Skye Boughman, MS, CSAC, LPC

She, Her

Clinical Director & Founder, Ketamine-Assisted Psychotherapist

skye.boughman@cayaclinic.com

Skye has worked on the front line of the substance use and mental health epidemic in her work as the Clinical Director and Founder of CAYA Clinic, Inc, the first Harm Reduction Psychotherapy Clinic in Wisconsin. She was the Clinical Director of ARC Community Services, Executive Director of Stop Heroin Now, a Wisconsin State Lead for the Recovery Advocacy Project, a therapist at Open Door Center for Change, the former Director of Drug Poisoning Prevention at Safe Communities, and the former Assistant Director of Connections Counseling. She specializes and has 20 years of experience working with people who use drugs that are seeking a harm reduction psychotherapy approach. She has additional training in EMDR,  somatic approaches to trauma, DBT, Prolonged Exposure, Seeking Safety, HeartMath biofeedback, and Ketamine-Assisted Psychotherapy. She was the chair of SCAODA's Ad Hoc Committee on 911 Good Samaritan Legislation, co-produced Straightforward: The Truth About Addiction, and has contributed her own story of recovery to Waking Up Happy: A Handbook of Change with Memoirs of Recovery and Hope.

Skye is the very proud mama of her two boys, one cis and one trans.  She is a proud member of the queer community and is happy to offer queer and gender-affirming care.  She hopes that everyone can come as they are and feel welcomed into community at CAYA.  

Kathy Holt, BS, CSAC, ICS

She, Her

Director of Operations & Founder

kathy.holt@cayaclinic.com

Kathy is dedicated to assisting those affected by substance use disorders in rural and urban communities through her work as the Director of Operations and Clinical Substance Abuse Counselor at CAYA Clinic. I bring four years of experience in the human services field to empower individuals on their journey toward recovery. As a case manager, intake clinician, primary counselor, and clinical supervisor-in-training in a non-profit outpatient treatment setting, I've witnessed firsthand the incredible strength and resilience that can arise from even the most challenging circumstances. With a deep understanding of the impact of substance use and mental health, both personally through close family members and professionally, I am dedicated to providing compassionate support and quality care. Prior to providing substance use disorder counseling, I worked in rural primary care for 10 years and as a supervisor in an outpatient clinic setting in rural underserved Wisconsin which also provided me the opportunity to assist those affected by substance use and mental health disorders.  
Kathy is also a certified aromatherapist and enjoys teaching the people that she works with how they can utilize aromatherapy to help manage intense emotions.  

Lara Lewandowski, MS, LMFT, SAC-IT

She, Her

Family Program Manager, Ketamine-Assisted Psychotherapist

lara.lewandowski@cayaclinic.com

Lara was inspired to become a therapist through her own lived experience as an affected family member. After losing her mother to the opioid epidemic, she felt a deep calling to show up for others so they would know they’re not alone in their pain, questions, or healing. That sense of purpose continues to guide her work every day.

Lara is a licensed mental health and substance use therapist who has worked in the field since 2014. She works with individuals navigating substance use, mental health challenges, and those who have been impacted as affected family members. Lara is especially passionate about supporting college students and young adults as they move through pivotal life transitions.

She co-facilitates the outpatient group Unlearning Internalized Stigma, which focuses on dismantling stigma within the community of people who use substances, while empowering individuals through education, reflection, and connection. As someone who has personally experienced the impact of substance use in her family, Lara brings empathy, authenticity, and understanding to her work. She validates the emotional responses of loved ones while offering practical tools to support their well-being. Using a harm reduction lens, she also helps clients explore healthier ways to support loved ones who use substances.

Lara’s approach is grounded in systemic therapy, with attention to family dynamics, generational and childhood trauma, and attachment styles. She integrates narrative therapy to challenge negative self-talk, motivational interviewing and solution-focused techniques to support change, and nurtures growth through self-compassion and inner child work.

She is also trained in Ketamine-Assisted Psychotherapy (KAP), which she offers as a supportive option for clients who feel stuck in their therapeutic progress after trying other approaches. Lara thoughtfully incorporates KAP to help clients reconnect with themselves and move forward with greater clarity and emotional flexibility.

