If you're feeling overwhelmed scrolling through profiles or wondering if you are even ready to go to therapy anyway, you're not alone. I know from experience both as the therapist and as the client that making the decision to go to therapy & setting up that first appointment is often the hardest part. I hope that you're proud of yourself for taking that step & making it here. My goal is to connect personally with each client so that we can work collaboratively to identify problems and goals and create a plan for treatment.
You're the expert on your life and goals—it’s my job to provide the help, insight, and encouragement you need to get there. I work with clients to identify the negative thought patterns and the underlying beliefs causing difficult emotional experiences such as anxiety or depression, replacing them with more adaptive and functional thoughts and coping skills.
A large component of success in therapy comes from the counseling relationship—in finding the right fit. If you think I might be a good fit for you, feel free to reach out and we can set up a free phone consultation. I look forward to hearing from you!!

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 consider it a gift to help individuals and couples meet their goals and work towards becoming their most authentic selves. I have expertise and experience treating depression, anxiety, adjustment issues, trauma, family and relational issues, marital concerns including infidelity, and more. My therapeutic approach is fairly simple: I believe you are the expert in your life and I am here as a partner and sounding board to help you make real positive changes. My therapeutic style takes into account my training in Cognitive Behavioral Therapy, Solution-Focused Therapy, and Gottman therapy for couples, in conjunction with my belief in the resilience of the human spirit. I tailor my methods to suit the unique needs of the couples and individuals I serve. I understand how daunting it can feel to reach out for help, but you don't have to face this alone. Together, we can embark on a journey toward a more fulfilling and meaningful life.

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.

As long as I can remember helping others has always been a passion of mine. As an associate marriage and family therapist, walking alongside your journey often feels like a privilege. I truly believe the foundation of a therapeutic relationship begins with trust, empathy, and listening and with that I tailor the treatment approach to fit each client’s needs. I have worked with various populations of diverse background that have struggled with anxiety, depression, post-traumatic stress disorder, grief and loss, and body image issues. A few modalities I utilize are cognitive behavioral therapy, mindfulness, narrative therapy, and strength-based therapy. I would love to be a part of your journey to growth and help you become the best version of yourself.

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.

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.

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.

My passion is working with the LGBTQ community and with couples. I have worked in many settings and in my own LCSW counseling and consulting practice since 1987. I am originally from the East Coast and came to California, originally the Bay Area for 30 years and San Diego for the past 9, and have worked in medical, acute rehabilitation and outpatient psychiatry for the majority of my career.
I am trained in the Gottman model of couple's therapy, in DBT, CBT, ACT, Trauma resiliency, Prolonged Exposure therapy and CPT.
My most extensive training in the last 7 years has been with gender affirming care.