Virtual IOP

Born in Clearwater, Florida, Josh Ulrich spent his childhood in Georgia, Florida, Iowa, Ohio, and Arizona before his family settled in California. Attending UC Santa Barbara, he majored in East Asian studies with a minor in Japanese. A decade in sales and business led to burnout, Ulrich says, but he knew he wanted to keep working with people (minus the sales quotas and pressure to “always be closing”). He knew his skills and experience could translate well to the mental health field, so he pursued a master’s in mental health counseling from Argosy University.   A licensed professional counselor (LPC) and certified sex addiction therapist (CSAT), Ulrich did his internship at Hospice of Arizona, where his patients were both the dying and the families of those that had died. He also spent seven years at Gila River Indian Reservation at the Gila River Behavioral Health Department. There his roles included mental health counselor, substance abuse counselor, and case manager with patients ranging in age from toddlers to elders. Ulrich joined the Meadows Outpatient Center-Scottsdale team in 2017 as a full-time group/individual therapist. He’s previously worked with young adults and sex addiction patients, while he currently runs our Arizona Virtual IOP group. He works with individuals from all over the state, leading them through processing their emotions, thoughts, feelings, and experiences.   Today, Ulrich makes his home in Mesa, Arizona, with his wife and two young daughters. A video game afficionado, he grew up playing Atari 2600. Since computer games didn’t compare to the Nintendo and Sega of his childhood, he never got into PC gaming. He still prefers consoles, and it’s a hobby he’s turned into a family affair.

Born and raised in Chicago, Illinois, Victoria Knox earned a BA in communications with a minor in business management from Columbia College Chicago & Governors State University and a holistic wellness practitioner diploma from Southwest Institute of Healing Arts (SWIHA). Her career path has since included the roles of journalist, sales executive, business consultant, office administrator, and wellness practitioner/coach, working with everyone from Fortune 500 companies and nonprofits to health and wellness organizations. She is also a published author, public speaker, certified fitness nutrition specialist, and certified behavior change specialist.   Knox joined the MBH Connect team in 2021 as the inaugural business administrator and coordinator for our virtual intensive outpatient program. Working out of our corporate office in the Phoenix area, she is responsible for creating, implementing, and maintaining systems and procedures that administratively support the virtual division as well as its therapists and patients. The skills and experience she’s honed over three decades transfers seamlessly to this current role. She hopes that patients find it comforting to know that many who work at MBH also have stories of recovery and triumph. “We really are a collective force,” she says, adding, “It’s not ‘us’ and ‘them,’ but ‘we.’”   A mother to three adult children and grandmother to fraternal twins, Knox enjoys hiking, reading, writing, spa excursions, and creating healthy smoothie and juice concoctions. She keeps busy by increasing her knowledge of holistic and integrated medicine.

Born and raised in the San Francisco Bay Area, Tracey Fuller studied at Cal Poly-San Luis Obispo, pursuing a double major in psychology and child development. She followed that with a master’s in counseling from San Jose State University. A licensed professional clinical counselor, Fuller worked for several years in schools addressing performance anxiety, depression, suicidal ideation, self-harming behaviors, and relational issues. Her experience also includes nonprofit work, counseling families with generational trauma, substance misuse, gang involvement, foster and adoptive families, families with early attachment disruptions, and complex trauma.   While she didn’t start out in the counseling field, Fuller’s early career as a teacher helped her to realize that her favorite part of the day was teaching social emotional skills in small groups of students. That’s when she decided to pursue more training as a counselor. It also helped that her grandfather was a counselor and a significant influence in her life who “gently guided me towards a career in therapy.”   As a virtual therapist for The Meadows Outpatient Centers, Fuller is in charge or running the California Virtual IOP group and providing individual therapy for group members. There is also a case management component to her role as she connects patients to psychiatrists, outside therapists upon graduation, and helps them find and connect with support groups. “I love working as part of a collaborative team,” Fuller says, adding, “I appreciate the flexibility we have with virtual and the ability to incorporate various forms of technology.”   Fuller makes her home in Santa Cruz County. When not helping others, she can be found mountain biking, gravel biking, playing with her two dogs, hiking, motorcycling, traveling, or basically just being in nature.

