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Kenzie is a clinical intern at TCR working under the supervision of Cejay Moore, LPCC. Kenzie Skaggs Clinical Intern - Accepting Clients *There is no cost for services provided by TCR's clinical interns About Me Hi, I'm Kenzie. I am a Clinical Mental Health Counseling graduate student and counseling intern passionate about helping individuals navigate life's challenges with greater confidence, self-understanding, and resilience. My clinical interests include disordered eating, trauma, obsessive-compulsive disorder (OCD), perinatal mental health, and anxiety disorders. I especially enjoy working with children, adolescents, and young adults and strive to create a therapeutic environment where clients feel safe, supported, and empowered to share their experiences without fear of judgment. My approach to counseling is person-centered and collaborative, grounded in the belief that each individual is the expert of their own story. I integrate evidence-based interventions, including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), psychoeducation, and strengths-based approaches while tailoring treatment to each client's unique needs, goals, and experiences. I believe meaningful change occurs within a strong therapeutic relationship. My goal is to provide a warm, compassionate, and authentic space where clients feel heard, valued, and understood. Together, we can explore challenges, develop effective coping strategies, and work toward creating a life that feels more fulfilling and aligned with your values. I consider it a privilege to walk alongside clients in their healing journey and am committed to helping each person discover their strengths while fostering growth, resilience, and lasting change. Contact I have new client availability! kenzie@cognitiverefinery.com 270-266-1188

Julia treats post traumatic stress disorder using EMDR with a special emphasis on sexual traumas. Julia McKinney, LPCC I specialize in: Post Traumatic Stress Disorder Anxiety Life Transitions About Me Hi, I'm Julia. I'm a licensed Professional Clinical Counselor based in Bowling Green, Kentucky. I have several years experience working with trauma, with a focus on sexual abuse. I am EMDR- trained through EMDRIA and incorporate evidence-based approaches to help clients safely process and heal from difficult experiences. In addition to trauma work, I have an interest supporting individuals navigating stress, anxiety and life transitions. Whether you're feeling overwhelmed, stuck or uncertain about your next step, I strive to provide a safe, comfortable, and non-judgemental space where together we can explore your challenges openly. I am passionate about helping individuals achieve their goals, break unhealthy patterns and build lives that feel authentic and fulfilling. My hope is that through our work together, you will feel empowered to not just cope, but truly thrive. Contact I have new client availability! julia@cognitiverefinery.com 270-266-1188

Alex specializes in treating sports performance concerns and chronic illness. Adam Wink, LPCA I specialize in: Grief and Loss Relational and Life Transitions Anxiety Disorders About Me I help my clients navigate relationship crossroads. Whether you're trying to save a struggling relationship, deciding whether to stay or leave, or grieving the loss of a relationship, I provide support for the anxiety, anger, grief, and uncertainty that often accompany these transitions. Together, we'll work to better understand your experiences, develop healthier patterns, and help you move forward with greater clarity, confidence, and connection. Using evidence base approaches, I help clients improve communication, manage difficult emotions, set healthy boundaries, and clarify their values. Together, we build practical skills to navigate conflict, express needs effectively, make values-based decisions, and create meaningful, lasting change in your relationships and life. When a relationship is at a crossroads, it's easy to feel overwhelmed by anxiety, grief, anger, and uncertainty. If you're struggling to find clarity or a way forward, I can help. Together, we'll work toward healing, understanding, and meaningful change. Contact I have new client availability! adam@cognitiverefinery.com 270-266-1188

Learn more about treatment for sleep and insomnia at The Cognitive Refinery. Sleep and Insomnia We provide evidence-based treatment for insomnia and other sleep-related concerns using Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold-standard psychological treatment for chronic sleep difficulties. Poor sleep can significantly impact mood, anxiety, concentration, stress tolerance, and overall health, often making other mental health concerns more difficult to manage. By addressing the thoughts, behaviors, and habits that contribute to sleep problems, CBT-I helps individuals improve both the quality and consistency of their sleep. Better sleep is often associated with improved outcomes across a range of concerns, including anxiety, depression, trauma, ADHD, and overall emotional well-being. Dori Ryherd, LCSW Dori is trained in CBT-I and can help you improve your sleep which helps improve outcomes with treating other concerns and improve quality of life.

