OUR PRACTICE
We stand by your side problem solving. We’re interactive, compassionate & nonjudgmental. We provide the guidance, you provide the motivation.
You are the ultimate agent of change in your life!

OUR THERAPISTS
EWN therapists have expertise in effective treatment utilizing Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Psychodynamic, Interpersonal, Solution, Supportive, Mindfulness or Trauma based therapy.


Elvira G. Aletta, PhD, Founder & CEO
Executive & Personal Coaching, Individual & Relationship Counseling
Life gave Dr. Aletta the opportunity to know what it’s like to hurt physically and emotionally. After an episode of serious depression in her mid-twenties, Dr. Aletta was diagnosed with a rare kidney disease that relapsed throughout her adulthood. While treatable, the cure was often as hard to bear as the disease. Later she was diagnosed with scleroderma, another chronic illness.
Throughout, Dr. Aletta battled with anxiety. Despite all this, Dr. Aletta wants you to know, you can learn to engage in life again on your terms.
Good therapy helped Dr. Aletta. She knows good therapy can help you. That’s why she created Explore What’s Next.
Today Dr. Aletta enjoys mentoring the EWN therapists, focusing on coaching and psychotherapy clients, writing and speaking. She is proud and confident that Explore What’s Next can provide you with therapists who will help you regain a sense of safety, control and joy.
716.634.2600 | draletta@explorewhatsnext.com

Kate Keating Maleski, LCSW-R, Manager Buffalo Office
Individual & Relationship Counseling, EMDR, Anxiety, Depression, Teens & Adults
In her calm, engaging manner, Kate listens and develops a plan with you to address the problems at hand. Kate’s approach expresses respectful sensitivity to your needs. If you’re feeling hopeless, Kate assures you there is a way.
Whether you struggle with depression, anxiety, grief or betrayal, Kate is here to offer confident guidance to help you feel whole again. She also provides therapy and counseling to couples and families who have trouble relating because of a lack of trust.
Kate leads the successful Girls In Charge, groups for teen girls who are bullied, have low self-esteem and feel like “I just don’t belong.” If you know a teen looking for a safe, empathic, judgment-free place to heal and grow strong, contact Kate.
716.880.5689 | kate@explorewhatsnext.com

Kayla Czysz, LMSW
Anxiety, Grief/Loss, Identity, Relationships, Stress, Life Transitions, Chronic Illness/Disability, Depression, Trauma, LGBTQIA+
We are living in turbulent times. Life can easily feel overwhelming and burdening. With her warm and uplifting style, Kayla can support you in enhancing presence, connectedness, and inner resources to weather life’s storms and to integrate more joy and ease.
Life transitions, relationships, self-worth and compassion, managing anxiety, depression, chronic illness, and identity development are all issues Kayla can support you through. She specializes in working with people who are experiencing grief and loss, in all of their forms.
Kayla utilizes a holistic approach that is sensitive to the many and complex identities and social contexts that shape each individual’s experience; she is committed to providing culturally responsive care, in a space that is inclusive and affirming of all people.
Contact Kayla today to schedule a free initial consultation! She works with individuals ages 18+.
716.302.5545 | kayla@explorewhatsnext.com

Kendal Vaarwerk, Psy.D
Cognitive Behavioral Therapy, Anxiety, PTSD, Trauma, Couples, Family, Individuals 4+
Kendal knows the difficulty of embarking on the first step of meeting with a therapist and applauds your strength. Change is never easy, often necessary, and sometimes unpredictable. She will meet you where you are in a non-judgmental and empathic perspective creating a safe space for meaningful change to occur. Kendal utilizes her authentic self to create a collaborative environment that highlights your strengths to promote your desired change and outcome.
Kendal has a diverse clinical training background. With experience across forensic, crisis, community mental health, and acute care treatment sites. Kendal’s diverse skills of trauma-informed care, identity development, life transitions, play therapy (sand tray), mind-body connection, couples therapy, and working with individuals of all ages. This allows her to take on an integrated and individualized approach to best support your needs. She is committed to providing an affirming space that emphasizes cultural diversity and the many complexities of the human experience.
Kendal invites you to call 716.634.2600 and set up a free and confidential consultation with her, after which, together, we can decide your preferred next steps. She looks forward to hearing from you!
716.634.2600 | kendal@explorewhatsnext.com

