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Autumn at the lake
                                    Welcome to Box Elder Behavioral Health

Do you need support for an illness or disorder, but can’t make it to an in-person appointment?  Are you a busy stay-at-home or working parent, and don’t have time to schedule or keep doctor appointments?  Do you need to see a doctor or therapist, but are unable to leave your home? Are you looking for a cost-effective alternative to seeing a medical or mental health provider?  Do you lack health insurance, or does your health insurance fail to fully cover your medical needs?


Telehealth (or telemedicine) is a fairly recent innovation. Telehealth allows the facilitation of health-related services to patients via live video conferencing. Thanks to modern technology, just about everyone in the U.S. has a smart phone or tablet capable of video chat. This ease of access to make video calls has revolutionized the health industry, allowing doctors and nurses to interact with patients through a convenient phone call.

Using your smart phone, you can consult with a nurse, a physician or a mental health professional to receive ongoing care when your primary care physician is unavailable, to get a prescription refilled, review test results or medical summaries or to have a remote therapy or counseling appointment.

Telehealth appointments can be very beneficial if getting to a traditional in-person appointment is a hassle for you. If you lack the time or resources to use public transportation, are physically disabled or live in a remote area, telehealth appointments can help by removing the need to leave your home to attend an appointment.

In the United States, approximately 80 million people have inadequate health insurance, or no health insurance at all. Telehealth can be more affordable for clients paying out of pocket.

So if this sounds like you:

  • You lack health insurance, or recently lost coverage

  • Your health problem isn’t covered by your insurance

  • You don’t have the right type of medical professional nearby

  • You lack the time or resources to get to an in-person medical appointment

  • You want the ease and convenience of a video conference appointment

… then Telehealth services may be just what you need.

The convenience of scheduling an appointment through a phone app cannot be understated. Quickly pick a date and time, and you’ve scheduled your online appointment. There’s no need to get ready, or even leave your bed or couch. If you have social anxiety or phobias that cause you to avoid social interactions, Telehealth makes it easier for you to get therapy or medication.  Our convenient Telehealth app can help. Contact us today for rates or to schedule an appointment.


Steve Maurno, LPC, CSOTP

CEO, Box Elder Behavioral Health LLC


20 Years in Practice

Old Dominion University, Norfolk, VA  |  2007, LPC Licensure

Certified Sex Offender Treatment Provider (CSOTP) #0812000509


Virginia | 0701004212

New Mexico | CCMH0204061

North Carolina | 16831, LCMHC


American Counseling Association



A Bit About Me

I have been Licensed Professional Counselor and a Certified Sex Offender Treatment Provider for the past 15 years. My counseling style is based on the cognitive-behavioral model in which beliefs, internal dialogue, and subsequent ways of perceiving our environment and responding to others is the focus. I encourage clients to identify underlying internal dialogue and beliefs that result in distress, impairment and unfulfilled goals. I provide a safe environment free from judgment for clients to identify negative beliefs and create healthier, more realistic internal dialogue.

I have extensive experience addressing gender-specific issues, depression, trauma and anxiety disorders. Additionally, I am experienced in helping clients with severe and disruptive behaviors including physical aggression, sexual misconduct and chemical dependency.  I am trained in Exposure Response Prevention to assist clients overcome Obsessive Compulsive Disorder (OCD).

I am the CEO, therapist and clinical director of Box Elder Behavioral Health LLC, a mental health counseling business formed in partnership with my wife and business manager, Martha Maurno, to serve residents of Virginia, North Carolina and New Mexico via teletherapy.

My Method

Cognitive Behavioral Therapy, or CBT, is grounded in the belief that it is a person’s perception of events – rather than the events themselves – that determines how he or she will feel and act in response. A person’s perception of an event if often based upon beliefs shaped by prior experience, assumptions, and styles of thinking that may alter distort their perception.

CBT can help with:

  • Depression

  • Anger

  • Anxiety

  • Panic attacks

  • Relationship problems

  • Antisocial behavior

  • Posttraumatic stress disorder (PTSD)

  • Victim and perpetrator issues (i.e., physical, emotional, sexual abuse)

  • Substance dependence

  • Disordered eating


Most people with clearly defined behavioral and emotional concerns are likely to benefit from CBT. If any of the above issues resonate with you, I encourage you to try cognitive behavioral therapy.

With CBT, you’ll be able to identify and adjust the thoughts that directly influence your emotions and behavior. This adjustment process is referred to as cognitive reconstructing, which happens through different CBT techniques.

Some CBT techniques are:

  • Journalling

  • Challenging beliefs

  • Relaxation

  • Identifying cognitive distortions (thinking errors)

  • Social, physical and thinking exercises


Cognitive behavioral therapy is much more than sitting and talking about whatever comes to mind during a session. CBT sessions are structured to ensure that the therapist and the person in treatment are focused on the different goals of each session, which in turn ensures that each and every session is productive.

If you or someone you know would benefit from cognitive behavioral therapy, please contact me today. I would be happy to speak with you about how I may be able to help.

