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frequently asked questions

Can I use Spravato at home?2025-01-28T12:25:05-07:00

No, SPRAVATO® must be administered in a certified healthcare setting.

How much does Spravato Cost?2025-01-28T12:24:41-07:00

The cost of SPRAVATO® depends on your insurance plan.

Can Spravato be taken with other depression medications?2025-01-28T12:24:17-07:00

SPRAVATO® should be administered in conjunction with an oral antidepressant (AD).

What is the difference between Spravato and a Ketamine Infusion?2025-01-28T12:23:51-07:00

SPRAVATO® (esketamine) CIII nasal spray is the S-enantiomer of racemic ketamine. SPRAVATO® is an FDA-approved nasal spray for TRD and MDSI. Ketamine infusion has not been approved by the FDA to treat depression. There are no head-to-head studies comparing esketamine and ketamine infusion. Both SPRAVATO® and ketamine are Schedule III controlled substances under the U.S. Controlled Substances Act.

What is the difference between Spravato and a Ketamine Infusion?2025-01-28T12:23:51-07:00

SPRAVATO® (esketamine) CIII nasal spray is the S-enantiomer of racemic ketamine. SPRAVATO® is an FDA-approved nasal spray for TRD and MDSI. Ketamine infusion has not been approved by the FDA to treat depression. There are no head-to-head studies comparing esketamine and ketamine infusion. Both SPRAVATO® and ketamine are Schedule III controlled substances under the U.S. Controlled Substances Act.

Can Spravato be taken with other depression medications?2025-01-28T12:24:17-07:00

SPRAVATO® should be administered in conjunction with an oral antidepressant (AD).

How much does Spravato Cost?2025-01-28T12:24:41-07:00

The cost of SPRAVATO® depends on your insurance plan.

Can I use Spravato at home?2025-01-28T12:25:05-07:00

No, SPRAVATO® must be administered in a certified healthcare setting.

After Hours Crisis Contacts –

After Hours Crisis Contacts –

If you are in crisis, please consider the following crisis services:

National Suicide Prevention Lifeline:

Dial 988 or visit the Web Site

 If you are experiencing an emergency, please Call 911 or go to the nearest emergency room.

Behavioral Health Crisis Center

208-522-0727

Rise Up Youth Crisis Center

208-826-0994

(208) 346-7500

(208) 346-7501

Ammon
2705 E 17th St
Ammon, ID 83406

Pocatello
500 S. 11th Ave Ste 203
Pocatello, ID 83201

Idaho Falls
725 S Woodruff Ave, Ste 101
Idaho Falls, ID 83401

Rexburg
264 E Main Street
Rexburg, ID 83440

© 2025• Pearl Health Clinic • All Rights Reserved • Website by BizMilk

Tiffany Grant

LCSW

Tiffany is a Licensed Clinical Social Worker (LCSW) who works with a diverse population of clients utilizing various trauma-informed theories. She is passionate in working with those struggling to cope with any trauma, grief, or loss they have experienced. She recognizes that all trauma has grief, but not all grief has trauma allowing for greater depth in understanding and healing from our past wounds.
 She became a Certified Grief Educator through David Kessler’ program. She continues her grief and trauma education through Grief Educator Alumni trainings. She is a moderator for David Kesser’s on-line grief group.
Tiffany is a grief group facilitator at Pearl Health Clinic. She provides a safe space for clients to process through their emotions and how they are feeling during this painful time with the social support they need. Grief groups allow us to talk about the adjustments we have had to make because of our loss. To learn how to maintain a connection with your loved one while finding a new way forward in life.
Tiffany earned a double Bachelor’s degree from Idaho State University in Psychology and Biology and a Master’s degree in Social Work from Northwest Nazarene University.

Sara Larsen

PMHNP

Sara Larsen is a Psychiatric Mental Health Nurse Practitioner who looks forward to working with patients of all ages and all mental health concerns. She is an Idaho native and has many years of clinical nursing experience. She completed a bachelor’s degree in nursing, a master’s in nursing education and a post master’s as a mental health nurse practitioner.

She has experience working as a nurse in a variety of places with most of that time in the emergency department, seeing many mental health concerns. She has also worked as an educator in nursing. Something she noticed in all her areas of work is that mental health is complex and a primary factor for a healthy, happy and successful life. She wants to help others achieve mental wellness in whatever way that looks like for them with guidance that may include medications, psychotherapy, lifestyle changes, and forming new healthy habits.

Sara believes that a plan made together in a judgement-free zone is key, along with integration of other services as needed to achieve the individual’s goals for mental wellness. She truly wants others to achieve a healthy, happy life and knows that this is a lifelong journey for all of us.

Lael Reynolds

Psychiatric Mental Health Nurse Practitioner

Lael Reynolds, PMHNP, looks forward to serving a variety of mental health clients. Lael believes that we are placed on this earth to find our talents, and to use those talents to serve others. Connecting the importance of mental health and our physical wellbeing is one of Lael’s passions.  Lael has over 20-years of experience in perinatal nursing and specializes in women’s mental health.  She obtained her Bachelor’s Degree in nursing from Boise State and a Nurse Practitioner Degree specializing in psychiatry and mental health. Lael is a native of Idaho and when she has time off, she loves being outside enjoying this beautiful state. She enjoys golfing, skiing, reading, spending time with her family and friends, and kayaking. She looks forward to serving her community and improving access to care for her patients.

