ages 16 and older) and adults, offering both individual and family therapy services. My goal is to provide a safe and supportive space where clients can heal, grow, and achieve lasting change. I offer supervision services for individuals pursuing their full licensure. Testimonials: Normanda is a great therapist. My feelings are validated, I feel heard, and I learn new things from her. - Client Survey Normanda Lawless is an amazing clinician. She is kind, empathetic and can help guide you through your story and experience to have the life you want. Highly recommend getting in to see her and how she can help you! - Facebook Review Normanda Lawless is an excellent clinician. She demonstrates excellent patience and understanding with her clients and provides a relaxing environment that allows her clients to feel comfortable and at home. - Facebook Review Normanda has been fantastic! I have tried several therapists off-and-on over the course of the last 12 years as I have moved and various "life things" have happened, but she has been my favorite. Not only is she knowledgeable and clearly competent in her field, but she is easy to talk with and relate to. Would highly recommend her to others! - Client Survey Normanda is wonderful and she has helped me to be more aware of myself - Client Survey Normanda has been great! She remembers all of the small details that don’t seem important, but actually are! She’s been a lovely therapist. - Client Survey I’m getting results and Normanda is warm and understanding. - Client Survey My therapist is amazing. She's been the best therapist I've seen over the years and I'm finally getting some results. She's also flexible and her hours work with mine. - Client Survey Contact Let's get started! normanda@cognitiverefinery.com 270-266-1188

Meet our specialty teams and learn about the difference specialty care makes. Specialties at TCR We are a multi-specialty therapy practice. Clients are matched with therapists based on their specific concerns and each clinician’s area of expertise, allowing for more focused and effective care. OCD & Anxiety Team We provide specialized treatment for OCD and a range of anxiety concerns, including panic, social anxiety, phobias, and body-focused repetitive behaviors (BFRBs) such as hair pulling and skin picking. Our clinicians use evidence-based approaches including ERP, ICBT, ACT, and CBT to reduce avoidance, increase tolerance for uncertainty, and improve daily functioning. Trauma and Recovery Team We provide specialized treatment for trauma and PTSD, including childhood trauma, relational trauma, and acute stress responses. Our clinicians use evidence-based approaches such as Cognitive Processing Therapy (CPT), Written Exposure Therapy (WET), Eye Movement Desensitization and Reprocessing (EMDR), and Trauma-Focused CBT (TF-CBT), along with other research-supported interventions to help clients process traumatic experiences, reduce distress, and improve overall functioning. Neurodivergence & Executive Functioning We provide support for neurodivergent individuals across the lifespan, including those with ADHD, autism, and executive functioning challenges. Our clinicians focus on building practical skills, improving organization and follow-through, and reducing distress related to attention, sensory, and social differences. Treatment is individualized and may include evidence-based approaches such as CBT and ACT, with an emphasis on increasing flexibility, self-understanding, and effective functioning in daily life. Relationships, Couples & Identity We provide therapy for couples and individuals navigating relationship concerns, communication difficulties, and identity development. Our clinicians work with both traditional and non-traditional relationships, including LGBTQ+ and ethically non-monogamous (ENM) partnerships. Treatment may include evidence-based approaches such as the Gottman Method and Emotionally Focused Therapy (EFT), with a focus on improving connection, strengthening communication, and supporting healthier, more secure relationships. Children's Services We provide therapy for children and adolescents with a range of mental health concerns, including anxiety, trauma, behavioral challenges, and identity or adjustment-related difficulties. Our clinicians are trained in evidence-based interventions tailored to younger populations, such as Trauma-Focused CBT (TF-CBT) and Supportive Parenting for Anxious Childhood Emotions (SPACE). Treatment is developmentally appropriate and often involves caregiver collaboration, with a focus on improving emotional regulation, reducing symptoms, and strengthening family support. Focused Specialty Services Some concerns require more specialized support. These services are offered by clinicians with additional training and focused experience, allowing us to provide more targeted care for specific needs. Perinatal & Postpartum Mental Health Support for individuals navigating pregnancy, postpartum changes, and early parenthood. Eating Disorders & Body Image Treatment for disordered eating patterns and body image concerns. Sports Performance & Performance Psychology Mental performance support for athletes and high-performing individuals. Chronic Illness & Grief Support for individuals coping with medical conditions, loss, and major life changes. Sleep & Insomnia Treatment for sleep-related concerns and insomnia. Substance Abuse Support for substance use concerns.

