Carolina House Staff

Carolina House’s experienced treatment team endorses self-responsibility, encouraging each patient to take an active role in recovery through honest assessment of current functioning and through full program participation.

Tammy Helen Holcomb, MS, EdS, LPC

Executive Director

Tammy Holcomb is a native of Savannah, GA, and earned her Master’s Degree in Community Counseling and Specialist Degree in Counseling Education from Georgia State University in Atlanta.

Tammy began working with the Eating Disorder Community in 1987 on an acute care inpatient eating disorder unit at a psychiatric hospital in Atlanta. For 19 years, she ran her own private practice, Stargazer Counseling, and was widely recognized in the metro Atlanta area for her work in treating sexual trauma, eating disorders and addictions.

Tammy worked on inpatient eating disorder units at Brawner Psychiatric Hospital, Peachford Hospital and Ridgeview Institute. In addition to working in inpatient facilities, she created outpatient programs at Kaiser Permanente and Stargazer Counseling. Since education is a big part of prevention, Tammy has been a featured speaker at many colleges and universities, school districts and treatment facilities. Tammy believes that eating disorders are best treated by a team approach. This is one of the many factors that lead to her move to North Carolina in 2012 to join the Carolina House team. After many years of working with some of the best programs in the Georgia area, she wanted to be part of a program that provided a haven for women to heal on many levels. At Carolina House, Tammy found a beautiful wooded atmosphere for clients to take a break from their busy lives and reconnect with both nature and themselves. It provided all of the elements that she believes lead to long-term recovery from an eating disorder.

For her own well-being, Tammy enjoys hiking with her husband and border collie, watching her daughter play softball, reading novels and watching movies. She also enjoys drumming and looking at the stars.

Christy Baker Rogers, MSW, LCSW

Clinical Director Raleigh

Christy completed her undergraduate degree at the University of North Carolina at Chapel Hill, and afterwards entered the University of North Carolina at Chapel Hill School of Social Work, where she completed her Masters degree, developed a passion for, and began her research in the treatment of eating disorders.

She then spent two years working in a child and adolescent mental health clinic in Richmond, Virginia where she specialized in abuse, neglect and violent trauma. Christy provided both individual and family therapy there and employed evidence-based cognitive behavioral, psychodynamic, and extensive play therapy techniques. She received specialized training in the treatment of physical and sexual abuse and acute trauma with children and adolescents. Christy also gained experience working with a broad array of mental health issues including but not limited to Posttraumatic Stress Disorder, depression, anxiety, grief and loss, personality disorders, crisis management, and domestic violence. After having extensive experience with abuse and trauma, Christy observed strong co-morbidity with these issues and histories of body image distortions, self-harm, and eating disorders. This led her to continue following her interest in eating disorder treatment at Carolina House.

Since beginning work at Carolina House, Christy spent several years as a staff psychotherapist before becoming the facilitys Clinical Director. During her time as a staff psychotherapist, Christy has led the development of and facilitated the Interpersonal Process Group at Carolina House. This experience has included training other therapists in interpersonal process group therapy techniques. Christy has provided individual, family, and couples therapy for her patients, during which she has developed an approach that blends relational and psychodynamic models with evidenced-based Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) techniques. Christy is also interested in how Acceptance and Commitment Therapy (ACT) can be used in conjunction with DBT in the eating disorder population. These techniques and others, such as narrative therapy, inform her work specifically with patients who have experienced trauma and subsequently use their eating disorders to help them cope. In addition, Christy is working towards her Certified Eating Disorder Specialist (CEDS) certification.

In her free time, Christy enjoys spending time with her family and friends, traveling whenever possible, going to concerts, and watching Tar Heel sports.

Rachel Stevens, PsyD

Clinical Director Durham

Rachel joined the staff of Carolina House in 2008, after completing her doctoral degree in Psychology at Nova Southeastern University in Fort Lauderdale, FL. Rachel became interested in aiding persons struggling with eating disorders midway through her coursework at NSU when she began working as a Counselor at The Renfrew Center. As she approached the end of her scholastic career, Rachel helped to develop a pre-doctoral psychology internship program at The Renfrew Center and was one of the Center’s first interns.

Rachel has experience in facilitating and forming different psycho-educational and process groups and enjoys group therapy as a primary modality for change. While at Renfrew, she developed Cinematherapy 1 and 2, a therapeutic group which incorporates film as a vehicle to explore inter- and intra-personal issues. She also developed a beginner’s Power of Now group utilizing mindfulness as a primary building block to change.

