
Medical Director
Keith Sigmond Garcia, MD, PhD
Director of Clinical Operations
Dr. Garcia has cared for patients with co-occurring substance abuse and psychiatric conditions across the spectrum of treatment settings including inpatient, outpatient, and partial hospitalization programs. In 2017, he left academics to start his own practice and has been the medical director for The Right Step Hill Country since then. He has published over 20 articles and chapters across a wide range of topics and has provided mentorship to numerous resident psychiatrists and students. In his spare time, he relaxes by playing guitar and spending time with his family.

Director of Clinical Operations
Alycia “Ally” DeGraff, Ph.D., LMFT
Director of Clinical Operations
Dr. DeGraff takes a social and systemic approach to addiction. She views addiction as a complex disease in which biological, social, psychological, and systemic forces are constantly at play, often getting in the way of the individual that is trying to find recovery. She works with a multidisciplinary team to shift each of these forces toward alignment with clients’ health and recovery. The core of her approach involves working within the family system to identify and change the family dynamics of addiction. She says it is a privilege to shift family systems and to see relationships shift so that clients can engage in healthy recovery.
Dr. DeGraff specializes in addictive disorders and recovery studies, couple and family therapy, experiential family therapy, financial therapy and relapse prevention. She holds three degrees: a bachelor’s degree in community, family and addiction services from Texas Tech University; a master’s degree in couples and family therapy from Texas Tech University; and a Doctor of Philosophy (Ph.D.) in human development and family science from The University of Georgia. Prior to joining Promises Austin, she served as a program therapist at The Right Step Hill Country and a therapist and research and teaching assistant at The University of Georgia. In her free time, Dr. DeGraff enjoys gardening, cooking, hiking, kayaking and painting.

Facility CEO
Jessica Lopez, Ph.D., LCDC
Jessica Lopez, LCDC-IFacility CEO
Jessica Lopez in the Director of Admissions at The Right Step Hill Country. Ms. Lopez has worked in behavioral health, specializing in addiction, for nearly a decade. She has worked in Admissions at both Residential and Outpatient levels of care. She has her Bachelors in Psychology and is a Licensed Chemical Dependency Counselor (LCDC). She has spent the majority of her professional career advocating for clients in the substance abuse and mental health field while supporting families and individuals navigating the initial steps of care. In her free time, she loves woodworking, cooking and spending quality time with her miniature dachshund, Bentley.