Born and raised in the San Francisco Bay Area, Lisa Miranda worked at The Meadows Outpatient Center-Silicon Valley prior to joining our virtual team, MBH Connect, in February 2022. She did her undergraduate work at UCLA and earned a master’s from California Institute of Integral Studies in San Francisco. Miranda entered the mental health field in 2002 and became a licensed marriage and family therapist in 2010. She is also certified in EMDR and trained in Brainspotting, Internal Family Systems (IFS), and the NeuroAffective Relational Model (NARM).   In addition to 10 years in the nonprofit world, working in the community and providing services to underserved populations throughout the Bay Area, Miranda also worked in private practice and in several partial hospitalization and outpatient programs. Other experience includes addressing trauma in school-age kids, teens, and adults for more than 15 years. Frequently told she was “a good listener” and “compassionate” in high school and college, she was inspired to find a way to help people who were suffering, which led her to become a psychotherapist. Miranda is also passionate about healing on a holistic level and appreciates Meadows Behavioral Healthcare’s ongoing commitment to continuously expanding knowledge and skills so everyone can do their best work for those they serve.   Facilitating virtual groups in California, she also provides individual therapy, case management, psychoeducation, and coordinates and collaborates with other providers for aftercare planning. One thing Miranda loves about her job is being a witness to healing. “Every person seeking treatment is in their own place on their path,” she says, “and it is a gift to be able to support the healing, growth, and transformation that can happen.”   A single parent to a young daughter, Miranda spends her spare time traveling, hiking, and reading. She says she especially loves to recharge her batteries by snorkeling anywhere tropical. Part of how she takes care of herself is by practicing what she teaches, namely taking time for self-care. That includes over two decades of meditation practice, a love of nature, and continuing to learn.

Born in Bedford, Indiana, Pat Salcedo considers herself a Hoosier at heart, even though her family relocated to Texas when she was just nine months old. Salcedo earned a bachelor’s degree in elementary education, a bachelor’s degree in nursing, and a master’s in counseling, all from Texas Woman’s University. She is also a certified sex addiction therapist, certified multiple addiction therapist, and is trained in EMDR and Post-Induction Therapy.   After a 30-year career as a nurse, Salcedo returned to school to become a licensed professional counselor, a decision she calls one of the best she’s ever made. She joined MBH Onward in 2021 as a virtual outpatient therapist. In her current role she facilitates both group and individual sessions for patients in Texas. She helps them learn to begin to process their thoughts and feelings, provides psychoeducation based on The Meadows Model, and helps them look beyond their addictions and mood disorders to discover root causes. Patients complete the program with the tools and skills to increase self-awareness and resiliency as they move forward in recovery.   A passionate dog parent, Salcedo enjoys reading both fiction and nonfiction. She loves to travel and currently has her eye on Viking Cruises of the Great Lakes and Antarctica. She also enjoys road trips with no specific plan between here and there. Other interests include movies, concerts, museums, and just about anything to do with nature.

Based just outside of Dallas, Emily Watson facilitates virtual outpatient groups for Texas residents. Born in Portsmouth, Virginia, she is a self-described “Navy brat,” growing up in Virginia, South Carolina, and Texas. She earned an AA degree in music from Navarro College, a BA in English with a history minor from University of Texas at Arlington, and a master’s in counseling from Texas A&M-Commerce.   As a licensed professional counselor, Watson’s experience includes both inpatient and intensive outpatient settings, helping those with severe mental illness, substance use disorders, grief and loss, anxiety, depression, and self-harm/suicidal ideation. She began working at Meadows Behavioral Healthcare in 2022 and also continues to work in a private practice setting with adults, couples, teens, adolescents, and children.   In her previous career as a high school English teacher, Watson loved encouraging students to discover and reach their own personal goals. But during that time, she noticed the difficulties students and their families go through in their daily lives outside of school. Wanting to help others on a deeper level, she decided to pursue a career as a therapist. “I love how group therapy combines the best of two worlds for me: teaching and counseling!” she says. “I like to find creative ways to share psychoeducational material in group while also facilitating a safe, nonjudgmental environment where group members can express themselves, show vulnerability, and unpack personal difficulties in order to process past trauma and conflict.”   A single mom of three, Watson loves exploring new places near or far to discover historic areas, museums, or hole-in-the-wall restaurants. She also enjoys going to concerts of various genres, from musicals to opera to rock. Playing the clarinet or piano provide an emotional release, and she loves spending time with her kids, adding, “there is so much joy seeing the world through their eyes. It reminds me to relax and enjoy the moment!”