Along with eating disorders, Rachel has experience with neuropsychological testing and has worked with children classified as Severely Emotionally Disturbed. She utilizes a variety of different psychotherapeutic modalities and techniques, including family and group therapy, insight-oriented psychodynamic therapy, cognitive behavioral therapy, and existential therapy. She is interested in incorporating Dialectical Behavior Therapy into her individual therapy as an adjunct to the mindfulness skills she teaches and practices.

Outside of work, Rachel enjoys hiking through the change of seasons, movie-going, reading, cooking, playing with her cat, and listening to music.

Emily Shigley, MSW, LCSW

Staff Therapist

Emily joined the staff of Carolina House after spending five years working as an outpatient therapist with children, families and young adults. In her work, she employed psychodynamic and cognitive therapies using play, talk, and family therapies. She also gained experience working with a broad array of mental health issues including Posttraumatic Stress Disorder, depression, anxiety, bereavement, adjustment issues, personality disorders, substance abuse and trauma history. After completing her undergraduate degree at the East Carolina University, she entered the University Of South Carolina School Of Social Work where she completed her Masters degree. Emily is especially interested in womens health issues.

Christa Martin, MSW, LCSW

Staff Therapist

Christa completed her undergraduate studies at UNC-Chapel Hill and then worked in the field of child development research until returning to UNC-Chapel Hill to attend the School of Social Work. Prior to joining Carolina House she worked with adolescents, adults, couples, and families in outpatient, in-home, and day treatment settings. She also received specialized training in the treatment of children and adolescents who experienced physical and sexual abuse and/or acute trauma. In her clinical practice, Christa has built experience working with a broad array of mental health issues including Posttraumatic Stress Disorder and trauma histories, personality disorders, eating disorders, depression, anxiety, bereavement, attachment disorders, and substance abuse. In her free time, Christa enjoys rock climbing, hiking, practicing yoga, and spending time with loved ones.

Eileen Chiaro, MSW, LCSW

Staff Therapist

Eileen received her Bachelor of Science Degree in Psychology from Indiana University and attended UNC Charlotte for her Masters in Social Work. Eileen is our Dialectical Behavior Therapy specialist at Carolina House. She has a strong belief in healing through the understanding of emotions, mindfulness and effective skill usage to help decrease Eating Disorder symptoms and suffering. Prior to joining the Carolina House team in January, Eileen was working in Charlotte as an outpatient therapist for adults and adolescents struggling with an array of mental health diagnosis, and building a focus on the treatment of Eating Disorders. Eileen concentrated the majority of her gradual school work on the treatment of Eating Disorders and DBT. Eileen has additional experience working in the public mental health sector providing individual and family counseling for children and adolescents struggling with behavioral problems, depression, anxiety, PTSD, abuse, neglect and fractured family systems. In her free time, Eileen enjoys traveling, yoga and spending time with friends and family.

Rachell Davis, RN, MSN, PMHNP-BC

Director of Medical Services

Rachell Davis has 17 years of nursing experience. She has worked in various clinical settings in both staff nurse and supervisory roles including long-term care, Intensive Care, Emergency Care and Tertiary care. Rachell developed a passion for psychiatric nursing later in her career and for the last 6 years she has worked in both inpatient and outpatient mental health settings . In May of 2011 Rachell graduated from the University of North Carolina at Chapel Hill with a MSN degree. She completed a dual certification program for Family Psychiatric Mental Health Nurse Practitioner and Adult Psychiatric Clinical Nurse Specialist. She enjoys traveling, reading and spending time with family and friends.

Jennifer Burnell, MS, RD/LDN

Registered Dietitian / Nutrition Therapist

A native of Long Island, New York, Jennifer has specialized in eating disorder counseling since 2003. Her previous experiences include Outpatient Dietitian for the UNC Eating Disorders program in Chapel Hill, North Carolina and the Nutrition Therapist at the Eating Disorder Recovery Center of Athens, Georgia. Jennifer received her Bachelors in Public Health Nutrition from the University of North Carolina, Chapel Hill, and received her Masters in Nutrition at UGA. In Georgia she worked at local hospitals and in private practice teaching hundreds of clients healthy lifestyle habits in both one on one and group education settings.

Lauren Elder, MPH, RD/LDN

Clinical Nutrition Therapist

A native of Dallas, TX, Lauren have been treating eating disorders since 2008. Her experience includes working with private practice dietitians in outpatient settings, working as a study coordinator at the UNC Center of Excellence for Eating Disorders and interning with dietitians at Renfrew Center as well as the South Island Eating Disorder Service in Christchurch, New Zealand. Lauren also worked as a dietetic intern for Nutrition in Medicine to develop evidence-based clinical nutrition curriculum for practicing physicians and interned with dietitians at Piedmont Health Services in the WIC Department and Presbyterian Hospital in Charlotte, NC. Lauren completed her Bachelors in Business Administration at Furman University in Greenville, SC, then went on to complete her Masters of Public Health Dietetics program at the Gillings School of Global Public Health at UNC Chapel Hill. In her free time, Lauren enjoys yoga, traveling, spending time with friends, going to Bible study, and swimming.

