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Sharon has owned, directed and worked as a psychiatric clinician for Collaborative Psychiatric Associates since September 1995.  As an psychiatric mental health practice owner she has developed an innovative patient centered program that has provided a wide milieu of therapies and methods that keep pace with vast science and evidence based practice in the psychiatric, mental and behavioral health.    She directs a growing staff of clinicians and offices centered in various centers (Abington, Bala and Willow Grove) in Montgomery County, as well as actively engaging in expanding services directly to Patient Centered Medical Homes (primary care offices).   As a psychiatric mental health nurse practitioner, she presents a balanced, holistic, and evidence based practice approach to stabilizing psychiatric issues.  Focusing on symptoms and understanding of underlying medical issues she assess and adapts patient needs through variety of psychopharmacology agents, vitamins, holistic modalities (exercise, mindfulness meditation, psychotherapy, etc.) and coordinates care with primary care providers.  She has been an clinical educator for Drexel and Penn School of Nursing, as well as frequent presenter at national conferences focusing on integrated mental health and clinical practice issues.

BSN: American University
MSN: Child and Adolescent Psychiatric Mental Health Nursing, University of Pennsylvania
Post Masters: Family Psychiatric Mental Health Nurse Practitioner, University of Pennsylvania
Marriage and Family Therapy: Family Institute of Philadelphia

1997: Lillian Shultz Brenner Alumni Award for Innovative Clinical Practice, University of Pennsylvania School of Nursing
2007: Expert in Clinical Practice, Alumni Award University of Pennsylvania School of Nursing
2015: American Psychiatric Nurses Association Innovative Practice Award


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Karelis Sierra-Cintron, MD

Bala Cynwyd & Willow Grove

Dr. Karelis Sierra-Cintron is a psychiatrist in Willow Grove, Pennsylvania. She received her medical degree from Universidad Central del Caribe School of Medicine. She attended and graduated from medical school in 2006, having over 14 years of diverse experience, especially in Psychiatry. She is American Board of Psychiatry and NeurologyCertified in Psychiatry and has a current PA State Medical License Active through 2020

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Sudha Jairaj, MD


Dr. Jairaj is a psychiatrist with 43 years of practice experience.  She received her medical degree from B.J. Medical College – University of Prune.  After medical school, she completed her residency at Einstein Medical Center in Philadelphia, where she is still affiliated. Dr. Jairaj works with therapists at Collaborative Care to help diagnose and treat mental, emotional, and behavioral disorders. Her practices cater to adults with a variety of issues including anxiety disorders, mood disorders, psychotic disorders, personality disorders, obsessive-compulsive disorder (OCD), posttraumatic-stress disorder (PTSD), and impulse-control disorders.

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Richard L. Yudell, MD

Bala Cynwyd

Dr. Richard Yudell is a licensed psychiatrist with 41 years of experience. He received his medical degree from Universita di Bologna Facolta di Medicina e Chirurgia in in Bologna, Italy. After medical school, he completed his residency at Albert Einstein Medical Center in Philadelphia, Pennsylvania and is currently affiliated with Friends Hospital in Philadelphia, Pennsylvania. Dr. Yudell works with therapists at Collaborative Care to help diagnose and treat mental, emotional, and behavioral disorders. His practice caters to teens and adults with a variety of issues including anxiety disorders, mood disorders, psychotic disorders, personality disorders, Attention Deficit Hyperactivity Disorder (ADHD), Attention Deficit Disorder (ADD), obsessive-compulsive disorder (OCD), posttraumatic-stress disorder (PTSD), and impulse-control disorders.

Psychiatric Nurse Practitioners

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CCA of Abington, Willow Grove, Bala Cynwyd & Harleysville

As practice owner and director, Sharon's focus is on a holistic and evidenced base approach to treating teens, adults, seniors, couples and families with complex mental health issues, couples issues, and/or medical issues.  Working collaboratively with family systems, psychiatrists, and primary care providers, Sharon approaches the issues of treatment by incorporating a whole system approach. Motivating patients to overcome obstacles to recovery from psychiatric and medical illnesses lead to the development of a pneumonic called MINDFUL CARE, where patients learn balance their lives through a collaborative treatment plan. 