Born and raised in the San Francisco Bay Area, Brian Bensing facilitates virtual outpatient treatment for California residents. He earned his bachelor’s degree in music from Biola University and a master’s in music from San Jose State before earning another master’s in marriage and family therapy from Western Seminary. Bensing joined the team at Meadows Behavioral Healthcare in May 2022. A licensed marriage and family therapist, he also maintains a private practice focusing mainly on sexual addiction as well as couples’ therapy.   Finding therapy to be very helpful personally while pursuing a career in music, Bensing decided to make a career change. “I really love doing group therapy and seeing how each member contributes to the group and how, due to the level of vulnerability that members have, they create some really strong bonds with each other while in treatment,” he shares. “I find such joy in having a front row seat to watch members stretch themselves and share deeply personal stories and experience real healing as a result.”   As a facilitator for MBH Connect, he leads group and individual therapy and provides education around The Meadows Model of treatment, helping patients look at the root causes of addiction and mood disorders and find healing for past traumas.   Married with one son, Bensing loves gardening and is partial to roses, dahlias, and mums. He also enjoys reading, CrossFit, and playing with the Cambrian Symphony in San Jose.

Based in Nashville, Tennessee, Stacy Klimkowski was born in Bluffton, Ohio, and lived in locations from Sacramento to Seattle while growing up. She earned a BA in sociology with a minor in fine arts from Ashford University and a master’s in clinical mental health counseling from Lipscomb University, specializing in play therapy. A licensed professional counselor in the state of Tennessee with a mental health service designation, Klimkowski is also certified in EMDR and as a yoga instructor.   Considering her work a calling, she has always had a desire to offer peace and healing to others while using her gifts and talents to serve her community. A passion for mental health and wellness makes this career path a perfect fit. Klimkowski joined the team at MBH in 2022, and says she loves “bearing witness to the process of growth and change in the lives of others.” She also has a thriving private practice where she sees children and individuals struggling with traumatic events and transition.   Married with three teenage children, two very spoiled goldendoodles, and a cat, Klimkowski loves spending time with her family, traveling, cooking, baking, and working out. She also enjoys the outdoors, especially hiking and visiting the ocean as frequently as possible.

Based in Indianapolis, Indiana, Carl Quedenfeld was born and raised in the small town of Gurnee, Illinois. Since then, he has lived all over the country and studied at Northern Illinois University in Dekalb, completed certification training in addictions at Indiana Wesleyan University, and done some work toward a doctorate at University of Wisconsin. Originally, he worked as a commercial photographer, but burnout led him to return to school, choosing a field of study that allowed him to grow personally while helping others, too.   Quedenfeld is currently licensed in both Wisconsin and Indiana and brings more than 40 years of experience in mental health and substance use treatment to his work with MBH. He joined the team in 2022 as a therapist and facilitator for virtual outpatient program patients in Indiana. His previous work experience spans a variety of settings and services including direct service, consultation, supervision, management, and program development. “I love to learn and I love seeing people change and grow,” he says.   In his downtime Quedenfeld loves to exercise, travel, and take photographs for fun. He also loves to laugh and enjoys humor, seeing its value as a healing element in treatment.

Born and raised in California, Rachel Hayes is currently based in Wellington, Colorado. She studied at The University of Phoenix and Grand Canyon University’s American College of Healthcare Sciences earning an AA and BS in psychology and a master’s in professional counseling. A licensed professional counselor in four states, Hayes is also trained in EMDR, Brainspotting, Post-Induction Therapy and is a Certified Advanced Grief Counseling Specialist (CAGCS).   While she originally dreamed of being a doctor, forensic pathologist, or marine biologist, Hayes tried student teaching before setting her sights on behavioral healthcare. Joining the MBH team in 2019, she has worked at The Meadows Outpatient Center-Scottsdale and at The Meadows Ranch in Wickenburg, Arizona, our eating disorders program. Now she works with our MBH Connect program, facilitating virtual outpatient treatment for Colorado residents. This includes leading group and individual therapy sessions, psychoeducation, and creating treatment plans.   Married with four kids, Hayes enjoys singing, spending time with her children, camping, and overseeing a furry and feathered menagerie that includes dogs, chickens, and ducks.

