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Children's Psychologist Chris Chandler, PsyD I specialize in: Children's Behavioral Issues Adjustment Issues Anxiety Disorders Psychological Assessments About Me I’m Chris, a licensed psychologist with a PsyD and a passion for working with children and their families. My career has been dedicated to helping young people navigate mental health challenges, build resilience, and develop the skills they need to thrive. In addition to my work in private practice, I also serve at a children’s inpatient psychiatric hospital, where I provide care for children facing acute mental health needs. I use evidence-based interventions, particularly Cognitive Behavioral Therapy (CBT), to address a wide range of issues in children and adolescents. My approach is compassionate, practical, and tailored to meet the unique needs of each child. Whether working with clients individually, collaborating with their families, or conducting psychological testing to better understand their needs, I strive to create a supportive and effective therapeutic experience. Alongside my clinical work, I provide clinical supervision to other psychologists, sharing my knowledge and experience to support their development. I’m committed to fostering a strong foundation of evidence-based practice within our field and ensuring that each client receives the best possible care. Helping children and their families is deeply rewarding, and I’m honored to be a part of their journey toward growth and healing. Testimonials: My son can really connect with his therapist. - Client Survey My mental health improved greatly! - Client Survey Chris is a great therapist. He’s a good listener and he’s knowledgeable and can provide science-based advice when needed and can feel like your friend as well while also feeling like you can trust him to tell him things that can be considered dark. - Client Survey Incredibly kind and talented! -Client Survey Contact Let's make change together! chris@cognitiverefinery.com 270-266-1188

Religious Trauma and OCD Cejay Moore, NCC, LPCC I specialize in: Religious Trauma Obsessive Compulsive Disorder Life Transitions About Me I am a Licensed Professional Clinical Counselor who has been practicing therapy since 2021. I specialize in supporting clients navigating religious trauma, OCD, anxiety disorders, and life transitions or adjustments. My therapeutic approach is eclectic, thoughtfully blending evidence-based interventions to meet the unique needs of each individual. I particularly enjoy working with motivated clients, whether they are new to therapy or have previous experience with the therapeutic process. My goal is to create a supportive and non-judgmental environment where clients feel comfortable opening up and exploring their challenges. Together, we’ll work toward meaningful and lasting change that empowers you to live a more fulfilling life. Testimonials: Having a great therapist! My previous interaction with a therapist(several years ago) wasn’t great and made me reluctant to seek out therapy, but thankfully I gave it another try because my experience with Cejay has been great! Dealing with and understanding OCD has became so much easier since seeing her, and I don’t feel like just another name on her schedule, she does a great job and has helped me a lot! - Client Survey Cejay is such a wise person. She is so amazing at her job! She is the perfect person for me to meet with. She truely cares about me and is very good at responding to my emails and flexible with my schedule! - Client Survey I am thankful for Cejay and the work she has done with me over the past year almost two. I have made improvements that have positively impacted my life. - Client Survey 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. - Client Survey Contact Let's see if we are a good fit! cejay@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

Find out what treatment approaches are used by therapists 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.

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

Learn more about grief and chronic illness treatment at The Cognitive Refinery. Grief and Chronic Illness We provide support for individuals coping with grief, loss, chronic illness, and major health-related life changes. Grief can arise from the death of a loved one, changes in relationships, loss of independence, infertility, or other significant life transitions. Similarly, chronic medical conditions can affect emotional well-being, identity, relationships, and daily functioning. Our clinicians help clients navigate the complex emotions that often accompany these experiences, including sadness, anxiety, anger, uncertainty, and adjustment difficulties. Treatment is tailored to each individual's needs and focuses on building resilience, processing loss, developing effective coping strategies, and creating a meaningful life alongside ongoing challenges. Kate Barnes, LCSW, PMH-C Kate treats individuals navigating chronic illness or grief including grief related to infant deaths. Kayla Ashby, LPCC Kayla works with grief and loss issues and can compassionately support you through grieving.

