Trish Ledbetter is a Licensed Clinical Mental Health Counselor in the State of New Hampshire. She received her undergraduate degree in Psychology at Endicott College in Beverly, MA and her Masters degree from Rivier University in Mental Health Counseling. Trish has interned at a therapeutic residential school for adolescent females with emotional and behavioral issues, mental health disorders and complex trauma histories.

Lori Hillard, PhD. is a licensed clinical psychologist. She earned her doctoral degree in Clinical Psychology and Behavioral Medicine in 2002 from the University of Maryland, Baltimore County. She completed her predoctoral internship and postdoctoral fellowship at the Yale University School of Medicine. Dr. Hillard also holds a Master’s degree in Counseling Psychology from the University of Massachusetts, Boston and earned her Bachelor’s degree in psychology at the University of Massachusetts, Amherst. Dr. Hillard has been practicing for seventeen years and recently rejoined TCCON.

I specializes in working with children, adolescents and adults seeking treatment for a variety of concerns including depression, anxiety, trauma, self-harm, and mood instability. My approach to treatment involves building the therapeutic relationship first to create a comfortable working relationship. My style tends to be supportive, with skill development and individualized approach. I believes therapy is about building positive relationships, learning emotional regulation and effective communication. I utilizes a variety of therapeutic interventions, including Cognitive Behavior Therapy, elements of Dialectical Behavior Therapy, Mindfulness, and Motivational Interviewing to treat many mental health conditions including Mood Disorders, Anxiety, grief & loss, stress management and life transitions.

People seek counseling or therapy because of distress, conflict and perhaps anxiety or malaise. Many are facing a life stressor. Each person is unique in who they are, how they experience the world and how they deal with stress. My strength is working with the individual (or couple) where they discover the tools to have more control of their lives and get what they want.

With Sixteen years of experience working in positive modalities with Adults, and Couples, I understand how life can get out of control and become overwhelming. Today, I counsel using Cognitive Behavioral Therapy with an emphasis on the "here and now" to assist in a more balanced outcome and realistic achievement of life goals.

Our suffering is not caused by some fundamental flaw in ourselves or even by the difficult situations that arise for us. We struggle because we have not learned how to allow these situations to be as they are and to accept “what is.” This creates conflict, causing us to feel tension and stress in our bodies and minds. These chronic holding patterns disconnect us from our emotions, our bodies and ultimately ourselves.

I am a licensed, person-centered therapist. I treat individuals with illnesses ranging from anxiety, ADHD, depression, executive functioning, self-esteem, interpersonal relationships... I specialize in treating adolescents (14+ yrs) and adults, primarily with CBT and DBT. Therapies are focused on the here and now, encouraging awareness and strategy building.

Hello and welcome to my practice! My areas of expertise are in the treatment of children, adolescents, and adults who are experiencing anxiety, depression, or difficulty with relationships. Perhaps it's taken you time to gather the strength and courage to examine the problems in your life. I have successfully worked with many who have experienced life stressors such as serious illness, trauma, and divorce. I actively work with your strengths as you develop effective coping skills, and a greater understanding of personal obstacles.

Nancy Colburn, Psy.D., is a licensed psychologist. Dr. Colburn works with adults and is experienced in treating depression, anxiety, posttraumatic stress disorder, psychotic disorders, sleep problems, prolonged grief, and challenges stemming from chronic health issues, life transitions, significant losses, vocational concerns, relationship issues and other concerns. She has many years’ experience with yoga and meditation and utilizes mindfulness in treatment as a basis for expanding self-awareness and the capacity to make positive changes in one’s life.

Barry Lewis, PsyD, has more than 10 years of experience in the field of mental health. He has worked in community mental health, residential, and general outpatient settings. Dr. Lewis obtained a bachelor’s degree in history and psychology from Colby-Sawyer College, a master’s degree in mental health counseling and a doctor of psychology degree from Rivier University. Dr. Lewis’s specialty areas include depression, anxiety, substance use problems, trauma, grief and loss, stage-of-life problems, interpersonal problems, and group therapy.