Therapist treating BDD, OCD, ADHD, and anxiety. Austin Weiler, LCSW I specialize in: OCD ADHD Anxiety About Me Hello! I strive to cultivate a safe, inclusive therapeutic environment that fosters authentic self- expression and courageous conversations without judgment. Using a person-centered approach, I believe a strong therapeutic alliance is built on respect for self determination and honoring each individual’s unique lived experience. While I primarily specialize in working with clients who have Obsessive-Compulsive Disorder (OCD), I also have experience treating Body Dysmorphic Disorder (BDD), ADHD, Autism Spectrum Disorder (ASD), anxiety, and supporting individuals within the LGBTQIA+ community. Additional areas of focus include depression, self-esteem, trauma, and life transitions. I tailor my approach to each client to best support their goals and values. I completed the Behavioral Therapy Training Institute through the International OCD Foundation and utilize Exposure and Response Prevention (ERP) and Inference-Based Cognitive Behavioral Therapy (I-CBT) in the treatment of OCD. I am also trained in several evidence-based modalities, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), Emotionally Focused Individual Therapy (EFIT), and the Gottman Method. Outside of clinical practice, I enjoy traveling, reading, and all things coffee. I look forward to supporting you on your journey. Contact I look forward to working with you! austin@cognitiverefinery.com 270-266-1188

Frequently Asked Questions Submit a Question Frequently Asked Questions TCR What is the cost of a session? It depends on your insurance. If you have a co-pay then you will pay that amount. You may have to meet a deductible and the rate you will pay for a session is set by your insurance company. We are happy to let you know what this will be by contacting our office. If you have Medicaid it is typically covered at 100%. Our private pay rates are as follows: Doctoral Clinicians: 30 min - $75 45 min - $100 60 min - $140 Couples - $160 Fully Licensed: 30 min - $75 45 min - $100 60 min - $140 Couples - $140 Associate License: 30 min - $45 90 min - $60 60 min - $80 Couples - $100 What is the difference in an associate's license and being fully licensed? After completing a degree in a counseling related field, a therapist must complete supervision hours, typically over the course of 2 years, before they are eligible to take a test for full liscensure. Therapists with an associates license are still completing training and are being supervised by a fully licensed therapist. Associates licenses include CSWs and LPCAs. LCSWs and LPCCs are fully licensed. Do you offer telehealth/ online therapy? Yes, all of our therapists offer online therapy options. We have one therapist who is 100% online and the rest are all a mix of online and face to face. What types of therapy do you have training in? Our therapists have training in many different approaches including: Acceptance and Committment Therapy (ACT) Dialectial Behavioral Therapy (DBT) Cognitive Behavioral Therapy (CBT) Exposure Response Prevention (ERP) Inference Based Cognitive Behavioral Therapy (ICBT) Comprehensive Model for Behavior (ComB) Habit Reversal (HR) Prolonged Exposure (PE) Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Cognitive Processing Therapy (CPT) Internal Family Systems (IFS) Supportive Parenting for Anxious Childhood Emotions (SPACE) Gottman (couple's counseling treatment approach) Yoga Calm Motivational Interviewing (MI) Solution Focused Brief (SFBT) Reality Therapy Sensorimotor Psychotherapy Emotional Freedom Technique (EFT) See Our Treatment Approaches Page For More Information Do you offer internships? Yes, we typically select one graduate student each school year. We offer an experience where students get to observe, learn, and practice in a supportive but challenging enviornment. Students work up to managing a small pro-bono caseload prior to graduation. Do you offer anger management or domestic violence groups? No, these are not groups that we provide. Do you write Emotional Support Animal (ESA) letters? This is done on a case by case basis when appropriate for existing clients. We do not see clients for single sessions and make recommendations or provide letters. Are you hiring? We are accepting resumes for qualified candidates. We offer a competitive package - W2 employment, medical benefits, CEU budget, support staff, office overhead, furniture, EHR... and more. What forms of payment to you accept? Cash, check, credit/ debit, HSA. What hours do you offer appointments? Each therapist makes their own schedule and has different availability. The office is open from 8:30am - 7pm Monday - Thursday and 8:30am to 5pm on Fridays. Some therapists offer morning and late night appointments outside of these hours. Saturdays by appointment only. Closed on Sundays. Are you faith based? No. We are not faith based and are not "Christian Counselors". We do see spiritual beliefs as a resource and will intergrate this into your treatment when appropriate, but we are not approaching your treatment through a religious lens. Do you work with same-sex couples? Yes. The approaches that we use for couple's counseling (primarily