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.

I work with children, adolescents, and young adults. My therapeutic style is very person-centered. I want sessions to be beneficial for you and will cater towards your needs. I have completed training in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI). I also incorporate art therapy, sand tray therapy, and play therapy into sessions. Just like every human, every therapy session is unique!

My education has taught me to meet my clients where they are. It's your world, and I am here to assist! In a non-judgmental and confidential atmosphere, your progression is a priority. Working together, we will identify the issues and/or triggers that you may be experiencing. We will also identify strategies and ways to overcome, work through, and move forward from those stumbling blocks. With a listening ear, I will support and encourage as necessary. I aim to push individuals to their fullest potential. Though it may be challenging, I will be with you on your growth journey. Even though loved ones may surround us, sometimes that is not enough, and that's okay! Sometimes, we need to reach out and ask for more support and assistance. That's okay, too! This is why I am here.

My entire work career since graduating has been centered around mental health. I work with adults, older adults, families and couples. While in both my undergraduate and graduate programs, I completed my field placement in Detroit public and charter schools while working with nonprofit agencies in the city. I have experience going into the homes of clients as well as working in an inpatient hospital. 

I specialize in Depressive Disorders, stress, low self-esteem, Anxiety Disorders, coping skills, & more. Specialized to meet your needs, I utilize therapeutic interventions such as Cognitive Behavioral Therapy (CBT) and Solution Focused Therapy.

Porsha is a Licensed Marriage and Family Therapist. She completed her Bachelor of Arts degree in psychology from University of California at Berkeley then moved to Atlanta, Georgia and completed her Masters of Family Therapy degree from Mercer University School of Medicine. Porsha’s strength is providing an open, caring and safe environment for you to discuss your most private difficulties and challenges. She focuses on building a positive therapeutic relationship to promote maximum positive change and growth in you.

Porsha is experienced and passionate about working with individuals, couples and families suffering from issues surrounding anxiety, depression, major conflict, infidelity, divorce, and blended family dynamics. She uses Solution-Focused Therapy to help broaden clients’ understanding of the way they see themselves, their family and their situation.

Porsha specializes in working with professional athletes and understands the specific lifestyle challenges athletes and their families face. She tailors her approach to each unique situation and strives to meet the individual needs of each athlete and family.

In addition, Porsha believes that one’s thoughts ultimately determine their feelings and behaviors and therefore uses Cognitive-Behavioral Therapy to identify destructive thinking patterns, creating more effective ways to respond to life’s challenges. In the words of John Holmer Miller, “Your living is determined not so much by what life brings to you as by the attitude you bring to life; not so much by what happens to you as by the way your mind looks at what happens.”

Telemental Health
Serving clients with Trauma, Complex Trauma, PTSD, Bipolar D/O, Anxiety, Depression and Gender issues

I’m a clinical psychologist focusing on women’s issues, doing both individual and group therapy via telehealth. I enjoy working with women to help them overcome life's challenges. I have particular interest and experience working with Veterans and active duty military families, pregnancy, infertility, post-partum mood changes, life transitions, and increasing self compassion.

Scott Fleming has nearly twenty years of experience journeying with people who have reached their life’s peaks and those that have encountered their lowest valleys. His experience includes working in acute care hospitals, clinics, church counseling centers, and private practice. In addition, he’s held academic and leadership positions in various settings for his entire career. He is a Registered Mental Health Counselor Intern (FL IMH 22614) and a seasoned Certified Pastoral Counselor.

Combining the latest best evidence-based practices, clinical expertise, and other psychological advancements with a personalized approach, he cares for patients experiencing the emotional, spiritual, and psychological toll that comes with a variety of conditions and situations. Scott strives to be person-centered yet solution-focused in his approach. He counsels from a relational counseling model, holding to the core belief that an individual cannot heal or grow outside the context of meaningful relationships.

Scott believes each person has a unique and sacred story justifying that treatment plans should be genuinely crafted with the client in mind. He has a gift for creating a safe place for people to process their pain and bond with his clients in meaningful ways. Scott subscribes to an eclectic, integrated approach customized to your unique story incorporating elements of Acceptance and Commitment Therapy (ACT), Adlerian theory, Narrative techniques, solution-focused results, and existential principles. He seeks to partner with every patient in their healing process - mutually collaborative and committed to the process.

Scott considers the counseling relationship to be sacred and not one to be taken lightly. It takes much courage to step into counseling, whether it’s your first time or the first time in a while. In meeting with a new counselor, clients often secretly hope that this relationship works out so they don’t have to start over or walk away from therapy. This truth is something Scott understands and values. Whatever brings you into counseling, Scott aims to cultivate a grace-filled environment where you will be met without judgment.

Scott specializes in working with clergy, healthcare professionals, first responders, educators, and military personnel.

Issues he treats include Anxiety, Coping Issues, Depression, Family Conflict, Moral Injury, Compassion Fatigue / Burnout, Peer Relationships, Relationship Issues, Self Esteem, Stress, Caregiver Stress, and vicarious trauma.

Whether you’re encountering a bump in the road or a boulder in your path, Scott would be honored to walk with you toward your desired goals.

Do you feel a persistent sense of unease? Exhausted from the pressures of life? Frustrated with how your past is impacting you? Overwhelmed by the thought of starting therapy? Often our struggles alone feel unbearable, and the idea of addressing them only adds more stress. But you can get to where you'd like to be. It just takes learning to endure the discomfort of the growth and healing process. I am dedicated to helping you walk through the discomfort —to gain self insight, to make changes in your life, to feel more at ease, and attain your goals.

I am in network with Regence and Premera.