The Lakeview Innerview
A Newsletter from Lakeview Center For Psychotherapy
Fall 2014
Niquie Dworkin, PhD
Kate Fiello, LCSW
Melinda Rezman, LCPC, RDDP
Mary Anne Machado, LCPC
Jason McVicker, LCSW, RDDP
Allisun Noe Conant, PsyD
Alexis Jaeger, LCSW
Dacia Harrold, MD, MA
Britt Raphling, LCPC, CGP
Nathan Dougal, LCSW, BCD
Rebecca Bonn, RN, CRED
Samantha Fenno, PhD, LCSW

Kelly Logan, PsyD, Consultant
Zack Hamingson, LPC, Fellow
Jenna White, Extern 
Karolyn Seidl, MA, Extern

Lakeview Member Updates  


Samantha Fenno, PhD, LCSW, was awarded her clinical social work license (LCSW).


Jason McVicker, LCSW, is returning to the School of Social Service Administration (SSA) at the University of Chicago for his sixth term as visiting faculty. He will be teaching Social Intervention: Direct Practice and Advanced Psycho-dynamic Practice.  


Nathan Dougal, LCSW, is returning as visiting faculty for the M.A. in Clinical Counseling and Psycho-therapy at the Institute for Clinical Social Work, where he is leading the Case Conference for 2nd year students.


Britt Raphling, LCPC, received her Certified Group Psychotherapist (CGP) credential from the American Group Psychotherapy Association. She is starting a new interpersonal process group for men and women.


Zack Hamingson, LPC, co-conducted an experiential workshop on the use of improvisational theater techniques in the context of group therapy at the 2014 American Group Psychotherapy Association's annual meeting.


Niquie Dworkin, PhD, completed a Mediation Skills Training for Collaborative Professionals, which prepares therapists to work with lawyers to promote non-adversarial conflict resolution. She also completed the Level 1 Gottman Method Couples Therapy training.


Mary Anne Machado, LCPC, completed a Mediation Skills Training for Collaborative Professionals, which prepares therapists to work with lawyers to promote non-adversarial conflict resolution.


Alexis Jaeger, LCSW, is on sabbatical from Lakeview Center this year.


Therapy Groups


Interpersonal Process Groups for Men & Women 
contact Britt Raphling,

Interpersonal Process Group for Women
contact Britt Raphling,

Dialectical Behavior Therapy (DBT) Skills Training Groups
Samantha Fenno, PhD, LCSW 773-506-4456
Kelly Logan, PsyD

Sliding Scale DBT Skills Training Group
contact Zack Hamingson, LPC

New Therapist
contact Niquie Dworkin, PhD

Please Note


Depression & Bi-Polar Support Group 
will no longer be held at Lakeview Center for Psychotherapy beginning October 2014.

Its new location is
Ebenezer Lutheran Church
2nd Floor Parlor Room
1650 W. Foster Ave

The next meeting will be on October 8th from 7 - 8:30 p.m.
For more information
please contact  

 Support and Guidance for all Stages of Life

We are a cooperative of independent professionals dedicated to providing innovative, thoughtful, and compassionate psychotherapy.  Our cooperative is multidisciplinary and includes psychiatrists, psychologists, social workers, counselors, a medical advisor, and a nutritionist.  We provide therapy, counseling, nutrition therapy, and medication management to adults, children, adolescents, couples, and families in Chicago. 

An Interview with Samantha Fenno, PhD, LCSW   

Allisun Noe Conant, PsyD 


Samantha Fenno, PhD, LCSW is the new DBT Skills Group Coordinator at Lakeview Center.  She practices individual psychodynamic psychotherapy and DBT, and specializes in working with patients with eating disorders. 


Allisun:  Please say a little bit about your professional journey to this point.


Samantha: I finished my Master's degree from the University of Chicago's School of Social Service Administration in June, 2012. I've been fortunate since then to be practicing here at Lakeview--first as a postgraduate fellow, and now as a member of the cooperative. Before this, I was a collegiate assistant professor at the University of Chicago. I still teach in, and now direct the teaching staff of, a popular, year-long undergraduate humanities course called "Human Being and Citizen." I also teach a course called "What Is a Person?" and I'm the humanities curriculum adviser to a support program for students from demographics with historically high attrition rates. I have a PhD from the Humanities Center at Johns Hopkins and a Master's in literary and cultural theory from Carnegie Mellon University.


A: The teaching you do in philosophy and literature is very interesting and some of the parallels between those ideas and psychotherapy seem clear.  How do you think your education outside of psychology informs your work with patients?


