I have a passion to work with adolescents (13+) and adults on an individual basis who are struggling with anxiety, depression, self-esteem and identity development, life transitions, spirituality. I also have a desire to help individuals who have experienced infidelity and sexual betrayal heal from their experiences. First and foremost, my goal is to provide a safe, non-judgmental environment where you can begin your journey of healing, progress, and growth. I am practicing under the direction of Melanie Gulley and the supervision of DeVon Mills, PhD, LPC, ACS at Compassion Cove Counseling.

When life becomes overwhelming or filled with uncertainty, we all deserve a space to talk with someone who will not judge or shame us but who will walk alongside us as we figure it out. I believe that healing happens in connection, and we aren’t designed to figure it all out alone.

I value creating a safe and non-judgemental environment so my clients so they feel safe and comfortable when sharing their stories. I work primarily with trauma-related concerns, anxiety/ panic disorders, and depression.

Reaching out for support is an act of courage, and I admire the bravery it takes to consider counseling. My hope for you is that through the therapeutic process, you can be equipped with the tools to engage in a life that feels not only manageable but also more meaningful and fulfilling.

Sarah is a licensed professional counselor (LPC) specializing in working with women on identity formation and development, developing healthy relationships with others and self, life-stage transitions, and grief and loss.

Sarah holds a Master of Divinity from Candler School of Theology at Emory University and a Master of Science in clinical mental health counseling from Mercer University. Her dual training is reflective of her passionate interest in the relationship between spiritual health and mental health. She has been formed by her professional experience in hospital, palliative care/hospice, and mental health settings and by her international volunteer work in Mother Teresa's Home for the Dying in Kolkata, India.

Sarah seeks to support her clients in building lives of meaning in alignment with their values. She incorporates narrative techniques to explore the wisdom in her clients' stories, and she integrates existential theory as clients navigate questions regarding relationships, trauma recovery, identity, purpose, and spirituality. Sarah believes in the power of the therapeutic relationship and empowers her clients to be active participants in their own growth process.

I offer guidance through the wilderness of depression and anxiety, support in life‘s crucial decisions, deep inner listening, companionship in the life of the Spirit, help in the formation of relationships between other people and God, a sacred space for connecting with your true Self, the therapeutic gift of love, a journey into wholeness.

I am passionate about my work and love what I do. I have seen the effects that therapy can have in peoples’ lives and I am always honored to be a part of that process.

I received my M.A. in Psychology from Seattle University, and I completed my internship at Seattle Counseling Service. I am a veteran of the United State Navy.

In most cases the collaborative meaning-making process undertaken by client and therapist is the change factor that leads to clarity, relief, freedom and flourishing.

If you’re still struggling to find that inner peace and don’t know what else to do, that’s when I come in. I’m a licensed marriage and family therapist who is passionate about working with those who want to find themselves again – or maybe find themselves for the first time.

If you have one speed and that speed is go-go-go, let me help you slow down and be more present. We can work on turning off that autopilot and take control of your life again.

Together, we will work on all those experiences that were pushed aside, those accomplishments you felt you didn’t deserve, that feeling that life is just passing you by, all the times you powered through because you had no option, yeah, we’ll get into those!

Let’s figure out how to get you where you want to be. Let’s find that inner peace you’ve been searching for.

Together we’ll laugh, talk about the good and the bad, but most of all we will get you to a place where you can feel just a bit lighter than you did before.