Krystalrose Worthington

LCPC

Krystalrose is a trauma informed therapist who primarily works with adults and adolescents that have experienced single incident trauma or have had a lifetime of trauma. Krystalrose helps individuals recognize how situations that occurred in the past continue to impact our current lives; and with new understanding and perspective a desirable future can be created. Krystalrose believes that by creating a safe place to explore and understand one’s history, a person can go from knowing how to simply survive, to learning how to create the life they desire. Krystalrose works with trauma of all sizes, PTSD, depression, anxiety, BPD, and other mental health issues.

Krystalrose is a trained EMDR therapist who utilizes EMDR and trauma work as the root of all treatment while incorporating Gestalt Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, sand tray therapy, play therapy, and other modalities so each person walking into her room has a unique and individualized experience overcoming their struggles.

Krystalrose found a passion for mental health after changing careers in 2011. In 2011 Krystalrose accepted a position at Pearl Health Clinic as a CBRS while she pursued her counseling degree. In 2014 Krystalrose graduated from ISU as a Mental Health Counselor. Krystalrose is a Nationally Certified Counselor and a Licensed Clinical Professional Counselor.

Keaton Suitter

LPC

Keaton Suitter, LPC, is a counselor who works with individuals, couples, and families to help

create a safe environment where life’s challenges can be explored without judgement and
possibilities for growth can be explored together.

Keaton believes that each person knows themselves better than anyone else. Using this
belief, Keaton takes on a person-centered approach to counseling, helping to explore a
person’s life challenges and together creating plans and actions to work through those
challenges at the person’s own pace.

Keaton also believes that by exploring a person’s emotions to an experience, couples and
families can better understand the challenges they face in their relationships. Using Emotion
Focused Therapy (EFT), Keaton works with couples and families to help understand what
attachment injuries may be in place within the relationship and how clearer communication
can help create a safe atmosphere where people can explore those attachment injuries and
feel safer within their relationships.

Keaton holds a master’s degree in counseling from Idaho State University.

Cory Steele

LPC

Cory is a Licensed Professional Counselor (LPC), Integration Specialist, Psychedelic Guide, and Certified Nature Connected Life Coach from the Earth Based Institute. He utilizes nature as a transformative space to foster profound life changes and assist individuals in reconnecting with themselves, others, and their environment. Cory specializes in integrating transformative experiences such as psychedelic sessions, Near-Death Experiences (NDEs), and other crises involving identity loss or existential shifts, with a focus on trauma-informed care.

With over 15 years of in-depth study in psychology (Depth/Archetypal, Existential, and Transpersonal), consciousness, neuroscience, ancient and indigenous cultures, myth, and philosophy, Cory brings a broad and nuanced perspective to his work. His exploration of Eastern traditions over the past decade further enriches his understanding of holistic healing practices. Cory holds a BS in Psychology and an MS in Clinical Mental Health Counseling. As a yoga instructor with more than five years of experience teaching meditation, he incorporates yoga as a holistic tool for somatic trauma healing and integrates trauma-informed principles into his approach.

Cory’s extensive travel—spanning eight years and immersing him in diverse cultures—has deepened his knowledge of various healing modalities. His experiences include participating in a traditional Lakota Wilderness Quest and the rare opportunity to meet with shamans, facilitating numerous ayahuasca and psilocybin sessions for ceremonial and therapeutic purposes. These combined educational and experiential foundations empower Cory to guide clients toward healing, well-being, and wholeness through a compassionate, trauma-informed, and holistic lens.

Kathleen Poduska

LCPC

Kati is a Licensed Clinical Professional Counselor who has experience working with children, adolescents, families and young adults. She addresses a variety of mental health concerns including but not limited to trauma, depression, anxiety, self-harm, and family systems issues. She utilizes several therapeutic modalities including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, EMDR, and Solution Focused Therapy. Kati takes a person-centered approach and places emphasis on the therapeutic relationship. She understands the importance of adverse events on brain development and applies neurodevelopmental approach to treatment.

Kati grew up in eastern Montana where she attended Montana State University – Billings. She received her Master of Science in psychology. She has spent time as a licensed professional counselor in Montana and Colorado working in several settings including residential treatment centers, psychiatric hospitals, crisis centers, in-home therapy programs and community mental health centers.

Kati looks forward to assisting all individuals she comes in contact with in obtaining  their best possible mental health.

Virginia Ndoro

Ed.D

Virginia is a Psychology Service Extender in Idaho who works with Clients to help them achieve different goals in their current life’s journey. Virginia works at Pearl’s Psychology department where she carries out diagnostic and psychological assessments.

Virginia believes in proactively addressing key concerns that affect children, teenagers, and adults. Early intervention has been researched and found that it often helps people later on to thrive around others who interact with them in life.

Virginia has gratefully worked among various populations with developmental disabilities and social emotional disturbances for a span of years. The experiences have been phenomenal in meeting people from all walks of life and engaging them in their residential comfort zones to the clinical setting.

Virginia has published and published and co-authored articles in peer reviewed journals in fields related to socially significant behaviors for young children and young teenagers.

Virginia holds a doctoral degree in education from Idaho State University.

Daniel McGrath

Psy.D, Psychology Division Manager

Dr. McGrath is a 2011 graduate of the American Psychological Association accredited Marshall University School of Professional Psychology in Huntington, West Virginia, a program which emphasizes a generalist skill set and service with rural and underserved populations. He provides diagnostic assessments, neuropsychological/psychological testing, and psychotherapy for a wide range of ages and presenting problems.

