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.

My name is Nicole Rainey. I am a Licensed Mental Health Counselor and Registered Art Therapist in Tallahassee Florida. After 7 years of providing therapy to children, teens, and adults from diverse backgrounds, cultures, and life experience, I started Mosaic Creative Counseling. I believe therapy should focus on healing through creative self-expression. As a registered art therapist, I want to help my clients feel safe and comfortable expressing themselves and problem solving through talk, imagery, and creativity. I have experience helping people through a history of trauma, relational and family issues, grief/loss, foster care and adoption concerns. Prior to private practice, my work specifically focused on survivors of sexual abuse, physical abuse, neglect, violence, and sex trafficking/prostitution. I have specific training in Trauma- Focused Cognitive Behavioral Therapy, Internal Family Systems, Adoption Competency, as well as working with survivors of sexual exploitation. My practice Mosaic Creative Counseling provides the Tallahassee Florida community with specialized creative therapy services. After work, I enjoy painting with watercolors or throwing pottery. I love playing with animals and always look forward to traveling.

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 have been supporting parents in every job or role I’ve had in adulthood whether I knew it at the time or not. My clinical work began working with teenagers in the inpatient setting. I noticed that there would be times where patients would become stable while in the hospital and then we would discharge them, only for them to return a short time later. I realized we needed to be working with the family as a whole. Then I began working with younger children, thinking if I intercepted my clients at a younger age, I could potentially prevent the struggles I saw on the inpatient unit. I slowly worked my way down in age, working in the infant and early childhood realm in mental health care. One day, I had a lightbulb moment. I noticed a trend in all of these settings: the most important and impactful work is done with parents. Most mental health difficulties in children (and even many adults!) can be traced back to early childhood. Those experiences either tend to help or hinder our roles as parents.

Sarah works with the team at Tapestry Associates in Marietta square to serve women, young adults and teens and partner with them on their mental health journey.

I am a minister and psychotherapist who values the healthy integration of faith along with the best of the behavioral sciences. I value spiritually grounded and psychologically informed care. One professional specialty has grief and loss.

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!

After years in another career, I chose to retrain for helping others through mental health challenges. Trauma counseling and marriage and family therapy were areas of focus for me. Life experience, good training, and expert supervision combine to enable me to be effective with a wide range of mental health concerns. My clinical experience includes working a year with men in substance addictions and their families.

How do I view mental health? We are all impacted by the systems of which we are a part (family, friends, work, neighborhood, etc.). Trauma can have a long-lasting impact on our lives. We are all spiritual beings, regardless of which faith system we endorse. Everyone's struggles make sense and are a produce of what happened to them and the choices they made.

Your mental health challenges probably impact every area of your life. Let me help you make sense of them and find ways to flourish in life. I am accepting new clients (individuals, couples, and families) for in-person and virtual sessions.