Building Your Coping Skills to Handle Life's Challenges

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The Macomb Therapy Group Family

With decades of experience behind them, our team is ready to help you develop the skills you need to help face life's challenges. Open ears and open hearts are here to help you take the next step.

Macomb Therapy Group's Founders:

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The Owners:

Angela Kosmas, MA, LPC, NCC


Jeneve Blevins-Hines, MA, LPC

As a client at Macomb Therapy Group, you can always expect to be received with open arms. We believe that everybody should have access to quality mental health and psychiatric care; regardless of financial status or insurance carrier.  

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On the path to healing, we believe in treating the whole person. Your physical self-care will improve through nutrition, sleep, and exercise. As your spirit is renewed through meditation, forgiveness, and finding purpose; your emotional well-being is rejuvenated through positive self talk, grief work, regulating emotions, and psychotherapy. Our clinicians implement a wide spectrum of techniques, customizing and focusing on individual needs. We will work together to help you feel balanced in mind, body, and spirit.

Our Family of Clinicians:

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Jack Eitzen, LMSW

Licensed Master Social Worker

Hello, my name is Jack.

Your life offers you many challenges, opportunities really, to learn and grow; emotionally, spiritually, and to heal your mental pain. When you ignore, or actively push away these challenges, you begin to suffer. Your suffering affects your loved ones while your challenges and problems remain. 

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Your emotions are here to teach you, never punish, though it can feel that way when you don't pay attention to your life lessons or become overwhelmed. This is a guiding principle I employ with my patients to acknowledge, welcome, understand, and heal from their woundedness. In other words, what is in the way is the way.

I work with adults, couples, and adolescents (14+) in a caring and supportive atmosphere. We will explore and identify useful skills to gain a deeper understanding in an effort to address trauma, anxiety, depression, grief, addiction, troubled relationships, and other issues.

I offer eye movement desensitization and reprocessing (EMDR), hypnotherapy, mindfulness training, dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT) and other powerful resources that can be beneficial to your healing.

Your life is lived “right now.” Living your life fully, in this present moment with joy, purpose, and wholeheartedness is your potential and birthright. Take action now and allow me the privilege of working with you to develop your understanding, skills, and courage to change, grow, and thrive.

I look forward to talking to you soon.

Meghann Rutherford, LMSW

Licensed Master Social Worker

Hello, my name is Meghann.

Are you struggling with depression or anxiety? Are you hoping to gain understanding and work through your trauma? Could your marriage or family benefit from gaining communication skills? I work with a variety of emotional or relationship issues you may be facing. Often times individuals experience difficulty and pain, and are left feeling overwhelmed.

By understanding underlying emotions and gaining better coping skills, one is able to face life feeling more prepared and emotionally resilient. As your therapist, my goal is work with you to gain insight, build skills and help you to feel like the best version of yourself.

I work with adults, couples, families, teens, and children. In my practice, I use a multitude of methodologies; including cognitive behavioral therapy, psychoanalytic therapy, and dialectical behavioral therapy and trauma focused therapy.

I look forward to talking to you soon. 

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Jessica Youhanna, LMSW

Licensed Master Social Worker 

Hello, my name is Jessica.

I am a licensed clinical social worker, with over 10 years of experience in providing psychotherapy to individuals, couples and families; across a variety of treatment settings. I utilize an eclectic approach, blending treatment modalities which incorporate best practice from Cognitive Behavioral, Dialectical Behavioral, Motivational Interviewing, Psycho-education, Solution Focused, and Short-term Problem Solving. I currently see individuals, 18 years and older; struggling with a broad variety of life stressors, emotional and psychiatric issues including, but not limited to: anxiety, depression, grief, trauma, PTSD/C-PTSD, narcissistic abuse, and Codependency. I use a person centered approach in developing treatment goals and empowering my clients to live an authentic and meaningful life.

I look forward to working with you. 

Julie Hepke, LMSW

Licensed Master Social Worker

Hello, my name is Julie.