Briana works with clients with Borderline Personality Disorder. Briana Rushing, LPA I specialize in: Borderline Personality Disorder Autism ADHD About Me I am a doctoral candidate in Applied Psychology who views therapy as a collaborative process built on trust, empathy, and openness. My approach is integrative and client-centered, drawing from evidence-based interventions primarily within Cognitive Behavioral Therapy (CBT) and incorporating elements of Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT). I work to help clients develop insight, strengthen emotional regulation, and build more authentic connections with themselves and others. I am passionate about working with clients navigating autism, ADHD, anxiety, identity exploration, or emotional intensity. I also enjoy supporting couples, including but not limited to those in polyamorous or kink relationships, as they deepen trust, improve communication, and strengthen connection. My work is trauma-informed, sex-positive, and inclusive of all identities and relationship structures. My goal is to help you move toward balance and self-trust while creating a life and relationships that feel grounded, aligned, and authentic. I currently have new client availability! Contact I look forward to working with you! briana@cognitiverefinery.com 270-266-1188

Meet the therapists at TCR who specialize in working with children and their families. Children's Services We provide specialized therapy for children and adolescents experiencing a variety of mental health concerns, including anxiety, OCD, trauma, behavioral challenges, identity development, and adjustment-related difficulties. Our clinicians utilize evidence-based approaches designed specifically for younger populations, including Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Supportive Parenting for Anxious Childhood Emotions (SPACE), and the Trauma Affect Regulation: Guide for Education and Therapy (TARGET) model. Treatment is developmentally appropriate and often includes collaboration with caregivers to help children build emotional regulation skills, reduce symptoms, strengthen resilience, and improve functioning at home, school, and in relationships. Chris Chandler, PsyD Chris has specialty in children's mental health. He has expertise in addressing problematic sexual behaviors in children and is skilled with addressing behavioral concerns. Austin Weiler, LCSW Austin has training in Supportive Parenting for Anxious Childhood Emotions (SPACE) and works with teens with anxiety and OCD by addressing parental accommodation. Megan Harden, LCSW Megan has training in Supportive Parenting for Anxious Childhood Emotions (SPACE) and works with teens with anxiety and OCD by addressing parental accommodation. Emma Graviss, CSW Emma specializes in working with children, teens, and their families. She has speciality evidence based training for the treatment of children's mental health needs. Peyton Collins, LCSW Peyton works with children and teens with ASD, OCD, BFRBs, and sensory concerns. He helps families have a better understanding of how to navigate kids mental health needs. Donald Evans, LCSW Donald works with teens who have experienced trauma and is trained in Trauma Focused Cognitive Behavioral Therapy, an evidence based treatment approach for children with PTSD.

Therapist treating ASD, BFRBs, and life transitions. Peyton Collins, LCSW I specialize in: Autism Spectrum Disorder OCD - All ages Anxiety About Me I specialize in working with individuals on the Autism Spectrum and am passionate about supporting neurodivergent individuals and couples as they navigate relationships and life's challenges. In my practice, I focus on fostering understanding, improving communication, and creating strategies tailored to each client’s unique strengths and needs. In addition to my private practice, I work at Western Kentucky University's Kelly Autism Program, where I provide support and resources to individuals on the spectrum. This dual role allows me to stay deeply engaged in the latest research and best practices for working with neurodivergent populations. I also enjoy treating individuals with Body-Focused Repetitive Behaviors (BFRBs), Obsessive-Compulsive Disorder (OCD), and anxiety-related concerns. Using evidence-based approaches, I help clients develop effective coping strategies and gain greater control over their thoughts and behaviors. My goal is to create a welcoming and supportive space for all clients, empowering them to thrive and achieve meaningful personal growth. Whether you're navigating the complexities of autism, managing anxiety, or working through compulsive behaviors, I’m here to guide and support you every step of the way. Contact I look forward to working with you! peyton@cognitiverefinery.com 270-266-1188