Dr. McGrath approaches problems from a cognitive behavioral perspective, which emphasizes the interplay between a person’s environmental stressors, subjective perception, emotional reactions, and coping responses. He strives to ensure that clients have a chance to be heard and validated, understanding that it is easy to give advice but much harder to put it into practice and effect change in a person’s life.

Doug Hulett

LCPC

Doug Hulett is a Counselor who works with those suffering from addiction, depression, and anxiety to make change and improve quality of living. Doug believes that every person has within themselves the way to overcome adversity. Doug has 13 years experience facilitating group and individual therapy and 7 years working as a regional coordinator for managed care.

Doug is a Licensed Clinical Professional Counselor with a Bachelor’s Degree of Science in Psychology and a Master’s Degree in Mental Health Counseling from Idaho State University.

Ashley Harrinauth

Psy.D, Post doc fellow; Psychological Service Extender

Ashley Harrinauth, (pronounced: Ha-Ri-Noth –her last name is of Sanskrit origin) (she/her) is serving as a service extender at Pearl Health Clinic from the San Francisco Bay Area. She provides psychotherapy and psychological testing to those in need. Ashley believes that “You can’t start the next chapter of your life if you keep rereading the last one”. Her approach for working with clients is to take an investigative and collaborative stance. She supports people to discover, define, and create who they are so that they can live their best lives. Ashley completed an APPIC and APA accredited Internship through the Idaho Psychology Internship Consortium (ID-PIC)at Pearl Health Clinic.

Her clinical experiences are predominately in California, including Oakland Unified School District, Fairfield Unified School District, and many outpatient clinics serving both the general population as well specialized populations (LGBTQ+ folks and adults with intellectual disabilities) spanning from Santa Rosa, California to Sacramento, California. Ashley’s educational attainments are as follows: Psy.D in Clinical Psychology – Alliant International University (2022); M.A. in Clinical Psychology- Alliant international University (2020); M.B.A – Holy Names University (2015); M.A. in Counseling Psychology (2014); B.A. in Psychology – Holy Names University (2011). Additionally, Ashley is a licensed marriage and family therapist in the state of California where she operates a remote telehealth practice. During her free time, Ashley likes to play video games, spend time with her dog, and watch Bollywood movies to improve her Hindi speaking skills.

Ashley is very excited to get to know everyone and make new friends in the state of Idaho!

Caroline Brown

PhD., LPC-S, Licensed Professional Counselor and Supervisor

At our Pearl Health Clinic-Pocatello Office
Caroline is passionate about working with clients experiencing behavioral and substance-related challenges. She aims to raise awareness of the systemic cycles that impact individuals, families, and communities. Grounded in an Existential theoretical framework, Caroline helps client’s cultivate awareness and discover meaning through their experiences. She believes that with the right environment that is nurturing and supportive, all clients possess the capacity to achieve their goals.

Caroline earned her master’s degree in Marriage, Couple, and Family Counseling from Idaho State University and has since completed her doctorate in Counseling and Counseling Education. Her doctoral research focused on addiction curriculum development and bridging the gap between the training and treatment in addiction counseling, areas she believes are crucial to advancing effective care.

Outside of her professional pursuits, Caroline loves to spend time outdoors, where she can be found chasing after her two pups, Ghost, and Luna. Whether it’s hiking, dirt biking, mountain biking, or snowboarding, Caroline loves to embrace all four seasons of Idaho.

Ananda Lettner

LPC

Ananda is a counselor who works with children, adolescents, and adults. Her philosophy is that every client has an important story to tell, and healing often requires awareness of the mind, body, and environmental factors that play into each unique journey. She works with a range of diagnoses and concerns. Her therapy includes the use of Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy, concepts from neuroscience, and other modalities and techniques. Ananda would like all of her clients to know that laughter and tears alike are welcomed.

Ananda lived most of her life in Iowa, but completed her Master’s degree in Mental Health Counseling in La Crosse, Wisconsin. During that time, she worked as an in-home parent educator for families in the Child Protective Services system and a part-time personal trainer. She moved from Wisconsin to Idaho in 2021 in pursuit of the mountains and a Ph.D. program. Ananda loves trail running, spicy foods, her partner Brian, and their two dogs. She brings hope and enthusiasm to therapy and looks forward to participating in her clients’ journeys to healing.

Misty Moniz

LMSW

Misty is a licensed master’s level social worker (LMSW). She has been employed as a mental health Therapist for the last 3 years, and has worked in the mental health field since 2015. Misty graduated with her Master’s degree in 2021 from Idaho State University. Over the years, she has gained experience providing various mental health services such as case management, community-based rehabilitation services, and residential habilitation. She has participated in several trainings on specific treatments of mental health issues such as treating anxiety, depression, Acceptance Commitment Therapy, trauma/traumatic grief treatment, and treating oppositional defiant disorder. Misty enjoys working with clients of all ages, but does have a special place in her heart for youth. She is passionate about the work she does and helping others live happy, healthy, and fulfilling lives.

Colin Waters

LCPC, NCC

Colin is a Nationally Certified Counselor and Licensed Clinical Professional Counselor. He graduated from Idaho State University with a Master’s in Mental Health Counseling from Idaho State University in 2016, and has been working in the mental health field since 2011.

He is a Level 1 Trained Internal Family Systems therapist through the IFS institute. He also has specific training and experience in Person Centered therapy, EMDR, and the Neurosequential Model of Therapy.

