Our Therapists

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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.

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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.

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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.

Loren Pound

LMFT # 120737

I'm Loren Pound LMFT. I have worked in mental health and human services since the year 2000, and I love being a therapist, and helping people who are struggling. I have worked extensively with children, adults, and couples managing relationship problems, depression, anxiety, mania, and psychotic symptoms. I have a Master's Degree in Counseling Psychology and I am well practiced in CBT, DBT, and mindfulness therapy modalities and interventions. I am a very down-to-earth, non-judgmental, person-centered therapist, who would be honored to support you and help you through difficult and challenging times.