Janet Lehr, Staff Physician


Dr. Janet Lehr attended De Anza College in Cupertino, CA where she earned her Associate Degree in Nursing and then attended Florida State University where she earned a BS in Biology. She received her MD at the University of Florida in 1982. In 1985, Dr. Lehr completed her family practice residency at Carswell Air Force Base in Texas. She was board certified that same year. Dr. Lehr served in the US Air Force as a family physician at RAF in Upper Heyford, England and at Pope AFB in North Carolina. She has also worked at the Duke Department of Community and Family Medicine and at Duke Student Health in Durham, NC. Along with being the Carolina House physician, Dr. Lehr is currently in private practice at Integrative Physicians in Durham.

Rachel Lewis-Marlow, LPC

Staff Psychotherapist

Rachel joined the staff of Carolina House in 2012 and brings with her training in Sensorimotor Psychotherapy. She combines Sensorimotor Psychotherapy with DBT, CBT, Gestalt therapy, art therapy and movement therapy interventions in the treatment of eating disorders and commonly co-occurring issues related to trauma, personality disorders, and attachment disorders. Rachel received her Masters degree in Counseling from the University of North Carolina at Greensboro and has been in clinical practice working with adults, adolescents, children and families.

In addition to her psychotherapeutic practice, Rachel has extensive experience working with and through the body to support emotional, behavioral, cognitive and physical change and growth. Rachel received her undergraduate degree in dance from Bennington College and is a Licensed Massage and Bodywork Therapist (LMBT). Her somatically integrative approach to psychotherapy incorporates over 25 years of experience as a massage and bodywork therapist, teacher, modern dancer, choreographer, movement educator and women’s health educator. Rachel focuses on the body’s unique capacity to give voice to the subconscious and lay the foundation for psychological health and the healing process.

Paula Scatoloni, LCSW

Body Movement Therapist

Paula is a Licensed Clinical Social Worker (LCSW). She received her Masters degree in Social Work from the University of Hawaii at Manoa in 1999. Paula has been utilizing expressive arts in the treatment of disordered eating for over eight years in Honolulu, Hawaii. In 2001, Paula co-founded ‘Ai Pono, Hawaii’s first intensive outpatient program for disordered eating with Anita Johnston, Ph.D (author, Eating in the Light of the Moon). Her experience in the mind-body connection includes: yoga, Metler-based creative dance, 5-Rythyms, authentic movement, expressive art therapy, and Shake Your Soul?. Paula became certified to teach Shake Your Soul?, Kripalu DansKinetics in 2006. Paula incorporates her passion for dance and her own recovery to engage women of all ages in enhancing body connection and celebrating diversity inside and out. Her on-going training in body-centered therapy explores the subtle ways in which the body communicates and fosters creativity through mindfulness of breath and movement. She is a member of Kripalu Danskinetics? Teachers Association and the International Association for Creative Dance. Paula is currently the Coordinator of the Eating and Body Image Concerns Team at Duke University, Counseling and Psychological Services.

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Daya Breckinridge, RN, MSN, FNP

Yoga and Mindfulness Instructor

Daya is a nurse with a long-standing interest in yoga and mindfulness practice. She has studied with Jon Kabat-Zinn and established the Mindfulness-based Stress and Pain Management program at The University of North Carolina at Chapel Hill. In addition, she has her own yoga studio, Yoga in the Hood, in Durham, NC. Concurrent with her work at Carolina House, Daya teaches in Duke University’s Accelerated Bachelor of Science in Nursing program. She brings to our program several years of experience working with clients in a residential program for women recovering from substance abuse.

Eva Miller, MPS, ATR

Art Therapist

Eva Miller is a registered art therapist. She obtained her Master’s degree in Art Therapy & Creativity Development from the Pratt Institute program. She has over ten years of experience providing individual and group art therapy to children, adolescents, adults, and seniors. Her work has taken place in a variety of settings to include schools, psychiatric hospitals, community support agencies, rehabilitation facilities, group homes, and clinics. Eva is one of the co-founders of the N.C. Art Therapy Institute, and believes in the healing power of the arts. Eva holds an undergraduate degree in studio art from the University of North Carolina at Chapel Hill. She enjoys using collage and pastels in her personal artwork, and lots of color!

