Our therapists offer DBT / dialectical behavior therapy in Jacksonville, FL

Ashley Harrell is a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who has worked in healthcare for 13 years in various settings and the last 7 years as an Advanced Practice Provider (APP). Ashley treats patients in the age range of 18-65+ with a variety of mental health conditions, including anxiety, depression, obsessive-compulsive disorder (OCD), anger, insomnia, and trauma. She completed her Family Nurse Practitioner (FNP) at Francis Marion University and her PMHNP at Johns Hopkins University. 

Ashley focuses on holistic care including evidence-based prescribing and non-pharmacological methods to improve mental health conditions of patients. She believes in the "starting low and going slow" method of prescribing that allows patients to develop coping skills to improve their symptom management. Ashley hopes to help patients improve their mental health through compassionate, holistic care.

Ann Taylor is a Licensed Mental Health Counselor and Certified Addictions Professional in the State of Florida who has over 10 years of experience providing clinical assessments and therapeutic care to adult male Inmates in the State of Florida Correctional System who suffer from depression, anxiety schizophrenia, trauma, and self-injurious behavior and 13 years of experience providing substance abuse counseling to adults who have received DUIs, have pain management issues, and alcohol and drug abuse and dependence. Ann completed her Bachelor of Arts in Criminology at the University of Memphis and received her Master of Arts in Mental Health Counseling from Argosy University. Ann utilizes cognitive behavioral therapy, dialectical behavioral therapy, mindfulness, and solution focused approaches to therapy, sustaining flexibility, inspiration, and resourcefulness to meet the wishes of her patients. Ann strives to form a warm, honest, caring and supporting rapport to help facilitate developing your strengths and to work in partnership to provide lifelong skills to enhance your goals and ensure that you experience the meaningful life you desire.

Raina Smith is a Licensed Mental Health Counselor with over 2 years of experience in the mental health field. She is passionate about helping children, teens, parents, and families address their unique challenges and help them live more fulfilled lives. Raina specializes in autism, anxiety, anger, behavioral issues, and parenting struggles.

Raina Smith completed her Master's degree in Clinical Mental Health Counseling at Jacksonville University. Raina utilizes different treatment approaches including cognitive behavioral therapy (CBT), acceptance commitment therapy (ACT), mindfulness, and cinema therapy. Cinema therapy allows clients to learn more about themselves and gain a whole new perspective by exploring storylines and connecting to characters.

Life brings about challenges that can be difficult to manage. Raina is confident that she can support you and your family while creating a safe and unique space tailored to your needs and goals. If you are ready to take the next steps, schedule an appointment with her today.

Goulnissa Outechova is a Licensed Mental Health Counselor with 17 years of experience in the field. Goulnissa works with clients of different ages and her main focus is helping families and children cope with their challenges, including anxiety, depression, ADHD, trauma, stress, interpersonal relationships, communication skills, and parenting.

Goulnissa Outechova was educated in Russia and obtained her master’s degree in education and psychology. She continued her studies in the U.S. to meet the educational criteria for Licensure in Mental Health in the state of Florida. Goulnissa got licensed in the state of Florida in 2013.

Goulnissa will work with you on achieving your therapeutic goals by providing the necessary tools and skills.

Elizabeth Chouindard is a certified Psychiatric Mental Health Nurse Practitioner with 15 years of healthcare experience in psychiatric and ER/trauma settings. She cares for patients across the lifespan and supports children, teens, adults, and seniors dealing with behavioral issues, mental stress, life transitions, grief, depression, anxiety, and bipolar disorder. Elizabeth strives to build genuine connections with those open to change and tailors treatment to each individual, focusing on lifestyle, wellness, and mental health.

Elizabeth has a Master of Science in Nursing from Walden University. While medication management is a valuable tool, she also integrates holistic approaches to support overall well-being. Elizabeth’s approach is rooted in patience, trust, and communication, ensuring everyone feels supported in their journey toward improved mental health and quality of life.

Seeking mental health care can feel overwhelming, but Elizabeth is here to help. With compassionate, personalized care, she is ready to support and empower you to take control of your well-being. Reach out—you’re not alone.

Kesha Sterling is a Registered Mental Health Counselor Intern with over 4 years of experience. She specializes in assisting adults who have a range of concerns including depression, anxiety, panic disorders, relationship issues, and addiction, as well as mood and personality disorders. Kesha has expertise in working with the addiction population, women, and couples.

Kesha received her Master of Science in Psychology from the University of Phoenix and is pursuing her doctoral degree. She utilizes a variety of clinical approaches that are personalized for client-specific needs including cognitive behavioral therapy, psychoeducational therapy, mindfulness-based methods, and motivational interviewing.

Kesha is committed to partnering with clients and helping them navigate their mental landscapes and address emotional disorders that affect their lives. She believes that we are only limited when we limit ourselves. If you are ready to begin, schedule an appointment with Kesha today!

Dr. Jennifer Richie, DNP is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-C). She is passionate about providing quality compassionate and comprehensive mental health services to adolescents and adults. Jennifer possesses strong clinical skills enhanced by her natural ability to build rapport with patients and families. Her background includes child and adolescent psychiatry, adult psychiatry, and addiction medicine.

She earned her Doctorate in Nursing Practice at Chamberlain University, her graduate degree at Georgetown University, and her undergraduate degree at Drexel University. She follows evidence-based guidelines blended with clinical experience, personal observation, and intuition.

As a PMHNP, Jennifer’s role is multifaceted, including managing care in inpatient and outpatient settings, executive leadership, working as a mental health advocate, and providing therapy. She has a deep interest in the prevention of mental illness and promoting mental wellness.

Julouse Etienne is a Psychiatric Mental Health Nurse Practitioner (PMHNP) Advanced Practice Registered Nurse (APRN), and Family Nurse Practitioner (FNP) in the state of Florida. She has experience working with individuals who have various mental health concerns including depression, anxiety and self-esteem issues. Julouse also provides spiritual support if the patient requires it.

She says that while she wants to be able to provide whatever her patient needs, she cannot do that if the patient does not reach out. It is her job to make every patient feel confident and secure with themselves and their lives, so she wants to be able to help in every way possible — the only way to do so is if the patient reaches out and informs her of their needs.

As a spiritual woman of color, Julouse understands the issues of inequality and finding one's true purpose. She plans to help the patient not only by prescribing but also by providing emotional and spiritual support when needed.