Meet the team

The people you'll work with.

Every clinician here sees clients by secure telehealth across Texas. Get to know who you'd be talking to before you book.

Amanda Manchack, LCSW-S, smiling, seated in a leather chair

Amanda Manchack, LCSW-S

Founder & therapist

Altered Paths Wellness was founded on a simple idea: that changing course isn't a failure — it's often the healthiest thing a person can do. We help clients navigate that change with steady, compassionate support.

Altered Paths Wellness grew out of a straightforward belief: therapy works best when it feels human first, clinical second. We built a practice where the paperwork stays out of the way and the conversation stays front and center.

Whether you're taking a first step or returning after time away, our door — and our inbox — stays open.

Monique Griffin, PMHNP-BC, smiling, in a green top

Monique Griffin, MSN, APRN, PMHNP-BC

Psychiatric nurse practitioner · Medication management

Anxiety, low mood, trouble focusing, or emotional overwhelm can make everyday life feel harder than it should. You may be looking for answers, wondering whether medication could help, or frustrated by treatment that has not felt right. At Altered Paths Wellness, I start by listening to your story and understanding how symptoms affect your relationships, work, school, and daily life. My goal is thoughtful psychiatric care that helps you understand your options and take the next step with confidence.

I am Monique Griffin, MSN, APRN, PMHNP-BC, a board-certified psychiatric nurse practitioner with more than 14 years of experience. I offer comprehensive psychiatric evaluations and individualized medication management, with careful attention to your goals, treatment response, and side effects.

Katherine Montgomery, LCSW, LCDC, smiling outdoors

Katherine Montgomery, LCSW, LCDC

Therapist · Individual counseling

Feeling stuck can be incredibly isolating. Whether it's grief, life changes, addiction, painful experiences from the past, or constant worry about the future, many people find themselves caught in patterns they don't know how to move out of. Often, we were never really taught how to grieve, cope with hardship, forgive, or show ourselves compassion, which can leave people feeling ashamed for struggling or unsure how to move forward.

My goal in therapy is to create a space where you feel at ease, grounded, and truly seen. I bring a calm, genuine presence to my work and want clients to know they have someone in their corner who will walk alongside them through life's challenges.

Together, we can identify patterns that may be keeping you stuck and help you move toward a life that feels more stable, confident, and fulfilling.

Find the right fit for you.

Not sure who to book with? Reach out and we'll match you with the right clinician.

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