Outside of her work, Lara enjoys spending time with family and friends, attending concerts and comedy shows, and exploring Madison’s vibrant restaurant scene. She’s also a devoted dog lover and proud pug mom to Pattie Mae.

Brooke Mulcahy, MSW, LCSW

She, Her

Body Love Program Manager, Ketamine-Assisted Psychotherapist

brooke.mulcahy@cayaclinic.com

Brooke has worked in the mental health field since 2012. As a therapist, she will work with your strengths to empower you to build a life that you experience as worth living. Brooke believes in working with you as a whole person and uses an eclectic approach to meet your individual needs and support you in your personal goals. Brooke has extensive training and experience working with folks to find their own path to recovery from trauma and dissociation, body image and disordered eating, and substance use. Brooke is an advocate for compassionate care that is rooted in harm reduction and Health at Every Size. Her approach is informed by Dialectical Behavior Therapy (DBT), Internal Family Systems (IFS) Therapy (also known as parts-work), Cognitive Behavior Therapy, and somatic (body-based) approaches. Brooke is also able to offer Ketamine-Assisted Psychotherapy (KAP). Beyond the therapy room, Brooke loves to explore the world through travel and food. She finds her own grounding practices through reading and yoga. Most of all, she loves spending time with her rescue dog, Griffey. 

Kailey Peterson, MSW, LCSW, CSAC

She/Her

kailey.peterson@cayaclinic.com

Kailey has her Master’s Degree in Social Work and has experience working with adults towards their mental health and substance use recovery goals. She also has experience working as a Case Manager with individuals involved in the criminal justice system. She is passionate about Harm Reduction and strongly advocates for individuals struggling with mental health and/or substance use disorders, especially marginalized populations. She strives to meet folks where they’re at and walk beside them in their journey while they strive to reach their full potential, whatever that means for them. Kailey practices in a way that is client-centered, strengths-based, and trauma informed. Her primary focus is Substance Use Disorder Counseling, Mental Health counseling, Dual Diagnosis, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Positive Psychology. Kailey has experience working with individuals experiencing homelessness, domestic violence, sex work/trafficking, criminal justice involvement, chronic substance use, and/or mental health crises. She places high importance on being non-judgmental, supportive, and responsive to clients’ needs and concerns. Fun fact: Kailey has 400+ houseplants and enjoys tending to them in her free time! “People are just as wonderful as sunsets if you let them be. When I look at a sunset, I don't find myself saying, "Soften the orange a bit on the right hand corner". I don't try to control a sunset. I watch with awe as it unfolds.” ― Carl R. Rogers 

Sam is a Clinical Rehabilitation Counselor (CRC) and a Licensed Professional Counselor in training (LPC-IT). After moving from Canada, Sam obtained her Master's Degree in Clinical Rehabilitation Counseling and is currently pursuing her Doctoral degree at UW-Madison. Sam believes learning from others and sharing knowledge is the best way to create change in the world. She has experience working with people with diverse medical and mental health backgrounds, and those with criminal legal involvement. 

At CAYA, Sam is passionate about creating a safe, non-judgmental environment where everyone is welcomed for who they are and how they choose to be in the therapeutic space. Sam emphasizes individual strengths, regardless of societally imposed barriers and challenges. In her practice, Sam uses a trauma-informed, unconditional positive regard, client-centered approach, where clients are encouraged to find their own identity within the world. Sam also has a therapy dog, Oslo, who visits the office from time to time!

Cal has a Master of Social Work from UW-Madison and has experience working with people of all ages with intellectual/developmental disabilities and adults with substance use disorders. Cal also enjoys working with people with queer and gender-diverse identities, those with complex trauma and/or PTSD, and veterans. Cal centers a strengths-based, trauma-informed, and non-judgmental approach to collaboratively develop goals that make sense for each individual person. They draw from CBT, DBT, Motivational Interviewing, their lived experience in recovery, and harm reduction principles. Cal spends their free time painting and printmaking, reading, and backpacking.

