Services Offered

Individual Psychotherapy 

One-on-one psychotherapy to address a variety of presenting issues. You can see more about my approach in the “My Approach” section.

Eye Movement Desensitization & Reprocessing (EMDR)

From EMDR is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.  Repeated studies show that by using EMDR people can experience the benefits of psychotherapy that once took years to make a difference. EMDR therapy shows that the mind can in fact heal from psychological trauma, much as the body recovers from physical trauma.  When you cut your hand, your body works to close the wound.  If a foreign object or repeated injury irritates the wound, it festers and causes pain.  Once the block is removed, healing resumes.  EMDR therapy demonstrates that a similar sequence of events occurs with mental processes.  The brain’s information processing system naturally moves toward mental health.  If the system is blocked or imbalanced by the impact of a disturbing event, the emotional wound festers and can cause suffering.  Once the block is removed, healing resumes.  Using the detailed protocols and procedures learned in EMDR training sessions, clinicians help clients activate their natural healing processes. 

Restoring the Body: Bessel van der Kolk on Yoga, EMDR, and Treating Trauma
: An interview with Bessel Van der Kolk from NPR’s, On Being

Group Psychotherapy

There are many benefits to group therapy. In The Theory and Practice of Group Psychotherapy, Irvin Yalom, MD, teaches that there are several therapeutic factors present in group therapy, including but not limited to: instillation of hope; universality; imparting information; altruism; socialization; interpersonal learning; and catharsis. People can connect with others for support, feedback and self-reflection. Groups are offered on a rotating basis. Check with us for current offerings. 


My approach to supervision is integrative, meaning that it is a blend of supportive interpersonal feedback, insight oriented exercises, and practical professional counseling skills. My approach draws heavily from David Powell’s “Blended” model, developmental models and trust. In addition to ongoing verbal, qualitative feedback throughout the supervisory relationship, supervisees are also evaluated through client evaluations, client retention and attendance, and progress towards established goals. In supervision, we will utilize modalities including, but not limited to, tape review, live observation and/or co-therapy. According to NC Administrative Code, each supervision session must include “raw data from clinical work which is made available to the supervisor through such means as direct (live) observation, co-therapy, audio and video recordings, and live supervision” (21 NCAC 53 .0208).

Widening Circles, PC is a private, outpatient treatment practice in Asheville, NC founded by friends and colleagues Ilona Csapo, MD; April Easter, LPCS, LCAS; and Kim Skelton, LPCS, LCAS. We are a group of experienced providers specializing in providing intensive, highly-individualized, and integrative mental health and substance use disorder assessment and treatment services. 

Our therapists are trauma-informed, seasoned professionals dually licensed to treat both mental health and substance use disorders. We often serve clients with co-occuring mental health and substance use concerns.  Our collaborative, client-centered approach includes wrap-around psychiatry (specialty in addiction), individual, family and/or group psychotherapy, and coaching services. Program varies based on individual needs and client preference. Typical program includes five individual contacts per week with therapist and/or coach plus psychiatry. This is different from traditional IOPs which offer 9 hours of group therapy on a weekly basis. As experienced and dually licensed providers, Widening Circles offers an alternative approach to intensive outpatient treatment. 

To learn more about this program, please visit or call 828-772-1803.

At Willow Wellness and Recovery, we believe there are many roads to recovery. We chose our name because the willow is a majestic symbol of resilience, strength and hope; deeply rooted, it allows bending rather than breaking during the tumult of life’s storms. Psychiatrist Ilona Csapo, MD and I founded this program in 2013; as colleagues and close friends fueled by the desire to offer quality, relationship-based care, our practice offers an innovative, mindfulness-based approach. Medication-assisted treatment is a tool to aid you in developing a better life. Our program includes individualized, comprehensive treatment utilizing a combination of addiction psychiatry, group psychotherapy, and case management. To learn more about these programs, please visit or call 828-772-6715.

If you are interested in booking an appointment, please call 828-772-6715 or email me at today. I look forward to speaking with you!

Established clients are welcome to use my online scheduling application.

© 2019 by Kimberly Skelton with