Prior to her time with Pyramid Healthcare, Jessie managed a clinically integrated treatment program with a focus on trauma, eating disorders, and addiction. She has worked in trauma-specific, gender-specific, and developmentally-specific therapeutic settings in her career providing treatment and program management for the adolescent, young adult, and midlife adult populations. She has also served on the founding executive committee of the International Association of Eating Disorder Professionals, Atlanta Chapter.
Jessie’s primary focus is in clinically integrated treatment and complex trauma. She has contributed to research and presented on a range of topics including the midlife stage of development and substance use trends, treatment integration for trauma and eating disorders, family dynamics, the phase-oriented approach to trauma treatment, psychophysiology and coping skills, multicultural bias in clinicians, and high-risk behaviors and substance use. Jessie completed her undergraduate education with dual degrees in Psychology and Family, Child, and Consumer Sciences, and received her graduate education from Georgia State University in Professional Counseling.
ASHLEY GARNER, LCSW, LCAS, CCS-I
Director of Outpatient Clinical Services and Quality Management
Ashley is originally from Asheboro, NC where she graduated with a degree in Photojournalism in 2008, working as a staff photographer in NC until 2010. Ashley enjoyed advocating for others through photography and felt honored to document every day challenges and successes through photography, but was left with a desire to become more involved with working with others.
Ashley has worked in an outpatient setting since 2015 in rural WNC and in Asheville, NC providing direct care across the lifespan. She approaches therapy with a focus on relationships, how to build healthy connections with others, and working with clients to find a meaningful direction in life. Ashley also incorporates her own personal recovery experiences into working with others, when appropriate. She utilizes a variety of approaches when working with others, primarily incorporating Acceptance and Commitment therapy. Ashley has many roles at Real Recovery, which include meeting with all new clients for intakes, community referrals, individual therapy, coordinating discharges, tracking data outcomes for Real Recovery, and working directly with insurance carriers. When she is not in the office, she spends her time at flea markets, photographing WNC, eating cheap Mexican food, and raising a toddler.
Andy is originally from Knoxville, TN and, for much of his adult life, worked in corporate healthcare in operations, management, and compliance. During his time in corporate healthcare, Andy attended University of Tennessee and graduated with his bachelor’s degree that prepared him for law school with the plan to continue his healthcare career in medical law. During this transitional time in his life, he cites three events that led him to a career shift and to psychotherapy, which were the birth of his son, the overdose and death of a close family member, and his own personal journey as a client in psychotherapy.
Andy attended University of Tennessee College of Social Work and graduated with his Master’s of Science in Social Work in 2014 from a program that academically emphasized neuroscience, which is where his love for the brain developed. Andy began practicing in TN working with indigent children and families and adults with substance use disorders. In 2017, Andy moved with his son to Asheville, NC to get married. Andy began work in Substance Abuse Intensive Outpatient at a local community mental health center.
In his psychotherapeutic work, Andy emphasizes and attempts to create awareness of neurochemical changes in the brain connected with intense experiences and substance use. When working with clients, Andy attempts to highlight the worthiness of their decisions that led them to treatment establishing a judgment free space in which to heal. Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness, Motivational Interviewing, Stages of Change, and Developmental Trauma are approaches and modalities that Andy uses in psychotherapy that allow the clients to focus on identity and purpose.
Brian obtained his Master’s degree in Clinical Mental Health Counseling from Appalachian State University in Boone, North Carolina. He completed his Bachelor’s degree in Psychology from the University of Central Florida in Orlando where he grew up. After graduation, Brian hiked the entirety of the Appalachian Trail, over 2,000 miles, and has called the mountains home ever since.
Brian is passionate about supporting people in improving the quality of their lives – accompanying them in their struggles as well as providing them direction. His own personal journey serves as an inspiration for this passion and allows him to relate to others and fiercely believe in their capacity to change. He sees individuals through a strengths-based lens: that they are resilient and resourced in having navigated their struggles thus far with the knowledge and options available to them. Therapy often consists of discovering those resources and replacing any maladaptive coping skills by learning new ways to meet wants and needs more effectively.
When not working, you can most often find Brian enjoying the simpler pleasures in life: reading novels, cooking, and hiking as well as yoga, stand-up paddle boarding and pickleball (Google it!).
Sarah grew up in Aiken, South Carolina. She moved to North Carolina when obtaining her undergraduate degree in Biology at Guilford College in Greensboro, NC. After pursuing multiple routes of inquiry about what she wanted to do with her life (and finding out that medical school and laboratory research were not her passions), she began to further consider counseling after taking several psychology classes and becoming curious about how humans function, how living life impacts their emotions and behaviors, what they do that gets in their way, and how they can support themselves to make their lives more meaningful.
Sarah received her Master’s degree in Clinical Mental Health Counseling from Appalachian State University in Boone, NC in December of 2016. Prior to joining Real Recovery, she worked in community mental health at Meridian Behavioral Health Services in Waynesville, NC for 3 years. While at Meridian, she conducted assessments, engaged in crisis work, connected with clients in the community who were unable to engage with services due to transportation barriers, and facilitated psychoeducational groups on resilience, self-compassion, healing from trauma, ACT, DBT, and CBT.