OCD Therapy Megan Harden, LCSW I specialize in: Obsessive Compulsive Disorder Phobias Body Focused Repetitive Behaviors Anxiety Disorders About Me Hello! I specialize in the treatment of OCD, phobias, anxiety disorders, and Body Focused Repetitive Behaviors (BFRBs), such as hair pulling and skin picking. OCD does not always look like handwashing and concerns about germs - sometimes it's intrusive thoughts with the desire for reassurance. OCD frequently fixates on what’s important in a person’s life and common sub-types include worries about health issues, sexuality, fear of pedophilia, harming self/others, contamination, concerns about religion/ morality, or obsessions about relationships. If this sounds like you it is important to know that therapy can help you get your life back! I utilize Exposure Response Prevention (ERP), Inference Based Cognitive Behavioral Therapy (ICBT), and Supportive Parenting for Anxious Childhood Emotions (SPACE) as treatment approaches for OCD. I have training in ERP from the IOCDF. I've completed a certification for BFRB treatment through the TLC Foundation for BFRBs. Additionally I have training in Acceptance and Commitment Therapy (ACT), Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), and Prolonged Exposure for Trauma (PE). In addition to owning TCR and maintaining a full caseload I also teach a class at Western Kentucky University and have 2 little girls. I am a supervisor for therapists working towards full licensure. I offer afternoon and evening appointments in person or on telehealth. I am licensed in KY and NY. Testimonials: Megan changed my life. She helped me understand not only how to deal with my day to day anxieties but also how to recognize them. Facing them head on has allowed me to name them & then let them go. I learned that what I thought were small things were actually causing a lot of unnecessary interference. I’m in the most sound state of mind of my life because of her. Yet, there is more growth to be had, as there always will be! - Client Survey Megan is an amazing therapist and has changed my life. She excels in treating OCD and I recommend her to everyone. - Facebook Review I highly recommend the Cognitive Refinery. Megan has been one of the most professional and effective therapists I have seen. It is evident that she puts long hours, and lots of effort into helping people through their struggles. You won't find a better therapist in the area. - Facebook Review Megan is amazing! Not afraid to call bullshit, and has the right mixture of holding one accountable, but empowering me the patient at the same time. Well worth the copays! - Client Survey I cannot say enough good things about this place. Megan has been absolutely incredible. I was a little hesitant to go to therapy and was so concerned about finding someone qualified and someone I was able to feel comfortable with. Megan has been just that and so much more. My experience here has truly been life changing. I tell everyone how great Megan is! - Facebook Review My experiences at TCR have been uniformly positive. My therapist is a treasure and I genuinely feel privileged to be working with her. Something that stood out to me from the beginning was her conviction that I will complete treatment-- that therapy isn't a forever thing. This made me feel real hope-- it also gave me confidence in my therapist and in the process. - Client Survey Megan, obviously, is the best part of TCR. Her guidance, unwavering support, and ability to meet me where I was while also pushing me to get me where I am has been a literal life-changer. I wouldn’t be who I am now if it wasn’t for her. - Client Survey Megan is truly the most personable, knowledgeable therapist. She has curated such a phenomenal crew of personnel that really take pride in their work. I love how attentive TCR is to its clients and I will be sticking with them! - Client Survey I have learned so much about myself in therapy, and although I have a ways to go, I am optimistic about treatment. I trust my therapist-- she keeps earning my trust again and again-- and I feel supported, cared for, and heard every time I meet with her. - Client Survey The best part of my experience at TCR has been having Megan as my therapist. Megan has truly changed my life. I have never experienced this level of control over my anxiety and OCD before, and it is truly a testament to her treatment and her expertise as a clinician. - Client Survey Contact If you are looking for OCD treatment then I am the therapist you are looking for! I look forward to working with you! megan@cognitiverefinery.com 270-266-1188

Eating Disorders Olivia Ellis, NCC, LPCA I specialize in: Disordered Eating Anxiety Disorders Adjustment Issues About Me I am passionate about working with anyone who is struggling with disordered eating, anxiety, or navigating life changes. My approach is client-centered and tailored to each individual's unique needs and values. My goal is to offer a supportive and empathetic environment where active listening and actionable steps guide you toward achieving your goals. In our work together, I will utilize the treatment model that best fits your specific needs, always emphasizing that you are the expert in your own life. I have training in the Unified Treatment Model (UTM), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), and Internal Family Systems (IFS). My approach is client-centered, focusing on exploring the impact of your mental health struggles and collaboratively finding ways to improve your well-being. Starting therapy can be a daunting process, but I am here to support you every step of the way. *I accept Medicaid and private pay. Contact If you are looking for help with an eating disorder please reach out and let's see if we are a good fit! olivia@cognitiverefinery.com 270-266-1188

Frequently Asked Questions Submit a Question Frequently Asked Questions TCR What is the cost of a session? What is the difference in an associate's license and being fully licensed? Do you offer telehealth/ online therapy? What types of therapy do you have training in? Do you offer internships? Do you offer anger management or domestic violence groups? Do you write Emotional Support Animal (ESA) letters? Are you hiring? What forms of payment to you accept? What hours do you offer appointments? Are you faith based? Do you work with same-sex couples? Do you prescribe medication? Why are couples sessions not billed to insurance? Do you only have one location? Do you offer testing? 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!

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

Learn more about our specialists who treat eating disorders and body image concerns at The Cognitive Refinery. Eating Disorders and Body Image We provide treatment for eating disorders, disordered eating, body image concerns, and body dysmorphic disorder (BDD). Our clinicians work with individuals experiencing anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant/restrictive food intake disorder (ARFID), and other concerns related to food, weight, appearance, and self-worth. These difficulties often involve distressing thoughts, emotions, and behaviors that can significantly impact physical health, relationships, and daily functioning. Treatment is individualized and utilizes evidence-based approaches to help clients develop a healthier relationship with food and their bodies, challenge unhelpful beliefs, reduce distress, increase self-compassion, and support meaningful, lasting recovery. Olivia Ellis, LPCA Olivia treats eating disorders including anorexia, bulimia, binge eating, ARFID, and other disordered eating concerns. She works alongside nutritionists for best care. Austin Weiler, LCSW Austin treats Body Dysmorphic Disorder (BDD) and can help men and women address body image concerns that are impairing their ability to live their desired lives.