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Donald E. Cramer, DNP, CRNP

Clinical Director of Bala

Don is a Doctor of Nursing Practice with specialty in Psychiatry at Collaborative Care. He graduated from the University of Pittsburgh with a Bachelor of Science in Nursing. And from Robert Morris University with a Doctor of Nursing Practice in Psychiatry. With a passion for mental health care and co-morbid medical conditions, he practices with a holistic approach. Don has a diverse background working in outpatient, inpatient, ambulatory and partial hospitalization capacities. Don provides treatment to the child, adolescent, transitional aged, and adult populations for a variety of mental health conditions including anxiety disorders, mood disorders, psychotic disorders, Attention Deficit Hyperactivity Disorder, posttraumatic-stress disorder, obsessive -compulsive disorders and medical-psychiatric co-morbid conditions. You can book your next appointment with Donald Cramer, DNP, CRNP at your convenience by calling our office at 484-270-8817.

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Alexandria Dougherty, MSN, PMHNP, CRNP

CCA of Abington

Alexandria is a dedicated Psychiatric Nurse Practitioner with a passion for eclectic, collaborative, person-centered care.  After receiving her Bachelor’s Degree in Psychology from Northeastern University in Boston, Alexandria pursued her nursing education at Columbia University in New York where she completed her Bachelor’s Degree in Nursing and her Master’s Degree in Psychiatric Mental Health Nursing.  Before joining Collaborative Care of Abington in 2019, Alexandria spent seven years working for a non-profit organization in New York City where she treated homeless and underserved individuals suffering from complex psychiatric illnesses.  Alexandria provides medication management services and welcomes patients with all mental health concerns, routinely drawing on her experience with CBT, DBT, and MI.

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Lisa Marie Scully, CRNP

CCA of Bala

Lisa Scully is a Psychiatric-Mental Health Nurse Practitioner at Collaborative Care. She graduated from the University of California, Los Angeles with a Bachelor of Science in Psychobiology. With a passion for mental health care and a holistic approach to treatment, Lisa was drawn to nursing as a career.  Lisa attended New York University for her Bachelor of Science in Nursing. She completed a psychiatric nurse residency program at the University of California, Los Angeles' Resnick Neuropsychiatric Hospital with a focus on acute adolescent inpatient care. Lisa further advanced her career by earning a Master of Science in Nursing as a Psychiatric-Mental Health Nurse Practitioner at the University of Pennsylvania. Lisa provides treatment to adults and adolescents aged 14 years and older for a variety of mental health conditions including anxiety disorders, mood disorders, psychotic disorders, Attention Deficit Hyperactivity Disorder, posttraumatic-stress disorder, and obsessive-compulsive disorders.


Tom Roarty, MSN, PMHNP, CRNP

CCA of Willow Grove & Abington

Tom Roarty is a psychiatric mental health nurse practitioner at Collaborative Care.  He graduated with his Bachelors of Arts in Mathematics and Computer Science from LaSalle University, before continuing to Indiana University of Pennsylvania and receiving his Masters of Arts in Physics.  Tom then transitioned to Drexel University in Philadelphia, where he earned his Bachelor's of Science in Nursing and then his Masters of Psychiatric Nursing and Mental Health. Tom works with adults and adolescents ages 14 and older.  He provides expertise to clients suffering a range of mental illnesses – including depression, anxiety, post traumatic stress disorder (PTSD), social anxiety disorder, phobias, and compulsive disorders.  He offers individuals medication management services that complement practices and strategies worked on during sessions with Collaborative Care's therapists.  This approach helps clients achieve overall mental and physical wellness.



Armand DiYenno DSW,  LCSW

Clinical Director of Harleysville

Armand DiYenno holds a Doctorate degree from Rutgers University in New Brunswick, New Jersey, and a master's degree in Social Work from Temple University in Philadelphia.  He is also a graduate of the Modern Psychoanalytic Institute; studied at New York University, and has taught at various colleges and universities.
Armand excels in the assessment and treatment of complex cases.  
His expertise includes helping clients with problems that develop in relationships, friendships, marriages and jobs that appear to reappear on a regular basis. Specialities  include working with  people transitioning from one phase of life to another, including divorce transitions; LGBTQ individuals and couples; panic; grief and loss; the demands and opportunities faced by university students, and the challenges faced by those over 55.


