Our Therapists

A Balanced Life Lake Tahoe | South Lake Tahoe CA | Therapy & Counseling

Lindsay Simon: Clinical Director and Supervisor

LMFT # 51979  |  lindsaysimon.com | Gottman Referral Network

 I am a Licensed Marriage and Family Therapist and have been helping clients heal and grow for over 12 years.  My training at UCSD Family Medical Center in a Collaborative Care Center allowed me the unique experience of working collaboratively with medical and behavioral health practitioners; I learned the most up to date, evidence-based treatments for clients, and the importance of looking at clients from an integrated, systemic, and holistic perspective. My therapeutic style is honest, direct, and non-judgmental.  I am a proactive therapist and work best with clients who are ready to do the work.

I am trained in and implement Mindfulness-based Cognitive Behavioral Therapy (mCBT) , Solution Focused Therapy, Dialectical Behavior Therapy- informed treatment, and I use the Gottman Method Couples Therapy in my work with couples. I work with individuals, couples, and families, and I treat a variety of problems ranging from panic disorder, bipolar, depression, anxiety, OCD, marital relationship issues, life transition issues, grief and loss, adult ADHD to anger management.

In 2014 I became the Owner and Clinical Director of A Balanced Life: Individual, Family and Child Therapy, Inc.

A Balanced Life Lake Tahoe | South Lake Tahoe CA | Therapy & Counseling

Marianna Randolph

LCSW #24256

I am a Licensed Clinical Social Worker and received my Masters in Social Work from San Diego State University, with a concentration in Health and Aging. Before moving to South Lake Tahoe, I had over ten years of experience working in San Diego with adults and older adults in both community, group practice, and hospital settings. I work with individuals who are looking to respond to challenging situations with healthy coping skills while promoting self-care. I specialize in depression, anxiety, panic disorder, life transitions, chronic pain and health conditions, aging, family caregiving, adult ADD/ADHD, and grief and loss.

I take an eclectic approach towards therapy, utilizing a variety of methodologies and techniques such as Cognitive Behavioral Therapy, Solution Focused, and mindfulness techniques. Incorporating your strengths, I work together with you to reach your goals and address your current concerns. I view therapy as a unique working relationship between the client and the therapist.


Tiffany Machia

AMFT #110842
Supervised by Lindsay Simon, Clinical Directory & LMFT
Supervised by Karen Joaquin, LMFT

I am a registered Associate Marriage and Family Therapist through the California Board of Behavioral Sciences. I completed a Master’s of Science in Clinical Psychology from California State University at Fullerton. My clinical experience includes the assessment, diagnosis, and treatment of a variety of mental health disorders and conditions, including depressive and anxiety disorders, trauma, behavioral issues, family conflict, and parental guidance. I utilize a variety of evidence-based interventions in working with youth, adults, couples and families, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Dialectical Behavior Therapy (DBT), play therapy, and parental skills training. I have completed Level 2 Training in Gottman Method Couples Therapy.

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Anna Lee

AMFT #114395

I am a registered Associate Marriage and Family Therapist through the California Board of Behavioral Sciences and completed a Master's of Science in Psychology - Marriage and Family Therapy at California State University, Chico. My practice is humanistic, and I utilize a strengths-based approach rooted in non-judgment to support people of all ages, cultures, and identities. Whether I am providing individual, group, family or couples counseling, I tune in deeply to each person's unique needs, circumstances and experiences. Through integrating elements from Solution-Focused, Psychodynamic, Dialectical Behavior Therapy, Emotionally Focused Therapy, The Gottman Method, and Narrative Therapy, I will support you as you work toward your therapeutic goals to build a more resilient, satisfying, and fulfilling life.

A Balanced Life Lake Tahoe | South Lake Tahoe CA | Therapy & Counseling

Erin Kelly

LMFT #45628

I am a California Licensed Marriage and Family Therapist, LMFT, and obtained a certificate in Art Therapy at College of Notre Dame in Belmont, CA. I have over 20 years of experience providing individual, family and group therapy using art, play and talk therapy. I have extensive experience working with children and adolescents who have learning disorders, issues around early attachment, depression, anxiety, pervasive development disorders, and behavioral problems. In addition, I have experience in a variety of work environments including Adult Psychiatric Emergency Services, residential treatment and field based services.