Chris Minor

Office Manager/HR Coordinator

Chris has worked in the medical field for over thirty years as practice manager and certified medical assistant. Most recently, she was the office manager at a private psychiatric office in Raleigh for seven years; prior to that, Chris was the Practice Manager/CMA at a family practice office in Chatham County, North Carolina for twenty-two years. Chris has completed a certificate program in healthcare management from Saint Joseph’s College.

Anh Ignacio

Marketing Director

Anh has twelve years of experience in sales and marketing in the healthcare industry. She received her B.A. from Southern Methodist University in Communications and International Business. Anh has a background in pharmaceutical sales with specialization in behavioral health and adolescent medicine. She enjoys traveling, writing and spending time with her husband and two children.

Andria Koller, MAEd

Intake Coordinator

Andria graduated with her Masters degree in counseling from Missouri Baptist University in 2005. Andria has a background in a variety of fields including providing therapy for adolescents and adults with eating disorders. While working in a mental health managed healthcare facility for Missouri Medicaid members, Andria provided crisis counseling at a mental health crisis call center. In August 2012, Andria moved from St. Louis, MO, to North Carolina to join the staff at Carolina House. She is happy to be with Carolina House and is dedicated to helping individuals explore treatment options. In her spare time, Andria enjoys spending time with her pug Fancy, cooking, dancing, and engaging in learning new hobbies.

Dani Black


Dani has over 25 years of experience in a wide variety of restaurant situations, including owning and operating a restaurant, helping to create The Refectory at Duke University, as well as private catering and consulting. She began training as a chef by cooking from scratch with fresh produce from the farmer’s market, and selling at market. She has a deep interest in the community and interconnectedness of food production, markets, eating and cooking, and a strong belief in working to have a good relationship with food in our world. She loves teaching and encouraging people to grow, cook, and enjoy food. As a single mom of two daughters, she’s learned that for most of us, real-life cooking needs to be realistic and economical, but also healthful and yummy, which can be achieved with incredibly fresh food, simply prepared.

Dianne Roundtree

Human Resources Coordinator

Dianne joined Carolina House in 2009 after graduating magna cum laude from UNC-Wilmington with a Bachelors in Psychology and a Minor in Community Health. While at UNC-Wilmington Dianne participated in research involving domestic violence, worked at Costal Horizons working with at risk children and teenagers, and completed an internship at Chrysalis Center for Counseling and Eating Disorder Treatment. Dianne was involved in several honors groups including Psi Chi, Phi Kappa Phi, and AmeriCorp. In the future Dianne plans on obtaining a higher degree in psychology. During her free time she enjoys spending time with her husband, family, friends, and playing with her two dogs and cat. In her spare time Dianne also enjoys traveling, camping, and volunteering for various organizations.

RPA - Residential Patient Assistants

Residential Patient Assistants (RPAs) are the front-line staff at Carolina House. Our RPAs are well educated, many of them with undergraduate or graduate degrees focused in mental or behavioral health. Their training and experience is matched only by their compassion, integrity, and commitment to the well-being of our patients. RPAs spend a great deal of time with our patients providing around-the-clock and consistent support and supervision all the while modeling effective ways of caring for self and relating to others. RPAs are valuable members of the treatment team who help to create a successful, healing, and meaningful treatment experience at Carolina House.

Alison Rhyne Allen, MSW, LCSWA, LCASA

Staff Therapist

Alison completed her undergraduate degrees in Psychology and Sociology at North Carolina State University. Upon graduation, Alison accepted a position at Carolina House as a Residential Patient Assistant as part of the start-up staff at the facility. Alison then moved into the Intake Coordinator position and was then promoted to Regional Intake Coordinator. After working in the field for several years, Alison decided to enter graduate school to further her education in the treatment of eating disorders and co-occurring disorders. She attended the University of North Carolina at Chapel Hill School of Social Work, where she completed her Masters degree with a certificate in Substance Abuse Studies. Alison completed an internship at a Substance Abuse agency specializing in the treatment of pregnant women and women with children. She gained knowledge and training in using Dialectical Behavioral Therapy (DBT) and Motivational Interviewing (MI) in working with her clients. Alison completed another internship at an outpatient adult community clinic where she learned to develop the use Cognitive Behavioral Therapy (CBT) in her clinical practice. She continued to gain experience working with a variety of mental health issues including mood disorders, anxiety disorders, personality disorders, body-image and disordered eating. In addition, Alison is working towards her Licensed Clinical Addiction Specialists (LCAS) licensure. Since joining the clinical team at Carolina House, Alison has been working to further develop the Relapse Prevention curriculum and incorporate appropriate services for clients with alcohol and substance related disorders. Alison enjoys spending time with her family, friends and her adorable golden retriever, Maddie. She also loves to travel, dance, and enjoy live music and the performing arts.