

Find a mental 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 mental health care.
Find a therapist and medication management provider you can rely on.
When you’re considering improving your life with mental health care, you want to make sure you’re working with qualified professionals.
Stephanie Macdonald, APRN-CNP
Stephanie Macdonald, APRN, MSN, NP-C, provides psychiatric medication management through her private practice at Transitions Healthcare to patients in central North Dakota. Stephanie believes in patient-centered care and shared-decision making. She obtained her Bachelor of Science in Nursing from Medcenter One College of Nursing, Bachelor of Science in business management from the University of Mary, and Master of Science in Nursing from the University of Cincinnati. Stephanie is board certified through the American Association of Nurse Practitioners. She is a member of the North Dakota Nurse Practitioners Association. She was awarded the Nurse Practitioner Rookie of the Year for the western region of a local health system. She was selected as the Advanced Practice Provider mentor for the behavioral health clinic of a large local health system.
Amanda Kouba, LCSW
Amanda Kouba, LCSW, is a Licensed Clinical Social Worker who received her Bachelor’s in Social Work from Minot State University as well as her Masters in Social Work from Florida State University. She has over four years of experience providing individual psychotherapy to adolescents and adults. She treats individuals with behavioral health conditions including anxiety, depression, obsessive compulsive disorders, trauma and more.
She is trained and certified in EMDR (Eye Movement Desensitization and Reprocessing) which she incorporates into a wide variety of mental health difficulties. She utilizes a supportive, person-centered approach while incorporating cognitive behavioral and interpersonal therapy approaches into her treatment process.
Amanda strives to motivate and empower individuals to set and reach goals to obtain optimal functioning within their daily lives. She believes that each individual requires a unique and personalized treatment process to obtain their desired goals and believes in the importance of meeting each individual where they are in their mental health journey.


Lori Charbonneau, LCSW
Lori Charbonneau is a Licensed Clinical Social Worker who obtained her Bachelor’s in Social Work from the University of North Dakota. She then completed her Master of Social Work at UND. Lori has over 20 years of clinical experience across various treatment settings and sees clients ages 21 years of age and over. In her therapy practice, she uses Cognitive Behavioral Therapy (CBT), Motivational Therapy, Solution Focused Therapy, Client-Centered Therapy, and Grief Therapy. She treats individuals with anxiety, depression, trauma-related issues, obsessions and compulsions, anger and stress management problems, grief issues, self-esteem problems, post-traumatic stress, and adjustment problems. A strengths-based approach is utilized with clients. She assists her clients in sorting out life’s challenges and working on goals with a person-centered therapeutic process in a safe, encouraging environment.