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.

If you’re still struggling to find that inner peace and don’t know what else to do, that’s when I come in. I’m a licensed marriage and family therapist who is passionate about working with those who want to find themselves again – or maybe find themselves for the first time.

If you have one speed and that speed is go-go-go, let me help you slow down and be more present. We can work on turning off that autopilot and take control of your life again.

Together, we will work on all those experiences that were pushed aside, those accomplishments you felt you didn’t deserve, that feeling that life is just passing you by, all the times you powered through because you had no option, yeah, we’ll get into those!

Let’s figure out how to get you where you want to be. Let’s find that inner peace you’ve been searching for.

Together we’ll laugh, talk about the good and the bad, but most of all we will get you to a place where you can feel just a bit lighter than you did before.

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.

Joy Fortanbary completed a Masters of Arts in Clinical and Mental Health Counseling from Richmont Graduate University and also holds a B.A. in Public Relations Journalism from the University of South Carolina. She is an Associate Professional Counselor by the Composite Board of Professional Counselors, Social Workers, And Marriage and Family Therapists. She is also a National Certified Counselor by the National Board of Certified Counselors and an ASAT-Candidate from the International Institute of Trauma and Addictions Specialists. Additionally, Joy has specialized training in EMDR, a therapeutic technique designed to help people struggling to process trauma.

Joy is passionate about partnering with individuals on the journey towards interpersonal healing that leads to generational change. She believes the most powerful growth happens in the context of relationship, which leads to her commitment to provide a genuine space marked by curiosity and collaboration.

Joy enjoys working with individuals navigating various challenges such as trauma, sex and love addictions, life transitions, anxiety, depression, and relationship conflict. Joy utilizes an integrative and holistic approach in the process of helping clients reach their personalized goals and lead a life more by design and not by default.

Joy gained valuable experience working with both individuals and groups in private practice and treatment center settings. Prior to counseling, she worked with leaders to establish national and global organizational partnerships at a large nonprofit in the Atlanta area. In her free time, Joy enjoys traveling, yoga, and spending time with her family.

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.

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.

Sarah is a licensed professional counselor (LPC) specializing in working with women on identity formation and development, developing healthy relationships with others and self, life-stage transitions, and grief and loss.

Sarah holds a Master of Divinity from Candler School of Theology at Emory University and a Master of Science in clinical mental health counseling from Mercer University. Her dual training is reflective of her passionate interest in the relationship between spiritual health and mental health. She has been formed by her professional experience in hospital, palliative care/hospice, and mental health settings and by her international volunteer work in Mother Teresa's Home for the Dying in Kolkata, India.

Sarah seeks to support her clients in building lives of meaning in alignment with their values. She incorporates narrative techniques to explore the wisdom in her clients' stories, and she integrates existential theory as clients navigate questions regarding relationships, trauma recovery, identity, purpose, and spirituality. Sarah believes in the power of the therapeutic relationship and empowers her clients to be active participants in their own growth process.

Catherine attended the University of North Georgia both as an undergraduate and graduate student, earning a Bachelor of Science in Psychology and her Master of Science in Counseling. She is an Associate Professional Counselor as well as a National Certified Counselor. Catherine received specialized training in addictions as a part of her program, which qualified her to receive the title of a Certified Addictions Counselor – Level 1. Catherine is also a member of the American Counseling Association. She has worked with children, teenagers, and adults on a variety of presenting issues. Catherine has a desire to help those struggling with anxiety, depression, and low self-esteem, as well as those impacted by substance abuse. She is particularly interested in helping those who are struggling to find meaning in their lives and joining alongside them in their spiritual journey. She seeks to meet clients where they are in their life circumstances and to help them accomplish their therapy goals. Catherine’s hope is to use her therapeutic bond with her clients to assist them in encountering and accepting themselves fully, leading them to experience authentic and free lives. She also utilizes Cognitive Behavioral Therapy techniques as well as a Family Systems approach. Catherine is trained in Motivational Interviewing and incorporates it into therapy at different stages to assess for and encourage client progress.

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!

I offer guidance through the wilderness of depression and anxiety, support in life‘s crucial decisions, deep inner listening, companionship in the life of the Spirit, help in the formation of relationships between other people and God, a sacred space for connecting with your true Self, the therapeutic gift of love, a journey into wholeness.