The Carriage House

Individuals, Couples & Family Therapy

I am not what happened to me, I am what I choose to become.
-Carl Rogers

About Our Group


About Our Group
Owner and Founder, Lizzie Stevenson, MS, LMFT
Lead Marriage & Family Therapist
Clinical Supervisor

How Can We Help?

As licensed therapists, we work with individuals, couples, and families. Our approach to therapy is humanistic, nonjudgemental, and down to earth. Client-centered and solution-focused therapies are used to help people determine and tackle their goals. We approach each individual as an already whole person with the capacity to change no matter what challenges they are experiencing. Change is scary but we believe in the resilience and adaptability of all our clients. Our focus for each client is to work as a team to conquer these fears, regain control and reach full potential. Together, we've got this.

We work with a wide range of emotional and behavioral issues including:
  • Symptoms of Depression, Anxiety, Panic, and Phobia
  • Trauma
  • Mood Disorders
  • Substance Abuse, Dependency & Addiction
  • Couples & Family Conflict
  • Life Transition or Crisis
  • Parent/Child Conflict
  • Phase of Life Confusion
  • Grief & Loss
Treatment specialization includes:
  • Marraige and Couples Therapy
  • Family Therapy
  • Individual Therapy
  • Parenting & Co-parenting Support, Consultation, and Therapy
  • Blended Family Therapy
  • Child & Adolescent Therapy
  • EMDR 
  • Group Therapy
  • Expressive Arts Therapy
  • Teletherapy
  • Clinical Supervision

Team


Sacha Lacasse MA, LPC

Clinical Director, Therapist

Sacha LaCasse, Clinical Director of DATG, is a practicing psychotherapist with a Master’s degree in Contemplative Psychotherapy from Naropa University. She is a crisis interventionist and long-time child welfare advocate experienced in dealing with issues such a grief, anxiety, autism, and the LGBTQ challenges.

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Sarah Shrier, LPC

Therapist & Clinical Supervisor

Sarah Shrier is a Licensed Professional Counselor serving clients of all ages in Denver, Colorado. She has experience treating toddlers, children, adolescents, and adults with a myriad of problems, including trauma, anxiety, depression, phobias, panic disorder, grief, and difficulty with life transitions.

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Kiera Rommel, MPS, LCAT, NLC

Therapist, Art Therapist, & Clinical Supervisor

Kiera Rommel is a licensed Art Therapist who has been practicing with a multitude of populations for over 5 years. She received her Master’s degree in Art Therapy from the School of Visual Arts located in New York City.

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Lyndsey Klemme, MA, LPC, LAC, NCC

Licensed Therapist, Addiction Counselor, & Clinical Supervisor

Lyndsey Klemme is a Licensed Professional, Addiction, and Nationally Certified Counselor in Colorado. Lyndsey’s experience extends to a variety of populations, with specialty in; persons struggling with substance abuse/recovery, LGBTQ, families and/or individuals involved with the court system and child protection programs, military-active and retired, minority populations, teens, and adults 50+.

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Eric Feldman, MM, MT-BC

Music Therapist

Eric Feldman completed his undergraduate degree in Guitar Performance from Berklee College of Music in 2008 and his Masters in Music focusing on Music Therapy from Colorado State University in 2013. From music therapy to community outreach, Eric has been actively involved with the music scene in Colorado for over 15 years.

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Lisa Elsey, MA, LPC

Individual and Family Therapist

Lisa has 25 years of experience working with children and families in a variety of capacities. Modalities include Family Systems, Behavioral, TF-CBT, DBT, Attachment, Anger Management, Play therapy, Mindfulness, Solution-Focused, Trauma Systems Therapy.

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Ben Bombach, MS, MFT

Marriage and Family Therapist

Ben is a humanistic therapist who uses a holistic and client-centered approach to cultivate growth and inspire change in his clients. He is very understanding, easy to talk to and meets people where they are at.

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Heather Iwen, LCSW

Adolescent Therapist & Clinical Supervisor

Heather provides psychotherapy to adolescents and their families with the following issues: PTSD, psychosis, anxiety, depression, grief and loss, substance use, sexual abuse, offense-specific, mood disorders, and personality disorders.

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Clinical Interns


Chandler Golden

Clinical Intern

Chandler graduated from Xavier University of Louisiana in New Orleans in 2019 with a B.S in Psychology and a minor in African American Diaspora Studies. Chandler is a current first year Master’s student studying Clinical Mental Health Counseling at the University of Denver and will graduate in 2021. Chandler has various clinical experience with youth of color and is a registered psychotherapist in the state of Colorado.