At Real Recovery, Sarah runs the women’s SAIOP group, in addition to a weekly PHP group and facilitating individual counseling. She is particularly passionate about resiliency, trauma-informed recovery approaches, incorporating spirituality into recovery, and self-compassion. She believes that connection – with self, others, and the sacred- is crucial to recovery. In her personal time, Sarah enjoys learning to ride her motorcycle, cooking, attending concerts (particularly of the rock variety), adventuring via new life experiences (such as attending NASCAR races), running, and hiking. She is involved in the Sacred Fire Community in Maggie Valley as a support for self-care, connection to the divine, self-discovery, and finding community with other humans as they go through the joys and struggles that life brings.
A native of western North Carolina, Shana’s passion for substance use and mental health recovery was ignited in 2006 during her personal journey through inpatient treatment. After taking several psychology classes at a local community college, Shana continued her education at Mars Hill University and graduated in 2014 with a bachelor’s degree in social work. Following graduation, Shana worked with the aging adult population for five years in social services and low-income housing settings. In 2019 she decided to pursue a master’s degree in social work with a concentration in clinical addiction counseling and graduated from East Tennessee State University in May 2021.
Shana joined the Real Recovery team in May 2021 as a primary therapist. She works with clients using a systems perspective and strengths-based perspective. Shana views client problems through a trauma-informed lens using Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Mindfulness techniques.
Shana enjoys gardening, making arts and crafts, and spending time with family and six pets.
Born and raised in Atlanta, GA, Josh is a transplant to Asheville. Josh completed his master’s degree in clinical mental health counseling from Lamar University in Beaumont, Texas. Throughout his professional career, Josh has worked primarily in addiction treatment – serving as resident assistant, intake coordinator, aftercare coordinator and primary therapist. With full understanding of the continuum of care, he is passionate about working with those seeking to orient their life and find freedom.
Josh believes that each individual holds a unique spark. Often our adverse experiences, limiting beliefs, the impacts of others and the devastating effects of substance abuse will smother that divine inner spark. Through a psychodynamic approach, utilizing ACT, CBT and mindfulness, Josh works with clients to re-engage with themselves and walk the road to freedom.
Josh has hiked the entirety of the Appalachian Trail, 700 miles of the Pacific Crest Trail and finds solace and peace in the mountains. In his free time he enjoys hiking, rock climbing, running, live music and exploring all that Asheville has to offer.
A Hendersonville native, Deborah VanWieren began her career in 1987 with inpatient adolescent work and over the years has developed a fascination with substance use disorders and the impact the disorder has on individuals, families, and society. She has experience working with both mental health and substance use disorders and enjoys working with families, individuals, children and adults in their home, in inpatient settings, and as an outpatient therapist. She is also a guest lecturer in addictions treatment at colleges and universities.
Deborah completed her undergraduate work in psychology at The University of North Carolina at Asheville and earned a Master’s degree at Montreat College in Clinical Mental Health Counseling.
Deborah’s clinical focus is trauma work and attachment, and how these elements contribute to the development of substance use disorders. She enjoys assessment work and helping clients believe that a better life is possible with hard work and perseverance. She sees herself as a conduit and witness for change; clients make the decision to tell their story and find meaning.
Deborah is enjoying life as a newlywed. She and her husband enjoy traveling, fishing at the Outer Banks, and exploring the mountains.
Dr. Brady Schroer holds a BS in Biopsychology with an emphasis in Chemistry. He attended medical school at Kansas City University of Medicine and Biosciences. After medical school, he completed his general psychiatry residency at an internationally known psychiatric clinic. Dr. Schroer later worked in a large hospital setting for five years as a psychiatric hospitalist taking care of geriatric patients, caring for patients with psychiatric issues on the medical floors and ICUs (intensive care units), detoxifying clients from alcohol and benzodiazepines, ECT treatment for depression, and served as Medical Director and Chief of Psychiatry.
Dr. Schroer moved to Western North Carolina in 2007 to become the Medical Director of the inpatient psychiatric unit and the detoxification unit at one of the area’s top hospitals and served for seven years in that capacity. Most recently, he has been treating adolescents and adults in sober living environments, residential treatment centers, community behavioral health, and outpatient settings.
James was born on a farm outside of a small town in southeastern Wisconsin. During high school and college he began to struggle with drugs and alcohol. Eventually this lead to admittance to several substance abuse programs. While getting sober, a few staff members had a profound affect on him in their eagerness to help struggling addicts.
After moving to Asheville, James began working at a wilderness treatment program in the area where he got his start in substance abuse. While there he started work on his Certified Substance Abuse Counselor (CSAC) credential. James started as a House Manager with Real Recovery, but moved to Program Assistant in 2017. He now has his CSAC credential and is looking to go back to school and pursue a master’s level clinical education.
Lee Ann was born and raised in Grassy Fork, TN and she is a mother to three beautiful children. Lee Ann has worked in healthcare for 15+ years and joins Real Recovery as our medical assistant, providing support to our psychiatric and medical providers. Lee Ann assists with scheduling clients for all medical and psychiatric appointments in-house and external referrals as needed. She provides education to clients regarding medication and physical health well-being. Lee Ann also works directly with insurance carriers to obtain coverage of medications, including Vivitrol and Sublocade.
A native of Raleigh, NC, a graduate of UNCW, and a background ranging from film production to software sales, B.’s singular qualification for this role is his recovery. There is nothing he takes more seriously or is more passionate about.
B.’s purpose is to help as many people as possible. His job is to educate the treatment world on the wonders of Real Recovery and work with clients and their families to determine if Real Recovery is a good fit.