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Thomas A. Arzt, LCSW, BCD, is an experienced licensed clinical social worker providing mental health services at his office in Miller Place, New York. Understanding the relationship between the mind, emotions, and body, Tom takes a holistic approach to care, focusing on whole-body health and how it affects your mental state.

Tom treats a number of mental health conditions, including depression, obsessive-compulsive disorder (OCD), and attention deficit disorder (ADD). He customizes each patient’s therapy plan, using various techniques such as cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR).

Tom is a Vietnam veteran and served in the United States Air Force (USAF) Medical Corp. He understands the effect that active duty has on mental well-being and provides veteran mental health services for all veterans.

Tom received his Master of Social Work at Adelphi University in Garden City, New York, and was a recipient of the Herman Muehlstein Award. He’s also a Board Certified Diplomate in Clinical Social Work (BCD).

Dedicated to his profession, Tom is a member of the American Association of Marriage and Family Therapy (AAMFT) and the National Association of Social Workers (NASW). 

When it comes to psychotherapy, Tom takes a direct approach, providing straight answers to questions and concerns. This approach gives Tom’s patients a clear sense of where they are in the treatment process and where he is as their therapist.

Patients remark how comfortable they feel talking with Tom. They appreciate his compassion, kindness, and guidance and leave each session feeling more hopeful.

Call Thomas A. Arzt, LCSW, BCD, or schedule an appointment online today to get started.

Peter Spiak, MHC Peter Spiak is a mental health counselor specializing in psychotherapy for PTSD, anxiety, depression, bipolar disorder, and ADHD, with an additional focus on substance use disorders and relapse prevention. He integrates Motivational Interviewing (MI), CBT, and trauma-informed therapy to support recovery and personal growth. Peter’s expertise in substance abuse counseling and dual-diagnosis treatment provides a comprehensive approach for clients navigating both mental health and addiction concerns

Damon G. LaBarbera, PhD, Licensed Psychologist (Dglabarbera@gmail.com), offers in-person sessions in Rockville Centre, New York, for clients with life problems. He also offers telehealth.

His training is that he is a graduate of Brown University in Providence, Rhode Island and attended an APA-Approved Clinical Psychology Program and APA-Approved Clinical Psychology Internship. He has had a busy private practice for over 35 years.

Dr. LaBarbera uses psychotherapy and psychological testing to clarify diagnosis, measure progress, and guide treatment. He also considers biological, occupational, and interpersonal factors that may contribute to anxiety, depression, trauma-related symptoms, and other psychological concerns.

Dr. LaBarbera has experience treating mild to severe psychological disorders, including social anxiety, panic attacks, workplace stress, trauma, depression, and dissociation. He has completed thousands of psychological batteries ordered by neurologists, psychiatrists, bariatric and pain surgeons, and many private, military, and state agencies.

He carefully assesses biological features that may contribute to psychological problems.  Goal is to strategically address symptoms and life situations to enhance productivity, functionality, prosperity, position, and intimacy.

 

Dr. LaBarbera has worked with clients in sensitive jobs in industry, law enforcement, and the special forces of every branch of service. He has worked with students of all ages, technical workers, and bright but rebellious teens. He has trained or supervised many therapists for their licensure.

Dr. LaBarbera accepts various payment methods and if you are unclear whether your insurance is accepted, please contact the office. 

Dr. LaBarbera is licensed as a psychologist in New York, New Jersey, and Florida. He is a Life Status member of the American Psychological Association, a Senior Member of the Florida Psychological Association, and a member of the New York State Psychological Association and the New Jersey Psychological Association.

You can call Damon G. LaBarbera, PhD, Licensed Psychologist, today or book an appointment online to learn more.

Licenses

Florida PY0004085

New York 025330

New Jersey 35SI00698700

Nathalia earned her Master of Social Work from Fordham University and her Bachelor of Arts in Psychology from the University of Connecticut. She is also a Connecticut licensed Massage Therapist, giving her a unique appreciation for the powerful connection between physical and emotional health and a truly holistic understanding of the mind and body relationship.

