Counseling Ministry

Anne McDougall


"I began my study in counseling with "Dynamics of Biblical Change", a course taught by David Powlison. Little did I know that one 12-week course would set me on a journey that would change my life. How did it change my life? I learned that I was as much a sinner and as deeply needy as anyone I would ever counsel. I learned that I was made in the image of God, as were all the people I might be privileged to help. And I learned there was a God of grace, sufficient to cover my sin and meet my need. I was hungry for more so I enrolled in the counseling program offered by the Christian Counseling Education Foundation, CCEF (connected to Westminster Theological Seminary). Once I completed the program I longed to help others find the deep peace I was learning to experience.

My journey has been a humbling one, but filled with hope. As the wife of a long time PCA elder, the mother of two married children and grandmother of seven, I have learned through experience as well as study that "real help" does not come from within me but from the Lord Himself. No other experience outside of my marriage and my family has had a greater impact on the way I think and live my life than the ministry of CCEF's School of Biblical Counseling.

I hope to be able to encourage those who seek counsel that change at the heart level is the only kind that lasts. We need Christ and His Body, the Church to lead us to that heart change. My goal as a counselor is to walk with people who are struggling and lead them to the comfort and healing only Christ can offer. This is possible by getting to know and love the people who come for counseling and to help them more intimately know the ultimate healer, Christ our Lord.

For legal purposes in the state of Florida I became an ordained Chaplain in early 2014 and am considered a pastoral counselor rather than a licensed mental health therapist (LMHT)."

Louise Holzhauer, M.A., LMHC, LMFT

Licensed Mental Health Counselor (MH 11269)

"I am privileged to serve as Member Care Counselor at Orangewood Presbyterian Church. I also serve as the head of our church prayer team. My husband is a PCA elder and we have two, thriving adult children. As a young, married woman I survived a near-fatal occurrence of cancer which precipitated a deep and long-lasting depression. A compassionate friend helped me through that time emotionally and spiritually, and it became my desire to pass along that same experience of the body of Christ to other hurting people. After recovering, I began to write and teach women’s Bible studies at Orangewood, and I decided to attend Reformed Theological Seminary in order to be better equipped for that ministry. In addition to a Master’s Degree in Biblical Studies, I earned a Master’s in Counseling from RTS in 2009.

I believe that God has given us a mind, a heart and a will which reflect His divine image. However, because the world is fallen and man is sinful, our spirits, our lives and our perception of God have become twisted. As we see in Jesus’ ministry, healing for the pain of a broken life often comes through relationships and conversations which address the whole person, including truth, love and behavior. I see my job as walking alongside struggling individuals and families, cultivating hope, and helping them find the Gospel in their own stories."

Cary Smith, MDiv, M.A.

Registered Mental Health Counselor Intern (IMH 11328)

“I deeply believe God offers comfort to the weary, healing to the wounded and forgiveness to the wandering. Counselors, pastors, mentors and friends who have helped me the most have done so with great patience and tons of grace. I work hard to offer every client that same persistent kindness.

I serve as a Counselor at Orangewood Church, PCA and St. Paul's Presbyterian Church. I regularly help clients with marriage, family and other relational problems, depression, anxiety, substance abuse and other compulsive behaviors, struggles with sexuality, childhood abuse, grief/loss, anger, spiritual doubts/confusion and workplace/career issues. I counsel from a distinctly Christian perspective and enjoy helping adults, teens, couples and families with a variety of emotional, relational and spiritual issues. I particularly enjoy working with individuals and families somehow connected to Christian ministry. 

In addition to formal counseling, I've spent several years in pastoral and campus ministry. I received a Master of Divinity (M.Div.) and a Master of Arts (M.A.) in Counseling from Reformed Theological Seminary where I completed a year-long graduate counseling internship at the Oviedo Counseling Clinic. I'm currently completing a Master of Theology (Th.M.) at Covenant Theological Seminary. I am a Registered Mental Health Counselor Intern, working toward mental health licensure in Florida. I also recently began the pastoral ordination process in the Presbyterian Church in America.”

Free individual, marital and family counseling is available to all St. Paul's Church families.  After the first three sessions, we suggest a modest donation.