He also uses a trauma informed approach to working with children, adolescents, and adults. Colin uses a variety of creative counseling techniques such as play therapy, sand tray therapy, and art therapy.

In his free time, Colin enjoys traveling, kayaking, food, and has taken up snowshoeing, and cross country skiing.

Zak Warren

Executive Director, LCPC, NBCC

Zak has worked in the mental health field for 20 years upon completing his Bachelor’s Degree in Psychology in 2001. He went on to complete his Master’s Degree in Mental Health Counseling from Idaho State University in 2007 and has been Licensed in the state of Idaho since.

Zak has extensive leadership experience in the mental health field; having been involved with developing Case Management, Credentialing for Medicaid and insurance companies, development of CBRS programs, and various advocacy groups in Idaho in the past.

He currently operates as Executive Director for Pearl Health Clinic and Pearl Supportive Living, overseeing the delivery of all Mental Health Services. Additionally, he is a Level 2 Gottman Therapist and enjoys particularly working with couples.

He incorporates Christian beliefs into his practice when clients are seeking this perspective and values helping all families restore broken relationships. Zak has been married for 20 years to his lovely wife Sarah. They have 2 children together and enjoy traveling, outdoor activities, cooking together, and cheering on the Green Bay Packers.

Hsiang-Hua Wang

M.Coun., LCPC, NCC

Hsiang-Hua is a Nationally Certified Counselor and a Licensed Clinical Professional Counselor. Hsiang-Hua has worked in the school/mental health/helping field since 2014.

She has training working with children, teens, adults and the members from LGBTQIAP+ community. She also speaks Mandarin-Chinese thus she offers Chinese counseling to the clients who prefers speaking Chinese in the session.

Hsiang-Hua uses Eye Movement Desensitization and Reprocessing therapy (EMDR) and incorporate many varied techniques according to the need of clients including conversational, art, play and mindfulness therapy. Hsiang-Hua has experience working with individuals in PTSD, Autism Spectrum Disorder, depression, Bipolar Disorder, Anxiety Disorder, crisis management and suicidal ideations.

Quinn Thibodeau

LCPC

Quinn is a father, a licensed clinical professional counselor, and an advocate for whoever enters his room. He has practiced in the mental health field since 2004 in outpatient, inpatient, and community settings. He received his undergraduate degrees in Psychology and Pre-Occupational Therapy from BYU-Idaho in 2004 and Master’s of Counseling from Idaho State University in 2009.

Quinn’s primary interests are play therapy, using art, music, and sandtray as modalities to reach children and adolescents, while he also enjoys working with adults to help them overcome any variety personal struggles.

Above all else, Quinn understands that before any child can be helped, he has to listen to the family and learn what unique challenges that family faces and what specific resources and values the family brings to bear. He believes that a team effort is always needed for health and healing.

Quinn loves the beauty of Idaho and enjoys spending time with his family, watching great movies and Red Sox games, and writing/playing music.

Sharee Stuart

LAMFT

Sharee is a marriage and family therapist who works with individuals, couples, and families by working through difficulties including anxiety, depression, low self-esteem, suicidal thoughts, behavioral issues, trauma, grief, life transitions, and relational issues.  Sharee utilizes a collaborative approach to therapy and believes each person possesses unique individual strengths which can be utilized to overcome these hardships, increase mindfulness, and improve overall mental health and wellbeing.  She has extensive training in working with couples and families, and enjoys helping clients strengthen these relationships.

Sharee holds a Bachelor’s degree in Marriage and Family Studies from Brigham Young University-Idaho, and a Master’s degree in Marriage and Family Therapy from Capella University.

Kelly Stark

LMSW

Kelly is a counselor who likes to work with children, adolescents, and adults. Kelly works with those who are struggling with stress, anxiety, ADHD, and trauma. Kelly believes that her clients should have a safe place to express themselves. Kelly is non judgmental and always tries to create a safe environment for her clients, to allow clients to work on learning skills that will help facilitate positive change in their lives. Kelly focuses on using Cognitive Behavioral Therapy to help her clients work on positive changes in their lives. Kelly is a licensed master social work in the state of Idaho. Kelly holds a master’s degree in Social Work with an emphasis on mental health from Walla Walla University. Kelly believes every individual is unique and worthwhile in their own right.

Jaxson Stark

LCPC

Jaxson is a Licensed Clinical Professional Counselor (LCPC) and has worked with Pearl Health Clinic since 2009 and in the human services industry since 2006. He earned his Bachelor’s degree in psychology with emphasis in family relations and sociology from BYU-Idaho and then his Master’s degree in Mental Health Counseling through Capella University in 2009.  He is a National Board CertifiedCounselor (NBCC) and a certified Autplay Therapist (Autism Play Therapy).

Jaxson works with a wide range of clientele but has a special interest and expertise in Autism Spectrum Disorder and other developmental diagnosis.  He works with children as young as age 4, with adolescents, and adults. He sees individuals with social/communication difficulties, stress and anxiety, depression, schizophrenia, and other mental health concerns.  Jaxson believes that people are doing the best that they know how and that they can change at any time to do better.

Jaxson has taught continuing education workshops and gives trainings on Autism, depression and anxiety for local universities, public and charter schools, and various church/religious groups.

In his free time Jaxson loves to spend time with his wife years and 6 children.  He enjoys home renovation projects, gardening and being outdoors.  He loves to coach football and basketball and enjoys building and empowering youth to become confident leaders.

