Dr. Kai Morgan, Ph.D.
Licensed Clinical Psychologist


Pauline VanderGrinten,

Clinical Services

Director/ Supervisor
Licensed Mental Health Counselor (CPAM/PL/COUNS/02)
1 (345) 938-7154

Mental Health Services

Pauline VanderGrinten MA, LPC, NCC, LMHC, DCC, QS has been working in Grand Cayman with Education Connection since 2003.  She was sought out as a Cognitive-Behavioral Specialist for treating OCD/ Anxiety disorders and impulse control disorders.  She remained on island for one year and then returned to USA in September 2004.  From there Pauline continued her work at the Center for Anxiety Disorders in Wisconsin, as well as, traveling globally to meet the needs of her Cayman clients.  She returned shortly after to Cayman to continue her outpatient work and was invited to be the Behavior Specialist at the inception of Hope Academy in 2009.
Through Pauline’s persistence, determination, and drive, Hope Academy’s Clinical Services began in 2011, Hope Academy became a Licensed Health Care Facility (HPC/HCF/107) growing to 15 CPAM Licensed Clinicians ranging from Mental Health Counselors, a Psychiatrist, Psychologists, Neuropsychologists, Speech & Language Therapist, and BCBAs.  Pauline is currently employed as the Clinical Director & Supervisor of Hope Academy's Clinical Services and a Mental Health Counselor. 
Pauline graduated from UW-Milwaukee (Milwaukee, WI, USA) with a bachelor’s in Psychology and a master’s degree in Counseling from Marquette University (Milwaukee, WI, USA).  She completed her clinical practicum at Rogers Memorial Psychiatric Hospital (https://rogersbh.org/)  in Oconomowoc, WI, USA, where she received extensive training in treatment for OCD/Anxiety, Mood, high functioning ASD, Hoarding, Eating, BFRBs and Impulse Control Disorders in Residential and partial hospitalization programs, as well as, intensive outpatient and outpatient programs. 
Pauline gained valuable experience from being directly trained by experts in the field of Anxiety/ OCD research and treatment.  She was supervised by one of the world’s leading experts, the Chief Clinical Officer and Clinical Director of the OCD Center and CBT Services at Rogers Memorial Hospital.  After her training, she continued her employment at Rogers Memorial Hospital and the Center for Anxiety Disorders until coming to Grand Cayman.  Pauline’s CBT expertise was also utilized by the local government providing in-home assistance to clients with diagnoses of hoarding, including animal hoarding, 
Pauline is eclectic in her approach believing not only one therapeutic approach will fit all clients.  She has been specially trained in Cognitive Behavioral Therapy (CBT), Exposure/Response Prevention (ERP), Habit Reversal, Prolonged Exposure including imaginal and in-vivo exposure, Dialectical behavior therapy (DBT), Behavioral Activation, Motivational Enhancement Therapy, Mindfulness, Positive Psychology, Emotionally Focused Therapy, Solution Focused Therapy, Person-Centered Therapy and Culturally Sensitive Therapy.
Pauline’s treatment focuses on:

  • Anxiety disorders including separation, social, phobias, selective mutism, agoraphobia, panic, general anxiety disorders
  • Obsessive Compulsive Disorder and related disorders including OCD, BDD, Hoarding, Trichotillomania, Skin Picking
  • Neurodevelopmental disorders including high functioning ASD, ADHD, Tic disorders
  • Bipolar and depression disorders
  • Trauma disorders including RAD, PTSD, Acute Stress disorder, Adjustment disorder
  • Eating disorders including anorexia nervosa, bulimia and binge eating
  • Relational, occupational, educational problems

Professional Organizations: • American Counseling Association Affiliate since 2000 • Anxiety Disorder Association of America Affiliate since 2001 • Wisconsin Psychological Association Affiliate since 2002 • Obsessive Compulsive Foundation Affiliate since 2003 • Association for Behavioral and Cognitive Therapies Affiliate since 2004 • Florida Mental Health Counselors Association since 2016] Licenses: 

Licensed Mental Health Counselor, CI (CPAM/PL/MHC/10)
Licensed Professional Counselor, WI, USA (3467-125)
Licensed Mental Health Counselor, FL, USA (MH10827)
Nationally Certified Counselor, USA (75286)
Distanced Credentialed Counselor (DCC1465)
Mental Health Qualified Supervisor, FL, USA

“I treat all ages using methods that have clear scientific support of their effectiveness and efficiency.  These methods do not involve extensive exploration of client’s childhood or unconscious mind.  Instead these methods are active, directive and educative.  I aim at solving problems the client faces now and teach tools to utilize the rest of their life.  I believe in treating the client, as well as, the whole family unit and improving the quality of life for all.”  Pauline

Kai Morgan

Charles Motsinger, M.D. is a graduate of the United States Air Force Academy and the Uniformed Services University of the Health Sciences.  He completed his joint Family Medicine-Psychiatry Residency training in the National Capital Area-Washington D.C.  He has been in clinical practice since 1997.  He has performed varied clinical duties including outpatient psychiatry, inpatient psychiatry and emergency psychiatry at the District of Columbia’s Comprehensive Psychiatric Emergency Program.  Dr. Motsinger has clinical experience with both children and adults and has treated the full spectrum of psychiatrist disorders including ADHD, depression, anxiety, OCD, bipolar, schizophrenia, substance abuse and dementia.  He is a Distinguished Fellow of the American Psychiatric Association.