Meet the therapists at TCR who specilize in treating relationships, couples, and identity. Relationships, Couples, and Identity We provide therapy for couples and individuals navigating relationship concerns, communication difficulties, life transitions, and identity development. Our clinicians utilize evidence-based approaches such as the Gottman Method and Emotionally Focused Therapy (EFT) to help strengthen connection, improve communication, and foster healthier relationship patterns. Services include traditional couples counseling, support for consensually non-monogamous (ENM) and polyamorous relationships, and intensive therapy options through our weekend marriage intensives. While all of our therapists strive to provide an affirming and welcoming environment for LGBTQ+ individuals, several clinicians have additional experience and focus in helping clients explore identity-related concerns, relationship dynamics, and personal growth. Dr. Evelyn Peck Evelyn is a doctoral psychologist who is a Gottman Level 3 clinician. She primarily works with couples, is comfortable addressing infidelity issues, and offers marriage intensives. Jessica Bird, MSCFT Bird primarily utilizes EFT and works with traditional and non-traditional couples including ENM and kink. She offers a comfortable space for exploring sexual concerns. Donald Evans, LCSW Donald enjoys working with clients who are exploring sexual and gender identities and navigating the complexities of integrating their identities into their relationships. Emma Graviss, CSW Emma treats children and teens as they question identity and helps families navigate the challenges of communication, emotional regulation, and developmental changes. Ninoska Moratin, LPCC Ninoska is a Gottman level 2 clinician and her specialty is couples counseling. She guides couples to improve communication, repair trust, and build connection. Premarital counseling too! Briana Rushing, LPA Briana offers counseling for ENM/ polyamorous relationships. She has in person availability for relationship based counseling and sees same sex couples. Austin Weiler, LCSW Austin enjoys working with individuals in the LGBT+ community who are impacted by trauma, OCD, BDD, and other anxiety related disorders. He supports identity exploration.

Brittany treats OCD and ADHD. Brittany Jinkins, LCSW I specialize in: Obsessive Compulsive Disorder ADHD Autism About Me Hi! I’m Brittany Byler, a Licensed Clinical Social Worker who has been practicing since 2019. I aim to create a warm, welcoming space where clients feel safe to be themselves and supported as they navigate life’s challenges. My approach focuses on helping clients develop self-compassion, with the hope that they can build an internal, supportive voice that continues to guide them beyond therapy. I use evidence-based approaches including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). I especially enjoy working with individuals with Obsessive-Compulsive Disorder (OCD) and those who are neurodivergent (ADHD/Autism). I take a neuro-affirming approach and work collaboratively with clients to tailor treatment to their unique needs, values, and strengths. I am currently a doctoral student in the Applied Psychology program at Western Kentucky University. Outside of work, I enjoy spending time with my husband and caring for our four cats. Contact I have new client availability on Saturdays! brittany@cognitiverefinery.com 270-266-1188

Learn more about perinatal mental health treatment at The Cognitive Refinery. Perinatal Mental Health Perinatal mental health encompasses the emotional and psychological experiences associated with family building, pregnancy, childbirth, and the postpartum period. These concerns can affect both women and men and may arise at any stage of the journey, including infertility, conception challenges, pregnancy loss, pregnancy, childbirth, adoption, and the transition to parenthood. While these experiences can be joyful, they can also bring significant stress, uncertainty, grief, identity shifts, and relationship challenges that deserve specialized support. Our perinatal mental health services are provided by a clinician who holds the Perinatal Mental Health Certification (PMH-C), an advanced credential demonstrating specialized training in maternal and paternal mental health. This expertise allows for the identification and treatment of concerns that are unique to the perinatal period, including postpartum depression, postpartum anxiety, perinatal OCD, birth trauma, adjustment difficulties, and postpartum psychosis. Working with a PMH-C provider ensures that care is informed by current research and best practices, helping individuals and families receive targeted support during one of life's most significant transitions. Kate Barnes, LCSW, PMH-C Kate specializes in perinatal mental health and can help treat and guide individuals as they navigate infertility, pregnancy, and postpartum concerns including grief related to infant deaths. Megan Harden, LCSW Megan can specifically help women navigating postpartum related OCD challenges. She utilizes ERP and ICBT with a heavy focus on ICBT with new mothers.

Therapist treating trauma, OCD, and LGBTQ+ issues. Donald Evans, LCSW I specialize in: LGBTQIA+ Issues Trauma Obsessive Compulsive Disorder About Me Hi I'm Donnie. I approach my work with an understanding that each client's experience is unique & I appreciate the courage it takes to engage in therapy. I work to help my clients feel heard & understood while exploring the sources of their difficulty. It is important to me that my relationship with clients is collaborative. Through this collaboration, we will work toward a clear understanding of what brings you to therapy, as well as identify opportunities for growth & acceptance. Therapy should be a place free from judgement, where you are empowered to share your thoughts, feelings, & story. Certain factors both present and historical, influence and promote an elevation of different symptoms and issues within the LGBTQIA+ community. My goal is to provide an empathetic and safe environment for emotional expression and growth. I have training in Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), Trauma Focused Cognitive Behavioral Therapy (TF-CBT), and Cognitive Processing Therapy (CPT). I provide in person and telehealth therapy for teens and adults. Testimonials: My therapist is phenomenal and I feel that I wouldn’t have came such a long way without his guidance! - Client Survey So amazing! - Client Survey Having more “a-ha” moments than I can account for. Donnie is incredible at opening my eyes and seeing things in a new perspective. - Client Survey in the beginning my therapist was the right balance of personable yet professional; once a sense of safety was built, I was more open to sharing deeper things. - Client Survey I love my therapist, very welcoming atmosphere and very flexible for appointments! - Client Survey Contact I look forward to meeting you and helping you navigate your mental health! donald@cognitiverefinery.com 270-266-1188