Ernie Glazer, LCSW

Clinical Director of Abington & Willow Grove

Ernie Glazer is a Licensed Clinical Social Worker with over 25 years experience in the field.  He received his Masters Degree in Social work from The University of Pennsylvania,  and began his specialized training in Marriage and Family Therapy at the Child Guidance Clinic. He continued his training and separately earned a post-graduate Certificate in Marriage and Family Therapy, eventually becoming  a Clinical Member and Approved Supervisor of the American Association for Marriage and Family Therapy. During his career, he worked with a wide range of presenting problems including members of the Adoption Triangle, attachment disorders, dissociative disorders, trauma, anxiety, depression, oppositional disorders, ADD/ADHD and families with members with Autistic Spectrum Disorder. He specializes in working with families, families with adolescents, marital and couples issues with a special interest in the preservation of family. He is also knowledgeable in substance abuse and recovery issues. He primarily  uses an integration model combining psycho-dynamic with family systems in a highly directive, solution focused treatment methodology allowing him to work with individuals, couples, families, and groups. 


Lyn Rairdon, LCSW

Harleysvile & Willow Grove

Lyn Rairdon is a licensed Clinical social worker with a Master's in Social Science from Bryn Mawr College. She has experience working at inpatient and outpatient facilities, as well as in higher education counseling services. Lyn specializes in working with individuals ages 15 and up.  An eclectic therapeutic approach is utilized combining Psychodynamic, Cognitive-Behavioral, and Gestalt Therapies. This allows clients the space to explore current issues, past influences, and future implications. Areas of specialty include, depression, anxiety, relationship/dating issues, trauma, bipolar disorder, life transitions, stress, and body image and self esteem issues.


Takako Suzuki, Ph.D

Bala Cynwyd & Willow Grove

Dr. Suzuki is a licensed psychologist with over 30 years of experience.  She received her doctorate degree from Temple University. Dr. Suzuki specializes in treating adults including geriatric population with stress, generalized and social anxiety, phobias, Obsessive Compulsive Disorder (OCD), depression,  mood swings, grief, and relationship issues.  She utilizes a combination of Cognitive Based Therapy (CBT) and solution-focused approaches to build personal strengths, coping mechanisms, and problem solving skills that can be translated into everyday life circumstances. Emotional processing is critical to resolve underlying issues. As a bilingual psychologist (Japanese and English), Dr. Suzuki treats issues that arise from various cultural concerns such as immigration, adjusting to new environment and societal norms, interracial and ethnic relationships, and language barriers.


Robert Hoffman, LCSW


Bob Hoffman is a licensed clinical social worker from the Bryn Mawr school of Social Work and Social Research and has almost 20 years experience providing therapy to individuals, families and couples. He specializes working with people with mood, anxiety and thought disorders, ADHD, parenting, anger management, trauma and relationship issues. Bob uses an eclectic approach, drawing from cognitive behavioral therapy, objection relations therapy and psychodynamic therapy.


Donna L. Lauck DNSc, APRN, BC


Dr. Donna Lauck is an Advanced Practice Nurse with her Doctorate in Nursing Science. She has had 25 years of experience in the field of medicine. She received both her Bachelor’s degrees, as well as her Master’s in Nursing, from the University of Pennsylvania.  She has also contributed to multiple articles for the International Journal of Nursing Knowledge. Dr. Lauck specializes in treating adults suffering a range of mental and physical illnesses.  She will often compliment practices and strategies worked on during sessions with homework, in order to help clients achieve their therapeutic goals. Dr. Lauck’s practice maintains an overall “eclectic” approach.  She utilizes a variety of techniques, including both Cognitive Behavioral Therapy (CBT) and energy psychology.  She also applies alternative therapies such as Reiki, Integrated Energy Therapy, and Clinical Hypnosis.

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Billie Lee Orenbuch, LCSW

Bala Cynwyd

Billie Lee Orenbuch is a licensed clinical social worker that works with adults, seniors, and couples. She graduated with her Bachelor’s degree in Psychology and Philosophy from Rutgers University before earning her Master’s degree in Clinical Social Work from Widener University.  She has over 17 years experience as a therapist and counselor. Billie Lee works effectively with all forms of anxiety, depressive, and personality disorders.  She also counsels couples with marital issues, individuals going through the stages of loss and grief, and those having work related problems.  As a DBT Therapist, she does occasionally provide group therapy.Billie Lee uses a client-centered approach in her practices.  She utilizes Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dialectical Behavioral Therapy (DBT), and positive psychology as taught in Authentic Happiness by Martin Seligman, PhD.

