Therapists

Ruxandra Fee is a Licensed Clinical Professional Counselor and National Certified Counselor. 

She received a Bachelor of Science in Psychology and Addiction Counseling from the University of Providence, Montana, and a Master of Science in Clinical Mental Health Counseling from the University of Providence, Montana. 

Ruxandra has a holistic Adlerian perspective and specializes in co-occurring disorders and trauma. Her graduate research focused on improving treatment for individuals with reactive attachment disorders. 

Ruxandra enjoys reading, knitting, hiking, gardening, and spending time with her family and friends.

Sarah is a Licensed Professional Counselor and Nationally Certified Counselor in our Boise office. 

She earned her Master’s degree in Clinical Mental Health Counseling from Walden University in 2020 and has worked in the mental health field since 2019. 

With a profound curiosity about the inner workings of the mind since she was young, Sarah’s drive in counseling is to provide a safe space for growth and exploration through cognitive behavioral therapy, motivational interviewing, and solution-focused therapy, especially for those who have experienced traumas, severe anxiety, and depression. 

Outside of counseling, Sarah enjoys reading, gaming with her boys, baking, camping, and spending time on the coast. 

Elena Ramirez, LMSW, specializes as a mental health therapist in our Caldwell office. Elena graduated with a Bachelor’s in Social Work from Boise State University in May of 2020. 

She continued her education and obtained her Master’s in Social Work in May 2021. 

Elena has a passion for supporting people struggling with depression, anxiety, past traumas, ADHD, and other mental health issues. 

In addition, Elena enjoys working with individuals from all age groups and gender orientations. She enjoys supporting people and helping them learn coping skills to overcome their struggles. 

When Elena is not working, she enjoys reading, watching movies, and spending time with her family. 

Duncan is a Licensed Master Social Worker in our Boise office. He has worked as a counselor since August 2022 and is ASAM certified. 

Duncan primarily uses CBT, solution-focused brief therapy, and DBT to provide treatment for a variety of mental health issues, including substance use disorders, anxiety, depression, mania, personality disorders, anger management issues, autism spectrum disorder, and psychosis. 

Duncan says one of the most rewarding parts of this work is watching the progress his clients make in therapy. 

When not working with clients, Duncan spends his free time playing tennis and watching sports.

 Carl was born and raised in Las Vegas, Nevada. He served in the U.S. Army from 1982 to 1986, after which he transitioned to construction work and volunteered with kids at his church. 

Over time, Carl realized that many of the children he worked with didn’t attend church, and his role shifted more toward social work. In 1990, he moved to Nampa, Idaho, to pursue a degree to become a youth pastor. However, Carl struggled with his studies, particularly finding courses on Wesleyan theology uninspiring, and was asked to leave after a year and a half.

Returning to construction, Carl eventually felt a calling to go back to school. In 1999, he enrolled in a social work program, which he found much more fulfilling. He appreciated the practical work of helping people, feeling it more closely aligned with the example set by Jesus, rather than studying others' interpretations. 

While in school, Carl developed a strong interest in addiction counseling. He graduated in 2002 and moved to Sandpoint, Idaho, to work as a youth pastor, supervising mission trips and youth activities for two years.

In his next role, Carl was recruited by a local boys' home, where he helped manage a farm/ranch, took the boys on camping trips in the summer, and skied in the winter. He also provided a structured home environment for some of the more challenging kids. His supervisors praised his work and encouraged him to pursue a master’s degree in counseling. 

Carl left the boys' home, adopted two children from the state of Idaho, and was able to stay home as a dad while completing his online studies. He earned his Master’s in Social Work in 2012.

Carl then worked on the Coeur d’Alene Reservation in Plummer, Idaho, focusing on mental health and addiction counseling until 2017. 

Afterward, he joined the PACT team in Spokane, Washington, but in November of that year, Carl followed his wife’s career move to Boise. 

In October 2018, Carl started working at HSI in Boise and Caldwell, specializing in addiction treatment. He left HSI in December 2020 to work for Syringa Behavioral Health in Caldwell.

In September 2023, Carl returned to HSI, where he continues to serve today.