Search this site

Neuropsychological testing to address ADHD, Autism, Learning Disabilities, Memory Concerns, and Brain Injuries. Now Scheduling for August 2026. Neuropsychological Testing Consultation Not sure of your testing needs? Schedule to meet in person to learn more. Children's Testing We offer comprehensive testing for children ages 7+. Adult Testing We offer testing and briefer screening assessments depending on your needs ABOUT NEUROPSYCHOLOGICAL TESTING Neuropsychologists are specially trained clinical psychologists with expertise in the relationship between brain functioning and behavior. Essentially, they understand how your brain works and how it interacts with several other factors (emotional, behavioral, social) to influence your day-to-day experiences. Neuropsychological testing is a tool you can use to better understand your strengths and weaknesses across multiple domains. For example, neuropsychological assessments evaluate 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. Results can inform treatment and provide valuable insights to help you, your family, and your treatment providers decide what’s needed to support you in your environment. For example, results often inform decisions about medications, types of therapies that might be needed, and other strategies that will best support you in your routine daily activities. Assessment results can also help to determine whether there is a pattern that points to a specific diagnosis or might be consistent with a diagnosis you already have. They may also help to establish a cognitive baseline and monitor for changes over time that might affect your daily functioning. Additionally, testing is a key step for developing plans to improve or maintain brain health and daily functioning. Attention and Executive Functioning Concerns Testing may be helpful for individuals struggling with focus, organization, impulsivity, time management, or follow-through. Diagnostic Clarification Neuropsychological evaluation can be useful when there is uncertainty about the cause of your symptoms and a clearer picture is needed to guide treatment, school support, or other services. Learning and Academic Difficulties Assessment can help clarify whether challenges with reading, writing, math, retention, or academic performance may reflect a learning disorder or related cognitive concern. Autism or Developmental Questions For some individuals, testing can help clarify developmental, social, communication, or behavioral patterns that warrant further understanding. Memory and Cognitive Changes Testing can help evaluate concerns related to memory, concentration, word finding, processing speed, or changes in daily functioning. Emotional or Behavioral Impact Mood, anxiety, trauma, and stress can affect functioning. Testing can help distinguish emotional factors from underlying cognitive issues. Who Might Benefit From Testing? Pricing and Fees Consultation $200 Unsure of your testing needs? Schedule a consultation appointment to meet one on one with the neuropsychologist to assess your next best step. *This fee is deducted from your testing package. Memory Screening $800 - 1000 Do you have concerns about dementia or other age-related changes in your thinking? This is the starting place to get answers. Typically 4-5 hours of clinical time including face to face testing, test scoring and interpretation, feedback session, and clinical report. Children's Comprehensive Testing $2500 - 3000 Rate includes records review, consultation with other providers as needed, face to face testing time, test scoring and interpretation, feedback session, and clinical report. Approximately 15 hours of service. Adult Comprehensive Testing $1800 - 2200 Rate includes records review, consultation with other providers as needed, face to face testing, test scoring and interpretation, feedback session, and clinical report. Typically 9 to 11 hours of clinical time. We believe in upfront pricing. No surprises. We do not accept insurance for testing services. We accept payment via cash, check, or credit card; we accept all major credit cards including Visa, MasterCard, AmEx, and Discover. We also accept health savings account (HSA) and flex savings account (FSA) cards with a Visa, Discover, MasterCard, or AmEx logo on the card. What to Expect During a Neuropsychological Assessment Prior to your first appointment, it would be very helpful to have any records relevant to the current situation (e.g., medical records, scans, laboratory results, academic records). Clinical Intake Session (typically around 1-1.5 hrs). During this appointment, the provider will talk with you to gather information about your history, current concerns, and goals for evaluation. You and/or your family may also be asked to complete questionnaires pertaining to mood, thinking abilities, and the performance of routine daily activities during this session. Testing Sessions (typically 2 sessions, ranging from 2-4 hours). During this session(s), you will complete a variety of assessments and measures designed to examine your thinking abilities, academic skills, emotional functioning, and functioning in your day-to-day environment. Results and Feedback Session (typically 1-1.5 hrs). During the feedback session, we will review your test results and the provider will help you better understand what they mean. You will learn more about how your strengths and weaknesses show up in your day-to-day life. Findings will be explained in depth and you will receive personalized recommendations to address potential weaknesses. Depending on the nature of the evaluation, you can expect to receive a detailed report approximately 4 weeks after completion of the evaluation. This will be provided during the feedback session. Frequently Asked Questions What does a neuropsychological assessment measure? Attention and concentration Information processing speed Memory and learning Language skills Visuospatial skills Executive functioning Reasoning and problem solving General intellectual ability Motor speed and coordination Mood and personality Who might benefit from a neuropsychological evaluation? Children and adults who are experiencing problems with learning, attention, behavior, emotions, and functioning at school, work, or in performing other routine daily activities Who might not be appropriate for outpatient neuropsychological testing? Anyone who has medical, psychiatric, or behavioral conditions that are currently in an acute or severe phase. When you are experiencing acute or severe effects of an illness, you aren’t able to perform your best and you might be very far away from your baseline. This may confound the test results and limit the interpretation and conclusions that can be made with confidence. These conditions should be addressed and stabilized by appropriate providers prior to testing. If substance use is current, it is difficult to confidently establish your baseline cognitive abilities, and this will confound the results as well. It is very important that you are substance-free for at least 48-72 hours. Anyone with a severe intellectual or neurocognitive disorder that limits the ability to communicate or engage in testing. Court-ordered evaluations and legal involvement. Participation in any legal proceeding and evaluations for any legal purpose will not be conducted. What happens during the testing session? During the testing session, you will work one-on-one with the provider. You will be asked to answer questions and complete a number of tasks related to a variety of cognitive processes. Neuropsychological assessments use a variety of formats including question-and- answer, paper-and-pencil, and computer-based methods. All tasks are designed to assess important areas of functioning in cognition, emotion, and adaptive behavior/routine daily functioning. If you have a family member or friend accompany you to the appointment, they will be asked to wait in the waiting room during the testing sessions. This helps reduce the likelihood that your test results are affected by distraction. For minors, a parent or legal guardian must remain on the premises during the appointment. Should I do anything to get ready for the appointments? Dress comfortably Take the medications you normally take, and bring any you may need during testing (such as midday doses). Get a good night’s sleep Bring glasses or hearing aids if you typically use them The testing sessions can be lengthy, so please feel free to bring snacks and drinks If the patient may have trouble providing information about their history, it is helpful for a family member, friend, or caregiver who knows the patient well to accompany them Is there anything I should study before the testing? No. The tests are designed to better understand various aspects of cognitive functions. There is nothing to learn or practice beforehand. Ready to Reach Out? If you would like to get scheduled or learn more, please fill out our interest form and we will contact you to get started! Testing Interest Form Dr. Melissa Mathews Neuropsychologist EDUCATION AND EXPERIENCE I am a licensed clinical neuropsychologist specializing in comprehensive neuropsychological evaluations for individuals across the lifespan. With over 15 years of experience, I have worked with children and adults to assess a broad spectrum of conditions including dementia, mild cognitive impairment, ADHD, traumatic brain injury, and complex medical or neurological disorders. I am committed to providing thorough, evidence-based evaluations that translate complex brain-behavior findings into clear, practical recommendations for patients, families, and referring providers. My approach is collaborative, compassionate, and always patient-centered. I earned a Ph.D. in clinical psychology from the University of Massachusetts-Amherst and completed specialized training in neuropsychology, including an internship at the University of Alabama-Birmingham and a two-year postdoctoral residency at the University of Kentucky in the Department of Neurology/Sanders-Brown Center on Aging.