Lucy Erickson

Clinical Intern

Lucy, registered psychotherapist, graduated from Montana State University in 2018 with a BA in Psychology. She is currently a 2nd year Master’s student studying Counseling Psychology at the University of Denver. She will be graduating in 2020 with an MA in Clinical Mental Health. She has various clinical experience including therapy with children with Autism. She also enjoys working with adolescents and their families, as well as clients of all ages. This is Lucy’s 2nd year with DATG; she has a very warm approach to therapy that helps clients grow and feel supported. Lucy loves the outdoors and has been a skier her whole life!

Child Therapy Services


Play Therapy

APT defines play therapy as "the systematic use of a theoretical model to establish an interpersonal process wherein trained play therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial difficulties and achieve optimal growth and development." Mental health agencies, schools, hospitals, and private practitioners have utilized Play Therapy as a primary intervention or as supportive therapy for: Behavioral problems, such as anger management, grief and loss, divorce and abandonment, and crisis and trauma. Behavioral disorders, such as anxiety, depression, attention deficit hyperactivity (ADHD), autism or pervasive developmental, academic and social developmental, physical and learning disabilities, and conduct disorders. Research suggests Play Therapy is an effective mental health approach, regardless of age, gender, or the nature of the problem, and works best when a parent, family member, or caretaker is actively involved in the treatment process.

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Parent and Child Therapy

Using behavioral therapy to help strengthen the parent and child relationship by increasing healthy attachment and communication. Behavior therapy for young children is most effective when their parents learn strategies from therapists and use those strategies to manage their children’s behavior. Parents learn to create structure, reinforce good behavior, discourage negative behaviors, provide consistent discipline, and strengthen the relationship with their child through positive communication.

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Sandtray

"Sand tray therapy allows a person to construct his or her own microcosm using miniature toys and colored sand. The scene created acts as a reflection of the person’s own life and allows him or her the opportunity to resolve conflicts, remove obstacles, and gain acceptance of self. Through creative expression, a person in therapy is able to manifest in sand the things they would otherwise not be able to vocalize or address in traditional therapy. The therapist treats the person as whole and healed, knowing that the process of sand tray therapy allows the person to find the answers that are already within them". - GoodTherapy

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Sarah Shrier, LPC - Lead Child Therapist & Clinical Supervisor

Sarah Shrier is a Licensed Professional Counselor serving clients of all ages in Denver, Colorado. She has experience treating toddlers, children, adolescents, and adults with a myriad of problems, including trauma, anxiety, depression, phobias, panic disorder, grief, and difficulty with life transitions. She’s received specialized training in non-directive client-centered Play Therapy, Sand Tray Therapy, Dialectical Behavior Therapy (DBT), Eye Movement Desensitization Reprocessing (EMDR), Parent-Child Interaction Therapy (PCIT) and Mindfulness-Based Stress Reduction (MBSR). Sarah has additional training in specialized EMDR, like Group Traumatic Event Protocol (GTEP) and Recent Traumatic Event Protocol (RTEP) which she utilized in treating survivors and family members of the school shooting at Marjory Stoneman Douglas High School in Parkland, Florida on 2/14/2018. Sarah previously worked as Director of Clinical Training at a nonprofit agency in South Florida where she taught clinicians, teachers, and childcare workers of the effects of Adverse Childhood Experiences (ACEs) on brain development and physical health.

Rates and Insurance

$120.00-180.00 Individuals & $200.00 Couples & Families

Insurance Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions: Do I have mental health insurance benefits? What is my deductible and has it been met? How many sessions per year does my health insurance cover? What is the coverage amount per therapy session? Is approval required from my primary care physician? Insurance accepted - Anthem BCBS & Medicaid Payment Cash, check and all major credit cards accepted for payment. Cancellation Policy If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full cost of the session. Contact Questions? Please contact me for further information.

Good Reads


Contact


  • 948 North Logan Street, Denver, CO, USA
  • The Carriage House Offices

Contact


  • 1839 Logan Street, Denver, CO, USA
  • Denver Adolescent Therapy Group

Blog


06Dec

As the holiday season is finally underway many of us are looking forward to spending time with our loved ones and celebrating togetherness. However, it is worth noting that for some this time of year is marked by feelings of stress and even sadness. For LBGTQ+ youth who have faced rejection or have not come out yet to their families due to fear of rejection, the holidays can feel incredibly difficult. According to Trevor Project Crisis Service Manager Odalis Gonzales “Our busiest times are actually the days before and after the holidays. Young people are considering whether or not to “come out”, are facing isolation or judgment from family, or are unable to go home at all, and these are just a few stressors that our youth may face”.

