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.

My name is Nicole Rainey. I am a Licensed Mental Health Counselor and Registered Art Therapist in Tallahassee Florida. After 7 years of providing therapy to children, teens, and adults from diverse backgrounds, cultures, and life experience, I started Mosaic Creative Counseling. I believe therapy should focus on healing through creative self-expression. As a registered art therapist, I want to help my clients feel safe and comfortable expressing themselves and problem solving through talk, imagery, and creativity. I have experience helping people through a history of trauma, relational and family issues, grief/loss, foster care and adoption concerns. Prior to private practice, my work specifically focused on survivors of sexual abuse, physical abuse, neglect, violence, and sex trafficking/prostitution. I have specific training in Trauma- Focused Cognitive Behavioral Therapy, Internal Family Systems, Adoption Competency, as well as working with survivors of sexual exploitation. My practice Mosaic Creative Counseling provides the Tallahassee Florida community with specialized creative therapy services. After work, I enjoy painting with watercolors or throwing pottery. I love playing with animals and always look forward to traveling.

Cara is a Licensed Professional Counselor - Mental Health Service Provider and National Certified Counselor. Along with her licensing and training, she is certified in both the Grief Recovery Method ® and the SYMBIS Pre-Marital Assessment. Cara is a graduate of the University of Georgia. After completing her Bachelor’s degree, she completed her Master’s at Richmont Graduate University in Atlanta, GA.

Cara works regularly with individuals and couples experiencing a variety of struggles including anxiety, depression, grief, low self-worth, relational challenges, life transitions, trauma, affair recovery, emotional regulation and feelings of intense shame.

Cara believes the most important element in therapy is the relationship between the therapist and client. Because of this, she works hard to understand each individual as their unique self and create a safe and open space for growth and healing. While she works with a variety of therapeutic approaches, Cara finds most of her work centers around the Psychodynamic theory, recognizing that we all believe and inevitably behave the messages we narrate unconsciously. By understanding these beliefs and messages and how they originated, we can ultimately change and heal in all aspects of our lives.