Couple's Counseling Ninoska Everett, LPCC I specialize in: Couples Counseling Affairs and Betrayals Trauma Boundary Work About Me I specialize in helping couples strengthen communication, rebuild trust, and reconnect emotionally during some of the most difficult seasons of their relationship. Many couples come to therapy feeling stuck in repetitive conflict, emotional distance, defensiveness, resentment, or feeling misunderstood by the person they love most. Using evidence-based Gottman Method Couples Therapy, I help partners communicate more effectively, manage conflict in healthier ways, deepen emotional intimacy, and create a stronger foundation of trust and connection. I have completed Gottman Level 2 Training as well as advanced training in Treating Traumas and Affairs, with a special focus on helping couples recover after infidelity, betrayal, and broken trust. I am especially passionate about helping individuals and couples heal from trauma and emotional wounds that continue impacting their relationships, self-esteem, and daily lives. I am trained in Brainspotting Phase 1 and incorporate trauma-informed approaches to help clients process unresolved experiences, anxiety, relationship trauma, panic responses, and deeply rooted emotional pain. I also work frequently with clients struggling with people pleasing, perfectionism, difficulty setting boundaries, fear of conflict, and challenges advocating for their own emotional needs. My style is warm, collaborative, compassionate, and direct, balancing emotional processing with practical tools that clients can apply outside of therapy. As a therapist of color, I understand the importance of feeling emotionally safe, understood, and culturally seen within the therapy process. I strive to create a nonjudgmental and supportive environment where clients can show up authentically and begin creating meaningful, lasting change. Whether you are hoping to improve communication in your marriage, recover from an affair, process trauma through Brainspotting, strengthen your boundaries, or reconnect with yourself and your partner, I would be honored to support you in that journey. Contact If you are looking for couples counseling then I'm the therapist you are looking for! ninoska@cognitiverefinery.com 270-266-1188

