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!

Throughout my career I have worked in forensic settings, community mental health, and private practice. I have experience working with serious mental health, sex addiction, trauma, betrayal, and grief. I am a licensed mental health therapist in the State of Washington. I earned a doctorate Degree in Clinical Psychology from Argosy University in 2018.

Currently, I work with adults who are facing death and non-death losses. Those who are trying to navigate the complexity of relationships and the grief process. I believe we all experience change and loss by virtue of being in this world and in relationships. Transition, loss, and the experience of grief will affect every person through various moment in life. I strive to understand each person’s unique experience with these transitions. At times, these changes and losses are unexpected and can throw us off track or render us feeling hopeless. I have a keen interest in how we construct meaning life, especially in the wake of loss and transition.
I enjoy working with people seeking ways to adapt, thrive, and create meaning within themselves, while coping with losses including death, loss of relationships, illness, and many other life transitions and/or ambiguous losses.

My primary goal in the therapeutic process is to actively assist you in reaching a better understanding of the underlying conflicts and meaning around your situation by helping you gain some objective distance around your concern in relation to your larger context. Self-awareness alone has positive effects. I believe change is possible through this kind of understanding and acceptance of oneself.

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.

Deb came from a broken home as a child and was in a blended family in her teen years. She practiced as a licensed occupational therapist for 35 years, working with children in hospital, school and private practice settings. She returned to school for her master's in Marriage and Family Therapy with a specialization in Spirituality and Counseling. She and her husband, Craig, have been married for 42 years, and raised three children. They are expecting their first grandchild in June, 2022. Deb is a mixed media artist, and a lover of nature, gardening, travel and her cockapoo puppy, Henry Biscuit.

Dr. Bilka tailors her therapeutic approach to fit each client’s unique needs. She integrates several therapeutic approaches including cognitive behavioral, interpersonal, EMDR and relational techniques to provide comprehensive and dynamic treatment. Dr. Bilka’s clinical interests include gay/lesbian/bisexual/transgender/questioning issues, adolescent and adult life transitions, relationship concerns, trauma and abuse. She specializes in treating teenagers and young adults dealing with mood disorders, anxiety disorders, and trauma. Dr. Bilka is trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy, which has been proven highly effective for the treatment of trauma as well as with many other issues. She incorporates warmth, empathy, humor and insight-oriented methods into her practice. Dr. Bilka views the therapeutic process as a collaborative one in which the therapist offers understanding and support, providing the client with the space to develop a deeper understanding of his or her self and the courage to work toward change.

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.

I am a compassionate and empathic Associate Marriage and Family Therapist eager to provide support. My journey has involved delivering therapy in both individual and group settings. I have experience in helping clients with trauma, ADHD, depression, and anxiety. I am also fluent in Spanish and enjoy working with the Latino community. I utilize therapeutic approaches such as Person-Centered, Narrative, and Cognitive Behavioral Therapy. There are various therapy approaches, and together, we can discover which one will benefit you the most.
As an AMFT, I am passionate about helping others. I am committed to helping you reach your goals by providing you with hope, support, and guidance. I have experience working with teens and adults. Therefore, I understand the difficulties that day-to-day life can bring. I aim to work with you along your journey to improve your mental health and emotional well-being. My goal is to understand your inner world and develop strategies that facilitate personal growth.
I hope to provide you with a safe space and supportive environment. I believe each individual has a unique story, and I'd be honored to hear yours!

Emily's passion for mental health began when she was just a child who saw how much counseling helped those in her family. Since then, her passion has only grown for helping others respond to life and its challenges. Emily believes in the importance of building a strong relationship with her clients, understanding how their identities impact their lives, and ensuring that she is always learning and growing as a person and counselor.

From her experiences in an on-campus clinic and a hospital support center, Emily has developed an approach to counseling that combines Cognitive- Behavioral Therapy, Acceptance and Commitment Therapy, and Person Centered Therapy. While everyone has different therapeutic needs, Emily tends to draw mostly from these approaches. Emily's professional interests include grief and loss, anxiety, body image concerns, stress management, and life transitions.

Are you struggling to find balance and create momentum in your daily life? I am offering virtual healthcare when you need it most. Through video calls we can meet, identify what change you want to occur and create a plan that propels you to a brighter future.

As a Licensed Professional Counselor (LPC) and Board Certified Behavior Analyst (BCBA), I have over 15 years of experience in the behavioral health field. Using a variety of behaviorally-focused approaches I work with my clients to help them achieve their individual goals.

I utilize a behavior analytic approach to assist my clients. This includes creating SMART goals, taking baseline data, implementing interventions, and tracking progress throughout the duration of therapy. Give me a call and let's get started!

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.