I provide individual, group and family therapy services as well as psychological testing to children, adolescents and young adults. My treatment approach is collaborative and is based on the cognitive behavioral, relational and family systems theoretical approaches.

Dr. Taracena earned his undergraduate degree from Brigham Young University, and then his doctoral degree from University of Denver in 2001 with an emphasis in behavioral medicine. He completed both his internship and residency at Wasatch Mental Health in Provo, UT. He has gained additional training through University of Colorado Hospital, Denver Police Department and Denver Public Schools. His experience spans a variety of settings including: inpatient medical hospitals, emergency departments, public schools and community mental health centers.

I have limited openings, telehealth only until further notice. I work with adults who are first responders, survivors of trauma, and people affected by COVID-19.

I provide assessment, treatment, & consultation in areas of domestic & sexual violence, anger management, & a variety of behavior & mental health disorders. I offer a number of weekly groups, classes and individual sessions. I have provided direct treatment & clinical oversight to children & adults in secure residential treatment settings, forensic settings, community corrections, & on an out-patient basis in New Hampshire & New York. I primarily adhere to Cognitive Therapy & Rational Emotive Therapy approaches, as well as Applied Behavior Analysis techniques.

Do you find yourself struggling with how to manage feelings of worry and sadness? Do these feelings have a negative impact on your relationships, self-esteem and day to day functioning? Since 2006, I have been providing outpatient psychotherapy to individuals who are struggling to make sense of their emotions and have a desire to learn how to manage them better. I strongly believe that people have the ability and strength to make positive life change and that therapy is a collaborative effort.

*At this time, we are unable to accept new patients for counseling. Our medication provider, however, is accepting new patients*. Spidaliere Psychological Associates is a group therapy practice comprised of seven well trained and seasoned mental health clinicians whose aim is to work with you to improve your psychological well-being. Through the exploration of issues dating from childhood to the present, therapy can be used to assist you in the altering of your current perspectives while aiding you in the pursuit of a healthier and fuller life.

Life has ups and downs and sometimes this can be stressful and overwhelming. If you’re having marital or family challenges, work related problems or struggling with anxiety, depression or chronic pain, I can offer you a safe and comfortable environment to find solutions to get you through these rough times.

My approach to treatment is very client-centered - people enter treatment at various stages of readiness and I am here to meet you wherever you may be. I understand the nuances of beginning therapy, meeting a new therapist, setting goals, sharing personal information, and ironing out your biggest concerns - even when you feel unsure. My hope is to help each client unlock their sources of happiness and hope so they can confront whatever challenges they are facing - mood issues, anxiety, substance issues, family dynamic concerns, trauma, interpersonal relationship issues, school-related problems, self-harm, gender issues, etc.

As an AASECT certified sex therapist, I specialize in helping clients address sexual intimacy issues. I offer therapy sessions to clients in AZ, CO, DE, GA, ID, IL, MO, NE, NV, NH, NC, OK, PA, TX, and UT, as well as intimacy coaching sessions nationally. Sessions can offer a path toward more fulfillment personally and in relationships. Engaging in a rich and meaningful life requires knowing ourselves deeply and acting on intentional choices guided by our core values, feelings, and desires. Our relationships can become more intimate as we develop clarity about our needs and courage to be vulnerable with those we trust.

I'm passionate about supporting individuals struggling with perfectionism, eating issues and disorders, self-doubt, and anxiety. My clients tend to be helpers, caretakers, and highly sensitive individuals who want to improve how they feel, but have trouble taking time and energy for themselves. They want to create plans to cultivate a more intentional and satisfying day-to-day life, set clear boundaries, and seek to gain more independence, freedom, and self-empowerment. My clients aspire to cultivate self-worth, take good care of themselves, and let go of shame and fear.