S: Wow, there is so much to say here. I'll start with teaching. We sit with questions in a humanities classroom. What is it to be a human being? Why should I be good? I hope students develop an appreciation for the questions--the value of asking and the depth in figuring out what to ask. Though the procedures are different, it seems to me that one thing we do as therapists is encourage a relationship like this to asking about and getting to know the self.


Literary analysis is often about paying careful attention and trying to discern what texts might be saying beneath their surfaces. In this, there is the familiar project of making the implicit explicit--with its attendant worries about whether we're discovering or inventing, interpreting too much or too little, too forcefully or too gently--and the discipline of being flexible with one's own cherished meanings. In critique, there is also a kind of iconoclasm toward cultural ideologies and social expectations. I think that this training informs my wish to help patients become their own best selves, to see uniqueness or idiosyncrasy as an expression of humanity and not necessarily as a problem.


As therapists, we inevitably focus a lot of our attention on suffering and problems in living. I remain drawn to philosophical texts that try to elaborate the other side: What constitutes a good life? One book that I teach yearly, Aristotle's Nicomachean Ethics, is about happiness. This isn't happiness understood as pleasure, but rather, it's a conception of living well--doing well and being well, complete with life's pains and disappointments.


A: Please talk about your role as a DBT group leader as well as the work you do with individual DBT clients.  DBT is a "hot" topic these days that may not be understood by many--can you describe the basic concepts and how you believe they are helpful?  Also, what kind of people do you think most benefit from DBT?


S: DBT patients are doing the best they can to relieve intolerable suffering. Whatever behaviors they resort to, whatever resistances they express, the patients are genuinely trying to stay safe and live as best they can. They're often demoralized because their best-going solutions aren't working--and sometimes they're terrified to look at what's really bothering them. So they cling for dear life to cycles of pain, activity and shame. It's an awful situation, as we've all witnessed.


Enter acceptance and emotional validation. Here's a distillation of something I say again and again: "Feeling X about this makes sense. What a painful feeling.... So there's an urge to do Y and make X go away, and the double-whammy is that doing Y might generate other horrible feelings. I wonder, are you willing to try a different way through or around this?" Sympathetic curiosity is there as behavioral exposure and to validate the emotion. It also models emotional self-respect against often-horrid histories of invalidation. Only here can the more mechanical aspects of DBT "skills training" get traction. They make room to align with and genuinely support the patients, even in the presence of ongoing problems: "It's great that you thought of doing something different; I'm so sorry it didn't help enough this time. Maybe we can get creative with the skills and come up with something better." I think this supports the possibility of expanding out from the concreteness that can accompany extreme distress. It also models an approach to failure that can lessen the intensity of demoralization.


Therapists go through a lot with DBT patients. Kant says that freedom lies in the capacity for the will to determine itself. I believe the ultimate aim of DBT is freedom in this sense; it's no coincidence that the term shows up so much in Linehan's writing. It's as if patients come to DBT as a hand that has been locked into a fist for a long time and is ashamed of all the punching it does. Rote skills practice helps it start to relax. A hand can do so many other creative and amazing things. The moments when, metaphorically speaking, patients come to know that they are these capable, amazing hands, that they are more than troubled, angry fists...well, this is freedom, and also the therapeutic sublime for me. There's almost nothing in the world I'd rather help someone see.


A: What brings you happiness in your free time?


S: Besides talking about psychology and philosophy? I enjoy meals with friends and being an aunt. I have twin 12-year-old nieces who are among my favorite people. I read a lot of fiction. My grandmother taught me to crochet when I was 7 or 8 and later I taught myself to knit. I like to tweak patterns and play with unconventional materials. Sometimes the result is just a better understanding of why, for example, knitting doormats from strips of plastic bags doesn't yield good doormats. These days, I'm working on a handbag that involves crocheted leather. Fingers crossed!


Our Approach To Therapy


At Lakeview Center for Psychotherapy, we use a flexible, integrative approach in which therapeutic styles are combined to meet our clients' individual needs.  We integrate three major approaches: psychodynamic, cognitive/behavioral, and experiential.
Relational Psychodynamic Therapy explores past and present interpersonal experiences to uncover the origins of troubling symptoms and patterns of behavior. This sets the stage for more satisfying relationships with others and a healthier self-

Cognitive/Behavioral Therapy, including Dialectical Behavior Therapy (DBT), addresses problematic ways of thinking and teaches practical skills to provide relief from painful symptoms.
Experiential techniques such as mindfulness meditation, role playing, art therapy, play therapy, and movement therapy offer  opportunities to experience and express feelings during the treatment session in order to gain insight and learn to process difficult emotions.   
We believe our integrative approach helps clients develop their inherent strengths and overcome obstacles to happiness and fulfillment.

Lakeview Center
for Psychotherapy
3322 N. Ashland Avenue
Chicago, IL  60657

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