Our Team
Our Team in Livonia
Welcome! Transformational Choices is a community-based professional service that provides a full range of life enhancing services in a holistic, mindful, and supportive setting.
Our mission is to support mindful change within individuals, groups, and organizations. We are proud to offer a diverse array of services, including mental health counseling for individuals, groups, families, children. We work to address relationship issues between couples, within small groups, and in families. We offer life and wellness coaching and consultation, as well as organizational evaluation and consulting.
We are committed to providing the best professional services by working with our clients and developing and implementing the most effective and customized life enhancing change plans, through the promotion of learning and personal growth.
Transformational Choices uses a natural and organic mind / body approach to restoring healthy emotional, behavioral, and cognitive functioning. The client and therapist are partners and work together to discover the choices necessary to reach new goals and break old patterns.
Our approach to the helping relationship is especially effective in dealing with depression, anxiety, emotional dysfunction, creative blocks, relationship concerns, and debilitating personality traits that interfere with love, work, and the knowledge to sustain health.
Madeline Chen, LMSW
she/her
734-559-3540
Specialities: Anxiety, Anger, Career Counseling, Depression, Eating Disorders, Life Coaching, LGBTQIA+, IPV, Pregnancy/Postpartum, Relationships, Racial Stress, Self Esteem, Sexual Violence, School Issues, Stress, Spirituality/Religion, Substance Use, Trauma, PTSD, Women’s Issues
Populations: Adolescents, Adults
Modalities: Individual, Group
Certifications: Trauma Informed Practice
Welcome to therapy! I hope to engage you in a space that is safe, accepting, and supportive. I take an intersectional approach to therapy, drawing on your strengths and important identities and experiences to facilitate our journey. My approach to therapy is to help you build a strong and trusting relationship with yourself. I am simply here to support and encourage you in making changes to improve your quality of life. Everyone needs support every once in a while, as we face many challenges in life, it can be helpful to have another person to help carry the weight.
I work with a variety of clients and conditions using motivational interviewing, cognitive behavioral therapy, and acceptance commitment therapy. I look forward to working with you and joining you on your journey!
Richard Cole, LLMSW
he/him
734-559-3540
Specialties: ADHD, Autism, Men’s issues, LGBTQIA+, Self Esteem, Grief, Depression, Anxiety, Polyamory, Sex Positive, Relationship issues, White Privilege and Fragility, Stress, Sleep issues
Populations: Adults, Older Adults
Modalities: Individual, Relationship
Congratulations on taking the first step to becoming a better you. You recognize that what you have been doing isn’t getting you the results you want. Whether this is your first time trying therapy, or you’re returning to therapy, I am grateful you’re here. My approach is helping you find your strengths while giving you the tools and tips to make long-lasting change. You are already doing the hard work, but I will guide you in finding what works best for you. Each person is unique and has their own journey- what works for one person may not work for another. My goal is not to be your “fixer” but to help you understand yourself, your gifts, and your strengths, in order to reach measurable goals.
As a member of the LGBTQIA+ community, I understand what it’s like to live at the intersections of multiple marginalized identities while also navigating the challenges life can present. I want to help you manage and overcome whatever life has thrown at you. I take a client-centered approach that utilizes DBT, motivational interviewing, and CBT. I look forward to meeting you.
Caitlin Conroy, LMSW
she/her
734-559-3540
Specialties: ADHD, Anger, Anxiety, Autism, Depression, Family Conflict, Grief/Loss, Parenting, Pregnancy/Prenatal/Postpartum, Relationship Issues, School Issues, Self-Harming, Self Esteem, Trauma/PTSD
Populations: Infants/Toddlers, Children, Adolescents, Adults
Modalities: Individual
Hello! I am so glad you are here taking your first steps to personal growth and seeking therapy. My goal is to create a space where you feel safe, accepted, and encouraged. I believe that one of the most important pieces of successful treatment is the quality of the relationship between therapist and client. I work with a range of backgrounds and ages but I specialize in working with children and teens. I use a client centered, strength based approach and make building a trusting relationship a priority.
When working with children I use an individualized approach including play therapy, teaching calming strategies, and how to manage emotions. I have experience working with a number of issues such as anxiety, depression, grief and loss, anger management, trauma, family problems, ADHD, autism, and behavior management.
