about us
Lamar Hill
MSW, LICSW (MN), LCSW (ND)
I have always envisioned myself helping others and found that as much as he valued other’s visions, it was never fully satisfying for me. I have a perspective of both macro and microsystems theory, which drives me to make both system and policy changes as well as empowering others to picture their own possibilities and pursue positive change for themselves. I believe my skillset and passion allows me to create a refreshed sense of responsibility to the communities I serve, while also developing more effective and healthy partnerships with entities within our communities. Ultimately, we as providers need to continually be better in meeting the increasing demands on us all!
I am a biracial Native American (Arikara) and African American, proud father, son, brother, uncle, friend and therapist. I grew up in rural north central ND and was born into an environment of generational trauma of mental illness, substance abuse, domestic violence, split household and suicide. This journey led me to be raised in foster care since age three. However, I was fortunate to remain with same family and happily call them my family today.
I played a variety of sports growing up and enjoyed the liberal arts including choir and band. I went on to play collegiate football and basketball, and graduated with a Social Work degree from the University of Mary, in Bismarck, ND. After that I spent some time working on the railroad. It was that experience that directed me towards systems theory and its application and relations in all systems from the individual to micro-, meso-, exo- to macrosystems.
So, I attended graduate school at the University of Minnesota School of Social Work in St. Paul, MN, and earned a Master’s Degree. My graduate placement was at the White Earth American Indian Reservation. There, I provided community, school and residential-based therapy (i.e. family, individual and group therapy), diagnostic assessments and clinical consultation. I also served on the Minnesota American Indian Mental Health Advisory Board as the Mental Manager for the White Earth Mental Health Program.
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I earned my LICSW (MN) and LCSW (ND) while employed with Solutions Behavioral Healthcare Professionals in Moorhead, MN. There, I provided Early Childhood Mental Health Services with Head Start. I have training in:
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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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Cognitive Behavioral Therapy (CBT)
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Incredible Years, Dialectical behavior therapy (DBT)
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Parent-Child Interaction Therapy (PCIT)
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Trauma Informed Child Parent Psychotherapy (TI-CPP)
I also use motivational interviewing, the medicine wheel in therapy when appropriate and other cultural practices such as prayer, smudging incorporating of medicine men and women.
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My children are my lifeline! I love to listen to music, cook, attend children’s functions, travel, attend sporting events (GO BISON!), spend time at home and enjoy thought-provoking conversation.
Brittany Hillerud
Clinical Intern
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Hi, I'm Brittany Hillerud!
I’m currently completing my Clinical Internship at Four Elements Therapy, offering individual therapy to children, teens, and adults.
I earned my Bachelor’s Degree in Social Work from the University of North Dakota! Following graduation, I took my degree and dreams to Minneapolis, MN where I spent six years working as a Child Protection Case Manager . This position allowed me to learn that empathy, advocacy, directness, and a sense of humor are absolute must-haves. From there I furthered my experience by working as a Special Education Social Worker. Most recently, I have spent two years working in an Outpatient Chemical Dependency Treatment Facility, which has further deepened my passion for trauma-informed, recovery-focused care. Throughout my time as a Social Worker, I have worked extensively with individuals that have Autism, Emotional Behavioral Disorders, ADHD, Developmental Cognitive Delays, youth and adolescents in special education settings, and Substance Use Disorders.
In therapy, I aim to lead with compassion, curiosity, and a solid dose of realness. I’m known for my kind heart, blunt honesty (delivered with warmth), and my ability to lead in a non-judgmental, client-centered way. I believe people do their best with the tools they have and I am here to help build the each individual's toolbox!
I bring a strong sense of intuition and emotional attunement to my work, grounded in clinical training and real-world perspective but guided by something more instinctual. I show up with authenticity, humor, and absolutely no judgment. Whether you're navigating something overwhelming or just need a space to untangle what you're feeling, I’ll meet you where you're at—with compassion, clarity, and maybe a little therapeutic sass when it helps.
Outside of sessions, you’ll usually find me traveling, exploring the outdoors, staying active, trying new foods, and most importantly... hanging out with my dog Kyah (who fully believes she’s the one running the show—and honestly, she might be right).
If you’re looking for a therapist who brings both heart and humor to the healing process, I’m really glad you’re here!
Skyler Flick
Clinical Intern
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I am a second year masters student in the social work program at MSUM with an emphasis in multicultural clinical counseling. As a dedicated counseling intern, I’m on a heartfelt journey to support others in their healing and growth. With compassion at the core of my work, I connect with clients, offering a safe space for them to explore their thoughts and feelings. Each interaction deepens my understanding of mental health. I’m truly excited to walk alongside other individuals as they navigate their paths, fostering hope and resilience while nurturing my own passion for helping others.
Kirsten Ulmer
My official title is Executive Assistant, but I hold many roles at Four Elements Therapy. I am the receptionist, scheduler, office manager, accountant, and organizer of all things. You may not see me regularly (or at all) in the office depending on when your appointment is, but I am your best point of contact to get things done.
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Lamar has been a longtime friend and fortunately for both of us, he asked, and I was available, to start this journey with him into private practice. We have a lot of fun in and out of the office. I look forward to meeting all those who let us be a part of their mental health journey.
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I was born and raised in California but have been in North Dakota for about 15 years. I graduated from Long Beach State University with a degree in Child Development and Family Studies. I have worked with children all my life in many different settings.
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I am a wife and mother of 3 and spend most of my free time running them around to all their activities. I enjoy traveling, music, cheering on the Bison, crafting, playing games and watching movies with family and friends.