I am a trauma therapist practicing EMDR in the Rochester, NY area, and provide telehealth in all of New York State. I live by the principle of “more curiosity, less judgement” driving empathy and understanding into my work. I aim to create a welcoming and open therapeutic space for clients to safely explore and regain their sense of self. I believe that therapy should be authentic and transparent, and I strive to partner with clients so that they may be the experts in their treatment and feel empowered. I have been a social worker in Rochester, NY for about 8 years. I first started working with adults with developmental disabilities as a behavior intervention specialist which fueled my love for psychology and understanding human behavior in our various contexts. I specialize in working with adults and couples with relationship challenges, anxiety, depression, and trauma. I am here for you and would be honored to partner with you in your healing journey!

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.

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.

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.

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.

Are you stressed? Are you finding it hard to navigate what life is bringing you? Are your relationships suffering? If you responded “yes” to any of these questions, I would love to help you! Stress, anxiety, depression, and a host of other troubles can be a challenging yet normal part of life. Handling these issues on your own can make them seem impossible. You do not have to go it alone when counseling is available. I offer culturally competent counseling in a safe environment. I use multiple therapeutic modalities and intervention strategies to help you attain wellness in the face of negative societal stressors. My work is also informed by my Ph.D. in Communication Studies and over two decades as a professor/scholar. Life can be a challenge! I want to help you gain more balance and harmony. You are too valuable to suffer in silence. Call or email to request a FREE Phone Consultation today! Together, let’s work to create the joyous life you deserve.

Starting therapy can be scary, overwhelming, frustrating, and/or exhausting. There are so much options.. and if you're not a therapist yourself, many of the terms and specialties are new for you and probably don't mean anything yet. If you're not sure what exactly you're looking for, but know you want help and support, you're in the right place. I'll explain the process, walk through what next steps are and work with you along the way to answer questions and make sure what we are doing continues to feel supportive of your needs.

I offer my clients a safe space to explore questions and thoughts that they may not feel comfortable sharing with others. We will look at the feelings that come up for you in difficult situations and also share the wins together. We can keep things in the moment and focus on what's currently happening, or explore how past experiences have shaped you.

Everyone's needs are different, and there is not a one size fits all to therapy. I believe the relationship is the most important part of this process, and with a strong connection to your therapist (hopefully me!) real change and understanding can happen. If you're ready to start, please reach out and we can walk through this together.

In my 14+ years of counseling, I have worked in recovery programs, with federal inmates, and in private practice. I have experience with individuals of all ages, couples, and families. I love working with teens and young adults but being on anyone's healing journey is an honor and privilege. Having been married for 28 years and having two adult daughters has given me life experience beyond the classroom that I use everyday in sessions. I build rapport and trust easily with clients earning the me the ability to walk alongside them and speak truth, challenge them when needed, and cheer them on towards living their best life. I use a trauma-informed approach and believe wholeheartedly that people can heal and live their life according to their values.

Melanie is an Associate Professional Counselor. She completed her Bachelors in Photojournalism through the University of Georgia. While completing her BA she discovered that what she most enjoyed about Photojournalism was getting to know people, and to help them tell their stories. Realizing her passion to help people to experience and tell their story well, led her to complete her Masters in Clinical Mental Health Counseling through Denver Seminary.

While completing her master’s she worked in a college setting counseling young adults dealing with anxiety, depression, and relational issues. After moving back to Georgia, she worked extensively with adults managing a range of mental health problems. She is passionate about working with teens, young adults, and individuals on issues of grief and loss, life transitions, career concerns, and relationship issues. Additionally, she enjoys helping couples rediscover joy in their marriage.

She seeks to create a warm and supportive environment where her clients feel heard and valued as they develop skills and process emotions to face life’s challenges. Melanie helps her clients pursue their goals through a holistic approach, using a variety of treatment methods that take into consideration a client’s physical, relational, emotional, and spiritual wellbeing.

In her spare time, Melanie enjoys spending time with her family, enjoying the outdoors, reading, and baking. She is a member of the LPCA of Georgia.

My philosophy is that every client that walks through my office door already possesses the answers to their problems. They just don’t know they do. I believe that counseling is a healing collaboration between counselor and client, where the client as the expert, and the counselor alongside the client, together evoke the emotional, psychological, and physical changes identified and desired by the client.
I earned both my undergraduate degree in psychology(2008) as well as my master’s in professional counseling(2011) from Georgia State University. I began my career working mainly with survivors of trauma. I believe that trauma is a part of life and began noticing a strong correlation between trauma, anxiety, and emotional eating and weight gain.
I work with weightloss in a unique way, by helping you get to the root of the issue. Whether its a childhood trauma or an unhealthy coping skill, together in collaboration with your body lets find the answer.