About Create Change

Get to know us better

Who We Are

Counseling in Portland, Oregon

Create Change features Sheila Walty, a master’s level counselor who has provided counseling services for more than 25 years to individuals and couples.

Sheila Walty provides counseling services in Portland, Oregon, for those suffering from depression, anxiety, post-traumatic stress disorder and dissociative disorders.


A variety of retreats and workshops are offered for those seeking personal enrichment within a group, or couple-focused atmosphere. Personal services are offered in Portland, Oregon, and in therapeutic locations including Mexico.

Sheila Walty | Social Worker, Coach, and Trainer


  • A Licensed Clinical Social Worker
  • A Certified Executive Coach
  • A Certified Peoplemap Trainer
  • A Professional Life Coach
  • Reiki Master


Sheila specializes in trauma recovery including abuse, accidents, war and other traumas. Her counseling style is experiential as she uses multiple techniques to address the needs of her clients. Sheila’s therapy focuses on mind, body and spirit balance as she holistically evaluates and treats the client. Sheila is energetic and results oriented. She is passionate about challenging others to live life fully with honesty, integrity and authenticity.

Mary Cross | Counselor and Mediator


Create Change features Mary Cross, a master’s level counselor and mediator with over 14 years experience serving individuals, couples and families.


Mary Cross provides counseling and mediation services in Portland, Oregon, to individuals, couples and families in all areas of interpersonal conflict. When people work with one another to reach agreements that are mutually acceptable, relationships improve and peacemaking can begin.


  • A Clinical Social Work Associate
  • A Certified Mediator
  • A Masters Level Communicator
  • Interpersonal Conflict Resolution Specialist


Mary specializes in communication and conflict resolution through mediation with couples and families. She is comfortable with both multigenerational and multicultural concerns. Mary is experienced in grief and loss as well as depression, anxiety and bipolar counseling. She celebrates each person’s uniqueness bringing an openness to her style of meeting clients where they are.

Milar Moore | Psychiatric Mental Health Nurse Practitioner


Milar Moore, a psychiatric mental health nurse practitioner has over 9 years of providing counseling and medication management to adults and seniors.


  • A Psychiatric Mental Health Nurse Practitioner
  • A Hypnotherapist
  • A Palliative Mental Health Specialist
  • Level I EMDR


Milar specializes in dementia, mood disorders, PTSD, ADHD, sexual issues and anxiety.  Her primary focus has included geriatric, neurological, medical and palliative psychiatry.  Milar also works with adults coping with disease and death and dying issues.


Joan Ayala | CSWA, CADC III


Joan specializes in dual diagnosis, drug and alcohol addiction services and recovery options for clients. We are excited to have one of the few level III drug and alcohol counselers in Oregon joining Create Change.


  • Certified Alcohol and Drug Counselor
  • Group Therapist
  • Clinical Social Work Associate


Joan will also be bringing group therapy to our practice in the areas of Skills for Living using DBT concepts beginning in September. Later groups will include Stages of Change as well as Healthy Relationships.

Megan Baldwin | Account Manager


Megan is Account Manager for Create Change.  Megan has worked in various health care settings for the past 15 years. She is experienced in scheduling, billing and benefits management. Megan can assist you by checking your insurance benefits and preparing you for copay and deductible responsibilities.


As a trusted Portland-based therapist and counselor, Sheila Walty has more than 25 years experience counseling individuals and couples. Sheila specializes in trauma recovery including abuse, accidents, war and other traumas. Sheila’s counseling style incorporates multiple techniques to address the needs of her clients.
Learn more>


Life coaching helps people create balance in their lives while reaching for their desired goals. Coaching clients learn to create better use of time, improved physical shape, better relationships, improved health, life satisfaction and an overall sense of control and peace of mind.
Learn more>


Create Change offers medication in Portland, Oregon, with mediator and counselor Mary Cross. Mary specializes in family and couples mediation in all areas of  interpersonal conflict. Create Change’s mediation coaches in Portland help with conflict resolution.
Learn more>


Create Change offers workshops and retreats for individuals, couples and groups that are designed with personal and professional development in mind. Many topics, locations, lengths of workshops and retreats are available. Register for a Create Change workshop or retreat.
Learn more>