Her clinical experience spans outpatient mental health, domestic violence services, hospice care, and community mental health settings. She has extensive experience supporting individuals navigating trauma, anxiety, depression, relationship challenges, grief, life transitions, and the psychological effects of domestic violence. Her hospice background has also given her deep experience helping individuals and families navigate grief, serious illness, caregiving, and end of life transitions with compassion and dignity.

Nathalia is trained in Eye Movement Desensitization and Reprocessing (EMDR) and incorporates evidence based treatment approaches tailored to each client's individual needs. Her therapeutic approach draws from Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, mindfulness based interventions, psychoeducation, and strengths based therapy. She believes that every person has the capacity for healing and growth when provided with the right support and tools.

In addition to individual psychotherapy, Nathalia has experience providing couples counseling, crisis intervention, safety planning, support groups, case management, and interdisciplinary collaboration, bringing a truly comprehensive approach to every client she serves.

At High Quality Home Therapy, Nathalia is committed to helping clients achieve meaningful and lasting change by empowering them to overcome barriers, strengthen relationships, process trauma, and improve their overall quality of life. Whether someone is seeking support for PTSD, anxiety, depression, relationship concerns, or major life transitions, she partners with each client to develop personalized strategies that foster healing, resilience, and emotional wellness. Nathalia is proud to be part of the HQHT team and honored to walk alongside each person on their journey toward healing.

Stephanie Gaete, LCSW is a bilingual and deeply dedicated Licensed Clinical Social Worker at HQHT whose compassionate presence, breadth of clinical experience, and genuine investment in every client's wellbeing shine through in everything she does.

Stephanie earned her Master of Social Work from Sacred Heart University and her Bachelor of Arts in Sociology and Political Science from the University of Connecticut. Her career has taken her across some of the most demanding and diverse clinical settings in mental health, from crisis intervention to hospital based social work to school and family therapy programs.

Stephanie currently serves as an Outpatient Therapist at Express, Liberate, Explore LLC, where she facilitates individual and family therapy, evaluates mental health diagnoses, and creates and implements personalized treatment plans. Prior to this she served as Lead Social Worker for Effective School Solutions, delivering clinical interventions to support students' academic and mental health stability through group, individual, and family counseling.

Her clinical background also includes work as a Social Worker at Stamford Hospital, a Crisis Clinician providing mobile psychiatric crisis assessments for children at Community Health Center, and a Mental Health Counselor at IICAPS Family and Children Agency, where she conducted intakes, facilitated therapy sessions, and coordinated closely with families and providers. Earlier in her career she worked as a Direct Care Counselor at Mid Fairfield Child Guidance Center, supporting children through individualized crisis management plans and therapeutic group activities.

Stephanie is fully bilingual in Spanish, allowing her to connect meaningfully with a broader range of clients and families, and is trained in EMDR, bringing trauma informed care to every session.

Stephanie's warmth, clinical expertise, and genuine dedication to her clients make her an invaluable addition to the HQHT team. She is proud to walk alongside every individual and family she works with on their path toward healing.

Chelsey Micciche, LPC is a Licensed Professional Counselor experienced in working with adolescents, families and adults in addressing a variety of mental health needs. She has provided intensive in-home services to high-risk children and their families with delivering crisis management, parent guidance and school-based support. She has experience working with individuals in an outpatient setting, providing therapeutic support and treatment to address a variety of mental health needs such as depression and other mood-related disorders, anxiety, ADHD, attachment and/or behavioral issues and trauma-related disorders. Chelsey uses an eclectic approach as she incorporates evidence-based framework from trauma-informed, strength-based and cognitive practices. She embraces the fundamental teachings of humanistic psychology and Rogerian therapy, emphasizing the importance of the therapeutic relationship and encouraging personal growth, self-awareness and healing throughout the therapeutic process. By using a person-centered approach, Chelsey brings compassion, warmth and understanding into her client’s unique journey in overcoming challenges and achieving their goals. She is certified in Cognitive Processing Therapy and has training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Chelsey enjoys spending quality time with her family, visiting new places and going on scenic nature walks. She likes to participate in seasonal activities such as kayaking and snowboarding. Many people describe Chelsey as being easy-going, kind-hearted and spontaneous, always ready to experience new things and create memorable moments with the people she loves. Chelsey provides:

