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Full-service testing facility offering all forms
of psychological, educational, and forensic
evaluations for all ages.

Lepage Associates Solution-Based
Psychological & Psychiatric Services

919-572-0000
MAIN OFFICE
5842 Fayetteville Road #106, Durham
SATELLITE PSYCHIATRY CLINIC
1340 Environ Way, Chapel Hill

 

Our main office provides an ideal location with excellent accessibility for all of our Triangle clients. Serving Durham, Chapel Hill, RTP, Morrisville, Cary, and Raleigh.

The perfect mid-point between Chapel Hill, Raleigh, Cary, Morrisville, and Durham, near RTP and only 1/2 mile off I-40:

• Durham - S. Durham near Southpoint Mall
• 5 minutes from RTP offices
• Chapel Hill - only 8 miles from CH center
• Morrisville - only 10 miles
• Cary - only 15 miles
• Raleigh - only 10 miles from W. Raleigh and    a bit further from downtown

Our Satellite Psychiatry Clinic is also conveniently located just two miles off I-40 at exit 273 and just six miles from our main office.

 

Looking for a psychologist, therapist, counselor, or psychiatrist in the Triangle, NC (Durham, Chapel Hill, Raleigh, Cary, Research Triangle Park/RTP, and the surrounding areas)?

Our psychologists and psychiatrists can meet all of your mental health needs. In addition to our psychological and psychiatric services for adults, our team includes child psychologists, child therapists, child counselors, and child psychiatrists experienced in play therapy and child/teen therapy with children and adolescents.

Therapy/Counseling; Testing/Evaluation; Psychiatric Medication/Psychiatry; Medication Evaluation/Medication Management; Consultation; Mediation; and Coaching – by a highly experienced team of caring and competent doctors. Adult psychologists / child psychologists and adult psychiatrists /child psychiatrists.

Providing high-quality therapy and counseling, medication evaluation and management, psychological evaluation, educational evaluation, and forensic evaluation to Durham, Chapel Hill, Raleigh, Cary, Research Triangle Park/RTP and the surrounding areas of the Triangle, NC.

     


Dr. Gina LaFrazza provides therapy and assessment for teens and their families. She has experience working with a variety of educational challenges, such as learning disabilities, AD/HD, autism-spectrum disorders, and balancing academics and sport. The unique blend of having degrees in both clinical psychology and education make her an ideal choice for teens, as she understands the educational arena in which much of their time revolves. Dr. LaFrazza also works with teens on personal issues, such as social and relationship concerns, shyness, depression, anxiety, parental divorce, grief and loss, body image concerns, and difficulty with parents and/or stepparents. She has a specific interest in working with female teens on eating and body image concerns. Dr. LaFrazza has a creative ability to connect with teens. She possesses an in-depth understanding of family dynamics and issues, and utilizes effective and efficient interventions in family issues as well as parent coaching. In addition, having worked with college students in acute crisis as a triage therapist and having trained in mindfulness techniques, she is well equipped to teach teens how to self-regulate emotions and communicate more effectively with their parents, as well as assist parents in de-escalation techniques and communication with their teen.

Dr. LaFrazza also works with teenage athletes on issues such as performance anxiety, the psychological aspects of injury rehabilitation, recognizing and regulating physiological arousal, regaining focus, and honing psychological skills to optimize performance. Dr. LaFrazza has worked with female athletes on balancing sport-specific diet and exercise demands, with healthy and mindful eating practices. She is also interested in working with adolescent athletes on managing stress associated with family, coach, or team expectations. Click here for more information on sports psychology.