Nadine Maxner

Roy Gould

Tonia Egleston, MA, LMHC
Licensed Mental Health Counselor


  • Anxiety Disorders:       

         - Obsessive Compulsive Disorder

         -  Panic Disorder                    
          - Agoraphobia                          
          - Social Phobia                           
          - Specific Phobia                   
          - General Anxiety Disorder    
          - Separation Anxiety      
          - Acute Stress Disorder         
          - Posttraumatic Disorder   

  • Attention Deficit Disorder
  • Adjustment / Transition Issues
  • Asperger’s Disorder
  • Alcohol and/or Drug Abuse
  • Body Dysmorphic Disorder
  • Depression / Mood Disorders
  • Eating Disorders
  • Educational Groups:  social skills, self-esteem building, bullying, peer relations
  •  Grief Counseling
  • Impulse Control Disorders
  • Medication Management
  • Oppositional Defiant Disorder
  • Parenting Support / Education
  • Pervasive Development Disorder
  • Premarital Preparation 
  • Self Esteem 
  • Spectrum Disorders
  • Stress Management

Carla Mueller, MsEd, LC, CPAM/PL/COUNS/18, is a Licensed Counselor in the Cayman Islands and is also a Licensed School Counselor in Wisconsin, USA.  She has experience working as a school counselor teaching social skills, coping skills for anxiety and stress, running counseling groups with various topics, ie. Social skills, friendship skills, girls groups and individual counseling using Cognitive Behavioral Therapy approach to build a working relationship with clients to help foster change. Carla completed RBT (Registered Behavior Technician) training in August of 2017 and uses skills acquired when working with children and families with Autism. 

Nadine Maxner, BA (Psych) Hons, MASP is a Registered Psychologist in Nova Scotia, Canada and a Licensed Psychologist in the Cayman Islands.  Nadine has over 10 years experience specializing in the assessment and treatment of children, youth, and young adults experiencing a variety of learning, mental health, and behavioural challenges.  Nadine has worked with diverse and multicultural populations in various psychology-related positions in clinical and school settings. 
Working as a clinical team member at Hope Academy since 2016, Nadine believes that comprehensive assessments should be linked to meaningful, evidence-based and time-sensitive interventions.  She provides assessment of and treatment for a variety of issues including learning disorders, ADHD, anxiety disorders, and emotional regulation challenges associated with various issues, to name a few.  Nadine has specific training, experience, and a special interest in anxiety- resiliency work with children, youth, and young adults utilizing a cognitive-behavioral therapy (CBT) framework.  Nadine prides herself on using a collaborative and team-oriented approach to promote the mental health and wellness of children, youth, and their families.     

Nadine Maxner, BA, Hons, MASP
Clinical Psychologist– Master Level



Carla Mueller

Jason Jones

Dr. Charles Motsinger, MD, DFAPA, LAC
Psychiatrist (MDC/PL/MED/392)
1 (345) 916-2077

Jason Jones MEd, LCT, CCC 
Licensed Counselling Therapist 


Roy has over 30 years’ experience with individuals and groups to help them discover solutions to difficult life problems.  He has helped people grieve and rebuild their sense of hope.  Roy has worked extensively with at-risk adolescents, youth, young adults and aspires to make an impact here in Cayman.  He believes, “Life is both joy and suffering.  We can learn to appreciate the joy and develop skill to soothe the suffering.  The result is a more balanced life.” 
Roy’s approach is systemic, “We live in family and cultural systems.  It is often confusing for children to make sense of the world they live in.  Confusion is stressful and produces anxiety; this is carried into adolescent and adult life.   Anxiety affects the way we think and behave, and it can be very painful.   We can learn to work with the thinking mind and the physical body to sooth the pain and clarify our way of relating with our families and our culture.”
Roy specializes in therapeutic services to address Trauma/Grief/Loss and Anxiety, using a combination of body-mind, attachment, & cognitive-behavioral approaches.  He offers seminars, workshops & trainings in personal change technologies.
Roy is a Canadian Certified Counsellor, a Licensed Counselling Therapist in New Brunswick Canada, and a Licensed Counselor in the Cayman Islands.  He has a Masters Degree in Counselling Psychology, is a Certified Grief Recovery Specialist and a Certified Life Skills Coach.  He has numerous certificates in personal and professional change technologies.

