Non-Profit Affiliates

Prepare To Change Child And Family Counseling
Non-Profit Affiliates and Clinicians


Prepare to Change Child and Family Counseling is a non-profit organization.


Affiliate Supervisors


April Twenhafel, LMFT

April Twenhafel is a Licensed Marriage and Family Therapist with over fifteen years experience in the mental health field. Prior to her licensure, April worked in the field of Social Work including foster care, crisis management and outreach concerns.  April graduated from Fuller Theological Seminary in 2007 and began her clinical practice at the Center for Individual and Family Therapy and has evolved her practice in this organization to date. She has been an adjunct professor in the Applied Behavioral Science program at Azusa Pacific University focusing on Marriage and Family Therapy for the past four years. April’s clients vary in demographics, however, she specializes in children, adolescents, and treatment of trauma related issues. April’s primary theoretical orientation is Attachment based integrated with Object Relations Theory.

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As a clinician, April assists people from a variety of backgrounds in a broad range of issues including anxiety, depression, trauma, crisis, abuse, identity development, grief, family issues, marital conflict and more. One of her specialties is working with children through play therapy, an evidence-based practice. Play therapy is a type of psychotherapy that uses play to help a child communicate their feelings and is used to promote growth, emotional regulation, and resolution. April is also certified as a Prepare/Enrich Counselor for premarital therapy. April understands therapy can be a scary process for individuals to invite a stranger into. She is passionate about creating a safe place for her clients to explore the difficult experiences in their own lives. She considers it an honor to be invited into a person’s life and a true joy to be a part of their healing process.





Jennifer Fee, PsyD

Dr. Jennifer Fee is a licensed Psychologist with over 25 year’s of experience. She specializes in the areas of trauma/PTSD, anxiety and depression. As an Approved Eye Movement Desensitization and Reprocessing (EMDR) Consultant, she helps other therapists become Certified in this innovative therapy. Dr. Fee is passionate about fighting the stigma that surrounds mental health issues via writing and speaking.  She’s a TEDX speaker and avid internet live streamer.  Dr. Fee made two appearances on Monique Coleman’s “Gimme MO” TV series discussing sexual assault and mental health issues.

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Brent Scarborough, MA, LMFT

Brent Scarborough is a Licensed Marriage and Family Therapist who offers both face-to-face and online* appointments for adults, couples, and families. He joins with clients to work through anxiety, depression, relational issues, and trauma. Brent also helps clients develop healthy relational and social skills.

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* Also known as telehealth, online therapy is for California clients only and is completely confidential. For more information, please click here.


Brent can be reached at


Pre-licensed clinicians

Dana Sunderland, Registered Associate Marriage and Family Therapist

Dana Sunderland brings a calm and open manner to her practice with a flexible and eclectic approach and an emphasis in Family Systems, Emotionally Focused Therapy (EFT), Mindfulness, and EMDR. She has experience working with children, young adults, individuals, and couples. Dana is a registered associate marriage and family therapist under the supervision of Dr. Kaneeza Lafir, a licensed clinical psychologist and psychoanalyst.

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Dana earned her master’s degree in Educational Psychology and Counseling with specialization in Marriage and Family Therapy in 2010. She comes to us from the Irvine Counseling Center where she worked with a diverse clientele providing therapy to individuals, young adults, and couples. Dana is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and has completed an externship in EFT for couples. She has experience working with a variety of issues including parenting children with developmental disabilities, grief, anxiety, depression, self-worth, separation/divorce, and life transitions.


Dana can be reached at


Turky Almalki

We often feel weak, disconnected, alone, and deeply hurt when we experience severe life stressors, transitions, traumatic event, illnesses, or loses. Healing starts with the awareness of the issue and then seeking help. I am here to help you create and restore healthy relationships with yourself and others.

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Turky Almalki provides therapy in two languages (English/Arabic) and with people from diverse cultures and communities (e.g., refugees, minorities, immigrants, and elderly). He also works other issues such Life Transitions, Anxiety, Grief, Emotional Disturbance, Family Conflict, Relationships, Self Esteem, Spirituality. He works with young adults, adults, individuals, couples, and families.


Turky Almalki is a marriage and family therapist trainee under the supervision of Dr. Kaneeza Lafir, Licensed Clinical Psychologist and Psychoanalyst. He is also a licensed assistant psychologist in Saudi Arabia.


Turky can be reached at


Gina Fjelstad

Gina Fjelstad cares deeply about others and is passionate about walking alongside her clients helping them work through life’s challenges. She desires to provide her clients with a safe environment that fosters hope and promotes personal growth and healing.

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With a previous career as a credentialed elementary school teacher, Gina has a special interest in working with children, adolescents, and parents. She has experience working with children ages four to twelve in a variety of different grade levels.


Gina completed a Caring for Children Who Have Experienced Trauma Training through the Saddleback Church Local Orphan Care Initiative. She understands the affects trauma has on a child’s behavior, feelings, relationships, and view of the world.


Gina Fjelstad works as a marriage and family therapy trainee under the supervision of Dr. Kaneeza Lafir, a licensed clinical psychologist. She is currently working towards earning her Master of Arts Degree in Clinical Psychology at Azusa Pacific University.


Gina can be reached at


Carina Rittener

Carina Rittener’s experience includes working with children, young adults, and adults with a variety of presenting issues as a social worker at a Community Mental Health Center. During this experience, her exposure to a variety of demographics and needs expanded her perspective and propelled her into the study of clinical psychotherapy.

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Currently a Marriage and Family Therapist Trainee, under the supervision of Dr. Kaneeza Lafir, licensed clinical psychologist, and psychoanalyst,  Carina is studying Clinical Psychology at Azusa Pacific University.


Do you find yourself in “survival mode,” reactive and prone to numbing out to get through the week? Together we can work to slow chaos and create conscious and fulfilling goals. Awareness of past experiences, societal and familial conditioning, and unconscious coping mechanisms is essential to healing. As you heal, transitioning from survival to choice will become possible! My clinical approach starts first and foremost by creating a safe place in which we can explore and process from an attachment perspective.


I hope you will allow me to come alongside you on this journey to wholeness!


Michael Hwang, MFT Trainee

Michael Hwang works with adolescents, adults, couples, and families looking to deepen their connection with others and their sense of self. He is currently studying clinical psychology at Azusa Pacific University. He is currently a trainee under Dr. Lafir.

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Previously, Michael was a Senior Product Manager at Apple where he dealt with first hand, the pressures of work and identity and discovered his passion for mentoring and supporting his team members through seasons of immense stress. Michael also serves on CAMFT’s Public Outreach as a committee member.


Michael can be reached at


Stephen Kaech

Stephen Kaech works with adults, couples, and families, with a specific focus on stepfamilies. Stephen has worked, trained, and mentored stepfamilies for over 16 years. His goal is to help families manage their stepfamily dynamic in order to have healthy relationships within them.

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This could mean addresses sibling relationship and rivalry; looking closely at a current marriage so as not to repeat the mistakes of a past one; and coming to terms with what being a family means in light of these new relationships. Stephen believes that with a foundation of compassion and understanding, families of all shapes and sizes and forge together and move forward toward the future.


Stephen, currently a trainee under Dr. Kaneeza Lafir, Licensed Clinical Psychologist and Psychoanalyst, is studying Clinical Psychology at Azusa Pacific University.


Stephen can be reached at