My desire is to come alongside you during life transitions, relationship issues and stressful times to provide a supportive and caring environment that assists you in dealing with life's difficulties. I work with women, adolescents and families struggling with anxiety, depression, addictions, faith-based issues, stress management, trauma, childhood sexual abuse, grief and relationship problems.

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.

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.

In my role as counselor I am honored to support individuals who are struggling with various aspects of life. Perhaps dealing with strong anxiety or depression, negative self talk, relationship issues, work or school pressures, unhealthy habits and poor self care. Does any of this sound like you? I will work with you to understand what is happening, design strategies to address your specific issues, and work step by step with you as we remove the barriers and build new and better ways of being you. Healthy, happy and connected to the world around you.
Encompassing compassion and practicality, I use cognitive behavioral, mindfulness, and short-term solution-focused therapies, often in my practice. I am EMDR trained, but prefer to use EFT (a cognitive somatic tapping technique), shown to help individuals integrate and heal from past traumatic events, life experience, difficult memories, present food cravings, stress, anxiety, and phobias. I also use cognitive behavioral therapy to help clients process certain issues and find solutions. My blending of cognitive and mind-body practice creates a unique healing experience for clients.
I am eager to help you thrive in all areas of your life, and will offer you the tools to make effective and lasting changes. I look forward to working with you towards the peace and health you desire. For clients who prefer speaking Spanish, I have a good command of the language. I am licensed in Virginia, North Carolina, South Carolina, Florida, Maryland and Vermont.

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.

Whether you are struggling with anxiety, trauma, or addiction, I can offer you a safe place to heal and grow. Looking into therapy is a brave first step in taking control of your life, and no matter what you are going through, I’ll meet you with compassion and respect. I believe my holistic approach to treating the mind, body, and soul—something I am very passionate about—can help you discover your best self.
I believe the ability to form close attachments and maintain satisfying relationships is at the core of a fulfilling life. That’s why I often work through a cognitive behavioral/emotional attachment lens, utilizing the therapeutic relationship to foster trust and connection. And because trauma is often at the root of many people’s pain, I’m also trained in EMDR.
My mission is to help you feel safe so you can tell your story, heal past emotional wounds, and find relief in the present. I have experience in various mental health settings, including residential, partial hospitalization, and individual therapy. As a trauma-informed therapist, I love working with adults dealing with anxiety, addiction, and trauma.

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.

Hello! I work with athletes on life & sport.

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.