I am familiar with 12 step recovery and can provide effective treatment for dually diagnosed clients. When necessary, I work collaboratively with other providers such as Primary Care Physicians, Psychiatrists and other clinicians. I use a psychodynamic, cognitive behavioral, and humanistic approach that will effectively meet each clients’ needs. I also have training in meditation and yoga. I strive to create an environment that is warm, welcoming and safe.

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Karen Joaquin

LMFT #82969

I am a California Licensed Marriage and Family Therapist, LMFT and a Licensed Advanced Alcohol and Drug Counselor with the California Consortium of Addiction Programs and Professionals. I obtained my MA degree in Counseling Psychology at University of San Francisco and have 9 years of providing individual, family and group therapy in the Bay Area and South Lake Tahoe. I have worked with mostly adolescents and adults, with extensive experience with co-occurring disorders and those involved in the justice system.

In addition, I have experience in a variety of work environments including crisis services, county, school, group home and field-based services. I will work collaboratively with other providers such as Primary Care Physicians, Psychiatrists and other clinicians for a comprehensive approach. I primarily use a Cognitive-Behavioral approach, incorporating strategies from Dialectical Behavior Therapy, Solutions-Focused treatment, and humanistic strategies. I believe that by forming a cooperative relationship, I can work together with my clients to form a fresh understanding of their experiences, allowing for change to occur.

A Balanced Life Lake Tahoe | South Lake Tahoe CA | Therapy & Counseling

Lisa Barker

LMFT #96308

I am an experienced professional LMFT, able to work with many populations including children, adolescents and adults for individual, couples, group, and family therapy. I studied depth psychology at Pacifica Graduate Institute. I possess skills in crisis management, trauma resolution, life transition, behavioral issues, depression, anxiety, stress management, grief and loss, and family conflict. My approach is warm, engaging, and collaborative. I work with my clients to create a safe environment in which we can explore the dynamics which are making life difficult. It has been my privilege to work with many types of individuals across cultural, gender, age and sexual differences, as well as those with severe mental illness and or developmental delays. I utilize a variety of therapeutic models including trauma-focused CBT, DBT, psychotherapy, EMDR, play therapy, attachment focused therapy, psycho-education and co-parenting techniques. My enthusiasm and joy in working with others is a gift that brings a real human connection, facilitating effective problem solving and dynamic outcomes.

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Marcella Araiza

LMFT #111395 | Bilingual in Spanish

I am a licensed Marriage and Family Therapist (LMFT). I provide therapy for adults, adolescents, young children, at-risk youth, and families. My experience includes diagnosis, risk assessments and crisis counseling. I also have treated major depression, schizophrenia, bi-polar, anxiety, panic attacks, self-harm, trauma, dual diagnoses, and substance abuse. I have experience facilitating anger management, Dialectical Behavioral Therapy (DBT), substance abuse and process groups. The approaches that I utilize are Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. I also provide therapy in the Lake Tahoe school district (school based programs) as well to youth at the Juvenile Treatment Center.

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Riann Giovacchini

LCSW # 24024 | currently not accepting new clients

As a therapist I empower and support clients, offer reassurance, encouragement, and provide skills to face and overcome the struggles of life. I take a solution focused approach focusing on internal strengths, and integrating a range of therapeutic techniques and skills to match the needs of each client. I often use Cognitive Behavioral Treatment (CBT), Motivational Interviewing, and mindfulness techniques. I work with clients to identify areas that need guidance and momentum, and to develop strategies to work towards a more positive emotional, physical, and spiritual well-being. I completed my master’s degree in Social Work at the University Nevada Reno in 2002, and I’m a Licensed Clinical Social Worker with 10 years in practice. I have worked with patients with a long-term illness, medical issues, substance use, vulnerable children and adolescents, and adolescents with behavioral issues. I have provided therapeutic services to juveniles and adults involved with the criminal justice system, and to law enforcement and first responders. I have experience working with concerns such as depression, anxiety, emotion regulation, coping skills, life transition issues, impulse control, and behavioral problems.