journey
We connect and partner to transform your experience of life.
Our counselors are professionally trained, licensed, and experienced with a variety of specialties.
We connect and partner to transform your experience of life.
Our counselors are professionally trained, licensed, and experienced with a variety of specialties.
Meet our Counselors

Cathy Daesch, Art Therapist 618-235-3857
MA, ATR-BC, LCPC, ICDVP
Specialties:
Children, Adolescents and Adults
Trauma & Abuse Healing
Healthy Relationship Development
Stress and Emotion Expression
Self-Esteem Development & Empowerment
MA, ATR-BC, LCPC, ICDVP
Specialties:
Children, Adolescents and Adults
Trauma & Abuse Healing
Healthy Relationship Development
Stress and Emotion Expression
Self-Esteem Development & Empowerment

Many people find themselves needing to explore feelings to heal from life changes, life stressors, loss of a loved one or traumatic experiences.
Art Therapy is a form of expressive therapy that uses the creative process of making art to improve a person’s physical, mental and emotional well-being. The creative process can help people resolve issues as well as develop and manage their behaviors and feelings, reduce stress and improve self-esteem and awareness.
I work with children, youth, and adults. I specialize in healing from trauma and abuse. I have worked for over 25 years with families to overcome the effects of domestic/relationship abuse through a psychoeducational approach and an empowerment model. I encourage clients to explore feelings, build healthy family relationships and develop self-respect. I guide my clients through the creative process for self-expression, self-discovery and healing. I believe in the power of creativity and the importance of self-care practices for healing.
I am a visual artist and use art making to keep myself grounded and balanced. I also tend to the earth through pollinator gardening and care for the animals at Randy's Rescue Ranch. I donate my art for social justice projects and I am on the board of Children First Foundation, Child Death Review Team, and St. Clair County Mental Health Disaster Response Team.
Art Therapy is a form of expressive therapy that uses the creative process of making art to improve a person’s physical, mental and emotional well-being. The creative process can help people resolve issues as well as develop and manage their behaviors and feelings, reduce stress and improve self-esteem and awareness.
I work with children, youth, and adults. I specialize in healing from trauma and abuse. I have worked for over 25 years with families to overcome the effects of domestic/relationship abuse through a psychoeducational approach and an empowerment model. I encourage clients to explore feelings, build healthy family relationships and develop self-respect. I guide my clients through the creative process for self-expression, self-discovery and healing. I believe in the power of creativity and the importance of self-care practices for healing.
I am a visual artist and use art making to keep myself grounded and balanced. I also tend to the earth through pollinator gardening and care for the animals at Randy's Rescue Ranch. I donate my art for social justice projects and I am on the board of Children First Foundation, Child Death Review Team, and St. Clair County Mental Health Disaster Response Team.

Tiffany J Evans, MS, LCPC 618-235-3857
Specialties:
Adolescents age 14 and up
Adults
Depression
Anxiety
Self-Esteem
Post-traumatic Stress Disorder (PTSD)
Grief Issues
Parenting
Acceptance and Commitment Therapy
For many, it takes courage to begin the counseling process, but by addressing the issues that have caused you pain, you can rise above these issues, and discover your personal joy potential. We as humans have unlimited capacity to heal ourselves, despite the pain we’ve suffered.
My approach integrates psychodynamic psychotherapy with other modalities, in which I’ve been trained, depending on the needs of the client. I believe the most important factors leading to positive change in therapy are the client’s motivation and a positive collaborative, and professional working relationship, in which the client can feel accepted, supported, and understood.
Specialties:
Adolescents age 14 and up
Adults
Depression
Anxiety
Self-Esteem
Post-traumatic Stress Disorder (PTSD)
Grief Issues
Parenting
Acceptance and Commitment Therapy
For many, it takes courage to begin the counseling process, but by addressing the issues that have caused you pain, you can rise above these issues, and discover your personal joy potential. We as humans have unlimited capacity to heal ourselves, despite the pain we’ve suffered.
My approach integrates psychodynamic psychotherapy with other modalities, in which I’ve been trained, depending on the needs of the client. I believe the most important factors leading to positive change in therapy are the client’s motivation and a positive collaborative, and professional working relationship, in which the client can feel accepted, supported, and understood.

