Our Clinicians

At Metropolitan Behavioral Services we have some of the most regarded clinicians with a wide range of certifications to meet everyones individual mental health needs.

Dr. Marek Hirsch

Board Certified License Psychiatrist, MD

I was raised on the Northshore of Massachusetts but came to Florida for medical school at the University of Miami Miller School of Medicine. I returned to MA for 4 years of psychiatry residency with Harvard Medical School, working predominately at the Boston VA Hospital. During this time I treated many patients with opiate addiction, both as inpatients and outpatients. Upon completion of my training in 2017, I moved to Jacksonville Beach to begin working as an inpatient psychiatrist and continue to do outpatient work with patients managing addiction to opiates. If you are struggling with an addiction to opioids, I can prescribe Suboxone to help reduce with cravings and the painful withdrawal syndrome associated with heroin and other opioid withdrawal. I'm here to help you through this journey.

Ms. Millie Sagesse


I value each individual and have the ability to work with all individuals regardless of background, gender, and religion. My goal is to provide different forms of intervention to meet each client's needs. Services include treatment for those who have been victims of sexual abuse, physical abuse, and/or emotional abuse. Additional services include treatment for anger management, domestic violence, substance abuse and voluntary or court ordered therapy. Military and law enforcement personnel and their families can have their counseling needs met at Metropolitan Behavioral Services. This agency is now providing services for professional athletes. I complete custody evaluations also known as social investigations. Sessions are offered in individual, group, and couple formats to best meet the needs of the clients. With more than 8 years of experience working in child abuse investigations, 5 years as a mental health evaluator and crisis response counselor, 2 years with inpatient mental health, and 2 years providing forensic services, I am prepared to provide the assistance you need.

Mr. David Lee


People seek counseling for many reasons but one desire is common: to stop suffering. We will meet in a setting of mutual respect, human regard, and committed willingness to examine this discomfort; and whether or not it can be eliminated, alleviated, or ultimately accepted, the focus will always remain on finding ways for you to live a meaningful life. For roughly 30 years, my practice has been based on behavior analysis, acceptance and mindfulness techniques, and functional-analytic therapies. Settings for my work include in-home, in-office, community mental health, hospitals, juvenile detention, and private practice. My experiences include assisting others with mood instability, trauma, personal relationships, and healthy communication. I’ve worked individually, and in groups, with adults, children, families, couples from culturally diverse backgrounds. When we are locked into painful, unworkable relationships with others, or even within ourselves, we want the hope of something better. My specialty is teaming up with you to unlock these unworkable patterns and to find alternatives that will allow your intimate relationships to prosper and leave with you a deeper sense of living.

Ms. Erin E. Brown


I continually strive to help clients feel motivated to reach their goals while feeling comfortable with me. I enjoy helping people help themselves. I will work tirelessly to help you achieve your treatment goals. I am client-centered and consider the client as the expert on their lives while I am the expert on techniques that bring out the client's true self. I am systems oriented in that I help examine the systems within the client, the client's relationships, and the client's community in order to create change on multiple levels in the client's life. I worked for seven years with an agency that helped people who had experienced severe trauma including sexual, physical, mental, and emotional abuse. I helped clients from two through older kids at heart who had found themselves repeating relationship patterns that perpetuated the cycle of abuse. EMDR can works wonders! I am comfortable working with clients of all ages and am very experienced in Play Therapy. Children under ten to twelve years of age do not have abstract reasoning and process their thoughts and emotions differently than adults. Sand Tray Therapy is helpful to clients of all ages.

Aida Bernal


My goal is to provide quality clinical services to individuals so that they may be able to better cope with the increased stress of living in today’s fast-paced and constantly changing world. The increase in unemployment, drug abuse, climate change, chronic medical problems and use of social media, is outpacing our ability to confront these challenges with a healthy and adaptive response. With over 30 years as a clinical social worker, which include being a retired military veteran who was stationed overseas as well as deployed in support of Operation Enduring Freedom and Operation Iraqi Freedom, I bring into my practice a breadth and depth of experience with a wide range of behavioral health issues. As a bilingual and bicultural provider, I have an intimate understanding of the cultural issues facing many Hispanics today leading me to be more sensitive to the issues of other cultures as well. Through Metropolitan Behavioral Health Services, I am ready to provide assessment and treatment services with compassion and empathy in the hope that it will lead to a lessening of the problems you face and an improvement in the quality of your life and relationships.

​Arianne Smith


I believe that success in therapy is based on the relationship shared between a therapist and their client. I approach counseling with the fundamental belief that we are all whole individuals - each of us unique; equally deserving of love, understanding, and compassion; and capable of making positive changes to achieve wellness. My goal is to help you identify, understand, and resolve your own unique life stressors. I have been in the field for close to 10 years in a variety of settings including in-home counseling, in-patient and out-patient settings. I am also a certified school counselor and can assist families in understanding the education system as well. I draw from a variety of counseling theories and techniques including person-centered, cognitive-behavioral therapy, play therapy, and mindfulness techniques. My approach in the therapeutic process is one that supports and guides you to gain greater understanding of yourself and your relationships as you work to resolve the issues you choose to address such as: anxiety, depression, low self-esteem, relational issues and disruptions in life. In therapy we will set goals explore thoughts, feelings and behaviors and work together toward your desired outcomes.

Katie Bouvatte


I strive to provide a safe and supportive environment so that we can work collaboratively on navigating lifes challenges. While valuing each individual and their unique life experiences, I work with clients to achieve their personal goals. I provide therapy to clients of all ages with a particular emphasis toward the geriatric population. My experience includes working with individuals, families and groups in a variety of treatment settings. ​I treat a range of concerns including anxiety, depression, relationship issues, caregiver stress, life adjustment issues, grief, and coping with end of life. By utilizing a strengths based, client centered approach, I'm able to cater the therapeutic process to best fit the client and their particular needs.

Natalie McKee


Often times counseling involves an element of discomfort, emotional pain, and vulnerability. We all have unique and rich personal histories that consist of success, fear, loss, and possibly trauma. My goal as your therapist is to meet you where you are with empathy and understanding. I work from the belief that you are the expert on your life and my role is simply to offer support, tools, and techniques that can help you enhance your overall well-being. My approach to counseling varies based on individual needs. It is heavily influenced by client-centered and strengths based perspectives, while also drawing from cognitive behavioral therapy and dialectical behavior therapy skill sets. In session, we will work together to determine what best suits your needs and establish treatment goals based on those needs. I have experience working in both inpatient and outpatient settings, and have worked with adults and children. As a Latina and bilingual counselor, I am also sensitive to cultural and minority issues.