Clients come to us from all over the world for our world class addiction team. You may choose to work with one provider, or several. The choice is yours.

Clinical Staff

Clinical Staff

Tom Horvath, Ph.D. President

858.546.1100 x222

Dr. Horvath’s Reviews on

Reviews of Sex, Drugs, Gambling and Chocolate 

A. Tom Horvath was born and raised in Youngstown, Ohio. He earned a B.A. in Liberal Arts from St. John’s College, Annapolis, Maryland, in 1975, and a Ph.D. from the California School of Professional Psychology at San Diego in 1981. From 1981 to 1984 he served as an active duty Navy Psychologist. In 1984 he entered full time independent practice. In 1985 he founded Practical Recovery, which offers a self-empowering alternative to 12-step and disease-oriented addiction treatment. He became a board certified clinical psychologist of the American Board of Professional Psychology (ABPP) in 1990. In 2006 he founded Pyrysys Psychology Group, Inc., which offers a wide range of services, including Practical Recovery, Supporting ME (Moderate Eating), and the Center for Cognitive Therapy La Jolla. The Practical Recovery system of services now includes individual therapy, intensive outpatient and an innovative alternative to residential rehab, the Individual Intensive Outpatient Program (IIOP).

Dr. Horvath is a Past President (1990) and Fellow (1993) of the San Diego Psychological Association. In 2015 he received their Distinguished Contribution to Psychology award. He is a Past President (1988-1990) of the San Diego Phobia Foundation. In 1992 he was appointed by Speaker Willie Brown to the California Controlled Substances Prescription Advisory Council, which produced recommendations regarding California’s triplicate prescription program for controlled substances.

He was the Secretary-Treasurer (1995-98) of the American Psychological Association’s Society of Addiction Psychology (Division 50), and served as President from 1999-2000. The Division has over 1200 members and is the world’s largest organization of addictive behavior psychologists. In 2016 he was elected a Fellow of the American Psychological Association.

He was one of the founders of SMART Recovery (in 1994) and was president for 20 years.  SMART is an international, non-profit network of free, self-empowering, science-based support groups, face-to-face or online, for abstaining from any substance or activity addiction.

From 2000-2010 Dr. Horvath was adjunct faculty at the School of Leadership and Education Sciences, University of San Diego, where he helped leaders in all fields develop their leadership and executive potential. Since 2010 Dr. Horvath has been adjunct faculty at Alliant International University in San Diego, teaching substance abuse treatment courses. He is the author of Sex, Drugs, Gambling & Chocolate: A Workbook for Overcoming Addictions (2nd ed.; Impact, 2003).

Dr. Horvath’s publications, media interviews, and presentations to professionals and the public are helping to change how individuals, professionals, and societies understand addictive behavior. California Psychology License PSY7732.

Dan Galant, Ph.D. Licensed Senior Psychologist


Dr. Galant is a clinical psychologist and holds Masters and Doctoral degrees in Clinical Psychology from the California School of Professional Psychology, and a Bachelors degree from UCLA. In addition, he is a certified hypnotherapist through the American Council of Hypnotist Examiners (ACHE). He has been on staff at UCSD and Kaiser Permanente. His areas of specialty include depression, anxiety, PTSD, addictive behavior, smoking cessation, weight loss, stress management, pain control, phobias, and business/sports/skills enhancement. Specific therapeutic modalities include Cognitive Behavioral Therapy (CBT, REBT), Clinical Hypnotherapy, EMDR, and EFT/TFT. California Psychology License PSY18543.

Reya Kost MFT


Dr. Kost serves as a primary psychotherapist for IOP and Outpatient.

She received her undergraduate degree from Arizona State University and her Master’s Degree, Certificate in Chemical Dependency Counseling, and PsyD from Alliant International University. Dr. Kost’s experiences in the field of addiction treatment include residential treatment centers and outpatient work with a non-profit and in private practice. Her dissertation research focused on young heroin addicts and their attachment to their drug of choice. Dr. Kost is licensed in the state of California as a Marriage and Family Therapist (MFC53039) and is working to become licensed as a psychologist.