Rachel treats trauma, substance abuse, and depression. Rachel Smith, LPCC I specialize in: Trauma Substance Abuse Depression About Me I am a Licensed Professional Clinical Counselor (LPCC) practicing since 2023. I’ve worked primarily with adults with a wide variety of needs and specialize working with depression, anxiety, substance use, and life transitions. I take on an eclectic approach primarily work from cognitive behavioral therapy (CBT), motivational interviewing (MI), and solution focused brief therapy (SBFT). I understand that it’s not always easy to ask for help and that initial therapy appointment can be intimidating. I am happy to provide an open, non-judgemental space to process the things life throws at you at your own pace. My goal in therapy is to collaborate together in facilitating growth, healing, and meaningful change. Contact I have new client availability! rachel@cognitiverefinery.com 270-266-1188

Select a Therapist Finding a therapist is a lot like trying on shoes - you have to find a good fit, but you are much more likely to find a good fit if you select a therapist who is skilled in treating the concerns that lead you to seek therapy. CLICK ON PHOTO TO LEARN MORE Megan Harden, LCSW Obsessive Compulsive Disorder Phobias Body Focused Repetitive Behaviors Jim Croxton Clinical Consultation Normanda Lawless, LPCC Trauma Post Traumatic Stress Disorder Life Transitions Donald Evans, LCSW LGBTQIA+ Obsessive Compulsive Disorder Trauma Kayla Ashby, LPCC Narcissistic Partner Abuse Trauma Adjustment Issues Cejay Moore, LPCC Religious Trauma Obsessive Compulsive Disorder Life Transitions Chris Chandler, PsyD Children's Behavioral Issues Adjustment Issues Anxiety Disorders Peyton Collins, LCSW Autism Spectrum Disorder OCD- All ages Anxiety Ninoska Moratin, LPCC Couples Counseling Affairs and Betrayals Trauma Austin Weiler, LCSW Obsessive Compulsive Disorder ADHD Trauma Dori Ryherd, LCSW Life Transitions Trauma Insomnia Bella McCall, LPCC Obsessive Compulsive Behaviors Phobias Anxiety Disorders Olivia Ellis, LPCA Eating Disorders Anxiety Disorders Adjustment Issues Jessica Bird, MSCFT Open Relationships Non-Monogamy Sexual Concerns Couples Counseling Jamee Coombes, LCSW Depression Anxiety Stress and Burnout Kate Barnes, LCSW, PHM-C Perinatal Mental Health Chronic Illness Grief Briana Rushing, LPA Bordeline Personality Disorder Autism ADHD Emma Graviss, CSW Children's Behavioral Concerns Trauma Anxiety Dr. Evelyn Peck Couples Counseling Trauma Mood Disorders Brittany Jinkins, LCSW Obsessive Compulsive Disorder ADHD Autism Julia McKinney, LPCC Post Traumatic Stress Disorder Anxiety Life Transitions Karol Owen, LPCC-S Substance Abuse Depression Life Transitions Alexandra do Couto, LPCA Sports Performance Chronic Illness Depression Dr. Melissa Mathews Neuropsychological Testing Adam Wink, LPCA Grief and Loss Relational and Life Transitions Anxiety Disorders Rachel Smith, LPCC Trauma Relational and Life Transitions Anxiety Disorders Kenzie Skaggs Clinical Intern Kale Iwanski Clinical Intern The Administrative Team Brianne Simpson Office Manager Hanna Forrest Client Care Coordinator Emma Thomas Client Care Coordinator Alicia Matthews Client Care Coordinator Theodore Harden Administrative Assistant

