Proudly providing excellence to Siouxlanders through our patient care since 1998.
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Our Mission

The mission of Mental Health Associates is to provide the highest quality mental health services, with a commitment to each individual at any stage of their life, and to provide research-based therapeutic services by highly trained and independently licensed professionals.

Committed To Your Mental Health

  • ADHD
  • Autism Spectrum Disorders
  • Anxiety Disorders
  • Chronic Illness and Pain
  • Defiance and Tantrums
  • Educational Problems
  • Trauma Responses
  • Gender Issues
  • Mood Disorders
  • Psychotic Disorders
  • Relationship Issues
  • Sleep Disturbances
  • Stressful Life Events

Reasons Clients Continue to Choose Mental Health & Associates


Denise Marandola, PhD has over 20 years experience providing therapy and Psychological testing services.


 Michelle Buhman-Livermore, LISW is a certified Clinical Trauma Specialist-Family


Gladys Smith, LISW has over 30 years working with adolescents.


Melissa Lee, LISW Melissa has over 20 years of experience working with grief, life changes, and complex medical conditions.


Laura Malcolm, LMSW Laura’s areas of expertise include anxiety, depression, postpartum depression, stress management, self-esteem, and relationship issues


Carmen Hoogers, MS, LMHC has 12 years of experience in both private and agency practice. She specializes in anxiety, OCD, depression, grief, life transitions, and relationship issues. She offers individual, couple, and family therapy.


Ashley Ewoldt, tLMHC, NCC has experience in using Dialectical Behavioral Therapy and Cognitive Behavioral Therapy, with specializing in Anxiety, Depression, Grief, Trauma, Adjustment Disorders, and sports performance


Denise Thelander, LISW integrates various therapeutic modalities, with a strong emphasis on somatic body-based trauma therapy. Denise guides clients in exploring physical sensations, releasing tension, and fostering emotional resilience. Her goal is to empower clients to reconnect with their bodies, process difficult experiences, and achieve lasting healing.

Mental Health AssociatesStaff

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Denise Marandola, Ph.D

Dr. Denise Marandola is a Clinical Psychologist who received her undergraduate degree in Psychology from Morningside College. Master’s Degree from the University of Nebraska at Omaha and her Ph.D. in Clinical Psychology from the University of South Dakota.

Michelle Buhman-Livermore, LISW, CCTS-F

Michelle earned her master's degree in social work from the University of Nebraska-Omaha. She is a licensed Independent Social Worker and Certified Clinical Trauma Specialist.

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Gladys Smith, LISW

Gladys has over 35 years of clinical experience in a variety of human services settings. She has provided individual, group and family therapy in inpatient, outpatient and residential settings.

Melissa Lee, LISW

Melissa has a master’s degree from University of North Dakota. Melissa is certified in DBT and DBT-C. Melissa strives to continuously pursue training to enhance her ability to use evidence-based interventions to meet the needs of the clients that she serves.

Laura Malcolm, LMSW

Laura has her degree in Social Work from the University of Iowa and is certified in trauma-based CBT and Eco therapy. Laura’s approach to therapy is to provide genuineness, empathy, and acceptance in a nonjudgmental environment.

Carmen Hoogers, MS, LMHC

I work with adolescents and adults 16 and up. I offer individual and family therapy, as well as parental guidance. I am experienced in treating OCD, depression, anxiety, PTSD, behavioral issues, grief, adjustment issues, academic underachievement, ADHD, parenting issues, relationship distress, couples therapy, and improving peoples’ career and personal success.

Ashley Ewoldt, tLMHC, NCC

Ashley prides herself in being a kind and compassionate person, and as always had a passion for helping others, all shapes and sizes from all different ages. With experience in using Dialectical Behavioral Therapy and Cognitive Behavioral Therapy, with specializing in Anxiety, Depression, Grief, Trauma, and Adjustment Disorders.

Denise Thelander, LISW

Denise Thelander, LISW, incorporates a specialized focus on Trauma-Informed Care. With over three years of experience as a therapist and a diverse background working with children, families, and adults in both clinical and school settings. Denise is committed to helping clients heal through personalized approaches. Denise’s practice integrates various therapeutic modalities, with a strong emphasis on somatic body-based trauma therapy.

Our excellent office staff that makes your appointments, and helps keep everything running smoothly for you and our providers.

Mental Health Associates'Services Provided

Specialized Diagnosis of Autism Spectrum Disorders (with the ADOS)

Individuals, Family, Marital, and Couples (Traditional and Nontraditional) Therapies

Psychological Evaluations and Psychological Testing
Group Therapy

Age Ranges: from 2 to Adults

Some Providers Available for Public Speaking
Our location
2212 Pierce Street, Suite 100, Sioux City, IA 51104
Call Us
(712)255-8323
Fax
(712)255-8287