Dr. Kost specializes in working with those who misuse substances and their families, as they work through the trauma, depression, anxiety, and grief and loss that often accompany substance misuse. Her work is deeply influenced by her core values and beliefs about the therapeutic process. She believes all clients are inherently good people who are stuck in a pattern of unwanted behaviors. Dr. Kost strives to provide a safe and consistent environment to allow clients to make the changes they desire.

Linda Lewis, BS, CCP Relapse Prevention Counselor, LAADC, CADC


Ms. Lewis provides Relapse Prevention counseling. She uses cognitive-behavioral techniques to help clients maintain lifestyle balance, and identify high risk situations and alternative methods for coping with them. She also provides life coaching, and is certified as a coach practitioner by the Certified Coaches Federation. Before entering the counseling profession Linda was a Certified Property Manager and President of a real estate management company. Along the way she also overcame her own addiction problems. In 1997 she changed careers, to help others benefit from the insights gained from her own painful background. In 2000 she also co-founded the Bobby Jo Lewis Foundation, named for her 17 year old sister, who along with their mother was killed in a domestic violence incident. The Foundation helped disadvantaged parents overcome addiction and domestic violence problems. Her workshop, Courage is Contagious, has been presented around the country, and she has been a featured speaker at the Million Mom March in San Diego and Washington, DC.

Reg Pyrke, C.Ht. Hypnotherapist


Mr. Pyrke, a master hypnotherapist, specializes in helping individuals overcome addictive behaviors. He also has sub-specialties in stress-related problems and pain management. Mr. Pyrke says “hypnosis is a state of focused consciousness. Your hypnotherapist will assist you in learning how to achieve this state by guiding you into it. Once this state has been achieved, you will then receive what are called hypnotic suggestions. These suggestions will enable you to use the power of hypnosis in your life and make the changes you desire.”

Mr. Pyrke’s college degree is in psychology. He counseled others while obtaining that degree from McMaster University, Ontario, Canada. His career path led him to operating several businesses. One business designed commercial furniture, and another created and serviced computer networks for medium sized businesses. After retiring from these ventures Mr. Pyrke launched his career in hypnotherapy. Mr. Pyrke has a broad background in hypnotherapy, including being a Certified Hypnotherapist, a Master Hypnotist, a Certified 5 Path Hypnotherapist, and a Certified 7 Path Hypnosis Instructor. He is also Pain Management Certified and a Member of the National Guild of Hypnotists. For many individuals struggling with addiction, stress or pain, hypnosis offers a new opportunity to feel better and move forward in life.

Thaddeus Camlin, Psy.D. Psychologist

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Dr. Thaddeus Camlin joined Practical Recovery in 2014. He completed undergraduate work in psychology and theology at Marquette University in Milwaukee, Wisconsin.  He earned his doctorate degree in clinical psychology from the California School of Professional Psychology in San Diego.  He completed his graduate studies with an emphasis in integrative psychology and conducted his doctoral research on people who took ibogaine to interrupt a pattern of opiate use. He is a SMART Recovery facilitator and one of only a few certified CRAFT Therapists in California.  Specific therapeutic modalities involve an integrated, individualized application of Existential, Humanistic, Jungian, and Cognitive-Behavioral (CBT, DBT, ACT) methods.

Offering a self-empowering option for addiction treatment is meaningful to Dr. Camlin because many people don’t respond well to a powerlessness, confrontational approach. There is ample room for improvement in the treatment of addiction. At Practical Recovery, Dr. Camlin enjoys being a small part of the much needed change that pushes addiction treatment standards towards mutual respect, empirical methodology, and practices that don’t stifle the resiliency of the human spirit.  California Psychology License PSY29472

Karolyn Shapiro, Licensed MFT Clinical Director for IOP

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Ms. Shapiro serves as Clinical Director for IOP and primary therapist for Outpatient.

She received her undergraduate degree from Santa Clara University and her Master’s Degree from Alliant International University. She is licensed in the state of California as a Marriage and Family Therapist (MFC81409). Karolyn has extensive experience working in the field of addiction treatment, in residential, outpatient and private practice settings. She specializes in working with individuals, couples and families that have been impacted by substance misuse, trauma and intimate partner violence. Karolyn’s therapeutic work is influenced by the belief that safe, secure relationships are essential to our well-being. She takes a collaborative approach to support the client in developing self-awareness, insight and ultimately creating authentic connections with others.