Ryan Smith

LPC

Ryan is a therapist who works with couples and individuals to help them find the peace and healing they are looking for. Ryan knows that life has a lot of twists and turns and that sometimes, it gets really hard to keep your head up, and sometimes we need someone who can help us get through that period in our life. Ryan has helped several couples and individuals find the path they need and helped them to move down that path.  Ryan is a certified couples and individual counselor, with certifications in CBT and DBT and Gottman therapies.

Ryan holds a Masters degree in clinical mental health counseling from Argosy University.

James Resare

LPC

James is a counselor who believes in healing and improvement through the honest compassionate connection between people willing to share each other’s  burdens. He is committed to helping those he works with through the difficulties in their life at their own speed and at their own direction. He is mindful of the different mental, physical, emotional, and spiritual needs of clients and adapts his counseling to each person and situation.

James has had experience working with children, adolescents, adults, and families and has been in the mental health field for over 10 years. He graduated with a Masters of Counseling from ISU with an emphasis in family systems and is a Licensed Professional Counselor (LPC). He has helped people working with Anxiety, Depression, Grief and Loss, ADHD, traumatic experiences, difficult life choices, personal growth, and marital strife.

James Is a father of 6 and is a devoted husband. He likes exploring, going to new places, and learning new things. He spends his free time cooking, reading, singing, and playing with his children.

Adam Nickell

LCSW

Adam is passionate about trauma treatment and helping individuals overcome the symptoms and lasting impact of trauma.  He understands how difficult it can be to struggle with both, and believes that with the right tools and support people can find ways to progress toward their goals and feel successful.  He loves witnessing people discover and connect with their inner strength and wisdom, empowering them to move forward on their path. He supports individuals in moving forward with their goals and overcoming barriers using Internal Family Systems (IFS), Eye Movement Desensitization and Reprocessing (EMDR), Neurofeedback, and spiritually based counseling if requested.
Adam worked as an intern and social worker in Fort Hall, Idaho and following his graduation in 2014 he worked in Pocatello and Soda Springs, Idaho in a small group practice.  He moved to Idaho Falls in 2017 when he joined Pearl Health Clinic as a trauma-focused therapist.  He advocates for deep respect for people of all different perspectives, cultures, and identities, and he believes this is critical in providing effective mental health services.
Adam completed the 50 hour basic training in EMDR with Trainer Dr. Phillip Manfield and Consultant Colleen West, MFT in 2015, was EMDR Certified in March 2022, became a Consultant in December 2022, and continues to work toward advanced certifications.   He is IFS-informed and is scheduled for continued IFS training in 2025.

Adam holds a Master of Social Work degree from Walla Walla University and a Bachelor of Arts in Social Work from Idaho State University.

Michelle Marchant

LCPC

Michelle is a Licensed Clinical Professional Counselor (LCPC) who works with couples and family counseling, individual adults and adolescents, and loves to engage in play therapy with children by addressing a variety of concerns including stress, anxiety, depression, suicidal thoughts, self esteem, abuse, trauma, PTSD, attachment, and couple and family relations. She utilizes a person-centered and strengths-based counseling approach, and incorporates existentialism, mindfulness, and self-compassion into her work.

Michelle deeply believes in the intrinsic worth of every human being and seeks to help clients recognize their strengths and gifts as they work through challenging situations. She has a strong belief that individuals have an innate need for acceptance and an emotional connection with others to achieve true wellness, and she strives to provide both during her sessions.

Michelle is a Level 2 Gottman Certified Therapist and has received additional training in couples and family counseling.

Michelle earned a Bachelors of Music degree in Media Music from Brigham Young University-Provo and holds a Master’s of Counseling degree from Idaho State University in Marriage, Couple and Family Counseling.

Cynthia Lemon

LPC

Cynthia (she/her) is a Licensed Professional Counselor. She received her graduate degree in Counseling from Idaho State University.

Cynthia believes in creating a safe and empowering environment for those she has the opportunity to meet.  She works with adolescents and adults struggling with depression, anxiety, self-harm, suicidal ideation, trauma, abuse, and other mental health diagnoses. She works with people of all genders and orientations, and clients from diverse backgrounds including those who are part of marginalized communities or minority cultures. Cynthia works with those who are experiencing faith transitions. She is committed to learning and unlearning on a continual basis.

She enjoys traveling to other countries and gaining an appreciation for the strengths in diversity and culture. In her time not spent abroad, she can be found with her husband in the mountains backpacking, skiing, or soaking up the silence.

Shawn LaPray

LCPC

Shawn is a Licensed Clinical Professional Counselor who enjoys helping people build foundations of resilience and meaning in their lives. Shawn has worked in the mental health field for 14 years upon completing his Bachelor’s Degree in Sociology in 2009 and his Master’s Degree in Counseling from Idaho State University in 2011.

Shawn is experienced in both outpatient and inpatient (hospital) care, having worked with people through all stages of mental health and illness. Shawn has training in Motivational Interviewing, Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy (ACT).

Shawn especially enjoys working with adolescents and adults with depression and anxiety, helping them to define their own values and goals in order to work towards more authentic and meaningful lives.

Jennifer D. Kerner

LCPC, NCC, RPTS

Jennifer received her Bachelors of Science degree in Psychology from Utah State University in 1990 where she specialized in adolescence and worked with the juvenile detention center in Logan, Utah. She then moved to Kentucky where she worked as a psycho-social rehabilitation worker with the children and adolescents of Appalachia as part of the Bluegrass IMPACT team.

