Rachel Hilker is a Licensed Marriage and Family Therapist providing Telehealth therapy services to clients residing in Virginia. Rachel specializes in providing Gottman Method Couple Therapy to married and premarital clients and trauma-informed individual therapy for women.

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.

In my 14+ years of counseling, I have worked in recovery programs, with federal inmates, and in private practice. I have experience with individuals of all ages, couples, and families. I love working with teens and young adults but being on anyone's healing journey is an honor and privilege. Having been married for 28 years and having two adult daughters has given me life experience beyond the classroom that I use everyday in sessions. I build rapport and trust easily with clients earning the me the ability to walk alongside them and speak truth, challenge them when needed, and cheer them on towards living their best life. I use a trauma-informed approach and believe wholeheartedly that people can heal and live their life according to their values.

Hi, thanks for reading my Bio! I've been a psychologist now for 30 years. Over that time, I've helped more than 10,000 people. This is my 3rd career - I started as a Domino's Pizza manager, then a computer programmer for IBM. I became a psychologist after seeing my own psychologist during a difficult divorce. I learned so much from that experience that I knew it was right for me - so I went back to school. I've also completed 90% of a post doctoral certificate in neuropsychology.

I find that most people I work with are interested in one of two kinds of therapy. First, some people are interested in problem solving / solution focused therapy - finding solutions to life's many problems. I use brain science and the design of human beings to develop creative shortcuts to these problems. I've created my own names for them, such as the 'what else' technique, or reverse psychologizing yourself, or the 3 P's of grieving, or the 'outside the box' technique.

Other people want to understand themselves at a deep level. Perhaps they find themselves making the same mistakes in life. Or they wonder 'how did I get here?' The want to understand their personality structure and to make deep, long lasting changes - to become, not necessarily happier, but more successful and satisfied with life. During this process, I describe what I consider to be 'the ultimate in mental health.'

And now you know ... The rest of the story!

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!

“The most beautiful people are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.” ― Elisabeth Kübler-Ross

Welcome, I'm glad you're here, I'm Lauren Foss, MS, LMFT. If you're feeling lonely, misunderstood, overwhelmed, or hopeless, perhaps in search of hope or meaning, individual, couple, and/or family therapy is available to serve as a gentle, guiding light, to illuminate your path, and help you find your way through the dark.

I look forward to walking alongside you as you navigate life's obstacles, develop greater insight and awareness into yourself and your relationships, and obtain practical tools for managing difficulties. Please reach out for a free 15 minute consultation to determine if I'm the right therapist for you.

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

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.

Katie strives to build an environment of safety, trust, and hope while allowing others to share their pain, challenges, and fears. She enjoys working with those who are suffering from anxiety, depression, self-esteem, body image and eating issues. She draws upon various modalities, including CBT, DBT, ACT, FBT, EMDR, inner child and parts work, and embodiment.

I specialize in evidence-based practices, including CBT, DBT, and mindfulness-based theories, to help clients explore difficult emotions, challenge harmful thought patterns, and better manage stress and anxiety. As a proud two-time HBCU graduate (Spelman College and Howard University), I bring a wealth of experience from working in diverse settings such as hospitals, outpatient clinics, and virtually-based mental healthcare.

My expertise includes supporting individuals with eating disorders, developmental challenges like Autism and ADHD, and those navigating life’s complexities. I am especially passionate about uplifting and empowering Black women, considering it a true privilege to amplify our greatness and nurture healing and growth.