Meet the therapists at TCR who specialize in treating trauma and PTSD. Trauma and Recovery Team We provide specialized treatment for trauma and PTSD using evidence-based approaches tailored to each client’s needs, including Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused CBT (TF-CBT), Written Exposure Therapy (WET), CBT for Trauma, and Accelerated Resolution Therapy (ART). Our clinicians are trained to apply these models with fidelity, allowing for structured, effective treatment rather than a one-size-fits-all approach. This emphasis on evidence-based practice and targeted intervention allows us to provide more focused care and meaningful progress compared to more general or supportive approaches alone. Normanda Lawless, LPCC Normanda has many years experience with treating PTSD and is trained in IFS, WET, CPT, and TF-CBT giving her several treatment approaches to draw on to customize trauma treatment. Donald Evans, LCSW Donald's work focuses on the impact of various mental health conditions on LGBT+ individuals. He is trained in TF-CBT and CPT and skilled with addressing trauma in adults and teens. Austin Weiler, LCSW Austin is trained in EMDR and CPT and treats trauma and PTSD in teens and adults. He enjoys working with individuals in the LGBT+ community who are impacted by trauma. Dori Ryherd, LCSW Dori worked at the VA for several years treating veterans with trauma and complex issues. She is trained in CPT and WET. She also treats sleep issues related to trauma. 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. Julia McKinney, LPCC Julia has spent her career treating sexual trauma in men and women. She is trained in EMDR through EMDRIA and is skilled in treating PTSD and all forms of trauma. Cejay Moore, LPCC Cejay specializes in treating religious trauma. She is trained in CPT and WET and is comfortable addressing PTSD and trauma of all types in teens and adults. Dr. Evelyn Peck Evelyn is a doctoral psychologist who is trained in EMDR. She is skilled with trauma related to relationships and comfortable with addressing mood disorders as a comorbid concern. Emma Graviss, CSW Emma treats children and teens. She is trained in ART, TF-CBT, and TARGET. She can asses the most appropriate treatment approach for a child based on age and developmental level.

Therapist treating depression, anxiety, and burnout. Jamee Coombes, LCSW I specialize in: Depression Anxiety Stress and Burnout About Me Hello! I am a LCSW (Licensed Clinical Social Worker) who graduated from Washington University in St. Louis with my master’s in social work. I began my journey as a mental health therapist working in the community and providing individual therapy in people’s homes. I moved on to work with Veterans for several years. My experience has allowed me to hold space and give hope to people from all walks of life. I bring my strengths (kindness, fairness, social intelligence, curiosity, and hope) to the table along with my training (CBT, ACT, Social Skills Training). I focus on utilizing your strengths to improve your mental health and have experience creating plans for maintaining mental health recovery. I offer an open space without judgement to explore needs, goals, strengths, and challenges. I am only available for tele-mental health sessions. Tele-mental health works very well as long as you are able to find a private and confidential spot for each session. One of the key components in therapy is simply having 45-60mins to focus on you. Considering seeking a therapist is a big and scary step, but you are halfway there and just a few more steps and you can begin your journey to improve your mental health. When I am not providing therapy, I am working on creating a happy sustainable homestead with my husband and my son. Contact Looking for help with depressive symptoms? Let's see if we are a good fit to work together! jamee@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

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

Learn more about substance abuse treatment atThe Cognitive Refinery. Substance Abuse We provide outpatient therapy for individuals seeking support with substance use and recovery from alcohol and drug addiction. Our clinicians work with motivated individuals who are pursuing meaningful change, whether they are working toward sobriety, maintaining recovery, reducing harmful patterns, or rebuilding their lives after the impact of addiction. Treatment focuses on understanding the factors that contribute to substance use, developing healthier coping strategies, preventing relapse, and strengthening long-term recovery. While we do not provide court-ordered treatment, evaluations, or programs designed to meet legal requirements, we are committed to supporting individuals who are personally motivated to address substance use concerns and work toward lasting change. Karol Owen, LPCC-S Karol has spent her career supporting individuals managing sobriety and recovery from various addictions.

Kale is a clinical intern at TCR working under the supervision of Megan Harden, LCSW. Kale Iwanski Clinical Intern - Accepting Clients *There is no cost for services provided by TCR's clinical interns About Me Hi, I’m Kale. I am currently completing my internship as part of the Clinical Mental Health Counseling Master’s program at Western Kentucky University. I am passionate about helping people bridge the gap between their current and ideal selves so they can live more fulfilling lives. My clinical interests include life transitions, couples counseling, and a wide range of mental health conditions, including OCD, depression, and eating disorders. I am particularly interested in working with motivated clients, regardless of their condition or prior therapeutic experience. In my work, I strive to take a tailored, integrative approach with each client. I am currently developing my skills in Motivational Interviewing, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Supportive Therapy. As an intern, I bring a fresh perspective and a committed presence, collaborating with my clients under the clinical supervision of Megan Harden, LCSW. Contact I have new client availability! kale@cognitiverefinery.com 270-266-1188

Learn more about sports performance treatment at The Cognitive Refinery. Sports Performance We provide specialized support for athletes, performers, and high-achieving individuals seeking to improve performance and manage the mental demands of competition. Our clinicians work with concerns such as performance anxiety, confidence and self-doubt, perfectionism, fear of failure, injury recovery, burnout, and difficulties maintaining focus under pressure. Using evidence-based approaches tailored to the individual's goals, we help clients develop mental skills that enhance resilience, improve performance consistency, and support overall well-being both on and off the field, court, stage, or workplace. Alex do Couto, LPCA Alex specializes in treating sports performance issues.