Gottman) are as effective with same sex couples as they are with heterosexual couples. Do you prescribe medication? No, but we do provide referrals for our clients to trusted psychiatrists and psychiatric nurse practitioners. Why are couples sessions not billed to insurance? Insurance companies require that services be tied to one identified client with a mental-health diagnosis and a medically necessary treatment plan. Couples counseling focuses on the relationship itself rather than diagnosing or treating one partner for a specific mental-health condition. Because of this, it does not meet insurance criteria for reimbursement. To ensure ethical care, protect your privacy, and allow full flexibility in treatment goals, couples sessions are offered as private-pay services. Our couples counseling rate range from $100 to $160 per hour depending on the licensure of the therapist providing the service. Do you only have one location? We currently have 2 locations in downtown Bowling Green. You will be notified if the therapist that you are seeing is located at our secondary location. Primary Location: The Potter Building 948 Elm Street Bowling Green, KY 42101 Secondary Location: The Milliken Building 1039 College Street Bowling Green, KY 42101 Do you offer testing? We offer neuropsychological testing for children and adults. Comprehensive children's testing: Learning disorders (reading, writing, math) ADHD Intellectual disability Academic difficulties/underachievementAll neuropsychological services are out of pocket, meaning that we do not accept insurance for these services. Autism Assessments for neurological conditions: Dementia syndromes Mild cognitive impairment (MCI) Traumatic brain injury (mild, moderate, severe) Stroke and cerebrovascular disease Brain tumors and effects of neurosurgery Epilepsy and seizure disorders Hypoxic/anoxic brain injury Normal pressure hydrocephalus Neurodevelopmental disorders persisting into adulthood) Evaluations for medical conditions impacting cognition: Effects of chemotherapy Sleep disorders Metabolic or endocrine disorders (thyroid disease, diabetes) Autoimmune and inflammatory disorders Long COVID or post-viral cognitive symptoms All of our testing services are private pay, meaning we do not accept insurance for these services. See Our Testing Page For More Information ADVICE FROM CURRENT CLIENTS: Make sure you’re comfortable talking with the therapist you choose and make sure they are knowledgeable about the concerns you have. Go open minded, be honest about your symptoms, let them guide you. You may have to switch therapist to find the right fit, but TCR will have the one you need. Give it time. I didn't feel like I was making progress for the first 4 months. Then, I suddenly was. I think it takes time for your therapist to notice patterns and get to know you, just like it takes you as a client time to be comfortable with them. Be open about what you struggle with, the progress comes when you are open about the problems you face and any trauma you may have dealt with, as hard as that can be and as silly as it sounds when you tell someone you struggle with something as minuscule as checking door locks or light switches. Be receptive and open to trying things that seem difficult in therapy (like OCD Exposures), some of them were genuinely frightening to think about beforehand, but months away from those exposures, I had almost forgotten about some of those things till just now. It’s pretty awesome to be able to type that right now. It might be scary and hard at first but it will be the best thing you ever do for yourself. Trust the process. Be open and honest and you will get excellent results. I would say picking a therapist is not as simple as picking a restaurant, its something you should really do your homework on and decide what person fits best for you and your situation. Be honest with yourself so you can be honest with your therapist so you can REALLY get to the root of your issues and begin to heal. I'd let them know to get comfortable asking for all of the options you all have available from telehealth, schedules, therapists, etc I think so many people are used to therapists office where they don't feel empowered to explore things that work. Just be honest and it is ok if it takes awhile to warm up. IT IS OK TO CRY I would tell them not to be nervous, the staff at TCR will make you feel very welcomed. You will know that the staff there are very knowledgeable and you will get the help you need. Be willing to receive the help you need. I would just say don't be afraid to open up or talk about the things that are really impacting you. I feel like you miss out on the opportunity to heal and grow by holding back. It has been an ongoing journey to be more vulnerable and focus on those important experiences that have caused me distress. The more I am able to address it, the better I feel. For clients starting ERP - try really hard to commit to doing exposures. It’s so tough but worth it IF you’re consistent. The work doesn’t stop when the session is over. Keep pushing yourself for your mental health when you can, and bring what you find back to your therapist. Use the fidget toys if you are anxious. Start soon!