About Our Providers

Meet our Providers

Who We Are

Create Change has provided counseling, medical management, coaching, business development, and mediation services in Portland, Oregon for the past 10 years to individuals, couples, families and businesses.  A variety of retreats, trainings and workshops are offered for those seeking personal enrichment or professional development within a group, or couple-focused atmosphere.

Sheila Walty | Clinical Social Worker, Coach, and Trainer


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


Sheila has provided counseling and coaching services for more than 25 years to individuals, couples and groups.  Sheila specializes in business development, couples therapy and trauma recovery.  Her therapy 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 each client. Sheila is energetic and results oriented. Scientifically proven and effective therapeutic techniques are utilized to promote connection, growth and healing.

Mary Cross | Clinical Social Worker and Mediator


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


Mary has a 15 year background in social work specializing in grief and loss as well as depression, anxiety and bipolar disorder counseling.  Mary also specializes in communication and conflict resolution using therapy and mediation with couples and families. She is comfortable with both multigenerational and multicultural concerns.  She celebrates each person’s uniqueness bringing an openness to her style of meeting clients where they are. When people work with one another to reach agreements that are mutually acceptable, relationships improve and peacemaking can begin.

Joan Ayala | Clinical Social Worker, CADC III


  • Certified Alcohol and Drug Counselor
  • Group Therapist
  • Clinical Social Work Associate
  • Dual Diagnosis Treatment Specialist


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.  Joan enjoys working with individuals to improve relationships and success in living.  She assists clients to overcome the barriers they encounter in creating the life they want.  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.

Sarah Notton | Psychiatric Mental Health Nurse Practitioner


  • A Doctor of Nursng Practice
  • A Psychiatric Mental Health Nurse Practitioner
  • A Medical Provider


Sarah is experienced in providing medication management to adults. She specializes in depression and other mood disorders, anxiety, PTSD, insomnia, somatic disorders. She utilizes behavioral interventions for pain managment, personality disorders and ADHD. Her holistic approach incorporates medications, counseling, coping skills and consideration of social context to help individuals live a life of mental health and wholeness.

Megan Baldwin | Account Manager


Megan is the 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.


Create Change offers specialty counseling and psychiatry for individuals, families, and couples.   Our therapists offer services that incorporate mindfulness, EMDR, cognitive therapy, and sensorimotor techniques. We address the issues of anxiety, depression, trauma and dissociation, anger management, drug and alcohol abuse, eating disorders and relationship concerns of our clients.
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Business 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. Business coaching focuses on entrepreneurs in transition and building management skills to create teams that produce.
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Create Change offers training for leadership development, goal setting, peak performance, strategic management and team building that are designed with personal and professional development in mind.  Trainings for new business owners as well as established teams are available to boost communication, understanding and conflict resolution. Master the skills that provide the foundation of success in business relationships.
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Create Change offers workshops and retreats for individuals, couples and groups that are designed with personal and professional development in mind.  Master the skills that provide a foundation for success in all areas of your life.  Personalize your retreat with us. Pick a topic, a date, a location and design your own package according to your needs.
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