Keelan Dougherty, LLMSW
she/her
734-559-3540
Specialties: Stress, Anxiety, Family Conflict, Relationship Issues, School Issues, Self Esteem, Intellectual/Developmental/Learning Disabilities, Women's Issues, Sleep Issues
Populations: Children, Adolescents, Adults
Modalities: Individual
Trainings: Mindfulness based stress reduction (MBSR)
Hello and welcome!
I aim to provide a safe, supportive, and non-judgmental space so that my clients can feel heard, encouraged, and accepted as they are, and as they choose to be. The therapeutic relationship is collaborative and my role is to accompany you on your journey toward emotional well-being while letting you take the lead. I can provide you with specific coping mechanisms and strategies that can help you live a more satisfying life.
The therapeutic approach I use involves a holistic perspective that incorporates cognitive-behavioral therapy(CBT), acceptance and commitment therapy(ACT), strengths-based practice, and mindfulness techniques. Together, we can develop a plan that best meets your needs.
Christina Fox, LLMSW
she/her
734-559-3540
Specialities: Anger, Anxiety, Codependency, Depression, Grief/loss, Infidelity, Marital/premarital, Relationship issues, School issues, Self-harming, Self esteem, Sexuality, Sleep issues, Spirituality, Stress, Suicidal ideation, Trauma/PTSD, Women's issues
Populations: Adolescents, Adults
Modalities: Individual, Couples
Hello and welcome! Taking the step toward therapy and seeking help is a courageous decision. Whether you are beginning your journey or continuing it, I am happy you’re here. I believe that therapy is a powerful tool for self-exploration and personal development. It provides a safe, compassionate, and non-judgmental space where you can openly discuss your thoughts and feelings, gain insight into your behaviors, and develop effective coping strategies. My goal is to help you identify your strengths, overcome obstacles, and work towards achieving the life you envision. Talking about vulnerable issues can be daunting and challenging. I know because I have been on the other side of a therapy session myself. However, I have found that showing up with a sense of curiosity, authenticity, and self-compassion can go a long way in developing a deeper relationship with yourself and others.
My therapeutic approach is holistic and client-centered, meaning that I tailor our sessions to meet your unique needs and goals. I have training in cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), mindfulness-based techniques, and trauma-informed practices. Additionally, I draw from humanistic approaches to create a warm, empathetic, and collaborative environment. You, your story, and your journey matter. I look forward to joining you on your path, however that may look.
Jennifer Jagusch, LMSW
she/her
734-559-3540
Specialties: Anxiety, Depression, Relationship Issues
Populations: Adults
Modalities: Individual
My approach to therapy is grounded in my belief that every person is capable of positive change. My role is to work with you to help you recognize the strengths you already have, develop a deeper understanding of yourself, let go of unhelpful habits, and gain a different perspective on the challenges you’re facing. Feeling stuck, alone, or hopeless at times is a normal part of being human, and making the decision to work toward change takes courage. Above all else, I am here to offer caring, nonjudgmental support and to give you space to explore your thoughts, feelings, and behaviors. Together, we will find the tools to fit your specific needs, and seek insight into what is holding you back from living your fullest and most meaningful life.
Dina Kanso, LLMSW
she/her
734-559-3540
Specialties: Addiction/substance abuse, ADHD, Anxiety, Depression, Domestic violence, Eating disorders, Family conflict, Grief/loss, LGBTQ+, Obsessive compulsive disorder, Relationship issues, School issues, Self esteem, Sexual abuse, Sexuality, Spirituality, Stress, Trauma/PTSD, Women's issues
Populations: Infants/Toddlers, Children, Adolescents, Adults
Modalities: Individual
I’m glad you’re here! Starting therapy is a brave step, and I’m here to walk alongside you with compassion, curiosity, and support. Healing begins in a space where you feel safe enough to be honest with yourself and with someone who’s truly listening. As a therapist, my work is grounded in helping you uncover the deeper "why" behind your thoughts, behaviors, and emotions. I draw from a blend of psychodynamic therapy, cognitive behavioral therapy (CBT), motivational interviewing, and solution-oriented approaches. Whether you're navigating anxiety, life transitions, self-doubt, or old patterns that no longer serve you, I aim to empower you with insight and practical tools to create meaningful change. My goal is to help you connect with your strengths, challenge what’s holding you back, and support you in becoming the version of yourself you want to be.
