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. 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. Katrina Kuzyszyn-Jones has worked with teenagers and their families in outpatient, inpatient, and correctional settings. She is experienced with a range of issues that affect teens, such as adolescent depression, difficulties in interpersonal relationships with family and peers, anxiety due to academic pressure, intrapersonal exploration, sexual abuse, substance abuse, and acting out/delinquency. Dr. Kuzyszyn-Jones provides individual therapy for teens, family therapy, consults for parents, psychological evaluations for teens, risk assessments for delinquent behaviors, and competency to stand trial evaluations for teens. Her therapeutic work with teenagers has involved one of her special interest areas of delinquency diversion, and she is involved in criminal justice diversion for teens. She completed additional specialized training at the UNC-Chapel Hill Forensic Psychiatry Service in performing child custody and parental competency evaluations. Dr. Kuzyszyn-Jones was trained in an integrative therapy model to include psychodynamic, cognitive-behavioral, family systems, and experiential theories and techniques, all of which she uses in providing therapeutic services for a wide variety of teenage challenges, to address the unique needs of each client. Each client brings a very personal and individual set of needs and desires to the experience of therapy. Dr. Kuzyszyn-Jones is sensitive to these personal factors while helping her clients identify and focus on the specific problems that are affecting them in their current daily lives. Additionally, with an undergraduate minor in women’s studies, she has a particular interest in working with young women. Her ability to connect so well with teenagers (even teens resistant to therapy), and her high level of skill in evaluation, make her a favorite among teens and parents.



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!)



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.

Doctoral Trainees
We also have at times have Ph.D. students who the licensed psychologists at Lepage Associates supervise. Our doctoral trainees are currently enrolled in programs to obtain their doctorates in clinical psychology. The word “trainee” can be misleading: they already have a master’s degree in psychology and have a wealth of experience working at the master’s level. You can learn more about our doctoral trainees on the Psychologists & Philosophy page.