Learn more about TCR's services. Individual, group, couple's, and family counseling as well as consultation services and testing. Introducing Testing Services! We have availability for neuropsychological testing services starting in May 2026! Learn More LEARN MORE OUR SERVICES Individual Therapy Group Therapy Testing Couples Counseling Consultation Individual Therapy Individual therapy sessions for children, teens, and adults last between 30 to 60 minutes and are either provided in our private office spaces or through telehealth. Not all mental health needs are appropriate to be addressed through telehealth. When you first start treatment your therapist will likely spend the first few sessions getting to know you and collaboratively developing a treatment plan with you. Your therapist may use assessment tools to help establish symptom severity and help monitor your progress in treatment. The length of treatment depends on what type of therapy your therapist is utilizing as well as your symptom severity. Each therapist has their own individualized office space and they work to create an environment that feels safe and comfortable. Water, tea, as well as seasonal drink offerings are available during your visit and a lending library is in the waiting room if you arrive early for your session. Individual Family and Couple's Counseling Family Family and couple's sessions are typically 60 minutes and we prefer for these sessions to take place in office. Family sessions may be integrated into individual therapy to address specific issues, or may be set up as the primary means of treatment. Both premarital and marital counseling services are available. If you are engaged we encourage you to set up premarital counseling prior to your big day to help develop communication and ensure that you and your spouse-to-be are on the same page as you move forward. Couple's seek treatment in marriage to work on refining their relationship, improve communication, and address issues of trust. If you are calling our office to set up marital counseling please let us know if you are looking for affair recovery treatment. Group Therapy Group therapy is offered for various specific treatments and typically last for 60 minutes. Groups are offered both through telehealth and in our group therapy space. Receiving group treatment allows you to receive the support from other who are struggling with the same issues. All of our groups are led by clincians. Availability of groups is changing throughout the year and some groups may be "closed" whereas others are "open" meaning that no invite is needed and you are free to join at anytime. Please contact our office to learn more about our group offerings! Group Consultations and Clinical Supervision Supervision Our therapists who specialize in treatment approaches offer consultations to other clinicians who are looking to expand their skills. Please contact the therapist you are seeking consultation with directly to schedule. Megan Harden, LCSW, Normanda Lawless, LPCC-S, Karol Owen, LPCC-S, and Chris Chandler, PsyD offer clinical supervision services for associates licensed clinicians. Neuropsychological Testing Neuropsychological testing evaluates your ability to remember, concentrate and pay attention when needed, communicate effectively, read, write, solve problems, plan, organize, and make decisions. Assessments of mood, behavior, and practical daily living skills also provide important information and offer greater detail to inform the broader picture and help us place your strengths and weaknesses in your unique context. Our high quality testing is administered by a doctoral neuropsychologist. Learn More About Treatment Approaches

Meet the therapists at TCR who specialize in neurodivergence and executive functioning. Neurodivergence and Executive Functioning We provide specialized support for children, adolescents, and adults with autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and other neurodivergent presentations. Our clinicians help individuals navigate challenges related to executive functioning, emotional regulation, sensory differences, social relationships, school, work, and daily life responsibilities. Treatment is individualized and strengths-based, focusing on building practical skills, increasing self-understanding, and developing strategies that support success while honoring each person's unique way of experiencing the world. We also offer comprehensive neuropsychological and psychological testing services to assist with diagnostic clarification, treatment planning, academic accommodations, and a deeper understanding of cognitive, emotional, and behavioral functioning. Peyton Collins, LCSW Peyton has spent his career focusing on supporting individuals with ASD. He has extensive training and is knowledgable about addressing ASD across the lifespan. Briana Rushing, LPA Briana works with neurodiverse individuals as they navigate relationship challenges and complex interpersonal dynamics. She adapts treatments as needed to support ASD. Emma Graviss, CSW Emma works with children and adolescents who have a range of neurodiversity. She helps children and families navigate concerns with behaviors at home and school. Austin Weiler, LCSW Austin works with individuals with ASD who are addressing OCD or BDD. He also treats executive functioning concerns and has skill in adapting treatments for neurodivergence. Dr. Melissa Mathews Dr. Mathews provides neuropsychological testing that can provide diagnosis for ADHD or ASD. She also helps individuals understand these diagnoses in practical terms.