Anna Karoub, LLMSW
she/her
734-559-3540
Specialities: Anxiety, Depression, Grief/loss, LGBTQ+, Self esteem, Stress, Women's issues
Populations: Adolescents, Adults, Older Adults
Modalities: Individual, Family
I utilize a collaborative approach where you are the expert in your own life, and I am here to hold that space for you with empathy and understanding. I ensure that identities such as race, nationality, sexual orientation, gender identity, culture, and religion are at the forefront of our sessions, because the intersection of those identities makes us who we are!
I have previous professional experience working with families and children as a foster care case manager in Ingham County. I received both my BASW and MSW from Michigan State University, where I gained experience at the on-campus couples and family clinic, working with couples, families, and individuals. My strengths include Cognitive-Behavioral Therapy, Solutions-Focused Therapy, Motivational Interviewing, and Mindfulness. Additionally, I have experience working with adults who live with anxiety, depression stress, grief, self-esteem struggles, and more. I look forward to working with you!
Michelle Kujat, LLMSW
she/her
734-559-3540
Specialities: Addiction/substance abuse, ADHD, Anger, Anxiety, Autism, Chronic illness/pain, Depression, Domestic violence, Eating disorders, Grief/loss, Intellectual, developmental, or learning disabilities, Self esteem, Stress, Trauma/PTSD
Populations: Adolescents, Adults
Modalities: Individual, Group
Hello! Choosing to begin therapy is something that can be intimidating for many, so congratulations on taking this first step! My goal is to create an environment in which you feel welcome, safe, and comfortable opening up about yourself, in which we can work together to reach your goals. Different therapy styles work for different people, so I aim to work with you to find the style(s) that work best for you and your journey.
As your therapist it is my job to provide you with the knowledge, tools, and skills necessary to support yourself in a healthy and holistic manner when our time together is complete. This involves looking at both the present and the past to learn about yourself and the most effective way to move forward. Therapy works differently for everyone, so I explain to my clients that there is no timeline and growth and progress is not linear. I am not here to tell you what steps to take, but instead to support you, guide you, and work with you to obtain the skills to meet your goals.
I welcome the opportunity to meet with you and work together to achieve your goals and become the healthiest version of yourself.
Megan Neely, LLMSW
she/her
734-559-3540
Specialties: Anxiety, Bipolar, Depression, Relationship issues, Trauma/PTSD
Populations: Adults, Older Adults
Modalities: Individual
Welcome to your therapy journey — you should be proud of yourself for taking this courageous first step. Therapy is a deeply personal experience, and it looks different for everyone. I strive to create a safe, nonjudgmental space where you feel heard, supported, and empowered. My approach is client-centered, meaning our work together is guided by your unique needs and goals. I draw from evidence-based practices such as Cognitive Behavioral Therapy (CBT) and trauma-informed care to help you build insight, develop coping strategies, and foster lasting change. I'm here to support you every step of the way.
Ashley Reid, LMSW
she/her
734-559-3540
Specialties: Addiction/Substance Abuse, Anger, Anxiety, Bipolar, Grief/Loss, Self Esteem, Stress, Trauma/PTSD, Women's Issues
Populations: Adolescents, Adults
Modalities: Individual, Group
I believe in meeting the client where they are at with evidence-based approaches. I am here to help you through whatever challenges life has thrown your way. My approach is client centered, and I will work with you to meet your goals. I have experience working with life transition, anxiety, depression, addiction, trauma, personality disorders and more. Dialectical Behavior Therapy (DBT), Seeking Safety, Cognitive Behavioral Therapy (CBT), Mindfulness, Motivational interviewing are some approaches I offer during treatment. I look forward to meeting with you, and helping you achieve your goals.
Makayla Starks, LLMSW
she/her
734-559-3540
Specialties: Anger, Anxiety, Depression, Divorce, Domestic violence, Family conflict, Grief/loss, Infidelity, Marital/premarital, Parenting, Relationship issues, School issues, Sexual abuse, Stress
Populations: Adolescents, Adults
Modalities: Individual, Couples, Family
I received both my Bachelor of Psychology and Master of Clinical Social Work degrees from Michigan State University. My graduate program allowed me the opportunity to take advanced courses that enhanced my practice with couples and families. I am passionate about looking through a systemic lens to cultivate change within individuals. We are a product of our environment, after all.
The hallmark of my therapy style draws from a strengths-based approach. This means that I like to help clients find strengths in their adversities in order to build them up for resiliency. My goal is to provide a safe, inclusive environment led with compassion and unconditional positive regard. We will work collaboratively to create goals that align with your desired outcome of treatment.











