Find a therapist in Saint Augustine, FL — covered by insurance

I'm a licensed psychologist working with adolescents, adults, and seniors navigating anxiety, depression, grief, significant life changes, or challenges with attention and focus. My goal is to offer a safe, affirming space to explore your life, your story, and what matters most to you — your experiences, your values, and where you hope to go. You are a complex, whole person made up of many parts — and there is room here for all of them.

You might look like you have it together—but inside, your mind doesn’t slow down. You overthink conversations, second-guess decisions, and feel constant pressure to stay “on” at school, work, or in relationships. When things finally get quiet, your brain doesn’t—it gets louder. I work with adolescents and young adults who are tired of feeling stuck in that cycle. Many of my clients are high-functioning on the outside but internally overwhelmed, anxious, or mentally exhausted. They don’t just want to “talk about feelings”—they want real tools that actually help.

Marsel Kogan is a board-certified psychiatric-mental health and family nurse practitioner providing evidence-based care for adults. He specializes in psychiatric evaluation and medication management, with a collaborative, goal-focused approach. With experience in outpatient psychiatry, urgent care, and occupational medicine, he offers whole-person care. He is bilingual in Russian and English.

Whether you are carrying the weight of trauma, feeling worn down by anxiety or depression, or working through a painful loss or a strained relationship, you deserve a space where you feel understood and genuinely supported. I am Shanda, a Licensed Clinical Social Worker with 28 years of experience walking alongside adults, couples, and families through life's hardest seasons. My style is open-minded, empowering, and solution-oriented. I will meet you with warmth and without judgment, and I focus on real, practical steps forward. When you are ready, I would be honored to see if we are a good fit.

I believe therapy is a collaborative journey—not a quick fix. If you or your child are feeling overwhelmed, stuck, or weighed down by stress, anxiety, or past experiences, you don’t have to navigate it alone. I work with adults and children, bringing warmth, compassion, and a strengths-based approach to each session. My goal is to create a safe, nonjudgmental space where clients can explore challenges, reconnect with their strengths, and move toward a more fulfilling life. I integrate trauma-informed practices and, when it feels helpful, nature-based techniques to support grounding, perspective, and growth. I’m here to guide and empower you—while helping you take meaningful, practical steps forward.

Refined Beginnings Counseling takes the focus off of issues and highlights solutions. Refined Beginnings Counseling LLC supports an environment that is least restrictive, provides for confidentiality, and convenience by offering tele-mental health services in Florida and both tele-mental health and office visits to clients in Georgia.