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  • Meet Our Team
    • Caitlin McAvoy,LCSW/Owner
    • Danielle Kyer, LCSW
    • Sarah Ouano, ND
    • Shiana Ferraro, ND
    • Carisa E. Sanchez, LCSW
  • Red Light Therapy
  • Insurances Accepted
  • Client Portal
  • Join Our Team
  • Contact Us
  • More
    • Home
    • Services
    • Meet Our Team
      • Caitlin McAvoy,LCSW/Owner
      • Danielle Kyer, LCSW
      • Sarah Ouano, ND
      • Shiana Ferraro, ND
      • Carisa E. Sanchez, LCSW
    • Red Light Therapy
    • Insurances Accepted
    • Client Portal
    • Join Our Team
    • Contact Us
  • Home
  • Services
  • Meet Our Team
    • Caitlin McAvoy,LCSW/Owner
    • Danielle Kyer, LCSW
    • Sarah Ouano, ND
    • Shiana Ferraro, ND
    • Carisa E. Sanchez, LCSW
  • Red Light Therapy
  • Insurances Accepted
  • Client Portal
  • Join Our Team
  • Contact Us
Sky Meadow Counseling
and Wellness

an all-women integrative team

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.

Family and Couples Therapy

Family and Couples Therapy

Family and Couples 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. Both individual and couples/family therapy is available.


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

Naturopathic Medicine

Family and Couples Therapy

Family and Couples 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

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. 

Learn More

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.  

Havening

Other Modalities Offered

Eye Movement Desensitization Reprocessing (EMDR)

 The process typically involves gently stroking or "havening" specific areas of the body (like the arms, face, or hands) while the individual focuses on a distressing memory or emotion. The goal is to help the brain release the negative emotional charge attached to the memory or trigger, thus reducing its impact on the person’s mental state.

Other Modalities Offered

Other Modalities Offered

Other Modalities Offered

  • 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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