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Diane DeMarco, Ph.D

Bala Cynwyd

Diane DeMarco is a licensed psychologist with over 25 years experience working with adults and older adolescents. She received her bachelors in psychology from Temple University, her masters in psychology and her doctorate in clinical psychology from the American University in Washington, DC. She specializes in the treatment of anxiety disorders including panic disorder, generalized anxiety disorder and OCD, as well as depression and life adjustment issues. She is a Cognitive Behaviorist relying heavily on behavioral techniques and cognitive restructuring to affect behavior and mood change. Pragmatic and direct, Dr. DeMarco helps clients make the changes they wish to make in their lives.

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Joy Rosenthal, LCSW

Bala Cynwyd

Joy is a licensed clinical social worker who has been working in the mental health field over 30 years. She graduated from the University of Pennsylvania with a Bachelors in Sociology and Master’s in Social Work from the National Catholic School of Social Work, Catholic University in Washington, DC. Joy specializes in depression, anxiety, stress issues, trauma related disorders, grief and working with persons in recovery from drug use, alcohol and eating disorders. She often includes family members in the therapeutic process, utilizing Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Gestalt Therapy and solutions-oriented therapy for ages 9 through the Medicare years.


Mary Martha Johnson, MSN, RN, PMHCNS-BC

Bala Cynwyd

Mary Martha is a Board Certified Psychiatric Clinical Nurse Specialist with a diverse background in acute inpatient Psychiatric treatment, Military Nursing and outpatient mental health. She received her Bachelor's in Nursing from the College of St. Teresa in Winona, Minnesota and her Master's in Nursing from the University of Pennsylvania in Philadelphia. Mary Martha works with adolescents, adults, couples and seniors, utilizing a therapeutic approach from the Contextual Family Theory model. She works with individuals suffering from mood and anxiety disorders, trauma disorders, grief and loss issues, marital and relationship issues, chronic illness and end of life issues. Mary Martha also specializes in Sand Tray Therapy, Trauma Work and Mindfulness Stress Reduction Therapies, drawing from a wide range of therapeutic approaches to diagnose and treat clients.


Melissa Rogel, LMFT

Bala Cynwyd

Melissa Rogel is a Licensed Marriage and Family Therapist who is experienced in working with individuals, couples, and families to address a wide range of issues including anxiety, depression, relational conflict, parenting, grief and loss, mood management, and self-esteem. Melissa has over 10 years of experience in working with individuals on the Autism spectrum as well as a strong background in addressing childhood trauma and supporting children and families within foster, kinship and adoptive care systems. She approaches therapy through a relational lens, with the belief that our past and present relationships greatly impact our well-being and growth, and draws from a rich treatment background of dialectical behavioral therapy, cognitive behavioral therapy, and narrative, mindfulness, and person-centered approaches.

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Patricia Woods, LPC

Bala Cynwyd

Patricia Woods is a Licensed Professional Counselor who brings 22 years of experience working with children, teens, adults and families. She currently sees adults, ages 18 and older, in the       Bala Cynwyd office. Patricia works with clients around depression, anxiety, stress, life transitions, self-esteem, relationship, and weight management concerns. She works with her clients to understand, process and move through issues preventing growth, increase awareness of their thoughts and emotions, and learn skills to regulate emotions and step away from self-defeating thoughts. Patricia has a holistic approach, with a background in yoga and mindfulness, often integrating body awareness and relaxation skills in the session. She received her Master’s in Clinical Mental Health Counseling from Rivier University in New Hampshire.


Sylvia Russianoff, JD, MS, LPC

Bala Cynwyd

Sylvia Russianoff is a Licensed Professional Counselor in the Bala Cynwyd office experienced in working with children, adolescents, adults and families. She sees children age 10+, adolescents, young adults, adults and families. Sylvia uses approaches based in empathy and evidence informed by Dialectical Behavior Therapy, Cognitive Behavior Therapy, mindfulness, family systems, trauma informed, person centered and insight oriented therapies to support clients in their growth. Other areas of specialty include mood issues, emotion regulation, anxiety, ADHD, relationship issues, life transitions, adjustment issues, grief and loss. Sylvia has a special interest in working with adolescents and young adults to gain insight into themselves and reach their full potential as they manage the challenges of moving toward independence. 