Julie Diaz, MS, LCPC, LPC, NCC 618-407-4718
Specialties:
Children and Adolescents
Adults
Trauma Focused CBT
Dialectical Behavioral Therapy
Anger Management
Conflict Resolution Skills
Therapeutic Play Techniques
Family Therapy
Attachment Issues
EMDR
I have been working as a clinical therapist since 2000 providing counseling services for children, families and couples. I am very dedicated to meeting my clients where they are when they begin counseling.
I am client-centered when developing treatment goals. My role is to assist in improving the overall quality of life and success in the client's future.
Specialties:
Children and Adolescents
Adults
Trauma Focused CBT
Dialectical Behavioral Therapy
Anger Management
Conflict Resolution Skills
Therapeutic Play Techniques
Family Therapy
Attachment Issues
EMDR
I have been working as a clinical therapist since 2000 providing counseling services for children, families and couples. I am very dedicated to meeting my clients where they are when they begin counseling.
I am client-centered when developing treatment goals. My role is to assist in improving the overall quality of life and success in the client's future.

Tyler D Roy, MEd, LCPC, LSOTP, CCTP, CSOTS 618-207-9685
Specialties:
Children, Adolescents. Adults
Depression and Anxiety
Trauma and PTSD
Behavioral Issues
Parenting
Coping Skills
Family Conflict and Issues
Relationship Issues
Grief
Stress
Women's Issues
It is my belief that all individuals - no matter how troubling their circumstances and situations, have the inherent potential for healing and growth and the capacity to enjoy a more fulfilling life. While I am versed on the effects of trauma or victimization on one’s mental well-being, I strongly believe that with effective counseling, individuals can become more resilient, healthier, and happier. Whether you are grappling with self- esteem issues, unfulfilling/troubled personal relationships, or residual effects from past traumas, your healing begins with YOU!
As a seasoned Clinician, I recognize the importance and therapeutic value of providing a safe, non-judgmental, and confidential environment where unconditional regard and sound clinical practice are cornerstone. I employ a very client-centered, strength based approach with all clients.
Specialties:
Children, Adolescents. Adults
Depression and Anxiety
Trauma and PTSD
Behavioral Issues
Parenting
Coping Skills
Family Conflict and Issues
Relationship Issues
Grief
Stress
Women's Issues
It is my belief that all individuals - no matter how troubling their circumstances and situations, have the inherent potential for healing and growth and the capacity to enjoy a more fulfilling life. While I am versed on the effects of trauma or victimization on one’s mental well-being, I strongly believe that with effective counseling, individuals can become more resilient, healthier, and happier. Whether you are grappling with self- esteem issues, unfulfilling/troubled personal relationships, or residual effects from past traumas, your healing begins with YOU!
As a seasoned Clinician, I recognize the importance and therapeutic value of providing a safe, non-judgmental, and confidential environment where unconditional regard and sound clinical practice are cornerstone. I employ a very client-centered, strength based approach with all clients.