Dr. Freeman enjoys working with teenagers, especially in a naturalistic setting when possible, and thus if the teen is interested therapy may be conducted along the beautiful walking trails around the office. She finds that providing opportunities for creativity in her work with teens is very helpful. For example, in addition to taking her teen clients outside for a walk, she might also play games they like or listen to their favorite song with them in order to build rapport and meet them where they are in their readiness for therapy. Her warm, accepting, non-judgmental manner enables her to build connections with her teens fairly quickly and is one of the reasons they enjoy working with her. Dr. Freeman has experience working with teens in wilderness therapy where she spent three weeks at a time camping with adolescents and providing individual and group therapy; this unique type of experience has enhanced her outpatient therapy skill by creating in her a strong ability to connect with teenagers in a way that is comfortable and feels genuine to the teen. Dr. Freeman also knows it is important to include parents, and at times other essential family members, in the treatment of the teen, and often works with all parties to improve communication and understanding of one another. Respecting the uniqueness of each teenager and family, she works with the parents and teen to determine what is needed in the teenager’s treatment and who should be involved.

Additionally, Dr. Freeman has extensive experience conducting comprehensive psycho-educational, psychological, and substance abuse evaluations to help teens and their families identify and explore the teens’ difficulties and create a plan for moving forward. Specifically, she has experience conducting comprehensive evaluations assessing emotional/personality functioning as well as cognition, intelligence, and memory which includes testing for AD/HD (‘ADD’) as well as for learning disorders. She is skilled at diagnostic interviewing with both teenagers and their families, writing integrated assessments reports for all age groups, and conducting feedback sessions with clients to present the results of the testing. She has completed numerous emotional/personality test batteries for the purpose of diagnosis as well as treatment planning. She has experience assessing intelligence, memory, achievement, developmental issues, learning issues, and attentional problems. As is often necessary with teens, she may include the parents, siblings, current and past teachers, and sometimes even friends in the information gathering process. After the evaluation is completed, she will meet with the parents and their teenager to discuss the results and to share recommendations for treatment which may include helpful changes the teen could implement, suggestions for teachers, recommendations for therapy, parenting strategies, and book suggestions.

Dr. Freeman’s clients often report that they enjoy her non-judgmental nature, warmth, and genuineness as it creates a comfortable atmosphere for therapy or for evaluations.


Dr. Sampson has a particular interest in working with teens and their families. She recognizes that adolescence is a time when teens experience enormous changes occurring physically, emotionally, cognitively and socially. The teen years can therefore be a very exciting time, but also an unsettling time during which adolescents and their families experience challenges they may have never faced before. Dr. Sampson believes that counseling services for teens and their families can be a space wherein teens and their families can find support through both typical adolescent developmental challenges, as well as more serious emotional and behavioral issues. Dr. Sampson has a particular interest in depression and anxiety during adolescence as well body image and eating concerns. She also has a strong interest in identity formation, which is a central task of adolescence. She has experience working with teens who may already have developed problematic ways of coping, through alcohol and drugs or other high risk behaviors. Overall, Dr. Sampson enjoys working with teens given on the self-exploration process that is occurring around this time and looks forward to this exploration process with her teenage clients. In addition to therapy Dr. Sampson also has experience providing both psychological and psychoeducational testing to teenagers.


Dr. Molly Parks believes adolescence is a unique and especially complicated time of life that requires a particularly engaged and creative therapeutic style. She has worked extensively with adolescents and their families in a wide variety of settings, including individual therapy, family therapy, groups, and through psychological and academic assessment. She has also treated a wide range of struggles and difficulties for teens, including depression, anxiety, social isolation, difficulty in school functioning, drug and alcohol use and abuse, and eating disorders. Her particular areas of interest with teenagers are struggles with body image, the transition to college and young adulthood, and gender and sexual identity formation. With adolescents, Dr. Parks employs a model of relational empowerment that encourages personal responsibility as well as exploration of the issues around this important transitional time of life.