Stephanie Massara-Polyanchenko, LMHC
Grief/loss, Transitions, Depression, Anxiety, Life and Personal Coaching
Life can throw you sudden and unexpected challenges. Stéphanie understands the difficulties surrounding change and the anxiety that occurs over an unknown future. The process of grief can be associated with any kind of loss: a job, relationship, the loss of a pet, or most painfully, a loved one. Stéphanie knows that the closing of one door may lead to the opening of another. You may not ever forget the loss, but she can help you to move forward.
Stéphanie also has a passion for helping those experiencing depression, anxiety, and daily life challenges through her empathetic, open and non-judgmental kindness. Through Motivational Interviewing, Dialectical and Cognitive Behavioral Therapy, and Schema Therapy Stephanie creates a safe and positive place to work together to find hope for the future.
Stéphanie works with young adults into late adulthood, from age eight and up. Contact Stéfie to discuss how you can take the first step toward your goals.
stephanie@explorewhatsnext.com | 216.952.7476

Nicole Brown, LCSW
Pre- & Postpartum Depression, Anxiety, Parenting, Adults, LGBTQ
Becoming a parent is a time of great vulnerability. If you’ve recently had a baby and are feeling overwhelmed, worried, sad or numb, Nicole wants you to know that you are not alone. Postpartum Depression/Anxiety affects approximately 1 in 7 women and is the most common complication of childbirth.
An expert in Perinatal Mental Health and Maternal Wellness, and the mother of three young children, Nicole understands the need for a space that is safe, non-judgemental, and nurturing during this time of distress. She brings intelligence, curiosity, compassion, and humor to her work. When you meet with Nicole, your voice will be heard, and together, you will work to understand what’s troubling you. You will identify your unique strengths and learn new skills to help you cope and recover. Postpartum Depression is a very treatable illness. You can feel better.
Nicole also loves working with adults, seventeen years old on up. She has great passion for helping people to feel more confident, resilient and strong. Call Nicole today.
917.674.6742 | nicole@explorewhatsnext.com

Christine Muffaletto, LCSW
Trauma, Depression, Anxiety, Eating/Weight issues, Tweens, Teens, Young Adults, & Adults.
Christine understands what it’s like when you’re trying your hardest and an invisible hand is holding you back. It doesn’t mean you’re weak, or stupid, or unworthy of good things—it just means you could use some help. It helps to connect with someone who knows that your stories are worth listening to. Christine will hear your story. She’s a great listener.
Christine is easy-going, friendly, empathetic, non-judgmental. She’s funny and real in a down to earth way. She loves working with pre-teens, teenagers, and young adults to help them move through those difficult life transitions where a person can feel lost.
With Christine’s guidance and encouragement you can take the first step to a happier, healthier life.
716.430.4611 | christine@explorewhatsnext.com

Emily K. Becker, LCSW-R, Manager Amherst Office
Anxiety, Depression, Parenting, Relationships, Eating/weight issues
Trouble feeling joy or connection? Do you feel sad, tired, or even just numb? Would you like to learn new ways to cope with unhelpful thoughts and feelings, and remove the obstacles that stand between you and your goals?
Emily works with you to create a safe space to explore the patterns and habits in your life that stop you from meeting your full potential. Together you can identify avenues of change and forge a path that leads to increased well-being.
Emily strongly believes that it’s the strength of the relationship you will create together that generates meaningful change. She will fit the therapeutic model you choose, including cognitive behavioral therapy and dialectical behavioral therapy, to suit your needs. Emily strives to greet each session with a curious mind, an open heart, and a wish to hear your story.
716.400.1605 | emily@explorewhatsnext.com

Michelle Woogen, Psy.D.
Anxiety, Trauma, Chronic Medical Conditions
Life stressors come in all shapes and sizes. Some stressors are obvious, such as relationship struggles, significant medical conditions, or the loss of a loved one. Some stressors are not obvious at all; the kind that might present as anxiety, depression or anger and originate from experiences that can be difficult to discuss or remember. However, when safely processed with Dr. Woogen, a dedicated and skilled professional, those memories and experiences become much less painful and powerful.
No matter your current stressor, Dr. Woogen would be honored to sit down with you to identify what the two of you can do together to make the changes necessary for you to live a life you value.
Dr. Woogen invites you to reach out and set up a free and confidential consultation with her, after which you can personally decide your preferred next steps. She looks forward to hearing from you!
716.268.3068 | drwoogen@explorewhatsnext.com

Overwhelmed? Anxious? Not enjoying where you are in your self, work or relationships?