My formal education focused on psychology and clinical social work. My professional experiences have been in public schools, hospitals and outpatient clinics, the Military, international nonprofits, universities and various community settings. I currently have a private practice with offices in Napa, in addition to my virtual office, where I provide "teletherapy" to clients in both California and Texas.
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My therapy training began in public schools with special education, K-12. I counseled children with mental health concerns and led life skills groups. I worked intensively with adolescents (and their caregivers) in alternative school programs burdened by emotional concerns.
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I spent most of the next decade working in hospitals, both pediatric and adult, assessing and responding to a variety of issues including devastating diagnoses, chronic health conditions, end of life issues, infertility and pregnancy loss, postpartum depression, drug and alcohol abuse, domestic violence, sexual assault and mental health crises. During this time, I taught and supervised students for the University of Texas at Austin Graduate School of Social Work. After ten years, I shifted out of the hospital setting to therapist lead of an integrated behavioral healthcare network where I helped build a program for providing mental health and case management to a pediatric and family medical practice serving 30,000 low income families.
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An opportunity led me to England for two years, where I managed a prevention and education campaign related to new parent support and family violence prevention. I educated US Air Force members and families on topics such as stress and anger management, PTSD, resilience, healthy dating, couple's communication and parenting, while co-facilitating support groups on chronic medical conditions. During this time, I also worked with Airmen and families on managing stress before and after deployments and transitioning to civilian life after a military career.
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After a brief return to the U.S. to study Spanish at the Defense Language Institute of Monterey, I moved to South America and worked for the U.S. Embassy while volunteering with a Chilean nonprofit. During this time, I researched advances in counseling and coaching methodology. Although I have a working knowledge of Spanish, I do not provide services in Spanish at this time.
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In 2014, I relocated to Napa, pregnant again after experiencing pregnancy loss. After treating parents for postpartum depression and anxiety, I experienced it first-hand and became aware of a need for expanded maternal mental health support in my community. So I added services to my private practice that would address infertility, pregnancy and postpartum mental health support, Moxie Motherhood, and co-founded a pregnant and postpartum peer support program.
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For almost two decades, I have honed my clinical expertise from problem-focused to possibility-focused. I remain current on research and active in the professional dialogue of wellness, balancing my time between counseling, coaching, teaching, volunteering and parenting. Read more here.
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I welcome the opportunity to support you.

Throughout my career I have worked in forensic settings, community mental health, and private practice. I have experience working with serious mental health, sex addiction, trauma, betrayal, and grief. I am a licensed mental health therapist in the State of Washington. I earned a doctorate Degree in Clinical Psychology from Argosy University in 2018.

Currently, I work with adults who are facing death and non-death losses. Those who are trying to navigate the complexity of relationships and the grief process. I believe we all experience change and loss by virtue of being in this world and in relationships. Transition, loss, and the experience of grief will affect every person through various moment in life. I strive to understand each person’s unique experience with these transitions. At times, these changes and losses are unexpected and can throw us off track or render us feeling hopeless. I have a keen interest in how we construct meaning life, especially in the wake of loss and transition.
I enjoy working with people seeking ways to adapt, thrive, and create meaning within themselves, while coping with losses including death, loss of relationships, illness, and many other life transitions and/or ambiguous losses.

My primary goal in the therapeutic process is to actively assist you in reaching a better understanding of the underlying conflicts and meaning around your situation by helping you gain some objective distance around your concern in relation to your larger context. Self-awareness alone has positive effects. I believe change is possible through this kind of understanding and acceptance of oneself.

Dr. Bilka tailors her therapeutic approach to fit each client’s unique needs. She integrates several therapeutic approaches including cognitive behavioral, interpersonal, EMDR and relational techniques to provide comprehensive and dynamic treatment. Dr. Bilka’s clinical interests include gay/lesbian/bisexual/transgender/questioning issues, adolescent and adult life transitions, relationship concerns, trauma and abuse. She specializes in treating teenagers and young adults dealing with mood disorders, anxiety disorders, and trauma. Dr. Bilka is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy, which has been proven highly effective for the treatment of trauma as well as with many other issues. She incorporates warmth, empathy, humor and insight-oriented methods into her practice. Dr. Bilka views the therapeutic process as a collaborative one in which the therapist offers understanding and support, providing the client with the space to develop a deeper understanding of his or her self and the courage to work toward change.