Colette Segalla provides therapy and evaluation services to adolescents. She is experienced in interventions with teens, and psychological and educational evaluations. In addition to her general psychology training in adolescent and family issues, Colette has additional training and experience in working with teenagers who have learning disabilities (LD), and Attention-Deficit/Hyperactivity Disorder (AD/HD or ‘ADD’). Colette’s doctoral dissertation concerns the spiritual development of children and the importance of a relationship with nature in this development. She also participated in a two-year co-research project, The Inner Life of the Child in Nature, at The Center for Education and Imagination in the Natural World. Prior to a career change into psychology, Colette was a teacher and has extensive experience in education, certified to teach at both the elementary and secondary levels. She also holds a Montessori Elementary Teaching Certificate from the Association Montessori International, in addition to a secondary English teaching certificate. Her background in education makes her an excellent resource for parents with children whose issues affect their academics. Colette brings a wealth of child development experience to her work in clinical psychology with a rich, diverse background of working with adolescents in various contexts.


Dr. Nicole Imbraguglio is a specialist in adolescents and families. She has extensive experience working with teenagers with educational challenges, such as AD/HD and learning disorders, and with teens facing school failure. She also has broad experience working with the parents of teens with these educational difficulties, both in helping them cope and helping them learn the best ways to assist their child. In addition, Dr. Imbraguglio has extensive experience working with teens that have difficulty with social skills, experience social awkwardness, and who feel that they don’t “fit in” with their peers, to include the wide continuum of mild social discomfort all the way to more severe difficulties. She is also highly skilled in dealing with adolescent depression and anxiety. Dr. Imbraguglio has experience working with teenagers with a variety of common adolescent issues such as dealing with divorce, behavior problems, AD/HD, Oppositional Defiant Disorder (ODD), substance use, bi-polar, social problems, body image concerns, Asperger's, depression, anxiety, and family and school difficulties. Her experience extends to working with parents and families as well. Having worked on a children’s crisis stabilization unit with clients between 5-17 years of age who were a threat to themselves or someone else, she is also well equipped to assist parents in de-escalation techniques, as well as teaching children how to self-regulate emotions. Dr. Imbraguglio has worked with teenagers in outpatient clinics, inpatient facilities, an emergency walk-in center, trauma clinics, elementary schools, and hospitals. She also has extensive experience with couple’s/family issues, to include couple’s therapy for those staying together, and assisting couples who decide to divorce to do so with a minimal amount of negative effect on the teen in that process. Dr. Imbraguglio works with teenagers dealing with divorce or marital conflict in the family, and also works with their parents to help lessen conflict and minimize the impact of the divorce process on the child. Many parents seek her out for her expertise in AD/HD and learning disorder (LD) assessment, and have found her friendly demeanor and natural connection with adolescents to make her an excellent therapist for talk therapy with teens.


Dr. Savia has worked with teens as both an educator and a clinician. As a health psychologist she works with teens adjusting to life-changing diagnoses such as cancer, diabetes, and other serious medical conditions. She helps adolescents manage the special challenges of medical treatment and cope with physical pain. Consistent with her trauma specialty, Dr. Savia also works with teens that have experienced trauma through interpersonal violence, motor vehicle accidents, or natural disasters. She also works with parents of teens who are ill or who have experienced trauma to help them cope as they care for and support their child. In addition, for a teen the death of a family pet can be particularly painful; adults may be so enveloped in their own grief, they fail to see the pain in the younger members of the family. Dr. Savia provides brief counseling to help teenagers mourn the death of a beloved pet.


Dr. Rhonda Karg provides therapy for teenagers, families, and couples. Her finely tuned skills in motivation make her highly sought out by parents concerned about motivating their teens, and her warmth and concern for her clients make her a favorite among teens. She provides motivational interviewing for health behaviors and preventable illnesses (exercise, healthy eating, medication compliance; obesity, diabetes, asthma), and treatment for adolescent depression and anxiety, including reactions to trauma, peer conflicts, family conflicts, teacher and other adult conflicts, health concerns, and academic pressure and difficulties. Dr. Karg also has a strong specialty in all addictive behaviors to include adolescent substance abuse, with an extensive background in treating substance abuse and dependence, and in eliminating use of alcohol, illicit drugs, tobacco, and prescription medications. She has extensive experience in substance abuse assessments and providing an empirically-validated brief intervention found to reduce substance use in young adults.