David H. Jacobs, Ph.D. In Memoriam, 1945-2016

Our brilliant and beloved colleague is no longer with us. We acknowledge his profound impact on our work, in well over a decade of work together, and on each of us personally. We honor his legacy, and invite you to read his website, where he describes with wisdom and compassion the process of psychotherapy and personal growth.


Dr. Jacobs received his Ph.D. in Human Development from the University of Chicago. His clinical background included training in the Person Centered Approach with Carl Rogers, psychodynamic depth psychology, and developmental psychology. He had broad treatment experience over a 25 year period. He was an active scholar and published numerous scientific papers in journals in psychology, psychoanalysis, and medicine. He served as Associate Editor of two scholarly journals in psychology.

After arriving at Practical Recovery in 2003, Dr. Jacobs’ work has focused primarily on treating self-harming over involvement with drug use and sexual activities. He saw such self-harming activities as attempts to cope with emotional injuries that the individual had been unable to heal. In general, Dr. Jacobs found that over-reliance on drugs as a major coping strategy indicated that the individual’s experience in life provided him/her little reason to trust other people and feel they could be safely turned to as a source of comfort. Reliance on solitary sexual activity can de facto be very much like reliance on drug use. Driven sexual activity with many partners suggests a bottomless need for affirmation—affirmation that was missing during formative periods of personality development. Treatment required attention to self-harm in the present and the emotional foundations of desperate efforts to cope with past injuries. PSY10926.

Consulting Staff

Consulting Staff

Mario Salguero, M.D. Psychiatrist


Dr. Salguero graduated from the University of Guadalajara Medical School after which he earned a Diploma of Clinical Nutrition at the National Institute of Nutrition and a Ph.D. in Molecular Biology in Medicine, with a focus on personalized medicine and the clinical applications of genetic polymorphisms and epigenetics. Mario completed his Psychiatry Residency at the University of California at San Diego, where he received, the “Best Resident Clinician” award three years in a row and the prestigious “Lewis L. Judd” Research Award for his research in implementing a mindfulness self-compassion intervention for residents. Mario has authored articles and chapters in scientific journals and in textbooks and fostered international collaborations, especially around integrative medicine. A Voluntary Assistant Clinical Professor at the Department of Psychiatry, UCSD School of Medicine, Mario supervises residents in training. In addition, he has a Private Practice with a focus in personalizing the relationship with patients, promoting self-healing and integrating treatments from different healing disciplines as evidence supports.

Dr. Salguero appreciates establishing a balance between work and spending time with his family. Together, they enjoy walks on the beach, riding bikes and playing soccer, and take pleasure in traveling, trying new food and meeting people from different cultures.

Charles Moreau, M.D. Psychiatrist


Dr. Moreau is a board-certified psychiatrist in private practice in La Jolla, CA.

In his practice, Dr. Moreau focuses on the treatment of anxiety, depression, ADD/ADHD, trauma, and substance misuse using an integrated approach that attempts to blend contemporary neuroscience and biological understandings with a diverse blend of psychotherapies including cognitive behavior therapy and psychoanalytic orientations and approaches to treatment. He offers both medication management and psychotherapy.

Dr. Moreau graduated cum laude from UCLA where he earned a Bachelor of Science Degree. He earned his Medical Doctorate from Louisiana State University, New Orleans Medical School and completed his psychiatric residency at UCSD where he served as Chief Resident at the VAMC in his final year of residency. Also while at UCSD, Dr. Moreau worked extensively with victims of trauma. To complement the distinguished biological training he received at UCSD, Dr. Moreau completed a rigorous eight year adult psychoanalytic training program at the San Diego Psychoanalytic Society and Institute.