• Individual counseling for children, adolescents, adults, and families.
• Parenting, relationship and family problems, divorce, or blended families.
• Anxiety, Depression, Behavioral Disorders, ADHD, Autism.
• Communication Issues and Life Stage adjustment issues.
• Issues regarding sexuality and genderStress, panic, obsessive compulsive disorder, and phobias
• Employment related stress or burnout

Karla is a Licensed Professional Counselor Associate in the state of Connecticut, holding a master’s degree in Counselor Education with a specialization in Clinical Professional Counseling from Central Connecticut State University. Karla provides support to her clients in exploring and determining pathways towards a purposeful and well-balanced life, while acknowledging and addressing any past issues without allowing them to dominate the present. Karla’s diverse experiences have equipped her with the tools to support others effectively. Karla has a background in counseling in multiple settings working with children, teens, and adults. She enjoys doing both  process groups and individual counseling. Karla enjoys working with clients that have complex situations and brings empathy, non-judgment, and understanding into all of her sessions. She creates tailored, specialized treatment plans with specific goals and objectives for guiding her patients into self- sustaining healthy behavior patterns for life.

 

Karla employs Dialectical Behavioral therapy (DBT), Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy to help clients identify and address their presenting issues. By focusing on “the how” and connecting behaviors to their negative impacts, Karla assists clients in understanding and overcoming obstacles. Karla’s approach is characterized by compassion, transparency, respect, and honesty, fostering meaningful connections with clients.

 

In her free time, Karla enjoys being physically active to promote a healthy life balance, traveling, connecting with family and friends, and practicing mindfulness activities.

 

Karla offers:

• Individual and family counseling for children, adolescents, adults

• Therapy for ADD/ADHD, anxiety, depression, substance use/ addiction, trauma, mood disorders, OCD, communication difficulties, panic attacks, substance abuse, anger management, crisis intervention, and life transitions or changes.

• Group counseling on trauma, substance abuse, domestic violence, adverse childhood experiences, divorce, parenting issues, and women’s issues

Sherrie is a holistic and integrative Licensed Clinical Social Worker (LCSW) and Licensed Drug and Alcohol Counselor (LADC) with more than 23 years of experience supporting individuals across the lifespan. She holds a graduate degree in Clinical Social Work from Southern Connecticut State University and an undergraduate degree in Psychology from Worcester State College. Over the past two decades, she has worked across community mental health, correctional settings, school-based programs, and outpatient care. Her extensive experience includes clinical supervision, organizational leadership, and statewide training initiatives focused on trauma, resilience, and provider wellbeing. Sherrie specializes in supporting adults navigating anxiety, depression, trauma, identity exploration, stress, grief, relationship patterns, addiction, and complex co-occurring concerns.

Sherrie is known for her grounded, collaborative, and empowering presence; qualities that shape every aspect of her work. She often shares a guiding belief that reflects her therapeutic philosophy: “Healing happens when people feel seen, supported, and safe enough to explore who they are and who they’re becoming.” Her therapeutic approach integrates evidence-based practices including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, and trauma-informed care with a strength-based, person-centered philosophy. She also incorporates experiential and nature-based strategies, such as walk and talk therapy, to support grounding, emotional regulation, and whole-person wellness.

Clients consistently describe Sherrie as warm, steady, and deeply present. She meets each person exactly where they are, offering a balance of compassion, insight, and practical tools. Her work is collaborative and empowering, helping clients understand their patterns, build resilience, and reconnect with their sense of purpose and self-worth.

Outside of her clinical role, Sherrie enjoys spending time in nature, engaging in creative practices, and cultivating meaningful connections — all of which contribute to the grounded, balanced presence she brings to her work.

Sherrie Offers

- Individual counseling for adults

- Support for people of all backgrounds and identities, including LGBTQ+ communities

- Evidence-based interventions for anxiety, depression, ADHD, Bipolar Disorder, Personality Disorders, OCD, behavioral concerns, trauma, substance use, and complex co-occurring concerns

- Experiential & nature-based therapeutic strategies

- A trauma-informed & strength-based therapeutic setting

- Compassionate support for those navigating stress, grief, and concerns around self-esteem

- Guidance navigating life transitions, relationship stress, & caregiving roles

Michelle Munasami, LMFT is a licensed marriage and family therapist in the state of Connecticut. She received both her Bachelor’s and Master’s from the University of Saint Joseph. Michelle has over 15 years of expertise working with both adults and children, individually and as families. Michelle utilizes many different therapeutic practices which include- Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Mindfulness, and Dialectical Behavioral Therapy (DBT). Michelle is solution-focused and collaborative and moves clients towards their desired goals. Michelle stays busy with her three children and husband and enjoys kickboxing and traveling in her free time.

