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Timothy "Ryan" Hicks, LPC, LMFT is a therapist at Relief Mental Health in Denver, Colorado, who specializes in working with individuals and couples navigating depression, anxiety, trauma, and relational challenges. With over a decade of clinical experience, Ryan brings a deep and thoughtful approach to family therapy, couples counseling, and relationship dynamics with a particular passion for supporting clients in unique relationship structures and nontraditional partnerships. Ryan takes an integrative, attachment-informed approach to therapy, drawing on Emotionally Focused Therapy (EFT), mindfulness-based interventions, and Ketamine-Assisted Psychotherapy (KAP) for clients with treatment-resistant depression, anxiety, and PTSD. He has extensive couples therapy experience, with the majority of his clinical career dedicated to helping partners build stronger emotional bonds, improve communication, and navigate relational conflict with greater ease and understanding.

People come to therapy for all kinds of reasons — sometimes a specific event, sometimes a slow accumulation of things that no longer feel workable, sometimes a sense that something important has shifted and they're not sure how to find their footing again. Whatever brings someone in, Trey's approach begins in the same place: genuine curiosity about who this person is and what their life actually requires.

Trey is a licensed clinical psychologist, board-certified by the American Board of Professional Psychology (ABPP), with nearly 20 years of clinical experience across a broad range of settings and presentations. He has worked in the U.S. Army, correctional systems, hospice, university counseling centers, and inpatient/outpatient hospital contexts before establishing Quandary Peak Counseling — a background that means he has sat with people in some of the most difficult circumstances human beings encounter. That experience informs a clinical style that is direct without being cold, intellectually serious without losing sight of the person, and grounded in the belief that real change is possible even in longstanding or complex presentations.

He was primarily trained in an existential and humanistic framework; however, he additionally draws on psychodynamic, relational, and other evidence-based frameworks (CBT, ACT, etc.). In practice, this means the approach is shaped by what each individual client actually needs — not a fixed protocol applied uniformly.

Areas of Focus

Trauma & PTSD
Trey works with survivors of a wide range of traumatic experiences — accidents, assault, medical trauma, occupational exposure, and chronic adverse experiences. He draws on evidence-based approaches including Cognitive Processing Therapy (CPT) and exposure-based methods, alongside deeper exploratory work when the clinical picture calls for it. He is recognized as an expert in traumatic stress by the American Board for Experts in Traumatic Stress.

Depression & Mood Disorders
From persistent low mood and loss of meaning to more acute or complex mood presentations — including bipolar spectrum disorders — Trey brings careful diagnostic thinking and a range of therapeutic approaches to depressive and mood-related concerns. He is particularly attuned to depression that has an existential or characterological dimension, where the question isn't just symptom relief but something more fundamental about how a person is living.

Personality & Relational Patterns
Some of the most entrenched suffering people carry isn't situational — it's embedded in long-standing ways of relating to themselves and others. Trey works with clients exploring personality-related concerns, interpersonal patterns that keep repeating, and the kind of relational difficulty that tends to show up across contexts. This work is often longer-term and depth-oriented.

Grief & Loss
Grief doesn't follow a schedule, and it isn't always recognized as grief by the person experiencing it. Trey works with clients navigating bereavement, anticipatory loss, complicated grief, and losses that don't fit conventional categories — including losses of identity, relationship, or meaning.

Existential Concerns
Questions of meaning, purpose, identity, and authenticity aren't peripheral to mental health — they're often at its center. Trey works with clients for whom the presenting concern is less about a diagnosable condition and more about a felt sense that something isn't right: a life that looks fine from the outside but feels hollow, a crisis of values, or a transition that has called everything into question.

Psychosis & Schizophrenia Spectrum
Trey has clinical experience with psychotic disorders and schizophrenia spectrum presentations, including both diagnostic evaluation and ongoing psychotherapeutic support. This is a population that is underserved in private practice settings, and he approaches this work with the same rigor and respect he brings to any clinical presentation.

