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  • Meet Our Team
    • Caitlin McAvoy,LCSW/Owner
    • Danielle Kyer, LCSW
    • Sarah Ouano, ND
    • Shiana Ferraro, ND
    • Carisa E. Sanchez, LCSW
    • Chrystal Moore-Pilkington
  • Wellness Services
  • Insurances Accepted
  • Client Portal
  • More
    • Home
    • Services
    • Meet Our Team
      • Caitlin McAvoy,LCSW/Owner
      • Danielle Kyer, LCSW
      • Sarah Ouano, ND
      • Shiana Ferraro, ND
      • Carisa E. Sanchez, LCSW
      • Chrystal Moore-Pilkington
    • Wellness Services
    • Insurances Accepted
    • Client Portal
  • Home
  • Services
  • Meet Our Team
    • Caitlin McAvoy,LCSW/Owner
    • Danielle Kyer, LCSW
    • Sarah Ouano, ND
    • Shiana Ferraro, ND
    • Carisa E. Sanchez, LCSW
    • Chrystal Moore-Pilkington
  • Wellness Services
  • Insurances Accepted
  • Client Portal
Sky Meadow Counseling
and Wellness

an all-women integrative team

Three women having a relaxed conversation in a sunlit room with large windows.

Our Mission

At Sky Meadow Counseling, our strength lies in our collaboration. We are a team of specialists who meet at the intersection of body and mind. When you join our practice, you aren't just getting a provider—you are gaining a collective of experts dedicated to your recovery.


 Your therapist understands the biological protocols your ND is recommending; your ND understands the emotional hurdles you’re discussing in therapy. This "wraparound" care is what makes Sky Meadow a true safe haven—you no longer have to be the only person coordinating your care.  


Each of our practitioners was chosen not only for her clinical excellence, but for her empathy and dedication to this niche community. We know these illnesses are hard, but we also know that healing is possible when you have the right team in your corner.

Individual, Couples, and Family Therapy

Individual, Couples, and Family Therapy

Individual, Couples, and Family Therapy

mental health support rooted in the reality of chronic illness


Our three Licensed Clinical Social Workers specialize in the "internal landscape" of complex health journeys. They understand that Lyme, PANS/PANDAS, and MCAS aren't just physical diagnoses—they affect your identity, your relationships, and your nervous system. 

Our therapists also pecialize in perinatal mental health, anxiety, depression, substance use, and life stressors.

 Individual, couples and family therapy available.


  • Caitlin McAvoy, LCSW – Founder
  • Danielle Kyer, LCSW
  • Carisa Sanchez, LCSW/LADC

Naturopathic Medicine

Individual, Couples, and Family Therapy

Individual, Couples, and Family Therapy

   root-cause, whole person medicine for complex recovery


Our two Naturopathic Doctors are the "medical detectives" of our team. They utilize telemedicine to provide deep-dive consultations, order labs commonly covered by your insurance, and use botanical medicine, homeopathy, nutrition, and supplements to stabilize mast cells, address persistent infections, and balance inflammation.


  • Sarah Ouano, ND - Director of Naturopathic Medicine
  • Shiana Ferraro, ND, MS, CPES

Wellness Services

Individual, Couples, and Family Therapy

Wellness Services

 energy healing and lymphatic support for whole-body flow 


Our wellness provider offers gentle, integrative support for whole-body healing. Utilizing reiki and manual lymphatic drainage to help regulate the nervous system, promote circulation and detoxification, and reduce inflammation—supporting your body’s natural ability to restore, rebalance, and function optimally within a personalized care plan. 


  • Chrystal Moore-Pilkington, LE, BA Soc., RMT, OE

Cognitive Behavioral Therapy (CBT)

Eye Movement Desensitization Reprocessing (EMDR)

Red Light Therapy (RLT) Rental Program

Cognitive behavioral therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness.  CBT helps you become aware of inaccurate or negative thinking so you can view challenging situations more clearly and respond to them in a more effective way. 

Red Light Therapy (RLT) Rental Program

Eye Movement Desensitization Reprocessing (EMDR)

Red Light Therapy (RLT) Rental Program

Interested in utilizing Red Light therapy from your home?  Rent our LUMEBOX!


Red light therapy (RLT) is a non-invasive treatment that uses low-level wavelengths of red or near-infrared light to stimulate natural healing processes in the body. The LUMEBOX delivers both Red (660nm) and Near Infrared (850nm wavelengths simultaneously from each bulb for maximum benefit. 

Book Online

Eye Movement Desensitization Reprocessing (EMDR)

Eye Movement Desensitization Reprocessing (EMDR)

Eye Movement Desensitization Reprocessing (EMDR)

 EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  EMDR therapy doesn’t require talking in detail about a distressing issue. EMDR instead focuses on changing the emotions, thoughts or behaviors that result from a distressing experience (trauma). This allows your brain to resume a natural healing process.  

Manual Lymphatic Drainage

Manual Lymphatic Drainage

Eye Movement Desensitization Reprocessing (EMDR)

 Manual Lymphatic Drainage (MLD) is a gentle, therapeutic technique that supports the body’s lymphatic system and natural detoxification process. Using light, rhythmic movements, MLD helps reduce swelling, support immune function, improve circulation, and promote relaxation. This treatment can be beneficial for inflammation, fluid retention, sinus congestion, and overall wellness. 



Book Online

Reiki

Manual Lymphatic Drainage

Other Modalities Offered

 Reiki is a gentle, energy-based healing practice that promotes deep relaxation and supports the body’s natural ability to restore balance. Using light touch or hands placed just above the body, Reiki helps calm the nervous system, reduce stress, and support emotional and physical well-being. 

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Other Modalities Offered

Manual Lymphatic Drainage

Other Modalities Offered

  • Havening
  • Solution Based Therapy
  • Motivational Interviewing
  • Dialectical Behavioral Therapy (DBT) 
  • Trauma-Focused Cognitive Behavioral Therapy
  • ..and more!

Copyright © 2026 Sky Meadow Counseling and Wellness - All Rights Reserved.

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