 

Michelle offers:

• Individual counseling for children, adolescents, adults, and families.
• Parenting, relationship and family problems.
• Anxiety, Depression, Bipolar Disorder, Family Issues, Behavioral Disorders, ADHD, Divorce/Blended Families.

Octavia Francis earned her Bachelor of Arts in Sociology with a minor in Psychology from Central Connecticut State University and her Master of Science in Clinical Mental Health Counseling from Post University.

She has extensive experience working with children, adolescents, and adults in school and intensive outpatient (IOP) settings, supporting individuals facing a wide range of behavioral and mental health challenges. Octavia is passionate about empowering clients to regain control of their lives and move toward meaningful, fulfilled living.

Her therapeutic style is grounded in collaboration, trust, and genuine connection. She strives to create a safe, respectful space where clients feel heard and supported. Recognizing the uniqueness of each individual, Octavia tailors’ treatment to meet specific needs. She draws from evidence-based modalities including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Person-Centered Therapy to create individualized treatment plans targeting both immediate concerns and long-term goals.

Central to her practice is fostering self-awareness and building a practical set of coping skills. Octavia emphasizes goal-directed treatment with accountability measures, allowing clients to track their progress throughout the process. Because real change happens beyond the therapy room, she focuses on developing structured strategies for the application of skills in everyday life. Her goal is to help clients cultivate sustainable coping mechanisms, resilience, and measurable growth in overall functioning.

Outside of her professional work, Octavia runs a home baking business and enjoys reading, traveling, and spending quality time with family and friends.

Services Provided:

•  Individual counseling for children, adolescents, and adults.
• All inclusive/communities, including LGBTQ+
• Anxiety, depression and trauma
• Life transitions/adjustments (wide spectrum), crisis intervention, anger management, and Personality Disorders
• Communication, relationship, attachment and family problems

Melissa Holznagel, LCSW, MEd, is a Licensed Clinical Social Worker in the state of Connecticut. She attended Ottawa University for her bachelor’s degree in general education and her master’s degree in special education. Melissa obtained her master’s degree in social work from Saint Mary’s University of Minnesota. Melissa has experience in various capacities working with children, adolescents, young adults, and adults. She has a deep level of understanding children’s emotional development and behavior. She started her career working in education as a Special Education Teacher, General Education teacher, pre-school teacher, and an In Home service provider for children with special needs. Melissa’ clinical experience has included working within the community supporting adolescents, young adults, and adults. She enjoys working with children, adolescents, and adults using a variety of treatment techniques and strategies. Melissa loves watching her clients transform over time to becoming their best selves and living their lives to the fullest extent. Melissa is passionate about affirming, compassionate and supportive care where she will meet you where you are to support your mental health journey and needs. Melissa is non-judgmental, empathetic, and engaging to all who walk through her doors. She is dedicated to utilizing a strengths-based, client centered approach to support you in identifying and working towards your specific goals. Melissa has completed many LGBTQIA+ affirmative trainings, including Affirmative Care for Transgender and Gender Non-Conforming People, and Creating a Trans-affirming and Inclusive Environment. Melissa utilizes the treatment approaches of dialectical behavioral therapy (DBT), cognitive-behavioral therapy (CBT), motivational interviewing (MI), play or art therapy, and mindfulness techniques. In her spare time Melissa enjoys watching her favorite TV shows, traveling, and spending time with her family and friends. Melissa Offers:

• Individual counseling for children, adolescents, young adults, and adults.
• Neurocognitive Developmental Disorders: ADHD, ASD, Intellectual Development disorderBipolar and related disorders
• Anxiety disorders, Depressive disorders, Stress, or trauma-related disorders.Issues related to suicidality, and self- harm.
• Anger IssuesLife skills, social skills, communication issues
• Employment related stress or burnout