About
Three people. One small clinic in Hastings.
Life's challenges are hard, and you shouldn't have to face them alone. We're a small team — which means you'll be known here, not processed. We'll help you understand what's actually going on, and then we'll do the work with you.
Dr. Karena Rother
DNP,APRN,PMHNP-BC · Owner
Karena has lived in Hastings her whole life. She knows what it's like to be a small town this close to the Twin Cities — the advantages of that, and the ways it can leave people without the care they need.
Two decades of nursing brought her here, most of it spent with people struggling with their mental health. Her work starts with a careful assessment and a plan you build together — one that might involve TMS, medication, therapy, sleep, nutrition, movement, or some combination nobody would have guessed at the outset.
Karena sees patients for medication management, ADHD assessment, and TMS. She is not currently taking new therapy-only patients — those appointments are with Bernie or Kelly.
Bernie Menge
MA, LMFT, ADHD-CCSP · Licensed for MFT & LPC supervision
Bernie starts by listening. Not as a formality — as the actual first step. Before anything else happens, he wants to understand your story and what you're actually trying to change. The plan comes after that, not before.
His work is methodical. He uses feedback-informed treatment, which means your progress gets measured session to session rather than guessed at. If something isn't working, you'll both know, and it changes.
He works with trauma — including with veterans and adult survivors — and with anxiety, depression, anger, complex trauma, and personality disorders. He holds certifications in TF-CBT, DBT, personality disorders, ADHD, parent coaching, and Adlerian principles, and is currently completing his EMDR certification. With adolescents and their families, colleagues describe his approach as caring, funny, and straightforward.
Bernie also provides clinical supervision for pre-licensed MFTs and LPCs.
Kelly Brasher
MA · Pre-licensed professional
Kelly's strongest work is with adolescents — the age where people are least likely to say what's actually wrong, and most likely to be misread for it. She also sees adults, couples, and families.
She works with depression, anxiety, adjustment disorders, trauma, chronic illness, and the kind of life transitions that look manageable from the outside and aren't. She's currently completing her certification in dialectical behavior therapy.
Kelly sees clients ages 13 and up, and practices under Bernie Menge's clinical supervision. One scheduling note: she is not able to accept Optum products.
How we work
We treat the whole person, not a diagnosis code. That means a plan might pull from psychiatry, therapy, TMS, supplements, sleep, nutrition, or movement — whatever the evidence and your situation actually call for.
It also means we measure. Feedback-informed treatment tracks whether therapy is working while it's happening, not in hindsight. If it isn't, we change course.
And if we're not the right fit for what you need, we'll tell you, and help you find who is.
Come talk to one of us.
Book online in about five minutes, or call and talk to a person first. Either works.