Emily Niebruegge, MA, C-PD, LCPC 618-567-7001
Specialties:
Child, Adolescent and Young Adult Issues
Couple’s Therapy
LGBTQ+
Military Families
PTSD
Anxiety
Dialectical Behavioral Therapy
Depression
Personality Disorders
Self-Esteem/Self-Worth Empowerment
Trauma Related Issues
Schizoaffective/Bipolar Disorders
Seeking help can be challenging, but it doesn’t have to be. I use a person-centered, dialectical/cognitive behavioral, strength’s-based, trauma-informed approach in working to build rapport with my clients to allow them the space to feel safe and judgment-free. I strive for a culturally inclusive space that welcomes all individuals yet recognizes how an individual’s identity intersects with many facets of our lives.
At my previous position at a family therapy private practice, I worked with wide range of ages and interned doing play therapy and working with Internal Family Systems. I also held a weekly group for LGBTQ+ individuals to navigate the steps of social and medical transition and to have a safe space to be supported.
I am passionate with working with teens and helping them transition into the sometimes-unpredictable/scary stage of adulthood. I also have a passion for working with adults who have experienced family trauma and helping them unlearn messages that they have carried from their childhood. With working with these adults, I strive to give them their strength and power back with helping them break the pattern of generational trauma.
I have been trained in the first step of EMDR and I am in the process of being fully certified to be able to continue to help clients with trauma to reduce their psychological stress. I am certified in Dialectical Behavioral Therapy and Personality Disorders and strive to end the stigma related to these disorders and separate the person from the diagnosis.
I can help you navigate issues related to anxiety, depression, bipolar, trauma, life transitions, gender dysphoria, etc. and will use a variety of therapy modalities to fit your needs and help you succeed. I believe in respect, empowerment, and inclusion and look forward to working with you and your specific needs.
Specialties:
Child, Adolescent and Young Adult Issues
Couple’s Therapy
LGBTQ+
Military Families
PTSD
Anxiety
Dialectical Behavioral Therapy
Depression
Personality Disorders
Self-Esteem/Self-Worth Empowerment
Trauma Related Issues
Schizoaffective/Bipolar Disorders
Seeking help can be challenging, but it doesn’t have to be. I use a person-centered, dialectical/cognitive behavioral, strength’s-based, trauma-informed approach in working to build rapport with my clients to allow them the space to feel safe and judgment-free. I strive for a culturally inclusive space that welcomes all individuals yet recognizes how an individual’s identity intersects with many facets of our lives.
At my previous position at a family therapy private practice, I worked with wide range of ages and interned doing play therapy and working with Internal Family Systems. I also held a weekly group for LGBTQ+ individuals to navigate the steps of social and medical transition and to have a safe space to be supported.
I am passionate with working with teens and helping them transition into the sometimes-unpredictable/scary stage of adulthood. I also have a passion for working with adults who have experienced family trauma and helping them unlearn messages that they have carried from their childhood. With working with these adults, I strive to give them their strength and power back with helping them break the pattern of generational trauma.
I have been trained in the first step of EMDR and I am in the process of being fully certified to be able to continue to help clients with trauma to reduce their psychological stress. I am certified in Dialectical Behavioral Therapy and Personality Disorders and strive to end the stigma related to these disorders and separate the person from the diagnosis.
I can help you navigate issues related to anxiety, depression, bipolar, trauma, life transitions, gender dysphoria, etc. and will use a variety of therapy modalities to fit your needs and help you succeed. I believe in respect, empowerment, and inclusion and look forward to working with you and your specific needs.
Meet our Nurse Practitioner

Natascha Jeffries, MSN, FNP-C, PMHNP-BC
Milestones Behavioral Health Services, LLC 618-795-7994
Specialties:
Substance Abuse
Trauma
Depression and Anxiety
Eating Disorders
Disruptive Behavior Disorders
Attention Deficit Disorder
Autism
Psychosis
I am a Board Certified Psychiatric Mental Health Nurse Practitioner, with training and experience treating patients with psychiatric disorders across the lifespan and across practice settings. I received my master's in nursing and post-master's certificate from Maryville University and Northern Kentucky University respectively. I am a psychiatric-mental health advanced practicing nurse and board certified by the American Nurses Credentialing Center and the American Academy of Nurse Practitioners.
My services include mental health evaluation and medication treatment for children, adolescents and adults. I am excited about the opportunity to provide services to you and your family.
Milestones Behavioral Health Services, LLC 618-795-7994
Specialties:
Substance Abuse
Trauma
Depression and Anxiety
Eating Disorders
Disruptive Behavior Disorders
Attention Deficit Disorder
Autism
Psychosis
I am a Board Certified Psychiatric Mental Health Nurse Practitioner, with training and experience treating patients with psychiatric disorders across the lifespan and across practice settings. I received my master's in nursing and post-master's certificate from Maryville University and Northern Kentucky University respectively. I am a psychiatric-mental health advanced practicing nurse and board certified by the American Nurses Credentialing Center and the American Academy of Nurse Practitioners.
My services include mental health evaluation and medication treatment for children, adolescents and adults. I am excited about the opportunity to provide services to you and your family.