My specialty is children and adolescents. I have extensive experience working with children of all ages and dealing with a variety of challenges, including: Autism, ASD disorders, ADHD, depression, Anxiety, trauma, behavioral problems and cognitive impairments. I also work closely with parents to help you identify ways to communicate with and help your child cope with everyday life issues. 

Rachael Chapman, LMSW

Licensed Master Social Worker

Hi, my name is Rachael.

I have extensive experience working with clients from all populations, with a wide variety of conditions, including: anxiety, depression, bipolar, trauma, co-occurring disorders, phase of life issues, and PTSD, just to name a few. 

I utilize a therapeutic approach that incorporates both insight and skill based therapeutic interventions. This unique approach allows for a treatment focus on creating tangible skills for you to make the changes you are looking for, based on your own strengths and needs. Together, we will focus on empowering you to make meaningful, long lasting changes in your life.

You are just one phone call away from a better life. 

Kristin Frey, LMSW

Licensed Master Social Worker

Hi, my name is Kristin.

I have almost 10 years of experience working with individuals, couples, and families in a wide variety of settings including therapy, crisis and long term psychiatric care, substance abuse, and adoption. I have spent a great deal of time working with adolescents and teens to focus on topics such as self-confidence, empowerment, and socialization skills.

I work with children, teens, and adults to treat symptoms of depression, anxiety, life stressors, adjustment disorder, PTSD, and grief. I help clients excel in areas such as communication, goal setting, strengths based living, self-awareness, and relaxation and coping skills. 

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I believe in client directed treatment. This means that we will work toward your goals, dreams, and healing in ways in which you feel comfortable. I provide a safe and trusting environment for you to process and work toward treatment goals. I strive to help you achieve deeper self-awareness and acquire tools you need for your journey.

I utilize a variety of therapeutic techniques including cognitive behavioral therapy, person centered therapy, strengths based approach, and relaxation therapy. I also emphasize overall health and wellness in my approach to ensure that the mind and body are able to work together in the most productive ways possible.

I look forward to meeting you!

Amanda Lilley, LMSW

Licensed Master Social Worker

Hi, my name is Amanda.

Life can be difficult and often we are faced with challenges and emotions that can make everyday tasks difficult. Whether you are feeling anxious, afraid, depressed, or hopeless you don't have to face it alone.

In therapy, we will develop a relationship of support, encouragement, and trust and together we will work on overcoming your current and past struggles while building on your strengths. In a relaxed, non-judgmental atmosphere, I will utilize techniques and tools specific to you and your challenges.

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I work with children, adolescents, and adults. I have extensive experience working with children and adolescents, survivors of domestic violence/sexual assault, and those experiencing anxiety and depression. I utilize a variety or treatment approaches, tailored to the client's needs such as cognitive behavioral therapy, dialectical behavioral therapy, person-centered therapy, and trauma-focused therapy.

I enjoy my work and I am inspired by my clients every day. It would be my pleasure to help you overcome life's challenges in order to find peace and stability.

Linda Shkreli, LMSW, LCSW, QMHP

Licensed Master Social Worker

Hello, my name is Linda.

In my 17+ years of practice as a Psychotherapist, I have treated thousands of people throughout Michigan and Chicago. I have extensive experience working with a diverse clientele, facing a wide variety of issues. I have also undergone specialized training in the treatment of sexual dysfunction.

Utilizing a Person-Centered approach, I am most interested in helping clients develop and strengthen their own sense of self; encouraging people to thrive as individuals and effectively cope with the unpredictable, sometimes unkind, forces of life. 

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We are all unique; therefore I strive to identify and support each client’s distinctive persona. Which aids in creating the kind of change that inspires, motivates healing and strengthens development.

Derrick Miller, MSW, LMSW

Licensed Master Social Worker

Hello, I am Derrick.

I strive to provide a healing and restorative environment to my clients. I work with those who are currently experiencing difficult life stressors or emotional distress- in addition to my experience working with those who have: relationship issues, depression, bipolar disorder, anxiety, panic attacks, acute stress, PTSD, substance abuse, and personality disorders. I work with you to develop insight into your own emotional development and ways to address any irrational beliefs you have developed throughout
your life.