Based in Santa Cruz, California, Sara Masoner is originally from Rapid City, South Dakota (think Mount Rushmore), and still has family there. The Air Force kept her family moving around for much of her childhood, and as an adult she’s called everywhere from Texas and Illinois to Colorado and California home. She spent 10 years earning her undergrad degree in order to be a stay-at-home mom before completing a master’s in clinical psychology at Bethany University in Scotts Valley, California. She has since worked at agencies, schools, recovery programs, and in private practice.   Most of Masoner’s undergraduate work was in speech and hearing science because she wanted to be a speech therapist due to her own cleft lip and palate. But while volunteering in Colorado as a family advocate for moms at risk her career aspirations took a turn, and she knew she wanted to be a marriage and family therapist. She began working with Meadows Behavioral Healthcare in 2022 as a virtual IOP therapist in our MBH Connect program.   “One of my favorite aspects of this work is seeing those small shifts: learning a new skill, making a new connection, or gaining insight that makes for growth,” she says. “I also love the effectiveness of group therapy. Groups are people helping other people while healing themselves.”   Married for more than three decades to a software engineer who is also an Air Force brat, they have two adult children: a Marine Core veteran and a student at UCSC studying linguistics/ Japanese. Masoner enjoys spending time with loved ones, biking, and hiking. She also likes working out with martial arts, kickboxing, and weight training, while creative outlets include quilting, crochet, and baking. Secret pleasures are audiobooks (mysteries) and dark chocolate.

A Texas native, Avery Rowles hails from El Paso and is now based out of Denton. This University of Texas at Dallas alum holds two bachelor’s degrees, one in literary studies/economics with a minor in finance and the other in psychology, graduating cum laude from both programs. She also earned a master’s in counseling psychology from Texas Woman’s University. A licensed professional counselor and a certified sex addiction therapist, Rowles is also trained in EMDR and Post-Induction Therapy (PIT), and she has completed a two-year DBT intensive training through Linehan Institute.   A homemaker for many years, Rowles ended up in psychology after three people in one week suggested she become a therapist. She ended up loving the field, going on to serve as clinical director of multiple programs, both creating and implementing curriculum as well as monitoring outcomes. She was a private practice clinician for more than a decade when she joined the MBH Connect team in summer 2022. In this role providing virtual outpatient, she enjoys the direct access to patients and connecting with other therapists on the team to go over ideas and staff cases together.   A widowed mother of two boys, the family stays busy with sports, regular exercise and activities, looking after their two golden retrievers, reading, going to the symphony, and traveling. Interested in all the sciences, particularly physics and cosmology, Rowles loves following the progress of the James Webb Space Telescope.

Karen Wiener grew up on the beaches of Southern California and still makes her home on the coast. A graduate of Pepperdine University with a master’s in clinical psychology, she is a licensed marriage and family therapist in both California and Oregon. Her resume includes everything from social worker and therapist to clinical supervisor and director, reflecting broad experience that spans settings, populations, and diagnoses. Weiner has worked in inpatient, outpatient, and secured units helping individuals, groups, couples, and veterans to address trauma, chronic mental health issues, and co-occurring disorders.   Wiener says that from the time she was young she has wanted to have a positive impact in people’s lives. Motivated by her own life experiences, she is passionate about helping to guide others through their own life challenges, by providing support and encouragement along the way. She joined Meadows Behavioral Healthcare in 2022 and enjoys collaborating with clients and co-workers to build rapport in virtual treatment settings.   Wiener shares her home with a beloved Maltese mix. When not working, she enjoys her Peloton, being outdoors, and spending time with friends and family. Her favorite place to be? Hawaii.

Born and raised in Chicago, Illinois, Dr. Carla L. Stewart is currently based in the suburb of Flossmoor. A licensed clinical professional counselor and national certified counselor, she holds a doctorate in counselor education and supervision from Argosy University in Chicago. She also earned a bachelor’s degree in applied behavioral sciences and a master’s in human services-counseling, both from Chicago’s National Louis University.   Dr. Stewart has held positions in schools, hospitals, community mental health agencies, universities, professional counseling practices, and mental health consulting agencies. She has worked as a school counselor, IOP therapist, clinical manager, clinical supervisor, mental health and wellness consultant, crisis intervention counselor, assistant professor, and CEO/lead counselor. Joining the Meadows team as a therapist for our virtual intensive outpatient program, MBH Connect, in 2022, Dr. Stewart is committed to providing patient care in a manner that is empathic and effective. Her favorite aspect of the job is the rapport that is developed with each patient. “In order for someone to be comfortable letting down their guard with you, they must first know that you care. Creating an atmosphere of trust is essential to the client’s therapeutic experience.”   The desire to impact the lives of others began at an early age, and she finds being a conduit of that change both rewarding and fulfilling.  A wife and mother to five young adults (affectionately called “the Fab Five”), Dr. Stewart enjoys spending time with family, reading, traveling, singing, and sowing into the lives of others through service, public speaking, and mentoring.