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.

Do you experience the feeling of loneliness, sadness, or fear of the future? Do these feelings affect your ability to do the things you normally enjoy? Helping people live a life that they love is my passion. Learning how to work through difficult relationships, grief, setting boundaries, or going through a life transition. My goal is to help you learn how to work through these issues and live the life you've been longing for. I offer a welcoming space with in-person and virtual appointments to suit your schedule.

Are there love, work, family, or personal circumstances that you would like to discuss? Are you having symptoms that are causing you distress or interfering with your daily life? Are there changes that you wish to make or life transitions you are trying to get through? Are you struggling in your relationship and needing to find new ways to communicate, a new perspective on your partners, or a better way to understand your partner?
I can help! I will help you get beyond whatever holds you back, help you manage and overcome any symptoms you might be having, assist you in negotiation challenges in your relationships and work with you towards the changes you wish to make.
My clients generally regard me as genuine, insightful, easy to talk to, and humorous. I provide treatment face to face, via phone and via internet. Areas of interest include depression, anxiety, trauma, relationship issues, communication concerns, and building self esteem. I welcome those who feel they might be "a challenge"

Finding a therapist that you connect with is crucial to helping you get the results you are hoping for. You may consider personality, values, style of therapy, or the overall vibe in your search. People would describe therapy with Brooke as heart healing, honest, collaborative and connecting. Brooke is passionate about working along individuals and couples as they learn to live authentically, boldly, and joyfully. Her work helps clients to explore the wounds or trauma that may be holding them back from achieving their best self. Brooke may be a good fit for you if you find yourself wanting a therapist who will hold your perspective and offer a different one, if you want to be challenged to grow, or if you are looking to be more spiritually and emotionally connected to yourself and others.

If you are struggling to cope with stress and anxiety from past or ongoing difficulties (such as school/work stress, friendship/relationship problems, bullying, or family dynamics), I can help you process and problem-solve your experiences and offer a path forward. This includes learning coping skills and interpersonal effectiveness, as well as examining thought and behavior patterns. I enjoy working collaboratively with my clients to help them be the best version of themselves by helping them to identify their goals and to leverage their strengths to meet those goals.

Are you or your child struggling in school and you don't know why or how to help? A psychoeducational evaluation can determine if an individual meets criteria for a learning disability or ADHD, as well as highlight strengths and weaknesses and guide academic and treatment recommendations (including accommodations on standardized tests, if appropriate).

I am currently conducting all therapy via telehealth and am accepting new clients ages 12+ in DC, MD, VA, NJ, PA, & more. Psychoeducational evaluations are conducted in DC only (ages 6+). Please feel free to email me so we can set up a brief phone consultation to see if I can help. If I can't, I'll try to point you in the right direction.

Cara is a Licensed Professional Counselor - Mental Health Service Provider and National Certified Counselor. Along with her licensing and training, she is certified in both the Grief Recovery Method ® and the SYMBIS Pre-Marital Assessment. Cara is a graduate of the University of Georgia. After completing her Bachelor’s degree, she completed her Master’s at Richmont Graduate University in Atlanta, GA.

Cara works regularly with individuals and couples experiencing a variety of struggles including anxiety, depression, grief, low self-worth, relational challenges, life transitions, trauma, affair recovery, emotional regulation and feelings of intense shame.

Cara believes the most important element in therapy is the relationship between the therapist and client. Because of this, she works hard to understand each individual as their unique self and create a safe and open space for growth and healing. While she works with a variety of therapeutic approaches, Cara finds most of her work centers around the Psychodynamic theory, recognizing that we all believe and inevitably behave the messages we narrate unconsciously. By understanding these beliefs and messages and how they originated, we can ultimately change and heal in all aspects of our lives.

Do you feel disconnected from yourself and others, longing to feel known, safe, and whole? I take a holistic approach to support clients struggling identity development, relational issues, depression, meaning-making, boundaries, anxiety, sexual health and identity, and spiritual integration. I respect and honor all identities and strive to create a safe and welcoming therapeutic space for all.

Sarah considers her work in therapy to be a privilege with every client. She understands taking brave steps towards life-healing change is sacred work that should be met with detailed, compassionate care. Sarah strives to provide a safe environment for clients to build on their existing skills and address any areas of concerns they may have while moving towards transformation and freedom.

Sarah has served clients in a broad span of clinical and therapeutic settings. Her experience ranges from serving the mental health needs of the homeless population of Atlanta, to psychiatric hospital experience, therapeutic residential treatment for teens, and private practice. Sarah integrates a variety of therapeutic techniques to help clients identify and heal the deep heart wounds that can influence our core beliefs and impact our actions. The integration of faith in counseling is available upon request.

Stress just. won't. stop. and “work-life balance” seems like an impossible feat. Your stress has been building for FAR too long; you can't remember the last time you weren’t so overwhelmed or anxious. You can't stand how irritable you’ve become, especially around those you love. Your go-to de-stressors just aren't cutting it anymore - or it's a struggle to use them, and you’re growing tired of your own procrastination, rumination, and withdrawing from others. You want to be more present in your life & relationships. You want to feel like your old self again - or a new, calmer self - on a path of continued growth and success. You want more for yourself and are ready for change.

I can help by co-creating a brave & safe space and validating you - especially when it feels like no one understands. With Accelerated Resolution Therapy (ART), we can help you feel quick relief from prior traumas and distresses, eliminate triggers, and move forward feeling lighter and calmer. We'll rebuild coping skills for relief now & prevention later. I'll challenge you (with care), offer accountability, and use your strengths to help you meet your goals. Ideally, we'll also laugh together and connect as humans.

You're struggling now and contacting therapists only to then wait for responses is frustrating. Skip the waiting and take another step toward relief now by scheduling a brief phone consult directly on my website!

I have over 30 years experience teaching mindfulness, meditation and working in the Mental Health field. I feel a lot of compassion for those who struggle and specialize in working with religious trauma, PTSD, nightmares, disscciation, and depersonalization, excessive worries, anxiety and panic attacks. I never ask my clients to do something, i.e. use a method that I have not worked with myself. I strongly believe one must walk their talk and live in integrity to feel healthy. I have traveled and lived in many countries and I provide support for expats and people with intercultural adjustment difficulties related to the experience of living abroad.. My primary purpose for traveling in other countries was to study with various teachers about the nature of consciousness. I lived, for example, with a group of Indians studying indigenous medicine in the Amazon jungle of Columbia. I also traveled through India, Europe, Canada, Latin America, Mexico and Turkey studying the psychological teachings contained in the religious teachings, histories, sacred sites, and art of these cultures. I have studied and practiced Samatha and vipassana Meditation methods for over 30 years. I currently reside in Saigon, Vietnam.