In 1992 Jennifer accepted a position as the head researcher on an adolescent mental health grant with the University of Washington and the Colville Confederated Tribes under the direction of Dr. Jan Bacon. It was here that she gained a great love and respect for the Native American people.

In 1996, Jennifer received her Masters Degree in Counseling with a specialty in school counseling from Idaho State University. She worked as an elementary school counselor and junior high counselor for 8 years in a local school district. During this time Jennifer worked part time as a mental health clinician but chose to become full time in 2003. She has developed a specialty in play therapy and sand tray therapy and has been trained directly by Dr. Gisela Schubach De Domenico who developed the Sandtray WorldPlay Technique.

Jennifer specializes in child development and enjoys working with children

John Collins III

LCSW

John Collins is a Licensed Clinical Social Worker (LCSW). He has worked in the mental health field for 14 years upon completing his Bachelor’s degree in 2006 from BYU-I. He went on to receive his Masters Degree in 2014 from Walla Walla University and is licensed in the State of Idaho.

John is a retired SGT in the Idaho National Guard that has given him many life experiences to include: Deploying with the 116th BN to Iraq for an 18 Month deployment and third rotation in Operation Iraqi Freedom 2004.

John worked in the community as CBRS and Case Manager for several years while working for the Army National Guard. Upon completion of Military service, he went on to get his Masters Degree in Clinical Social Work with emphasis in Groups, Family, and Trauma.

When John is not working, he is enjoying his time with his 5 creative children and wonderfully supportive and loving wife Jennifer. He is enjoying anything Nerdy, SYFY, and continues to enjoy his trips back in Indiana (He is a transplant Spud) with his loving Hoosier family there.
John has several modalities that he uses in his practice to include Narrative, Gestalt, ACT, EMDR, DBT, CBT, and Solution Focused Therapy. In past John has also worked at BHC as a Primary Therapist and in many Leadership Roles throughout the years in the community. John loves family systems therapy, trauma, and couple’s work.

Bonita Avery

LCPC

Bonita Avery is a LCPC, Licensed Clinical Director. Bonita believes in a holistic approach that all aspects of one’s life are connected and can improve satisfaction of life if each area is attended to. Bonita works with individuals and families.

She believes in a system approach and that people desire close relationships and family relationships and working to improve these relationships can immensely increase satisfaction in one’s life.

Bonita is a Neurofeedback specialist as well and works with all ages doing Neurofeedback/ counseling. This type of counseling can help with focus, concentration, anxiety, depression, seizures, migraines, mood swings and many other mental health issues. She trained in October of 2012 to become a Neurofeedback specialist.

Bonita graduated with her undergrad in psychology at Idaho State University and went on to earn her master’s degree in Couples and Family counseling from ISU in May of 2012.

Briana Allen

LCSW

Briana Allen is a Licensed Clinical Social Worker (LCSW) who works with children, adolescents, and adults.

Briana believes in the ability for people to change and to improve their lives. She believes in the client centered approach and meeting the client where they are. She enjoys helping individuals and families learn skills to live happy, healthy lives. She has received training in play therapy, adoption, sand tray therapy, depression, anxiety, trauma and Autism. She is also trained in Neurofeedback Training. She works with all ages doing Neurofeedback/ counseling. This type of counseling can help with focus, concentration, anxiety, depression, seizures, migraines, mood swings and many other mental health issues.

Briana graduated with a Bachelor’s Degree in Social Work from Brigham Young University-Idaho and then a Master’s Degree in Social Work from the University of Utah in 2009.

Jake Arbon, MD

Psychiatrist

Dr. Jake Arbon is a resident psychiatrist who works with his patients to achieve better mental health, more fulfilling lives, and personalized individual success. Jake believes that a holistic approach, informed by evidence-backed therapies and medication treatment when appropriate, lead to the best outcomes for the mental health and well-being for his patients. Jake has worked as adjunct faculty of anatomy and physiology at Brigham Young University-Idaho, a resident psychiatrist with the University of Utah, a forensic evaluator for the Mount Sinai Human Rights Program, and a forensic psychiatric expert in both criminal and civil legal cases in Utah.
Jake received psychiatric training through the University of Utah, is an ALTA certified bilingual provider (Spanish), and has received multiple awards, including the Future Physician of Idaho Award for his commitment to medical practice in the Southeastern Idaho community. Jake holds a bachelor’s degree in Biology (with an emphasis in Neuroscience) from Brigham Young University-Idaho, a masters degree in the Science of Health Care Delivery from Arizona State University, and a medical doctorate from Mayo Clinic Alix School of Medicine.

 

Leslie R. Miller, MD

Pediatrics, Child & Adolescent Psychiatrist

Dr. Leslie R. Miller is a pediatrician and child psychiatrist who works with children and their families to help with a range of mental health challenges. Dr. Miller believes that early intervention is critical to addressing mental health concerns and that when treating a child, you must take a holistic approach in incorporating the adults in their lives into the child’s treatment.