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I work with individuals who seek to heal and process recent-or childhood- trauma. I assist you to learn and practice relaxation techniques and mindfulness skills to become aware of-and reduce distressing/negative thought patterns, emotional regulation, and promote self- soothing. I also provide a space for those who wish to learn DBT skills. I specialize in working with LGBT youth and adults.

At this time I offer: Short-term solution focused therapy, and Cognitive Behavioral Therapy for adults and adolescents- in addition to couples and family therapy. 

Erin Castile, LMSW, CAADC, RYT

Licensed Master Social Worker

Hi, my name is Erin!

What we believe is our reality. Imagine if we could learn how to rewire our own internal belief systems into something that molds exactly what we want our lives to look like. Imagine if we had the power to change our limiting belief patterns and the way we block ourselves and transform our beliefs into something that attracts and creates the life we want to have. We can, and I want to teach you how!

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I am an enthusiast of life despite the fact that life is far from easy. As humans with a thinking mind we go through many different waves and phases of life and some of those can get pretty ugly. My purpose in life is to guide you into a healing space of acceptance and transcendence of pain and pressure. I want to help you dive into the depths of your being where you can identify the root source (or sources) of your pain and blockages while learning tools and methods to work through these blocks and release it all. As individuals our stories and lives are all unique but the ways we suffer are very similar.

I use an ample range of therapeutic tools and methodologies that will be specifically catered to your needs to help you target and identify what you must do to move forward into a lighter space of being. I have experience working with a wide range of mental and personality disorders ranging from depression, anxiety, addiction, grief and loss, marital and couples counseling and everything in between.

If you want a change in your life and you’re willing to do the inner work involved to create that change I would love to be your guide!

David Brown, MA, LPC

Licensed Professional Counselor

Hello, I am David.

Whatever your reason for seeking counseling, it is up to your therapist to create a safe, warm and inviting environment; to help you find your ideal you. Research shows that therapeutic alliance is the foundation of client growth, success, and ultimately, therapeutic progress.

Therefore, my number one goal is to provide the rapport building skills needed to grow our therapeutic relationship. Your issues are unique to you and I am here to listen and hear what you have to say. I am professionally trained to treat each client as an individual; objective and judgment free. I would be honored to assist you in your journey of growth. 

Sarah Guzzardo, MA, LLPC

Limited License Professional Counselor

Hello my name is Sarah.

I believe that therapy should be a safe place where clients can explore and understand their thoughts and emotions, process and heal. I am here to navigate that journey with you. Whether you are struggling with a particular issue, or just can't shake the feeling that there should be more to life; I can help. I work with people who are tired of being stuck going around in circles, who are open to learning what steps to take to get their relationships back on track, and who are ready to get their life moving in a positive direction. I have a background working with those who experience high stress/burn-out, relationship hurdles, depression and anxiety. I utilize a collaborative approach to care; one where you can be your whole self without fear of feeling judged.  My approach is always tailored to fit the individual's needs. I believe in treating the whole person rather than individual parts or symptoms. I use my clinical skills to help you make peace with your past, teach you to be mindful of the present and create a positive outlook for the future.

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My goal is to always provide a trusting, calm, and safe environment to work toward your goals.  Together, we can process how difficult life has been and we can begin to build hope and healing for your future. My hope is for each individual to recognize his or her greatest abilities and be able to enjoy life to the fullest. 

I look forward to working with you!

Heather Ashley, MA, LPC 

Licensed Professional Counselor

Hi, I am Heather.

There are times in our lives when finding a peaceful solution to our current struggles can feel overwhelming. Anxiety, depression, grief, family or parenting struggles can disrupt our lives and leave us feeling lost. I am here to provide a safe, confidential place to help children, teens, and adults with their concerns. Together, we can find the peaceful solution you are seeking.

Carol Kalvelage

REIKI Master and MARI Practitioner

Hello, I am Carol.

MARI stands for Mandala Assessment Research Instrument. MARI is a highly effective psychological tool that is used to help guide clients through their struggles. This is quite a powerful tool in mental health healing, because the process brings your barriers and struggles to the forefront.