 Dr. Moreau is published in the area of Posttraumatic Stress Disorder and mood disorders. He has conducted research in the area of traumatic bereavement. Dr. Moreau has given presentations on addiction, bereavement, and depression in community and university settings. He is a volunteer clinical faculty member of the University of California, San Diego and serves as a consultant to the Survivors of Violent Loss Program of San Diego, CA. Dr. Moreau is on staff at Scripps Green Hospital where he serves as a psychiatric consultant. He is a member of the American Psychiatric Association, the San Diego Psychiatric Association, and the San Diego Psychoanalytic Society and Institute where he serves as a board member.

When not working, Dr. Moreau enjoys spending time with his family and bouldering in Joshua Tree National Park.

Carolyn Ross, MD, MPH Psychiatrist


Dr. Carolyn Coker Ross is a nationally known author, speaker, expert and pioneer in the use of Integrative Medicine for the treatment of Eating Disorders, Obesity and Addictions.  She is the former head of the eating disorders program at Sierra Tucson. Dr. Ross consults with treatment centers around the country to help them develop successful eating disorder programs with the focus on treating dually diagnosed eating disorder clients.

She is the author of three books the most recent of which is The Binge Eating and Compulsive Overeating Workbook, which describes a whole-person approach to treating binge eating disorder and obesity.  Her newest book is The Emotional Eating Workbook (May, 2016).

She collaborated with Dr. Andrew Weil on 2-CD audio entitled “The Joy of Eating Well.”  This audio program is designed to be a practical self-guide for obesity and binge eating disorder. Dr. Ross has also developed a home-study course for binge eating disorder and obesity entitled The Anchor Binge Eating and Compulsive Overeating Program™.

She currently has a private practice in Denver and San Diego specializing in treating eating disorders, addictions, and obesity.

Rachel Gobar, B.A. Meditation Specialist


Ms. Gobar is well grounded in several Meditation Methods or Mind Training Services as she prefers to call it. She has experience in both Business and Personal Training while working nationally and internationally. In sessions, Rachel uses your belief system to address issues and meet your individual needs. She designs a specific individual-based program for you or your company. Rachel’s Mind Training programs are useful for the novice and for the advanced. Clients will notice results within one to three sessions.

Ms. Gobar believes there is no one way to approach a problem. Instead, she uses the organization or the person’s belief system and culture to help incorporate a lasting solution. She is a firm believer in practicing what she teaches.

Nirvair Singh Khalsa, B.S. Energy Healer


A student of Master Yogi Bhajan, Nirvair has been trained in the Healing Arts, Yogic and Tantric traditions since 1977. He does intuitive energetic healing, and Kundalini Yoga and Meditation. These techniques are used to identify and release limiting patterns, beliefs, and emotional blocks to create more freedom, understanding and choice.

Solluna Moyoah HHP, Body Worker


Solluna is a Master Holistic Health Practitioner, Herbalist, Minister, Teacher, Empathic Personal Insight Counselor, and Reiki Master. She is specializing in the diminishing and elimination of pain and all its derivatives: physical and mental.

Her education and experiences, in the U.S.A. and abroad, focuses on gaining greater knowledge of the benefits of Massage Therapy and improve her techniques. She has a BA in Biology (USD); Koroyo Hand Therapy, Medical Massage, and Reiki Master Certifications, professional member of American Massage Therapy Association and National Board for Therapeutic Massage and Bodywork, and a member of Pyrysys Psychology Group, AToN Center, and Radiance Yoga.

She continues to develop and refine her abilities and Self. For example, she is currently conducting research about fatigue and posture; also, available for workshops, seminars and lecturing. She delights in sharing her scientific and artistic knowledge. Her experiences include providing therapeutic massage and counseling therapies for forty year.

The “techniques”, “populations”, and “problems” she impacts are as follows:
Acupressure; Aromatherapy; Cranio-Sacral; Deep Tissue; Energy Touch; Facial Massage; Myofacial Release; Empathic Personal Insight Counselor; Polarity; Pregnancy/ Infant Massage; Reflexology; Reiki Master; Sport Massage; Stone Massage; Swedish; Trigger Point.

Assisting anyone (man, woman, and child; pets, also) with physical and / or mental pain(s) to: reclaim vitality; connect with their senses; alleviate long standing complaints: structurally and functionally; healings and renewals; take long, deep, slow breaths; better rest and sleep; connect to and sustain bliss; connect with the Sacred via transformations of mind, body, and soul.

