Serving the Mental Health Needs of First Responders

First responders – from medical professionals to law enforcement, paramedics to firefighters and more – all encounter difficult, dangerous, and draining conditions on a daily basis. These responsibilities, while important to the entire community, are taxing on first responders and put them at risk of trauma such as PTSD, stress, and depression over time.

Our team of psychologists, nurse practitioners, licensed therapists, and other behavioral health providers are specialized and trained to deal directly with first responders and their families. Request an appointment using the button below to start the journey towards better mental health.

Please note, while we attempt to schedule as quickly as possible, request forms submitted outside of 9:00 am - 5:00 pm will receive appointment responses during business hours.

If you have additional questions, please call us at 515-489-0711.

meet some of our team

Deanna Engrav

Deanna Engrav, LMFT

I received my degree specializing in Marriage and Family Therapy from Mount Mercy University in Cedar Rapids, Iowa. I enjoy working with teens, college students, adults, couples and families. My approach to therapy is integrative with priority given to Cognitive Behavioral Therapy. I look forward to meeting with you and beginning this incredible transition together!


Megan Thompson-Hansen

Megan Thompson-Hansen, LMSW, CADC

I am a Licensed Social Worker providing mental health therapy services to adults. I have several years of experience facilitating individual and group sessions for individuals facing substance use challenges and have a background in hospice work as well. When working with clients, I use a variety of practices including compassion-focused therapy, mindfulness, acceptance and commitment therapy, dialectical behavioral therapy and cognitive behavioral therapy. I always use a person-centered approach and tailor your therapeutic experience to fit your unique needs.


Melissa Wubben, LMHC, CADC

I am a Licensed Mental Health Counselor and Certified Alcohol and Drug Counselor and have been providing therapy for children, adolescents, and adults since 2002. I use a dynamic approach to therapy, drawing from several specialties including client centered, interpersonal, motivational, acceptance-commitment, and cognitive behavioral techniques. Looking forward to working with people from all different backgrounds and I value the unique circumstances each person brings with him or her regarding all aspects of diversity!



John Avritt, Ph.D., LMHC, LPC-S

I am a PhD in Counselor Education from Texas Tech University and is licensed in both Iowa and Texas. I specializes in adult and adolescent therapy, primarily utilizing cognitive behavior therapy and solution focused therapy.  I also do extensive work with soldiers as a Master Resiliency Trainer, training military leadership on resiliency skills and techniques. I formerly was the coordinator for counseling services at Texas State Technical College in Waco.