Find a health provider you can rely on
If you are considering starting counseling or medication management services, turn to Transitions Healthcare in Bismarck/Mandan, ND. Our providers combine to offer years of experience in offering clients customized health care options.
Find a therapist and medication management provider you can rely on.
When you’re considering improving your life with mental health care, hormone optimization, or medical weight loss, you want to make sure you’re working with qualified professionals.
Stephanie Macdonald, APRN, MSN, NP-C
Nurse Practitioner
Stephanie Macdonald, APRN, MSN, NP-C, provides comprehensive healthcare management through her private practice at Transitions Healthcare, serving patients throughout North Dakota. She is passionate about delivering patient-centered care and emphasizes shared decision-making to ensure treatment plans align with each individual’s goals and values.
Stephanie holds a Bachelor of Science in Nursing from Medcenter One College of Nursing, a Bachelor of Science in Business Management from the University of Mary, and a Master of Science in Nursing from the University of Cincinnati. She is board-certified by the American Association of Nurse Practitioners and is a member of the North Dakota Nurse Practitioners Association.
Stephanie has been recognized for her excellence in practice, receiving the Nurse Practitioner Rookie of the Year award for the western region of a local health system. She was also selected as the Advanced Practice Provider Mentor for the behavioral health clinic of a major healthcare organization, reflecting her leadership and commitment to supporting both patients and peers.
Lori Charbonneau, LCSW
Licensed Clinical Social Worker
Lori Charbonneau is a Licensed Clinical Social Worker with over 20 years of clinical experience in a variety of treatment settings. She earned both her Bachelor’s and Master’s degrees in Social Work from the University of North Dakota. Lori provides therapy to adults aged 21 and older, using a person-centered and strengths-based approach to help clients navigate life’s challenges in a supportive and encouraging environment.
Lori draws from several evidence-based practices, including Cognitive Behavioral Therapy (CBT), Motivational Therapy, Solution-Focused Therapy, Client-Centered Therapy, and Grief Therapy. Her clinical expertise includes working with individuals experiencing anxiety, depression, trauma-related concerns, obsessive thoughts and compulsive behaviors, anger and stress management difficulties, grief and loss, self-esteem challenges, post-traumatic stress, and adjustment issues.
With warmth and compassion, Lori partners with each client to identify goals, explore inner strengths, and create meaningful progress through a collaborative therapeutic process.
Alissa Demke, LMSW
Licensed Master Social Worker
Alissa brings a unique and compassionate perspective to her work as a therapist, shaped by her early career in emergency services and her experience as a 911 dispatcher. These roles sparked her dedication to supporting others through crisis and led her to pursue a Master’s degree in Social Work from Florida State University.
Her clinical background includes experience in integrated family medicine, corrections, inpatient psychiatric care, and community mental health. Alissa works with individuals (ages 13 and up) and couples, addressing a range of concerns including trauma, anxiety, depression, eating disorders, grief and loss, and relationship issues.
Alissa’s therapeutic approach is client-centered and strengths-based, incorporating evidence-based practices to meet the unique needs of each person she works with. She is deeply committed to building meaningful therapeutic relationships and helping clients navigate challenges, build resilience, and flourish.