Donald Zaksek, Psy.D., L.P.
In addition to providing psychological services, Dr. Zaksek oversees training, supervision and consultation for our clinical staff. Dr. Zaksek received his Doctorate of Psychology from Wright State University in 2005. From 2004-2008, he served as a Captain in the United States Air Force where he gained a wealth of experience in clinical psychology, behavioral medicine and leadership. He considers it an honor to have worked so closely with service members returning from Iraq and Afghanistan. Dr. Zaksek has also worked for the Veterans Administration and the University of Michigan where he implemented cognitive behavioral therapy programs for veterans with Posttraumatic Stress Disorder (PTSD) and substance abuse. He has received training from some of the foremost experts in cognitive behavioral therapy (CBT). In addition to his interest in treating anxiety and depression, he has a passion for helping people who struggle with obesity and other health-related conditions. Dr. Zaksek's compassionate, respectful approach to psychotherapy allows him to develop strong working alliances with our clients. He takes the time to understand and appreciate the unique nature of each client's presenting problem in a non-judgmental fashion. As such, Dr. Zaksek is highly skilled in helping clients navigate even the most challenging and complex problems that life presents.
Jillian Carey, Ph.D., L.P.
Dr. Carey completed her Doctorate in Clinical Psychology at Eastern Michigan University. In addition to private practice, she has also worked in college counseling, community mental health and psycho-oncology. Dr. Carey works with adults, adolescents, and couples. Her clinical interests include depression, anxiety, personality disorders, behavioral excesses, mindfulness, sexual orientation, gender, chronic pain/illness, and disability. Although her clinical approach is integrative, Dr. Carey’s interventions often focus on acceptance and self-compassion while empowering clients to make the changes they would like to see in their lives. She also takes great care to ensure that therapy is affirming of all aspects of diversity and identity.
Robin Annis, Psy.D., L.P., CBIS
Dr. Annis received her Doctorate in Clinical Psychology (Psy.D.) from the Illinois School of Professional Psychology-Argosy University. During this time, she completed advanced training in neuropsychology and cognitive behavior therapy (CBT). She is a Certified Brain Injury Specialist. With over seven years of experience in the field of mental health, Dr. Annis has trained in a variety of settings, which include a state psychiatric hospital, rehabilitation centers, outpatient mental health practices, and assisted living facilities. Dr. Annis is experienced in the delivery of comprehensive and empirically derived neuropsychological examinations of patients with acquired or developmentally based neurological impairment, learning disabilities, attention deficit hyperactivity disorder, and dementia. She has provided neuropsychological services to individuals in the outpatient, academic, correctional, and rehabilitation-based settings. In addition to her assessment competence, she is well versed in the treatment of various mental health conditions, ranging from severe psychiatric disorders to those experiencing elevated distress in response to a situational stressor. Her clinical interests include depression, anxiety, anger management, bereavement, adjustment disorders, traumatic brain injury, and helping individuals with life transitions. Dr. Annis is known as a caring, passionate, and effective therapist. Her genuineness allows her to establish a strong therapeutic relationship with those she serves, which provides the foundation for positive change and personal growth.
Amy Paggeot, Ph.D., L.P.
Dr. Paggeot completed her doctorate in Clinical Psychology at Eastern Michigan University. She has worked with adults and couples in a variety of settings, including college counseling, hospital emergency room and inpatient floors, forensic inpatient, and veteran’s hospitals. Across these settings, Dr. Paggeot has gained experience with both acute and long-term trauma, adjustment to life stressors and changes, couple’s distress and relationship problems, depression, anxiety, panic, personality disorders, and substance abuse problems. Dr. Paggeot has received expert training in many forms of evidence-based psychotherapy, and is particularly well-versed in Cognitive-Behavior Therapy, Dialectical Behavior Therapy, Integrative Behavioral Couple’s Therapy, and Acceptance and Commitment Therapy. Although her clinical interests are broad, Dr. Paggeot particularly enjoys helping clients who are struggling with anxiety, depression, sleep difficulties, chronic nightmares, borderline personality disorder, emotional dysregulation, and relationship distress. Her interventions are both genuine and transparent, and she takes pride in ensuring her clients have both the understanding and the tools necessary to maintain and enhance their own wellbeing long after her relationship with them has ended. Dr. Paggeot strives to foster a nonjudgmental, compassionate space to facilitate the delivery of high-quality care to individuals of all backgrounds and identities. For more information, please visit Dr. Paggeot's website at paggeotpsychology.com.
Grant Ellison, M.S. , L.L.P.
Grant obtained his Masters in Clinical Behavioral Psychology from Eastern Michigan University. In addition to outpatient therapy, Grant has experience working in college counseling, community mental health, children and adolescents diagnosed with autism spectrum disorder, and inpatient psychiatric patients. His experience and interests include anxiety and mood disorders, mindfulness, finding and instilling motivation, behavioral difficulties, and developmental disabilities. Grant’s therapeutic approach pulls from empirically supported treatments stemming from the broad cognitive-behavioral domain, including more specific treatments such Acceptance and Commitment Therapy (ACT) and Exposure-based therapies to assist clients with their unique struggles. Grant takes a caring, nonjudgmental approach to clients of all identities and beliefs, understanding that this is key to building a meaningful therapeutic alliance.
Rachel Sienko, Ph.D., D.L.L.P
Dr. Sienko completed her doctoral training at Eastern Michigan University. She has worked in college counseling centers, a community outpatient clinic and private practice. Dr. Sienko sees adults and couples. Her clinical interests include anxiety, relationship concerns, LGBTQ issues, women’s issues, body image and disordered eating, group therapy, and social justice. Rachel uses an integrative clinical approach, though she tends to focus on acceptance, emotion regulation, and interpersonal processes. She values working with clients of all backgrounds and identities.
Integrative Psychology is supported by the caring, responsive administrative team at Cruz Clinic.
Ida Goutman has been involved in mental health care administration since 1973. In addition to overseeing Integrative Psychology's support staff, Ida is responsible for the day to day business operations of Cruz Clinic, a large interdisciplinary mental health clinic in Livonia. Ida monitors and enforces all quality assurance measures involving patient care and employee performance. She and her staff are also responsible for Joint Commission Accreditation and ongoing compliance. The Cruz Clinic billing department seamlessly coordinates reimbursement from insurance companies. They are always gracious and helpful when billing questions arise!