Apex Psychological Services Staff


Cynthia Palmisano MA, PSy.D. Licensed Psychologist in CA and CT  (Owner and Director)

Dr. Palmisano is a trained forensic and clinical psychologist. She has worked extensively with at risk and underserved populations including homeless mentally ill, incarcerated, dually diagnosed and transgender individuals. Her expertise includes motivational interviewing, cognitive behavioral therapy and cognitive processing therapy. Dr. Palmisano has expertise in psychological evaluation and testing. Her research has included a variety of work with incarcerated populations, recidivism, juvenile justice and sexual offenders. She believes in making treatment and evaluation evidence based and person centered.

Melissa Dubich, MA earned her initial Bachelor of Arts Degree in Administration of Justice followed by a Master of Science Degree in Administration of Justice from Salve Regina University in 2005. During her undergraduate career, she began to work with at-risk youth in a group home and residential setting. Since that time, her career has evolved more into mental health and substance use among adolescents, teens, and adults. She has conducted in-home treatment following specific models of therapy such as Intensive In-home Children and Adolescent Psychiatric Services (IICAPS), Multisystemic Therapy (MST), and with the Center for Treatment of Problem Sexual Behavior (CTPSB).  Within some of the models of therapy, she worked with the Court Support Services Division that had juveniles and young adults on probation where treatment was targeted at substance use, behavioral interventions, or problem sexualized behaviors among adolescents and teens.

Since 2013, Melissa has worked with adults struggling with substance use and mental health at the Detox, Partial Hospitalization (PHP), and Intensive Outpatient (IOP) levels of care. She is currently working towards completing her second Master of Science degree in Clinical Mental Health Counseling from Capella University in December 2022. Melissa is currently a member of the American Counseling Association (ACA). Melissa truly loves working with clients to help them see their value and build on their strengths as they work through the challenges they are currently facing.  Melissa is currently accepting new cash pay patients while under Dr. Palmisano's supervision.


Karlie Spader, LPC (Therapist)

Karlie Spader is a recent graduate from the University of Bridgeport, receiving an M.S. in Clinical Mental Health Counseling. During her undergraduate career, she took an animal behavior course which led her to learn about the LGBTQ community and how at times this population struggles with mental health. Her explorations on this topic helped her discover counseling and motivated her to pursue a degree in counseling to learn more about mental health issues and to be a provider to those who need help.

In 2015, Karlie began an internship with True Colors, Inc. located in Hartford, CT. Her time at True Colors introduced her to people of all walks of life. She currently facilitates a LGBTQ youth group in Bridgeport, CT for True Colors on the first Friday of every month. Karlie gained her clinical experience at the Connecticut Psychiatric and Wellness Center located in Woodbridge, CT.

Karlie’s passion in life is to encourage individuals to discover their worth and what is meaningful to them. Karlie is currently accepting new cash patients.


260 Amity Rd. Suite 202, Woodbridge, CT 06525

Phone | (203) 812-9972

Fax | (203) 298-9007

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