Dr. Jason Machalicky has seen teenagers for a variety of concerns, including adolescent depression, adolescent anxiety, school anxiety, AD/HD (‘ADD’), behavioral acting out to include disruptive behavior problems such as oppositional defiant disorder (ODD) and conduct disorder (CD), coping with loss, adoption issues, sibling rivalry, autism, asperger’s, and psychosis. His adolescent medication evaluations are very comprehensive, and include extensive parent education on the benefits as well as any potential side effects of medication. Likewise, his medication management with teenagers is comprehensive as he helps guide the teen toward improvement. Dr. Machalicky also provides individual therapy for teenagers, family therapy, and parent coaching. He utilizes cognitive-behavioral and psychodynamic therapeutic techniques, and tailors his approach to the individual adolescent and family.


From the very beginning of her career, Dr. Lepage has been focusing on children and families; whereas most psychologists have an undergraduate that is, like their doctorate, in psychology, Dr. Lepage has an undergraduate in Child Development & Family Relationships. Her many years of specialization in child development and families make her highly sought out by parents seeking help for their child. Dr. Lepage has worked with teenagers and their families in outpatient settings, schools, and for the courts, and served as the clinical manager for a residential treatment center for teens. She is experienced with a range of issues that affect teens, such as adolescent depression, difficulties in interpersonal relationships with family and peers, reactions to divorce, anxiety due to academic pressure, AD/HD, LD, trauma recovery, sexual issues, substance abuse, acting out / delinquency, Oppositional Defiant Disorder and Conduct Disorder, substance use, body image concerns, and social problems to include awkwardness, shyness, and isolation. Dr. Lepage completed specialty training at the University of Virginia Institute of Law, Psychiatry, and Public Policy that qualifies her as an expert in Juvenile Forensic Evaluation. She also has extensive experience with couple’s/family issues, to include couple’s therapy for those staying together, and assisting couples who decide to divorce to do so with a minimal amount of conflict in that process. Dr. Lepage is certified to act as a Parent Coordinator in NC, and is an expert in Cooperative Co-Parenting. Dr. Lepage provides individual therapy for teens, psychological evaluations for teens, risk assessments for delinquent behaviors, competency to stand trial for teens, couple’s and family therapy, custody evaluations, and an extensive range of divorce services.


Dr. Colleen Hamilton is a clinical and child psychologist, with her training focused on work with children, adolescents, and families. With teens her experience has focused on family issues regarding increased autonomy and independence, and she finds specific areas of discussion often include teaching teens to make responsible choices, allowing your teen to achieve autonomy, and how to support your child through this process. She also has a special interest in adolescent depression, trauma recovery, and self care. For example, she worked as both a Therapist and Research Coordinator for a Child & Adolescent Traumatic Stress Program, and also has researched and presented papers on using positive reinforcement to alter eating and exercise patterns in obese adolescent females. Dr. Hamilton enjoys working with adolescents to address common difficulties with mood stabilization, identity development, independence, and body image concerns, to name a few. In addition to therapy, Dr. Hamilton provides educational and psychological testing for teens, for AD/HD, learning disorders, and to discern the impact psychological issues such as depression or anxiety may be having on the teen's school performance or behavior in general. Adolescents are significantly impacted by various systems outside of their control, and Dr. Hamilton works to include all systems in their treatment to achieve optimum results. She is known for her child advocacy within the school system, and in her work with parents Dr. Hamilton has also run groups for parents focused on discussing difficult topics with your teenage child including sexuality and substance abuse.

As a therapist, her creativity has made her a favorite among teens and parents, who find sessions both effective and fun! (If you haven't read her main bio page, click here to go there and learn more about her wonderful creativity as a therapist!)



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