As a MARI practitioner, my goal is to help you recognize your barriers, work to move past those obstructions and get the circle of life flowing again. This can happen in one 75-minute session.

Nida Khan, MA, LPC

Licensed Professional Counselor

Hello, I am Nida,

I have a passion for the third culture population and issues such as culture shock and assimilation. I am multilingual; therefore, in addition to English, I also offer therapeutic services in Hindi, Urdu and Punjabi.

I integrate multiple theories, including, but not limited to: Cognitive-Behavioral Therapy (CBT), Mindfulness, Gestalt, REBT, Solution-Focused and Client Centered approaches. I have extensive experience working with individuals who are struggling with: Mood Disorders, Grief and Bereavement, Trauma, PTSD, Foster Care involvement, Domestic Violence and Cultural Identity issues.

I am passionate about helping others plant the seeds of change and develop the tools they need to lead more productive lives. I look forward to meeting you. 

Teresa Hurtgen, LMSW

Licensed Master Social Worker


My name is Teresa.

I understand that in life, we each come across many different challenges. I also understand that seeking therapy can be equally as sensitive and difficult. I believe it is important to provide my clients with a welcoming and comfortable environment in order to help develop true self-acceptance, strength, and resolution to these challenges. I use a person-centered approach in order to help you discover and reach your goals in the most comfortable and effective way possible, combining various theories and techniques to fit your specific needs.

I currently work with adults, adolescents, and children who are interested in therapy relating to a variety of areas - such as life challenges, relational issues, depression, anxiety, trauma and grief and loss, just to name a few.

If you feel that therapy may be beneficial for you, I would be grateful to work with you and offer you the tools you may need to feel empowered and able to live your best and most authentic life.

Our Family of Doctors and Physician Assistants

Dr. Jennifer Ruel, DNP, FNP-BC, ABAAHP

Doctor of Nursing Practice, Family Nurse Practitioner

Hello, my name is Jennifer.

I work with individuals, families, communities and health systems in developing integrative approaches to health promotion, disease prevention and chronic disease management. I provide an integrative approach; which includes engaging the patient as an informed and empowered partner, personalizing care and using all appropriate, evidence-based therapeutic approaches, including lifestyle changes, to achieve optimal health and wellbeing. 

I am working with Macomb Therapy Group to help give clients the opportunity to integrate a more holistic and herbal approach to managing mental health concerns, opposed to traditional pharmaceutical psychotropic medications.

Taylor Hennrick, PA-C

Physician Assistant

Hello, my name is Taylor Hennrick.

I am a NCCPA Certified Physician Assistant. I studied at University of Detroit Mercy, where I graduated in 2015. I started my career in Internal Medicine at DMC Sinai Grace Hospital before I found my calling as a mental health provider. I have a passion for helping those in need and improving the lives of all seeking assistance.

I work with children (ages 6+), adolescents, and adults of all ages. In evaluating, diagnosing, and treating a wide variety of psychiatric disorders, I employ the experience I have gained working all over Southeast Michigan in both the inpatient and outpatient setting. I firmly believe in the union of psychotropic medications and psychotherapy leading to progress, no matter the condition.

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Here at Macomb Therapy Group, there is no limit to what we can achieve. I encourage anyone considering reaching out for help to do so. Let’s start on the path to a better quality of life for you.

Sarang Patel, PA-C

Physician Assistant 

Hi, I am Sarang.

I am a board certified and licensed physician assistant in the state of Michigan, with full prescribing and diagnosing privileges. I received my undergraduate degree in Biology, and graduated with a Master’s of Science and Physician Assistant Studies from the University of Detroit Mercy. I have extensive psychiatric experience, in a variety of settings, including, but not limited to: inpatient psychiatric hospital care, private practice care, community mental health, and geriatric psychiatric care.

No two individuals are the same and all client’s psychiatric care should be customized to fit their specific needs. I strongly believe that developing a lasting patient-provider partnership, in a judgment-free zone, is essential for the patient’s overall health. I look forward to joining you on your journey to healing.

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