During the early stages of her career, Dr. Miller also completed internships in Child and Adolescent Psychiatry at Wake Forest Baptist Health in Winston-Salem NC, Family Medicine at Piedmont Triad Family Medicine in Kernersville NC, and Consultation-Liaison Psychiatry at Montefiore Medical Center in Bronx, NY.
Dr. Miller holds a Medical Degree from East Carolina University, Brody School of Medicine and graduated with her MD in 2019. She also spent time studying clinical bioethics with Wake Forest University Department of Bioethics Graduate Program. She completed the five-year Triple Board residency training in Pediatrics, General Psychiatry, and Child & Adolescent Psychiatry at Tulane University School of Medicine in New Orleans, Louisiana in 2024. Dr. Miller is excited to bring her diverse life experience and training to Idaho and become a part of the Idaho Falls Community through her work at Pearl Health Clinic.

Dr. Miller is a physician who is trained in various therapeutic modalities such as Parent-Child Interaction Therapy, Family Therapy, and Multidimensional Grief Therapy just to name a few. Her particular areas of expertise include childhood trauma, grief, children in foster care, Autism Spectrum Disorder, ADHD, as well as many other psychiatric illnesses.

Though her career has been filled with highlights, she takes the most pride in making a difference in the lives of her patients and falling into leadership positions, including president of the Tulane Resident and Fellow Congress for 2022-2023. The cornerstone of her success lay in her supportive family. Looking ahead, Dr. Miller intends to train others through community advocacy in Idaho and local medical training programs, as well as maintaining her own standards for excellent patient care.

Andria Dotson

FNP

Andria is a board certified Family Nurse Practitioner (FNP-C) with a Master’s degree in nursing practice from Northwest Nazarene University (NNU) where she graduated with high honors.   She possesses a strong clinical nursing background and follows evidence-based guidelines blended with clinical experience, personal observation, and intuition. Her role is multifaceted, including educator, mental health advocate, and clinician.  She values  interdisciplinary education and inter-professional collaboration for a whole person, patient centered approach to health and healthcare and understands that each individual is unique.
In addition to her nursing background, Andria is certified through the state of Idaho as an Occupational Specialist teacher, where she  spent four years teaching Health Occupations at the High School level.  She understands the unique pressures our adolescent population is facing currently and is passionate about providing compassionate healthcare services in a judgment-free environment.  In addition to her experience with adolescents, Andria has a strong background in pediatric, adult, and geriatric care and possesses the natural ability to connect and build rapport with her patients.

Andria is excited to care for her patients through integration of behavioral medicine, trauma informed care, suicide prevention, and addressing physical/mental health.

Christopher Jankowski

PMHNP

Christopher Jankowski is a Board-Certified Family and Psychiatric Mental Health Nurse Practitioner (FNP, PMHNP). Christopher holds a Master’s in Nursing from Graceland University and his undergraduate degree from Boise State University. He specializes in psychopharmacological management for adults, adolescents, and children. He has over 10 years of experience as a nurse in a variety of community health care, emergency care, and inpatient hospital care.

Chris is fluent in Spanish and aims to bridge the gap in healthcare disparities for the Latino population. He holds a fundamental belief: “My goal is to utilize my knowledge, competencies, and advanced skill towards helping patients achieve a good quality of life, health, and well-being, while also continuing to advocate for and empower clients with mental illnesses.”

Chris enjoys backpacking, fishing, hiking, and mountain biking with family and friends during leisure.

Tyler Pond

PA-C

I am a native to Ammon, Idaho where I attended Hillcrest High School. I first explored the Medical field when I completed my CNA training in high school. Following this I obtained my Bachelor’s degree in Health Science with an emphasis in Child Development at Brigham Young University-Idaho. Upon graduation I spent two years working as a Community Based Rehabilitation Service Worker locally where I was introduced to Mental Health. I went on to earn my Master’s Degree in Clinical Medical Science where I obtained my Physician Assistant Certificate from Barry University- USVI campus.

I am the type of person who focuses on others needs. I possess a natural interest to say, do, and be whatever is needed to aid in recovery processes. In part, I chose to work in Mental Health to provide coverage for an area that seems to be more and more needed. Growing up in Idaho I have recognized that this great state is underserved in Mental Health. As a Medical Provider I hope that I will help bridge this gap of disparity.

Benjamin Pixton

Psychiatric Mental Health Nurse Practitioner

Benjamin Pixton is a Psychiatric Mental Health Nurse Practitioner (PMHNP) who works with those who have psychiatric disorders to help improve and treat their symptoms.  Ben strongly believes that with the assistance of counseling and medication the symptoms of almost any psychiatric disorder can be treated and improved.  Ben has worked with psychiatric populations across the lifespan for 6+ years in both inpatient and outpatient settings and has assisted hundreds of individuals as they improved their lives.  Benjamin Pixton holds a Masters in Nursing from Walden University and is certified and licensed in the State of Idaho to provide treatment as a PMHNP.

Madison Groberg

PA-C, Physicians Assistant

Madison Groberg is a Certified Physician Assistant who works with patients of all ages to treat a variety of mental health concerns. She is originally from Temecula, California but moved to Utah to attend undergraduate and graduate school. She received a Bachelor of Science in Biology and Spanish minor from Brigham Young University. She then received her Masters in Physician Assistant Studies from Rocky Mountain University of Health Professions in Provo, UT. She has broad training in treating mental health conditions due to her educational background including seeing patients at an Addiction Recovery Center, the Emergency Room, and Pediatric and Family Practice clinics.

Her interest in the medical field started young through inspiration from her parents who are both medical professionals. She first explored the medical field on her own by obtaining CNA training and working at an Assisted Living facility. She has a particular interest in bridging healthcare disparities within the Hispanic population. She is a self taught Spanish speaker and has been able to use that ability to improve patient care by volunteering with the Red Cross Hispanic Outreach program, free health clinics, on a humanitarian medical trip to Guatemala, and various other opportunities. She believes in giving the best care possible to each patient regardless of background, culture, or medical condition.