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Denise Rageis, RN, PHHCNS-B


Denise is an Advanced Practice Nurse with her Certification in Psychiatric and Mental Health Nursing. She attended West Chester University for her Bachelor’s Degree and the University of Maryland for her Master’s degree.  She has worked in the mental health field for almost 30 years. Denise welcomes clients who are struggling with depression, anxiety, relationship difficulties, poor self-esteem, and chronic pain. She will often complement strategies worked on during sessions with homework to assist the client in meeting their therapeutic goals. Denise’s practice uses a comprehensive approach focusing on the mind and body.  Specific modalities include Cognitive Behavioral Therapy (CBT), mindfulness therapy, and solutions-oriented therapy.

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Elbert Saddler, Ph.D


Dr. Elbert Saddler is a licensed psychologist with over 30 years of professional experience in counseling and therapy.  He graduated with honors from Temple University, where he received his doctorate in Counseling Psychology. Dr. Saddler works individually with adolescents and adults, and also offers couples and family therapy.  He helps couples address relationship concerns, providing clients the opportunity to establish clarity and focus.  His practices focus on improving personal challenges, refining strengths, and building interpersonal relationships. In addition to traditional counseling, Dr. Saddler specializes in diagnosis and treatment of Attention Deficit Hyperfocus Disorder (ADHD), Attention Deficit Disorder (ADD), Obsessive Compulsive Disorder (OCD), Oppositional Defiant Disorder (ODD), and anger management.


Evan Griffin, LMFT


Evan is a Licensed Marriage and Family Therapist who uses his unique experience, specialized education, and professional skills to help others meet and surpass their potential. Evan received Bachelor's degree's in Philosophy and Theology from Calvin College before completing his Master's in Marriage and Family Therapy at Drexel University.  Evan maintains a systems approach to treatment in working with individuals, families, and couples to identify and resolve personal and interpersonal challenges such as low self-esteem, parenting issues, relationship issues, conflict resolution, personal effectiveness, communication difficulties, and problems related to shame.  With additional advanced training in Traumatic Stress Studies, Evan also specializes in the treatment of PTSD, anxiety, depression, mood disorders, oppositional defiance, and ADHD. Evan works with children, adolescents, couples, families, and adults, and promotes collaboration with his patients to ensure individualized treatment specific to their personal preference

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Kathryn Beccaria, LMFT


Kathryn Beccaria is a graduate of Temple University and Chestnut Hill College.  Kathryn is a Licensed Marriage and Family Therapist.  A typical therapeutic session can be individual, couples, or family in a safe, accepting, open and welcoming, environment.   Kathryn has experience working with clients and their families with ASD diagnosis, schizophrenia, bipolar personality disorder, as well as anxiety and depression.  Client’s receiving therapy and their families can expect an inclusive and family systems approach to help navigate difficult issues such as stress from school or work, divorce or separation, custody issues, adoption. Kathryn is happy to assist in your path of recovery using a goal oriented approach.  She wants her clients to feel that they are in a safe, and comfortable environment.  As a professional, she would offer unconditional positive regard to her clients while helping them navigate through difficult life situations.  Kathryn believe in a systems approach and am open to seeing couples, and whole families when appropriate.


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Kathleen Nash, MFT, LMFT


Kathleen Nash is a Licensed Marriage and Family Therapist who received a Master of Family Therapy degree from Drexel University. She also has an MS in Education from Bloomsburg University. She works with children, teens, couples, college students, and their families. Kathleen is an Autism Spectrum Disorder expert who has presented seminars regionally and nationally focused on strengthen relationships between parents, siblings, the extended families of children with ASD.  As a Contextual Family Therapist, her clinical approach centers on healing individuals’ pain by emphasizing fairness, through the consideration of relational ethics.  The approach to therapy enhances trust, accountability and loyalty within relationships. Kathleen also has experience as an adjunct professor in the Couple and Family Therapy program at Drexel University and at Montgomery County Community

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Sharon Yerger, LPC


Sharon Yerger is a Licensed Professional Counselor with a Masters Degree in Clinical Counseling in Psychology from La Salle University and earned her Certificate in Gerontology from Gwynedd-Mercy College. She also has acquired additional training in Dialectical Behavioral Therapy (DBT), Certified Tobacco Treatment Specialist (CTTS). Sharon specializes in individual and group therapeutic approaches for adults to identify coping skills using DBT, CBT, and Motivational Interventions (MI). Her clinical engagements include: Depression, Anxiety, ADHD, Bi Polar, and utilizes positive coping skills of self empowerment, core mindfulness skills for emotional regulation, distress tolerance, and interpersonal effectiveness. She is currently running DBT and Depression groups in the Harleysville location, as well as seeing individual clients.


