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about us

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Lamar Hill


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.

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:

  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

  • Cognitive Behavioral Therapy (CBT)

  • Incredible Years, Dialectical behavior therapy (DBT)

  • Parent-Child Interaction Therapy (PCIT)

  • 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.

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.

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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.

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.

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.  

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.

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McKenzie Breden

My name is McKenzie Breden and I am currently in the online Master of Social Work program at Grand Canyon University in Phoenix, Arizona.


As a social worker, I strive to help individuals make positive and healthy life choices. My clinical interests are geriatrics and grief.


In my free time, I enjoy spending time outdoors, reading, working out, and with friends and family. I look forward to gaining new skills that I can use in my future of social work.

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Rawand Amedi

I am Rawand Amedi and currently in the Master of Social Work program through Grand Canyon University. As a Social Worker I strive to be empathetic, an active listener, and a critical thinker.


A few of my clinical interests include human rights, working with refugees and immigrants, ending generational trauma and poverty, and empowering our youth. As a refugee myself, I aim to be an educator and an ally to not only support others but bring awareness. 


In my free time I love spending time with family and friends, reading, shopping, and traveling! I am excited to learn and develop new skills that I can use in my future endeavors as a social worker! 

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