Do you find yourself spiraling with anxiety? If you're grappling with excessive worry about your health, experiencing panic attacks, or struggling with uncontrollable thoughts about everyday things, you're not alone. These challenges can be incredibly overwhelming and often lead to seeking constant reassurance from loved ones or compulsively searching for answers online. Maybe you’ve tried distracting yourself or avoiding situations, but nothing seems to provide lasting relief. It’s understandable to feel frustrated and exhausted by these cycles of anxiety.

I’m here to help. As a licensed therapist with a focus on anxiety disorders, I understand the complexities of these experiences. I use evidence-based approaches that are the gold standard of treatment.

If you're ready to break free from the cycle of anxiety and find meaningful relief, let's work together. My goal is to support you in building resilience and developing strategies tailored to your unique needs. Take the first step towards a more balanced life. Reach out today to schedule a consultation. You deserve to find peace and relief.

Life can get overwhelming sometimes, and everyone has an opinion on how you should manage it. No matter what you’re dealing with, someone always suggests a quick fix— anxiety: “just calm down;” depression: “just be happy;” or disordered eating: “just eat.” The reality is, if it were that simple, we would all be perfect people and never struggle with anything in our entire lives. That’s just not human nature. So if that’s not the answer, how do we grow and change? How do we resolve the deepest, most wounded parts of ourselves?

There’s a quote by Christine Langley-Obaugh that I love, which says, “We repeat what we don’t repair.” We have to sit with those uncomfortable parts of ourselves—our anxiety, depression, disordered eating, grief—and figure out when and why it showed up. What is it trying to tell us about ourselves and our experience?

That’s what the therapeutic space is for. We put other pieces of our lives on hold for an hour, to sit and listen and process. From there, we can establish a different way for the brain and body to communicate with one another; a way that allows for expression without overwhelm. It’s a process that can take some time, but it is oh so worth it.

I am licensed as a Professional Counselor in Georgia. I earned a MS degree in Community Counseling in 1989 from Georgia State University, and am certificated in Christian Counseling from Richmont Graduate University. I am a Certified Clinical Trauma Professional (CCTP) and have completed EMDRIA-sponsored Basic Training in EMDR to help people with trauma.

As a licensed professional counselor and an experienced inner healing prayer minister, I am passionate about helping people get past difficulties. Others describe me as compassionate, insightful and skilled at getting to the root cause of an issue. I would be honored to help you overcome adversity.

My goal is to help every client be the truest, healthiest version of themselves. Career challenges, stage of life transitions, relational conflict, and social circumstances can all be sources of stress and produce feelings of inadequacy and isolation. Addressing these challenges not only increases self-awareness; it bolsters self-esteem, fuels empathy and increases our capacity for healthy interpersonal connection. Ultimately, these are the elements that allow us to weather the challenges life sends our way and to thrive in both personal and professional settings.

I’m passionate about helping individuals and couples create happier more peaceful lives.

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.

Available to New Clients! In-person Acworth office or virtually.
Who Am I? We all desire to be heard, to be seen, to have a purpose, to know the truth, to trust, to be trusted, and to be whole. The mind, body, & spirit need to be well; we work with all three parts. Having grown up overseas, I know acculturation into the home country is a struggle. I know what it's like to be hurt by religion or church. I know what it's like to live with a narcissistic leader or family member.
I've experienced divorce, remarriage, had single-parenting struggles, learned to rebuild a family. I know the challenges of aging parents. Life is hard at any age. I am also an LGBTQIA ally.
I offer a safe space of acceptance & kind confrontation. Our lives are impacted by trauma, whether a one-time event or a life pattern. Trauma can be one-time or long-term; religious, psychological, or physical abuse by people we trust. I will walk alongside you, working through the past, accepting the present, working toward whole wellness in your future.
As your therapist, I want to be present with you where your needs may be. If it's anxiety, depression, gender identity issues, church or religion mess, trauma, aging parents, difficult kids, troubled or at-risk-marriage, toxicity, or a career change, I will listen to you. I offer an open mind but I will challenge you when you need another perspective.

I believe that we all have the capacity to grow towards becoming better versions of ourselves. I work systemically and collaboratively with individuals, couples, and families to help them achieve their desired goals for treatment. I place great emphasis on developing a strong therapeutic relationship with my clients, while also valuing the inherent ability that each person has to work towards individual growth and change. I utilize a variety of interventions in working with clients, viewing treatment through the lens of experiential and structural therapy.

For Adolescents in distress…
The teen and preteen years can be exciting, but also extremely challenging, especially when your child appears to be struggling. Challenging teen behaviors or poor academic performance can be frustrating for the parent, but also may signal that your child is not at their best. I enjoy working with adolescents to help them better understand and manage their struggles, while also helping to build the bridge of communication with the family, fostering a stronger parent-child relationship.

For Families in distress…
Family can be a source of strength, joy, and companionship, but can also feel tense, uncomfortable, and broken when not functioning at its best. It is extremely common to feel "stuck" in the same patterns of behavior. Families often are great solvers of their own problems, but when it feels like you’ve tried everything, often therapy can help family members learn to relate in new and more rewarding ways.

For Couples in distress…
Ever feel like you have the same arguments with your partner over and over again? Do you worry that you’ve tried everything and feel like you keep getting the same outcome? While these feelings of being "stuck" can be highly stressful, there is hope. Therapy can help couples identify new, positive interaction patterns towards a more fulfilling relationship.

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.