About Us

Julie Ramisch, Ph.D., LMFT

Licensed Marriage and Family Therapist

License #T1160

Practice owner and supervisor

Lorilynn Espinoza, M.S.

Professional Counselor Registered Intern

Registration #R5184

Supervised by Julie Ramisch, Ph.D., LMFT

Michele Warner, M.A.

Licensed Professional Counselor

License #C1041


Renae Melgaard


Office Manager


As a therapist I am trained to provide brief, specific, and solution-focused services to individuals, couples, and families. I help all types of clients to help each person feel better about themselves and their relationship with others. You can learn more about marriage and family therapy here. Overall, my basic goal is to help my clients feel like therapy was a successful experience.

Quick Facts:

  • Fully licensed Marriage and Family Therapist in Illinois and Oregon
  • License No. 166.000892 (IL) & T1160 (OR)
  • AAMFT Clinical Fellow and Approved Supervisor
  • Advanced training in Emotionally Focused Therapy (EFT) for couples (http://www.iceeft.com/)
  • Experience as visiting faculty at Wheaton College in the Clinical Psychology program (2016) and as full-time faculty at Northern Illinois University in the Specialization of Marriage and Family Therapy program (2012-2015)

My counseling experience includes working with children and youth who are experiencing anxiety, stress, and relational conflicts at school and/or at home. I also have experience working with individuals and families dealing with terminal illness and loss.

At Coastal Center for Collaborative Health I work with individuals, couples, children, and families dealing with a range of concerns including depression, anxiety, and relationship challenges. I help children with managing their emotions and behaviors and I also help parents learn to help their children at home and at school.

I have 28 years experience working with children, families, adults, and couples of most every "variety". My current focus is individuals who have managed to survive all those earlier journeys and now find themselves navigating new territory (retirement, changing work environment, "empty nest", declining health, care giving, grief and new opportunities). My goal is to help you recognize the wisdom, strength and determination you've already developed in order to live your best and most meaningful life in the present.

This work usually involves understanding how lifetime triumphs, "mistakes", losses and traumas have shaped and enhanced who we are in our older years. Appreciating our resilience and nurturing our health, positive connections and potential for lifelong growth help inoculate us from the hazards of ageism, loneliness and depression.

I will listen to you, respect you, and respect your experiences. I will help you find and appreciate those unique treasures hidden within you. We can explore options and possibilities. You will decide how and if you want to use them.

I am here to help you get started at Coastal Center for Collaborative Health. I am also here to answer any questions you may have and to help you check in for your appointments. I look forward to meeting you!