Barbara Holder, Psy.D

Willow Grove

Dr Barbara Holder is a family individual and group therapist as well as a clinical psychologistwith a variety of specialties. Dr. Holder enjoys working with people of diverse backgrounds, sexual orientations and mental health concerns.  She believes in a therapeutic partnership between client and clinician that promotes healing.


Elva DeGeorge, LCSW

Willow Grove

Elva DeGeorge is a licensed clinical social worker that works with both children and adults.  She received her Bachelor’s degree from  University of Delaware - majoring in Individual and Family Studies minoring in Psychology.  She then continued her education at Temple University, obtaining a Master’s degree in Clinical Social Work.  Post graduation, Elva worked in mental health settings and co-occurring programs within hospitals, residential programs, partial hospital programs, and outpatient therapy programs. Elva works with children, adolescents, adults, and families.  Her approach is “strengths based,” utilizing motivational interviewing techniques and a combination of Cognitive Behavioral Therapies (CBT) and solution-focused therapies.


Laura Michaels, LPC

Willow Grove

Laura Michaels is a licensed professional counselor who achieved her B.S. in Psychology from Penn State University and her M.A. in Counseling from Southwestern College of Santa Fe, NM. While in grad school, she also earned Certification in Grief Counseling, Death Education and Hospice while volunteering to co-facilitate grief and loss groups for children, teens, & adults. Laura has worked in residential, mobile, outpatient and intensive outpatient settings utilizing varied therapeutic approaches spanning a range of talk and experiential techniques. Laura utilizes a person-centered foundation of empathy and reflective listening, and takes a holistic perspective to support the utilization of clients’ existing strengths as well as development of new skills to overcome present challenges. She specializes in treatment of loss & grief, mood disorders, life transitions, chronic illness, and trauma. Laura favors varied evidence-based strategies to support clients in their growth, including Motivational Interviewing, Mindfulness, Cognitive-Behavioral, Solution-Focused, and other talk-based and experiential interventions, adjusting to the preferences presented by each client. Providing psychoeducation as warranted, regarding symptoms, and treatment, is also a strategy that Laura utilizes to empower clients in their achievement of therapeutic goals.


Laurie Baker, LCSW

Willow Grove

Laurie Baker is a licensed clinical social worker who works with adults, adolescents age 14 and up, couples and families. She received her master's degree in Clinical Social Work from Widener University, then completed the intensive 3-year postgraduate program at The Philadelphia Child & Family Therapy Training Center. Laurie has experience in a variety of settings. She has provided individual, group and family therapy in residential, partial-hospitalization and intensive-outpatient programs, as well as family-based services in homes and schools. She helps individuals and their families to cope with depression, anxiety, bipolar disorder, anger, low self-esteem, grief and trauma. She specializes in couples’ and family therapy for a wide range of relationship and parenting issues. Laurie teaches clients to utilize their own personal strengths and reach their goals using Cognitive Behavioral Therapy (CBT), narrative, contextual, and solution-focused therapies, mindfulness, relaxation, and many other proven treatment methods

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Linda Massa, LCSW

Willow Grove

Linda Massa is a licensed clinical social worker with over 20 years of professional clinical experience.  She earned her Master's Degree in Social Work from Temple University in Philadelphia, Pennsylvania and also has additional training in marriage and family therapy. Linda works with adolescents and adults who are suffering from a variety of issues including depression, stress and anxiety, and life transitions.  When working with couples and family systems, Linda focuses on improving dysfunctional communication between individuals, examining past negative messages that impact these communication patterns and developing more effective interaction methods. Linda also has a past medical background as a nurse, which enables her to understand the relationship between the physical illness and emotional impact of psychological disorders.