Studies have shown that LBGTQ+ youth are at greater risk for poor mental health and suicidality than their heterosexual counterparts (Rivers et al., 2018). The CDC also reports that LBGTQ+ youth seriously contemplate suicide at almost 3 times the rate and are almost 5 times as likely to have attempted suicide compared to their straight peers. Additional research is indicating that suicidality within the LBGTQ+ community is influenced by two interpersonal experiences 1) feeling that one does not belong to meaningful relationship groups and 2) feeling that one is a burden to others (Ingram et al., 2019). Feelings of not belonging and of being burdensome are commonly reported by youth who have experienced extreme bullying as well as other forms of victimization. Youth also expressed experiencing feelings of being a burden when deciding whether or not to come out to friends and family.

We know that all youth need and deserve to feel social, emotionally, and physically safe and supported to live healthy and happy lives. Research by McCormick & Balgride has found that family acceptance is one of the strongest predictors of physical health, mental health, and well-being. LBGTQ+ youth who feel they have accepting families are 8 times less likely to attempt suicide and 6 times less likely to meet depression criteria. These youth have also been found to be less likely to engage in substance abuse and other risky behaviors. This research shows us that while the struggles LBGTQ+ youth are facing are ever-present there all small steps that those closest to them can take to lessen their struggles and to provide a safe space. Here are some tips for how to supportively engage with the LBGTQ youth in your life this holiday season:

  • Treat an LBGTQ+ person as you would treat anyone else in your family
  • Don’t ask your LBGTQ+ family member to act a certain way. Allow them the space to be their authentic selves.
  • If your LBGTQ+ family member is bringing a partner, include them in your family traditions.
  • If you are unsure of your family members' pronouns, respectfully ask in private and make an effort to use those pronouns.

After the holiday festivities pass, be sure to follow up with them to check-in, tell them how happy you were to spend time with them.


If you are LBGTQ+ and find yourself needing immediate help or just a little extra support this holiday season resources are available at www.thetrevorproject.org.


By: Chandler Golden

Chandler is a 1st-year master’s student completing her degree in Clinical Mental Health Counseling at the University of Denver and a registered psychotherapist in the state of Colorado. Chandler received her bachelor’s degree in Psychology with a minor in African American Diaspora Studies at the Xavier University of Louisiana. She has experience working with at-risk youth who have experienced trauma and mental health difficulties. Chandler’s areas of interest include mental health concerns within low-income communities of color, depression in adolescents, art therapy, as well as trauma and other related mental health issues. Chandler is currently interning with the Denver Adolescent Therapy Group at Stevenson Therapy Services.


Resources:

Ingram, K., Mintz, S., Hartley, C., Valido, A., Espelage, D., & Wyman, P. (2019). Predictors of Suicidal Ideation and Attempts among LGBTQ Adolescents: The Roles of Help-seeking Beliefs, Peer Victimization, Depressive Symptoms, and Drug Use. Journal of Child and Family Studies, 28(9), 2443-2455.

McCormick, A., & Baldridge, S. (2019). Family Acceptance and Faith: Understanding the Acceptance Processes of Parents of LGBTQ Youth. Social Work and Christianity : Journal of the National Association of Christians in Social Work., 46(1), 32.

Rivers, I., Gonzalez C., Nodin N., Peel E., & Tyler A. (2018). LGBT people and suicidality in youth: A qualitative study of perceptions of risk and protective circumstances. Social Science & Medicine, 212, 1-8

Saving Young LGBTQ Lives. (n.d.). Retrieved December 6, 2019, from https://www.thetrevorproject.org/.




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21Nov

         There’s no doubt that social media has become a staple of social interaction, particularly in the world of adolescents. While it seems like a fun way to share photos and stay connected, we need to understand the kind of subliminal and overt messages teens are getting. In the past few years, we have seen a rise in “influencers” and celebrity presence on social media, particularly on the popular app Instagram. These people are usually young, thin, traditionally attractive women who are paid to promote certain products on their accounts. The idea behind “influencers” is that their appearance and lifestyle are so desirable that others will want to use the products that they do to feel desirable themselves. The issue with this is that the target audience is adolescent girls and young women who are idealizing these highly made-up, retouched, professionally photographed people and thinking that what they are seeing is attainable for an everyday teen.  