OUR PRACTICE
We stand by your side problem solving. We’re interactive, compassionate & nonjudgmental. We provide the guidance, you provide the motivation.
You are the ultimate agent of change in your life!

OUR THERAPISTS
EWN therapists have expertise in effective treatment utilizing Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Psychodynamic, Interpersonal, Solution, Supportive, Mindfulness or Trauma based therapy.

Elvira G. Aletta, PhD, Founder & CEO
Executive & Personal Coaching, Individual & Relationship Counseling
Life gave Dr. Aletta the opportunity to know what it’s like to hurt physically and emotionally. After an episode of serious depression in her mid-twenties, Dr. Aletta was diagnosed with a rare kidney disease that relapsed throughout her adulthood. While treatable, the cure was often as hard to bear as the disease. Later she was diagnosed with scleroderma, another chronic illness.
Throughout, Dr. Aletta battled with anxiety. Despite all this, Dr. Aletta wants you to know, you can learn to engage in life again on your terms.
Good therapy helped Dr. Aletta. She knows good therapy can help you. That’s why she created Explore What’s Next.
Today Dr. Aletta enjoys mentoring the EWN therapists, focusing on coaching and psychotherapy clients, writing and speaking. She is proud and confident that Explore What’s Next can provide you with therapists who will help you regain a sense of safety, control and joy.
716.634.2600 | draletta@explorewhatsnext.com

Kate Keating Maleski, LCSW-R, Manager Buffalo Office
Individual & Relationship Counseling, EMDR, Anxiety, Depression, Teens & Adults
In her calm, engaging manner, Kate listens and develops a plan with you to address the problems at hand. Kate’s approach expresses respectful sensitivity to your needs. If you’re feeling hopeless, Kate assures you there is a way.
Whether you struggle with depression, anxiety, grief or betrayal, Kate is here to offer confident guidance to help you feel whole again. She also provides therapy and counseling to couples and families who have trouble relating because of a lack of trust.
Kate leads the successful Girls In Charge, groups for teen girls who are bullied, have low self-esteem and feel like “I just don’t belong.” If you know a teen looking for a safe, empathic, judgment-free place to heal and grow strong, contact Kate.
716.880.5689 | kate@explorewhatsnext.com

Kendal Vaarwerk, Psy.D
Cognitive Behavioral Therapy, Anxiety, PTSD, Trauma, Couples, Family, Individuals 4+
Kendal knows the difficulty of embarking on the first step of meeting with a therapist and applauds your strength. Change is never easy, often necessary, and sometimes unpredictable. She will meet you where you are in a non-judgmental and empathic perspective creating a safe space for meaningful change to occur. Kendal utilizes her authentic self to create a collaborative environment that highlights your strengths to promote your desired change and outcome.
Kendal has a diverse clinical training background. With experience across forensic, crisis, community mental health, and acute care treatment sites. Kendal’s diverse skills of trauma-informed care, identity development, life transitions, play therapy (sand tray), mind-body connection, couples therapy, and working with individuals of all ages. This allows her to take on an integrated and individualized approach to best support your needs. She is committed to providing an affirming space that emphasizes cultural diversity and the many complexities of the human experience.
Kendal invites you to call 716.634.2600 and set up a free and confidential consultation with her, after which, together, we can decide your preferred next steps. She looks forward to hearing from you!
716.634.2600 | kendal@explorewhatsnext.com

Nicole Brown, LCSW
Pre- & Postpartum Depression, Anxiety, Parenting, Adults, LGBTQ
Becoming a parent is a time of great vulnerability. If you’ve recently had a baby and are feeling overwhelmed, worried, sad or numb, Nicole wants you to know that you are not alone. Postpartum Depression/Anxiety affects approximately 1 in 7 women and is the most common complication of childbirth.
An expert in Perinatal Mental Health and Maternal Wellness, and the mother of three young children, Nicole understands the need for a space that is safe, non-judgemental, and nurturing during this time of distress. She brings intelligence, curiosity, compassion, and humor to her work. When you meet with Nicole, your voice will be heard, and together, you will work to understand what’s troubling you. You will identify your unique strengths and learn new skills to help you cope and recover. Postpartum Depression is a very treatable illness. You can feel better.
Nicole also loves working with adults, seventeen years old on up. She has great passion for helping people to feel more confident, resilient and strong. Call Nicole today.
917.674.6742 | nicole@explorewhatsnext.com

