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 is a mental health and substance abuse therapist who has been working in the field since 2014. Lara has a passion for working with individuals, primarily affected family members, college students and young adults. She has facilitated Connections University of Wisconsin and Edgewood affiliated college programs, BASICS, CASICS and Choices. In her practice, Lara works to create a safe space where clients can explore life’s challenges and feel heard and accepted. While using a systemic approach, she guides clients to have a deeper understanding of themselves and the world around them. 

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 you to find empowerment and build a life worth living. Brooke takes a strengths-based approach to support you in finding your own inner wisdom. She uses an eclectic approach to tailor therapy to your individual needs and 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. She often uses Dialectical Behavior Therapy (DBT), interventions based in Internal Family Systems (IFS) Therapy (also known as parts-work), Cognitive Behavior Therapy, and incorporates somatic (body-based) interventions. 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!

Jamie Noxon, SAC
She/Her
jamie.noxon@cayaclinic.com

Jamie is graduating with her MSW in May of 2025 from University of Wisconsin-Milwaukee. Since 2020 she has been providing support for those wanting to change their relationship with substances. Jamie holds a SAC and has primarily practiced in MAT clinics and day treatment programming for women in Dane County. Jamie takes great pride in working with those interested in exploring harm reduction models of treatment to help them remember the amazing person they already are. She believes that abstinence does not define a persons worth in any capacity. Jamie has worked closely with many physicians and providers to better understand the relationship between substance use and trauma, emotional system activation, and catastrophic language that can impact the way we see ourselves and the world around us. 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 growing family (pregnant with second baby boy), cats, hoop dance, and live music.  Jamie’s life and practice are driven by the idea: “Recovery is when you begin loving 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 clients to make lasting changes. She serves clients from late adolescence to adulthood in mental health and substance use counseling and works from a place of cultural humility. Trauma and perinatal care are areas of special interest.  Jennifer is an EMDR practitioner and holds a perinatal mental health certification (PMH-C).  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. 

Penina Boros
She/Her
Master's Level Clinical Intern
penina.boros@cayaclinic.com

Penina is in the last stages of completing her MS in Clinical Mental Health Counseling at Divine Mercy University. After earning an undergraduate degree in Psychology and Human Development and Family Studies from UW-Madison, she knew she wanted to pursue graduate school for counseling because of her deep desire to walk with people on the journey towards healing and flourishing. Penina uses a number of trauma-informed modalities combined with unconditional positive regard to address a myriad of different mental health and substance use challenges. Penina operates from the belief that every single person is fundamentally good and desires to help each person understand, embrace, and live out the good in themselves. Outside of counseling, Penina enjoys being in nature, baking sourdough, playing piano, and horseback riding.  

Madeline is a second-year student in Clinical Rehabilitation Counseling at UW-Madison who has worked with CAYA since May 2024.  Madeline has had experience working with a wide range of individuals before pursuing her master's and believes that building connections and creating community makes lasting impacts. She has worked with adults in various roles and has also enjoyed working with children. This has led her to seek opportunities working with children including psychoeducation workshops for parents and children and child-focused internship roles.  

As a clinical intern, Madeline aims to create a judgment-free and comforting environment. She believes that the counseling room is a place where you can discover yourself and her role is to help you achieve the goals you walk into the room with. Madeline uses a client-centered approach with DBT, REBT, and Existential Therapy frameworks. She believes these help clients see what an incredible human they already are. 

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 

Chloe Flesch is in the final year of completing her Master’s Degree in Clinical Mental Health Counseling and Substance Abuse Counseling from UW-Whitewater. Chloe has experience working with children, adolescents, and adults who have been impacted by mental health and/or substance use. She is passionate about working with children, especially those who are affected family members, and is dedicated to meeting clients of all backgrounds where they are at in their process.

Chloe uses a holistic and person-centered approach that pulls from ACT, DBT, narrative, and attachment modalities. This allows her to tailor treatment to individual needs and to create a safe space for all. Her clinical interests also include trauma, anxiety, depression, self-compassion, and exploring sexuality. In the words of one of Chloe’s favorite artists, “If you lose yourself, it is never too late to find yourself again. That when you stumble upon the person that you used to be, they will be so happy to see you.” -Halsey