Dr. Marilyn H. Maher is a Clinical Psychologist in Longmont, CO with special training and skill in identifying and managing psychological disorders. As a Clinical Psychologist, Marilyn H. Maher, PhD performs psychological evaluations and creates treatment protocols. Clinical Psychology is the diagnosis and treatment of mental, emotional, and behavioral dysfunctions. Significant diseases and conditions treated by Clinical Psychologists include phobias, depression, obsessive-compulsive disorder, eating disorders, bipolar disorders, post-traumatic stress disorder, and schizophrenia. Medical tests, procedures and therapies provided by Clinical Psychologists include diagnostic observations and cognitive-behavioral therapy. A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that i

I founded The Metis Center for Psychological Services as I saw a need for comprehensive and modern psychological care to the local community. I worked at the Longmont Police Department as the first Victim Services Coordinator. It was an important role, but I felt that I wanted to do more so I continued my education by going to graduate school. I earned my Master’s Degree in Clinical Forensic Psychology from the University of Denver before starting on my Ph.D. My long academic journey was finally completed when I earned by Ph.D. in Counseling Psychology from the University of Northern Colorado.

Hillary is a licensed clinical social worker who is deeply committed to supporting individuals in recognizing their resilience, strength, and inherent worth as they work toward meaningful change. She brings a compassionate, client-centered approach to her work, grounded in the belief that everyone has the capacity to heal and grow.

She earned her undergraduate degree in Human Services with a minor in Criminal Justice from Elon University in 2003. Her career in mental health began in 2006, working with adults living with chronic mental illness in a day program setting. She went on to manage residential services before pursuing her Master of Social Work degree from the University of Maryland, Baltimore, where she graduated in 2013 with a clinical specialization and sub-specialization in mental health.

Since then, Hillary has gained extensive experience in a variety of settings, including assertive community treatment, child welfare, and addiction treatment. Since 2018, she has focused primarily on substance use treatment, providing individual and group therapy, as well as leading intensive outpatient programs.

Her therapeutic approach is strengths-based and rooted in evidence-based practices, including motivational interviewing, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), solution-focused therapy, and trauma-focused CBT (TF-CBT). She is dedicated to helping clients build skills, process their experiences, and thrive.

Originally from the East Coast, Hillary relocated to Colorado in 2018. Outside of work, she enjoys live music, road trips, camping, and photography.

Karina Sweitzer, LCSW, is a Licensed Clinical Social Worker providing outpatient therapy to teens, young adults, adults, and families. She has experience across community-based settings, intensive outpatient, and partial hospitalization programs, supporting clients navigating anxiety, depression, relationship challenges, family stress, and life transitions. Karina brings a trauma-informed lens to her work and practices with cultural humility, taking into account how family systems, community, identity, and environment influence emotional wellbeing. Karina works with clients to build practical coping skills, improve communication, strengthen boundaries, and increase confidence in managing difficult situations. Karina values creating a space where clients feel safe, heard, and empowered to take part in their own growth. She offers both daytime and evening appointments to support accessibility for students, working professionals, and families.

Hillary is a licensed clinical social worker who is deeply committed to supporting individuals in recognizing their resilience, strength, and inherent worth as they work toward meaningful change. She brings a compassionate, client-centered approach to her work, grounded in the belief that everyone has the capacity to heal and grow.

She earned her undergraduate degree in Human Services with a minor in Criminal Justice from Elon University in 2003. Her career in mental health began in 2006, working with adults living with chronic mental illness in a day program setting. She went on to manage residential services before pursuing her Master of Social Work degree from the University of Maryland, Baltimore, where she graduated in 2013 with a clinical specialization and sub-specialization in mental health.

Since then, Hillary has gained extensive experience in a variety of settings, including assertive community treatment, child welfare, and addiction treatment. Since 2018, she has focused primarily on substance use treatment, providing individual and group therapy, as well as leading intensive outpatient programs.

Her therapeutic approach is strengths-based and rooted in evidence-based practices, including motivational interviewing, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), solution-focused therapy, and trauma-focused CBT (TF-CBT). She is dedicated to helping clients build skills, process their experiences, and thrive.

Originally from the East Coast, Hillary relocated to Colorado in 2018. Outside of work, she enjoys live music, road trips, camping, and photography.