“Massage Therapy is not a luxury; it is a most profound modality for Prevention of dis/ease and Maintenance of health for the body, mind and soul…” Solluna

Solluna & Company Therapeutic Massage & Spa

Blessings of Light and Love
“…LIFE is about healings transformations of our mind, body, and soul connections for the cultivating of the Spirit…” Solluna

Acupuncture Center of La Jolla


The Acupuncture Center of La Jolla has been serving Southern California since 1989. Throughout the years, they have worked as a part of the community to provide complementary methods of healing that best serve clients. They coined the phrase, “Chinese Medicine for an American Lifestyle” back in 1989 to establish their desire to bring this most ancient form of healing into the modern world.

Joy Hricko, B.A., CMT Massage Therapist


Joy Hricko BA, CMT- Joy Hricko received her Massage Therapy Certification in 2011 from California Massage Therapy Council (CAMTC) following extensive study at Healing Hands School of Holistic Health. It was there that Joy began to recognize her gift in providing transformative massage with the intention of healing both emotional and physical ailments.

Ms. Hricko states: “I am dedicated to massage therapy as it allows me to give unconditionally to people in need and provides me great joy, knowing I help people achieve an increase in their overall well-being as well as being an empathetic partner in their health.”

Ms. Hricko is also a dynamic San Diego theatrical performer and a member of the Actors Equity Association. As a performer, Joy possesses a key understanding of the body’s ability to manipulate in space, and was initially drawn to the field of bodywork as a way to help fellow performers. Joy is a professional member of the Associated Bodywork and Massage Professionals (ABMP).

Megan Goodrich, BA Recovery Coach


Megan Goodrich earned her BA in Anthropology from San Diego State University. She is board certified by the American Association of Drugless Practitioners as a Holistic Health Coach. She completed her education in nutritional theory, practical lifestyle management techniques, and innovative coaching methods at the Institute for Integrative Nutrition. She also holds certifications as a Nutritional Therapist, Detox Specialist, and Dietary Supplement Specialist from The Health Sciences Academy. She is currently working on her Masters degree in Integrative Psychology from Akamai University. Megan has been a SMART Recovery volunteer facilitator since 2014. She has completed training in CRAFT (Community Reinforcement and Family Training). She was born and raised in San Diego, California.

As a recovery coach Megan uses her training as well as her personal recovery experience to connect with and support others searching for practical solutions for their problematic addictive behavior. She relies on concepts from cognitive behavioral therapy, the community reinforcement approach, mindfulness, motivational interviewing, and other therapeutic approaches, to act as an emotional, informational, and logistical support. She assists clients to identify their needs, identify and resolve personal/environmental obstacles, prioritize their goals, create plans of action, and maintain accountability.

Cheri out Megan’s interview on

Administrative Staff

Administrative Staff

Ana Ferraro Office Manager


Ms. Ferraro has many years of billing management experience and has operated as an accounts receivable manager, human resource coordinator, and billing manager. She earned her billing certificate at Comprehensive Training Systems in 1994. In addition to Ms. Ferraro’s many contributions to Practical Recovery, she offers thorough attention to detail and strong customer service skills.

Cheri Harkleroad, B.A. Digital Marketing Manager

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Ms. Harkleroad earned her bachelor’s degree in Sociology with a minor in Psychology from UCSD.  Raised in San Diego, she was afforded the opportunity to work under many influential marketing directors and enjoyed learning the methods of successful marketing. She has combined her passion to help others with her marketing skills and love for computers in order to maintain the company website and leverage Practical Recovery as a prominent online resource for addiction and treatment.

A mother of two small children, Ms. Harkleroad has a strong interest in the arts, fitness kickboxing, traveling and learning new things. She tries to keep things interesting, whether it’s training for a half marathon or recruiting her co-workers to join her on a sky diving adventure!

Susie Lee Receptionist/Administrative Assistant


Ms. Lee has many years of experience in Administration and Client Relations and was previously employed as a Legal Office Assistant at a Law firm. Ms. Lee began her employment as Receptionist with Practical Recovery in April of 2014. Ms. Lee, has a strong interest in traveling and seeing the world.