Madison strives to take the time to genuinely listen to each patient’s needs and concerns because she believes the best care happens when there is trust and respect between the patient and provider.

Anna Giemza-Palmer

Psychiatric Mental Health Nurse Practitioner

Anna is a Nurse Practitioner with special interest in mental health. Anna is originally from Poland and has lived in the Midwest since attending High School in Minnesota. She has been a nurse for eight years, working in areas varying from inpatient NICU to outpatient clinical settings.

In addition to her extensive clinical experience, Anna also has an outstanding academic background that includes one associates degree in Surgical Technology, two bachelor’s degrees (a BA in business management and a BSN in nursing) and a Master of Science in Nursing from University of North Dakota in Grand Forks, ND. Go Sioux!

She believes that in order to provide the best health care possible, building a long lasting and trusting relationship with patients is a must. She seeks to acquire a comprehensive evaluation of every patient by taking time to listen and understand their particular needs.

Come see this provider and find out not only the best treatment for you, but also the best pierogi recipe! Anna also has a blog where she addresses some of the most common health questions she receives. You can check out her blog here: maybemyvitamindislow.blogspot.com

Psychiatric Mental Health Nurse Practitioner

Nicole Boyle is a Psychiatric Mental Health Nurse Practitioner (PMHNP). Nicole will be evaluating and treating children and adults of all ages.
Nicole knows that mental health challenges are complex and she believes in taking the time to understand each individual’s situation and goals. She also believes in taking the time to explore the potential benefits of medications, counseling, and lifestyle changes in the development of a comprehensive treatment plan. Nicole  works hard to foster a trauma-informed, judgment-free environment for patients.
Prior to her work as a Nurse Practitioner, Nicole worked as a registered nurse in the emergency department for almost 15 years. From her experiences, she gained insight into the many dimensions of human suffering. Nicole loved being able to offer hope to individuals through caring and skilled interactions and seeks to continue that work at Pearl Health Clinic.
Nicole has training in various modalities of psychotherapy and medication management. She received her Doctorate of Nursing from the University of Utah.

Dr. Kwadwo Saka, MD
Psychiatrist

Dr. Kwadwo Saka is a resident psychiatrist who works with adults, youth, and geriatrics. Kwadwo believes in a practice focused on a holistic and evidence-based approach. His goal is to help patients reach their highest potential in addition to feeling motivated and fulfilled. He focuses on developing a therapeutic alliance, understanding the scope of details in complicated life circumstances, and tailors a unique and effective set of interventions for his patients. His experience to date includes child and adolescent inpatient psychiatry at EIRMC-BHC and State Hospital South’s adult and forensic department. He has a keen interest in the youth population and is involved in research investigating substance use and associated mood disorders. Kwadwo’s distinguished skills and knowledge lead him to serving as a chief at his current residency program at EIRMC. Kwadwo holds a Doctor of Medicine (MD) from Trinity School of Medicine and a bachelor’s degree in biological sciences from the City University of New York. Upon completion of residency, he plans to pursue a fellowship in child and adolescent psychiatry.

Jayde Barnes

DNP, PMHNP, FNP

Jayde Barnes is a Psychiatric-Mental Health Nurse Practitioner that works with patients of all ages to help them achieve mental wellness.  An Idaho native, she g

raduated from Rigby High School and completed an undergraduate degree in Microbiology at the University of Idaho.  She continued her studies in the field of nursing and received a Bachelor of Science in Nursing and a Doctor of Nursing Practice from Idaho State University.

She has experience working in a variety of health care settings, including an inpatient facility at Eastern Idaho Regional Medical Center, skilled nursing facilities, and several outpatient clinics across Southeastern Idaho.  Prior to becoming a Nurse Practitioner, Jayde worked as an educator for nursing students and helped foster a positive learning environment for new healthcare professionals.

Jayde has experience in the assessment and treatment of depression, anxiety, OCD, mood disorders, and PTSD, and has a special interest in addiction treatment.  She believes in a collaborative and integrative approach to her work that includes psychopharmacology and supportive therapy, and works with clients in developing patient-centered treatment plans that support their goals as individuals.

When she’s not treating patients, she likes to spend her free time traveling, camping, and fly fishing with her family.

Dr. DeNagy, MD has practiced in the arena of psychiatric and complex medicine in Eastern Idaho for over thirty years. He specializes in difficult to diagnose clients that present with a wide variety of real world problems.

He was trained at Drexel University School of Medicine (formerly Hahnemann University) in Philadelphia, and completed Medicine Internship and Residency at The University of Vermont, in Burlington. He teaches continuing Education at the Department of Counseling at Idaho State University, and consults with a variety of Pharmaceutical Manufacturers.

He is also a waivered physician with regards to opiate addiction treatment and is licensed to prescribe buprenorphine for opiate addiction. He treats all forms of addiction. Interest areas include disorders of mood, and thought, as well as developmental disabilities and autism. He is certified as a Clinical Psychopharmacologist by the American Society of Clinical Psychopharmacology.

He believes in a team approach to mental health treatment and works closely with other mental health providers to establish a comprehensive treatment program. Particular attention is paid to the detection and presence of confounding medical illnesses that may imitate, or worsen psychiatric illness.

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