Meet Our Therapists

If you'd like to connect with a therapist or make an appointment please contact us at or 844-364-0259 ext. 6.


Afton Neufeld, LMSW

Afton Neufeld is a school based therapist with a heavy belief in the healing power of the therapeutic relationship. She graduated from University of Nevada, Reno with a Masters in Social Work. Her approach is interactive, empathetic and accepting. She sees the therapeutic space as one of partnership, and enjoys helping clients build self-esteem, explore their true needs and wants, and process prior or current life experiences.

Prior to working at Four Oaks she had experiences working in the school system, in higher education, and in a non-profit health center. She recently moved to Iowa from Reno, Nevada and is enjoying exploring the Midwest. In her spare time you can find Afton walking her dog Daisy, reading, or trying out a new art project.


Kari A. Miller, MS, LMHC – t

Kari is a board certified temporary Licensed Mental Health Counselor. She has been working with children, adolescents, and families for over 20 years. She strongly believes in providing a non-judgmental, accepting, and safe place for clients to gain insight about their stories and obtain the necessary tools for overcoming life’s difficulties. Kari works from a belief that everyone has strengths to build upon. Kari values the opportunity to guide clients as they work towards healing.


Chelsea DeLarm, LMSW

I am an individual and family therapist with a passion for helping people to heal and to discover joy and peace. When a person experiences trauma, they may struggle to feel connected to themselves and to the important people in their lives. I strive to help my clients learn healthy and effective coping strategies so they can feel safe and whole again. I enjoy the therapeutic relationship that forms with each person in which trust is established and hope is regained. Because many of these hurts happen within families, family therapy is often used to heal the wounds.

To reach these goals, I utilize several different approaches depending on each person’s unique needs. Some modalities that I often use are: Cognitive Behavioral Therapy, Solution-Focused Therapy, Attachment-Based therapies, Expressive Art Therapy, Acceptance and Commitment Therapy, and Mindfulness and Neuroscience education. I have experience working with children, adolescents, and adults healing from abuse, neglect, depression, anxiety, self-harm, substance abuse, adoption, and loss. My experiences include work in residential treatment settings, substance abuse treatment, emergency shelter services, veteran services, and adoption support services. I have experience working with Hispanic and Latino families. Although I cannot provide therapy in Spanish, I am conversationally fluent in Spanish.


Ann Ghabel, LMSW, RN-BC

Ann Ghabel has extensive experience working with children and families. She uses several types of treatments to help children cope with their problems, stresses, and mental health issues. She has worked with young children, grade school children, adolescents, and adults to help her clients improve their general well-being, comfort, and manage issues causing distress. Areas of special interest include helping parents parent, working with children experiencing the loss of a parent or parents, management of anxiety, mood disorders, and other serious mental illnesses.

Previous experiences include working at the University of Iowa Hospitals and Clinics in the inpatient unit as a nurse for many years. She has done mediation for the sixth judicial district. She taught nursing at Kirkwood College. She received her education at the University of Iowa. She has a BSN from the College of Nursing and an MSW from the school of social work. She has nursing board certification in mental health. Other education included Ericksonian family therapy training at the Erickson Institute which included the use of clinical hypnosis. Her graduate work included training in Adlerian play therapy. She has hand training in the use of cognitive behavioral therapy and dialectical behavior therapy.

Ann was born in Ottawa, Illinois and resided in Iowa City since attending college. She is married and has successfully parented six children to be loving, functioning adults, who contribute to society.


Lydia Frazier, LISW

I specialize in issues related to depression, anxiety, current or past trauma, and the impact of these on your life today. I work primarily with adolescents and young adults. I will always use an eclectic and individualized approach to treatment, drawing from many modalities such as mindfulness, interpersonal, trauma or solution focused, and will adhere to a strengths based model to move you through challenging times. I will use a holistic lens when hearing your “story.” We can explore how family of origin, chemistry, sleep patterns, diet, and movement impact you today, and then create a vision and plan for living the authentic life you crave.


Tammy Welter-Nelson, LISW

Hi, my name is Tammy Welter-Nelson! I’m a Licensed Independent Social Worker (LISW) and I provide confidential therapy and counseling to children, teens and adults. Using a strength-based, trauma informed approach, I am here to provide you with support, a listening ear and tools to face and adapt to challenges and changes in your life. Areas of focus include issues related to adoption, attachment, anxiety, child development, depression, and family conflict. I can also assist parents with the parent-child relationship and discipline issues.

Therapeutic interventions include traditional talk therapy, EMDR, and techniques learned in Theraplay and play therapy training.

My hours are Monday- Friday 9:30- 5:30, with some evening hours available.

I accept Title XIX, United Health, Blue Cross/Blue Shield and Hawk-I insurances.




Jill Vanous, LISW

I believe one of the bravest things you can do is begin to understand your own story. My ideal patient is focused upon personal growth and healing. Your past does not have to define your future!

As a therapist, I have helped children and families find understanding in seemingly hopeless situations. I have years of experience in a variety of inpatient and outpatient settings and I have training in TF-CBT, EMDR, and Theraplay. I primarily serve children and teens with behavioral and emotional problems stemming from family system issues and trauma.

My goal is to help your child and family obtain your definition of happy and healthy.


  • Masters of Arts, Social Work, 2003, University of Northern Iowa, Cedar Falls, IA
  • Bachelor of Arts, Early Childhood and Elementary Education, 2001, University of Northern Iowa, Cedar Falls, IA

Blake Johnson, LMSW

I’m a graduate of the University of Northern Iowa. I work with a wide range of clients aging from elementary school to adults. My specialty therapeutic interventions include solution-focused and strengths-based treatments, mindfulness and relaxation techniques, and more.