My Method

Meet the Team


Martha Maurno
Business Manager & Co-owner of Box Elder Behavioral Health LLC

My name is Martha Maurno, and I am the business manager and co-owner of Box Elder Behavioral Health LLC.  I graduated from Columbia University with a B.A. in psychology and then from Old Dominion University with a M.S. Ed in secondary English.  I have been an educator for 33 years working both on the secondary and post secondary arenas, teaching face to face and virtual classes. My husband and I have been happily married for 29 years and always had a dream of creating a private practice for him, so he could help the residents of Virginia, North Carolina and New Mexico with their mental health needs.  We both share a passion to help people. If you want to learn about the practice in general and our services; receive information on insurance we accept, have billing questions; and/or would like to schedule an appointment, I am your point of contact. You can reach me at (757) 274-7527 or via the secure contact form.

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Bernice Lee

My mission is to strengthen and encourage individuals and families to enhance their quality of life by gaining skills that lead to independence. Through an array of services, I help my clients to maintain community stability and improve social interaction in both the home and community.

I focus on providing quality and professional services through: acceptance, compassion, dignity, empowerment, privacy and respect.

My vision is that the community I serve understands that the coordination of care of mental health, substance abuse recovery, and physical healthcare is essential to overall health, and that our quality, client-driven services will assist them in achieving greater outcomes, wellness, and recovery.

Bernice is currently accepting new clients both virtually and in-person at her office, which is located at 100 Brunswick Ave, Emporia, VA 23847.

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Morgan Cobb

I believe the goal of therapy is for clients to gain personal insight and understanding of themselves. When individuals understand themselves they are able to change the way they respond to situations and grow into their fullest potential. I use emotion focus techniques to guide clients to gain insight through experience. As a counselor I work as a teacher to help clients practice and experience mindfulness and other techniques for self regulation. We don't have to be victims of our emotions or our past experiences. Through counseling my aim is to walk with clients as they integrate past experiences with personal meaning and purpose.


Therapy is not easy. I create a supportive caring environment in the therapeutic space but I do push my clients to do real work, and the work is hard.


I enjoy working with a diverse group of individuals, especially those who are ready to work and create change. I am especially well equipped to work with individuals seeking counseling due to trauma (including domestic violence, past child abuse, spiritual or church related abuse, occupational or other accidents, traumatic grief and loss), relational issues, social skills training, parenting challenges, disordered eating, addiction, anxiety, depression, fear, challenges moving into new stages of life, and career changes.


I work with both children and adults.

I am a military spouse and mother. I have an adorable dog named Ruff Ruff. For my self care I enjoy walks, bike rides and playing tennis. I also love to cook, especially spicy food.

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Tiara Robinson 

If you are ready to take control over your life and leave the things that are keeping you feeling "stuck," then today is the day for your new beginning. I am here to help you be the best version of yourself and learn ways to be your best advocate. 


I empathize with my clients' experiences by going into their world to understand. I like to think like my clients when it comes to setting out to solve a problem. My clients describe me as hardworking, loyal, caring, trustworthy, and easy-going. 


I specialize in working with people who struggle with substance abuse, mental illness, self-esteem, and relationship and career stress. I also specialize in individuals who struggle with anxiety, depression, and trauma. 


I have worked with individuals with co-occurring disorders both in an individual and group setting. My goal is to help my clients explore how their thoughts interact with their emotions and actions, clarify their values and the things that matter the most to them, and understand their biological response patterns. Let's create your best, most authentic life!

Kiera Jackson

I am a Certified Substance Abuse Counselor, offering both cognitive behavioral and trauma therapy. I am proud to offer outpatient therapy for individuals who cannot attend in-person appointments, and I have built my career on my ability to show compassion and respect for people from all walks of life. Self-care and balance are at the heart of my treatment approach. If you are ready to make some positive life changes, therapy is a wonderful place to start. I am currently accepting new clients, and I would be honored to support you. 


Fara Ravaoarimanga

I hold a master’s degree in counseling psychology from North Park University. Currently, I am a doctoral student in clinical pastoral counseling at Washington University of Virginia.
My focus is on empowering individuals, facilitating self-discovery,
and instilling a sense of self-worth. Specializing in therapy for domestic violence survivors,I also support clients coping with depression, anxiety, grief, and self-esteem challenges. Additionally, I offer psychoeducation on parenting and anger management programs. With a deep understanding of integrating Christianity into clinical practice, I strive to bring healing to those seeking it. Cultural competence is central to my approach, as I work with individuals from diverse backgrounds and cultures, embracing both collectivistic and individualistic perspectives. I offer therapy in both English and Malagasy.

Michala Barrett

Michala Barrett, Resident in Counseling, received her M.A. in Clinical Mental Health Counseling from Union Institute and University in 2022. She has a wide range of experiences and has worked in a variety of settings. Ms. Barrett works with children, adolescents, and adults. She has experience with providing Cognitive-Behavioral Therapy, Dialetical-Behavioral Therapy, solution-focused, strengths-based and person-centered perspectives during therapeutic sessions with clients. In addition, she works with the client holistically to help reach specific goals. She believes we all have the tools to excel and that we just need to learn to better understand ourselves, gain valuable perspectives, and be able to apply our strengths outside of counseling sessions. She has worked with clients with a wide range of issues to include: anxiety, depression, trauma, ADHD, anger management, and relationship problems. Ms. Barrett comes from the stance of wanting to work with anyone who would like to improve overall happiness and well-being through learning what you would like to change and learning how to better react to challenging circumstances. She looks forward to beginning to work with you in counseling as you embark on the journey to becoming a stronger, more self-assured individual. 


In her free time, Michala enjoys working out and going to wineries and breweries.

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