Jamie Noxon, MSW, CSAC, APSW, RYT-200
She/Her
jamie.noxon@cayaclinic.com

Jamie earned her Masters degree in Social Work from UW-Milwaukee. Since 2020 she has been providing support for those wanting to change their relationship with substances. Prior to joining the team at CAYA, Jamie's experience comes from MAT clinics and day treatment programming.  Jamie primarily works with clients with complex co-occurring symptoms, and is a solution-focused therapist that targets cognitive restructuring in session. She believes that abstinence does not define a persons worth in any capacity and is in full support of those seeking harm reduction-based recoveries. Jamie pulls from lived experience and believes that rapport building is at the core of meaningful psychotherapy with positive outcomes. Outside of the clinic, Jamie enjoys her two children, hoop dance, and live music. Jamie is a 200-hour registered yoga teacher who offers individual and group yoga classes at CAYA. At the core of her practice: "Recovery is when you begin to love yourself again."

Jennifer Pitzo enjoys working with clients from all walks of life and diverse populations, and believes a holistic approach is important in supporting people to make lasting change. She serves clients from late adolescence to adulthood in mental health and substance use counseling and provides LGBTQIA+ and neurodiversity-affirming care.  Jennifer uses EMDR and CPT to treat trauma and PTSD.  She holds a perinatal mental health certification (PMH-C) to support folks in the pregnancy and postpartum periods, and is also a Ketamine-Assisted Psychotherapist.  Jennifer earned a Master of Science degree in Clinical Mental Health Counseling from UW-Whitewater in 2015, and is a Past President of the Wisconsin Counseling Association. 

Alexis Aney MS, LPC, SAC-IT

She, They

alexis.aney@cayaclinic.com

Alexis Aney earned her master’s degree in mental health counseling from UW-Whitewater. As a therapist, she works toward building a strong therapeutic relationship with her clients by utilizing a person-centered approach along with dialectical behavior therapy (DBT) and art therapy. This integrative approach allows her to empower her clients and help them build skills to help regulate and better understand their emotions while living life in alignment with their values and becoming their most authentic self. She is interested in working with emerging adults, the LGBTQIA+ community, and individuals from various backgrounds. Her clinical interests include exploring sexuality, anxiety, depression, self-esteem, self-compassion, substance use, and trauma. 

Travis Sackett
He/Him
CCAR Recovery Coach
travis.sackett@cayaclinic.com

Travis Sackett has been called "resilience personified." Having overcome an abusive childhood, Travis went to Lakeland College to study criminal justice, hoping to become an agent for change. While fulfilling this role, he was jaded by severe corruption in the system. During this time, Travis sustained an injury while weight training, resulting in an opioid addiction that led him to a life of crime. Through the help of his canine companion, Travis learned to love outside himself, and began living his life again.

Travis has chronicled his recovery journey in the Amazon best-selling memoir, My Life with Karma. He has also spoken internationally about the topics of recovery and stigma reduction in order to increase empathy toward often ignored populations that are forgotten or left without a voice. Travis has been a CCAR certified recovery coach since 2022 and helps others identify their individual strengths while striving towards their unique recovery goals. Travis joined the CAYA team in April of 2025 and is excited to provide peer support services.

Stan (they/them/theirs) moved from the Chicago suburbs to Madison in 2018. They are first generation Polish and have traveled to Poland most summers growing up. They enjoy traveling with their spouse to different parts of the world, playing DND and video games, going on walks, reading, and having spontaneous adventures. They also have two cats, who are a riot. Stan is very interested in helping clients with childhood trauma, attachment issues, masking, and self-advocacy, especially within the LGBTQIA+ and BIPOC populations.

Angela is currently completing her Master of Science in Clinical Mental Health Counseling at Prescott College. She approaches counseling relationships with openness and collaboration to weave each person’s unique strengths and lived experience into the therapeutic journey. With an extensive background as a bereavement counselor and Buddhist chaplain in hospice and trauma hospitals, she brings a nonjudgmental and compassionate presence to those navigating grief, loss and trauma. Angela is particularly interested in harm-reduction psychotherapy, narrative therapy, trauma-informed somatic therapy, mindfulness, and cognitive behavioral interventions. She plans to work towards certifications in EMDR and Trauma Resiliency Model post-graduation. “Knowing oneself comes from attending with compassionate curiosity to what is happening within.” -Gabor Maté 

Chloé Flesch, LPC-IT, is a Licensed Professional Counselor in Training with a passion for supporting children, adolescents, and individuals impacted by personal or a loved one’s mental health or substance use. She is committed to meeting clients with authenticity, empathy, and respect—wherever they are in their healing journey.