Christine Muffaletto, LCSW
Trauma, Depression, Anxiety, Eating/Weight issues, Tweens, Teens, Young Adults, & Adults
Christine understands what it’s like when you’re trying your hardest and an invisible hand is holding you back. It doesn’t mean you’re weak, or stupid, or unworthy of good things—it just means you could use some help. It helps to connect with someone who knows that your stories are worth listening to. Christine will hear your story. She’s a great listener.
Christine is easy-going, friendly, empathetic, non-judgmental. She’s funny and real in a down to earth way. She loves working with pre-teens, teenagers, and young adults to help them move through those difficult life transitions where a person can feel lost.
With Christine’s guidance and encouragement you can take the first step to a happier, healthier life.
716.430.4611 | christine@explorewhatsnext.com

Emily K. Becker,LCSW-R, Manager Amherst Office
Anxiety, Depression, Parenting, Relationships, Eating/weight issues
Trouble feeling joy or connection? Do you feel sad, tired, or even just numb? Would you like to learn new ways to cope with unhelpful thoughts and feelings, and remove the obstacles that stand between you and your goals?
Emily works with you to create a safe space to explore the patterns and habits in your life that stop you from meeting your full potential. Together you can identify avenues of change and forge a path that leads to increased well-being.
Emily strongly believes that it’s the strength of the relationship you will create together that generates meaningful change. She will fit the therapeutic model you choose, including cognitive behavioral therapy and dialectical behavioral therapy, to suit your needs. Emily strives to greet each session with a curious mind, an open heart, and a wish to hear your story.
716.400.1605 | emily@exlplorewhatsnext.com

Stephanie Massara-Polyanchenko, LMHC
Stephanie Massara-Polyanchenko, MHC-P
Grief/loss, Transitions, Depression, Anxiety, Life and Personal Coaching
Life can throw you sudden and unexpected challenges. Stéphanie understands the difficulties surrounding change and the anxiety that occurs over an unknown future. The process of grief can be associated with any kind of loss: a job, relationship, the loss of a pet, or most painfully, a loved one. Stéphanie knows that the closing of one door may lead to the opening of another. You may not ever forget the loss, but she can help you to move forward.
Stéphanie also has a passion for helping those experiencing depression, anxiety, and daily life challenges through her empathetic, open and non-judgmental kindness. Through Motivational Interviewing, Dialectical and Cognitive Behavioral Therapy, and Schema Therapy Stephanie creates a safe and positive place to work together to find hope for the future.
Stéphanie works with young adults into late adulthood, from age 14 and up. Contact Stefie to discuss how you can take the first step toward your goals.
stephanie@explorewhatsnext.com | 216.952.7476

Michelle Woogen, Psy.D.
Anxiety, Trauma, Chronic Medical Conditions
Life stressors come in all shapes and sizes. Some stressors are obvious, such as relationship struggles, significant medical conditions, or the loss of a loved one. Some stressors are not obvious at all; the kind that might present as anxiety, depression or anger and originate from experiences that can be difficult to discuss or remember. However, when safely processed with Dr. Woogen, a dedicated and skilled professional, those memories and experiences become much less painful and powerful.
No matter your current stressor, Dr. Woogen would be honored to sit down with you to identify what the two of you can do together to make the changes necessary for you to live a life you value.
Dr. Woogen invites you to reach out and set up a free and confidential consultation with her, after which you can personally decide your preferred next steps. She looks forward to hearing from you!
716.268.3068 | drwoogen@explorewhatsnext.com

Kayla Czysz, LMSW
Anxiety, Grief/Loss, Identity, Relationships, Stress, Life Transitions, Chronic Illness/Disability, Depression, Trauma, LGBTQIA+
We are living in turbulent times. Life can easily feel overwhelming and burdening. With her warm and uplifting style, Kayla can support you in enhancing presence, connectedness, and inner resources to weather life’s storms and to integrate more joy and ease.
Life transitions, relationships, self-worth and compassion, managing anxiety, depression, chronic illness, and identity development are all issues Kayla can support you through. She specializes in working with people who are experiencing grief and loss, in all of their forms.
Kayla utilizes a holistic approach that is sensitive to the many and complex identities and social contexts that shape each individual’s experience; she is committed to providing culturally responsive care, in a space that is inclusive and affirming of all people.
Contact Kayla today to schedule a free initial consultation! She works with individuals ages 18+.
716.302.5545 | kayla@explorewhatsnext.com

Overwhelmed? Anxious? Not enjoying where you are in your self, work or relationships?
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