Elizabeth Lancaster is a Licensed Counselor in the USA and a Licensed Counselor in the Cayman Islands. She received a Masters of Science in Rehabilitation and Career Counseling and a Masters in Science in Substance Abuse and Clinical Counseling from East Carolina University. She has worked as a counselor in the criminal justice system and in the public school system. She has worked with children and adults using evidence based techniques with an emphasis on Cognitive Behavioral Therapy. Elizabeth has experience in providing group, individual, and family therapy. She specializes in alcohol and drug abuse/addiction, anxiety disorders, mood disorders, self-esteem, developmental disorders, and life transitions. Elizabeth enjoys her work and deeply respects the therapeutic relationship. Her experience in working in the school system has provided her expertise on developing accommodations for children in the academic setting as well as working directly with educators to understand different diagnoses.  

Elizabeth Lancaster, MS, LSW
Licensed Counselor
1 345-325-2530

HA Clinical Services offers the students of Hope Academy and the Cayman community a wide range of mental health services including :

Our clinicians are committed to providing a comprehensive team approach within a supportive, nurturing and healing environment by providing high quality exceptional, and effective services.

Jason Jones MEd, LCT, CCC is a Licensed Counselling Therapist in New Brunswick, Canada, and a Certified Canadian Counselor in Canada.  He is also a Licensed Counselor in the Cayman Islands. Jason has over 10 years experience working with at-risk youth and young adults and he specializes in building trusting relationships through a person-centered approach whereby even the most resistant youths open up to counseling.
Jason works from an integrative approach incorporating cognitive and experiential frameworks to deliver the most appropriate interventions and techniques for each client.  He is well-versed in a number of approaches providing individual and group therapy to young children, adolescents, adults, and families struggling with social problems, anxiety, depression, addiction, eating disorders, gender identity, trauma, grief, and issues related to self-esteem and/or family dynamics. Jason is an incredibly caring individual that attends to his clients fully with an open, non-judging, accepting attitude. He represents to many a positive adult, male role-model and he accepts this role and responsibility very graciously.

Charles Motsinger

  • Mental Health Therapy  
  • Psychology 
  • Consultations 
  • Assessments   

Areas in which we provide services for:

Pauline VanderGrinten

Elizabeth Lancaster

Tonia Egleston, LMHC is a licensed mental health counselor in Florida, USA and a licensed mental health counselor in the Cayman Islands.  For more than 15 years, she has provided mental health services for children, adolescents and their families in a variety of settings including outpatient therapy, in-home therapy, crisis intervention services, residential inpatient treatment, employee assistance program services and school counseling.  She is well trained and experienced in treating both children and adults with issues of depression, anxiety, grief and loss, trauma, abuse and neglect, neurodevelopmental disorders/ADHD, behavioral issues, divorce, blended family issues and parent-child relationship concerns.  Tonia believes that various forms of therapy are appropriate depending on the presenting issue and she uses an integrative approach to treatment based on evidenced based practices and the individual strengths and needs of the family.   She recognizes the key role that caregivers play in treatment outcomes and the importance of including parents and other family members in the treatment of children and adolescents.   Treatment approaches include individual, group and family therapy, cognitive behavioral therapy (CBT) and play therapy.  

Carla Mueller

Roy Gould

HA Clinical Service newest member, Dr. Kai A. D. Morgan is a clinical psychologist with a Masters and Doctorate in Clinical Psychology awarded in 2001 and a Bachelor’s degree in Psychology and Business Administration awarded in 1996. During her doctoral studies her introduction to the world of assessments was an eye opener and almost immediately became her passion amongst the gamete of roles that a psychologist could play.  After working at the University of West Indies and the University   entrepreneur and consultant, where she continues to hone and expand her psychological skills in various areas, especially assessment.
She maintains a private practice where she continues to see individuals (adults, adolescents and children), couples, families and offers group intervention for a broad array of psychological issues including depression, anxiety, trauma-related loss, grief and bereavement and conducts psychological assessments for the diagnosis of Attention Deficit Hyperactivity Disorder, Specific Learning Disorders, Personality Disorders, Neurocognitive Disorders, Autism Spectrum disorders and general emotional issues. To date, she has conducted and supervised over 2,000 assessments; has taught Assessment to Master and Doctoral students in Clinical Psychology; and conducted workshop and training sessions for same.
Dr. Morgan continues to teach part-time at the UWI, Mona Campus in the Masters in Clinical Psychology programme and has also done adjunct teaching in the past at UWI, Cave Hill Campus (Barbados), the International University of the Caribbean (Jamaica), and Caribbean Graduate School of Theology (Jamaica).
Dr. Morgan is highly committed to the growth of psychology in the Caribbean region and in her role as the President of the Jamaican Psychological Society, she has ensured that this is a primary objective for several Ministries and non-profit organizations with whom JamPsych is aligned as the organization continues to advocate for the development of the profession and the protection of the consumers.

Tonia Egleston