Chloé takes an integrative, strengths-based approach, drawing from attachment and other evidence-based practices while centering the individual needs of each client. Her goal is to create a safe, supportive space where clients can explore, grow, and heal in ways that are meaningful and sustainable to them.

Some of her other clinical interests include anxiety, depression, trauma, self-compassion, neurodiversity, and LGBTQIA+ affirming care. Chloé also enjoys weaving her love of art, music, and nature into the therapeutic process, offering creative, grounding experiences that deepen self-connection.

My name is Emma, and I am from central Wisconsin, but moved to Madison in 2017. Since then, I have graduated with my Bachelor of Social work from UW Madison, and then obtained my Master of Social Work from Arizona State University. I now live in Sun Prairie with my partner and my dog, Dart. 

I have experience working as an advocate for survivors of domestic and sexual violence, as well as case management experience working at a residential substance use treatment facility, and I began working as a CCS service facilitator in 2023. I am passionate about working to empower, support, and advocate for individuals in marginalized communities and individuals going through their recovery journey. A phrase that I truly believe in, is that healing does not happen in isolation. 

In my free time, you can find me hanging out with my friends and family, reading a good book, and going on adventures with my dog, Dart. Looking forward to joining the CAYA team!

Josh Miller is a clinical intern at CAYA Clinic, currently pursuing his Master’s degree in Clinical Rehabilitation Counseling at the University of Wisconsin–Madison. With a foundation in positive psychology and a deep commitment to trauma-informed care, Josh brings a person-centered, humanitarian approach to his work grounded in unconditional positive regard for every individual.

He is passionate about supporting LGBTQI+ communities, promoting anti-racist practices in mental health care, and approaching his work through a disability-affirming lens that values autonomy, dignity, and systemic change. Josh is also dedicated to walking alongside individuals in all stages of recovery from substance and/or alcohol use, offering a nonjudgmental, compassionate space for healing and growth.

His clinical interests include navigating trauma, fostering resilience, and empowering clients through strengths-based, affirming therapeutic relationships. Outside the clinic, Josh enjoys life with his dog, cat, and three wonderful children. He believes in the healing power of connection, compassion, and community and is honored to be part of the CAYA team.

Chrissy is currently earning her M.S. in Clinical Mental Health Counseling through Capella University, with expected graduation in December 2025. She holds a Bachelor of Science in Forestry and brings a unique perspective to counseling through her previous work in environmental education, where she engaged with individuals of all ages and from diverse backgrounds. This experience continues to inform her holistic, inclusive approach to wellness.

She is deeply passionate about the healing potential of reconnecting with the natural world and believes that time in outdoor spaces is not only calming but also inherently therapeutic. Nature offers more than a backdrop for life—it provides a mirror, a teacher, and a welcoming space for regeneration.

Her clinical approach is compassionate, collaborative, and person-centered, grounded in an integration of feminist, existential, and narrative frameworks. She views the counseling process as a co-created journey of curiosity, meaning-making, and authentic exploration—centered around each client's unique lived experience, values, and strengths.

Chrissy is honored to walk alongside clients as they navigate growth, healing, and reconnection—with themselves, their communities, and with the natural world to which they belong.

Hi everyone, my name is Emily. I am originally from the Green Bay area, went to undergrad in La Crosse and now live in Madison. I am studying mental health counseling at UW-Whitewater. I also work part time on Meriter's Inpatient Adult Psychiatry unit. My interests are in substance use and trauma therapy. I would love to learn more about KAP and EMDR. In my free time I like to read, go on long walks, watch documentaries, and spend time with loved ones. I am excited to get to know and learn from you all! 

My name is Ella Spencer and I am a Master of Social Work student at the University of Wisconsin Madison. My areas of interest include crisis work, harm reduction, and pediatric palliative care. I enjoy getting outside to play tennis and volleyball with friends, hiking, and paddle boarding. A fun fact about me is I love aviation and am working towards obtaining my private pilot certification! I look forward to working with and learning from you all. Thanks for having me!