           A recent study shows that exposure to social media sites such as Facebook and Instagram increases body image issues. This study surveyed girls between the ages of 13 and 15 about their internet and social media use and found that exposure to social media was highly correlated with body dissatisfaction, body surveillance and drive for thinness (Tiggemann & Slater, 2013). Seeing as exposure alone can cause young girls to feel poorly about their appearance, the addition of promotional products that are meant to help you achieve the body that you want is especially enticing. Instagram, more than other social media platforms, is viewed as a highlight reel of your life and where you post your best photos of yourself. For this reason, even when celebrities post seemingly casual selfies, much more work has gone into that photo than we think. This can be incredibly damaging to young girls who compare themselves to teenage celebrities who appear to be their peers when in reality they are representing and unrealistic and harmful standard. 

           There are real dangers in not knowing what is real and what is manufactured when viewing people that you think are your peers. Social media, unlike traditional print media, allows the viewer to be involved and interact. This includes posting their own photos with the possibility that many people will see them. A recent study found that young women have developed a heightened awareness of how they might appear on social media and it impacts thoughts and behaviors offline as well (Choukas-Bradley et al., 2019). This means that young women and girls are thinking about their appearance no only in the moment, but considering the possibility for a photo-op and how they might appear on social media. Research shows a connection between this hyper-awareness of social media appearance with low body image, high body comparison, and depressive symptoms. In certain situations, this kind of body comparison and desire to look like celebrities and influencers on social media can lead girls to develop eating disorders (Mabe et al., 2014). This shows that there are real consequences to social media consumption and participation and it is impacting adolescents. 

           Instagram is taking some first steps to combat this by announcing that they will restrict the advertising for dieting products, either to people above the age of 18 or in some cases by removing the ad entirely. They are also removing the “like” feature which, while controversial amongst Instagram enthusiasts, should have some positive repercussions for user mental health. “Likes” were functioning as reinforcement for posting certain types of photos, and also a motivator to make sure you look your best in every photo you post. They also were seen as a status symbol, the more "likes" a person got the more liked they must have been. Hopefully, this removal will change the way people think about what they post. Even with these measures being taken, there is still a lot of harmful content out there that can be hurting your teenagers. Here are some tips for how to engage with your teenager about social media:  

  • Stay informed: Ask your kids what they know about Instagram or "influencers" and let them show you, letting them be the expert will help you get a glimpse of what they are following and seeing. 

    • It might be helpful to get on some of these apps yourself so you can be familiar with how they work 
    • Make sure you know if they are spending money on Instagram advertised products and if so, is it something they should be spending money on?
  • Be a mentor, not a micromanager: Instead of trying to control your child’s social media use, have open-ended conversations with them about how they are engaging with the platform. Often, teenagers are willing to share their activity if you are curious and ask in a non-judgmental way. If you try to restrict your teen’s use, it won’t work (teens always find a way) and it will make them feel like they cannot talk to you about issues when they do arise. This will also allow your teen to show you why they enjoy using social media. 
  • Be a good role model for body positivity and that will have an impact!: Even if your teen seems to ignore you most of the time, you are one of their biggest influencers. You can show your teen what a healthy relationship with their body is supposed to look like simply by doing it yourself. Talk to them about nutrition, exercise and treating her body well. 

 

By: Camille Ginsburg

Camille is a graduate student completing her Master’s degree in Clinical Mental Health Counseling at the University of Denver and a registered psychotherapist in the state of Colorado. Camille received her Bachelor of Arts degree in Psychology from Colorado College. She has experience working with adolescents who have experienced trauma and related mental health problems. Camille's areas of interest include depression, anxiety, trauma and mental health issues related to objectification.  Camille is currently interning with the Denver Adolescent Therapy Group at Stevenson Therapy Services.

Resources:

Choukas-Bradley, S., Nesi, J., Widman, L., & Higgins, M. K. (2019). Camera-ready: Young women’s appearance-related social media consciousness. Psychology of Popular Media Culture, 8(4), 473–481. doi: 10.1037/ppm0000196

Mabe, A. G., Forney, K. J., & Keel, P. K. (2014). Do you “like” my photo? Facebook use maintains eating disorder risk. International Journal of Eating Disorders, 47(5), 516–523. doi: 10.1002/eat.22254

Tiggemann, M., & Slater, A. (2013). NetGirls: The Internet, Facebook, and body image concern in adolescent girls. International Journal of Eating Disorders, 46(6), 630–633. doi:10.1002/eat.22141



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