Individuals, couples and family

Create Change | Counseling and Therapy and Medication Management

Portland Counseling

Sheila Walty, LCSW,  has more than 25 years experience counseling individuals and couples. Sheila specializes in trauma recovery including abuse, accidents, war and other traumas. Sheila’s experiential counseling style incorporates 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 clients.

Mary Cross, CSWA, provides couple and family counseling in the areas of grief and loss, depression and anxiety. She has 14 years of experience specializing in working with adults and elders in caregiving and health planning. She is familiar with multicultural and multigenerational work. Mary also provides professional mediation counseling to those who are in need of assistance with conflict resolution.

Milar Moore, PMHNP, provides medication management in addition to psychotherapy with adults and seniors.  She has been treating clients for over 9 years in the areas of dementia, mood disorders, PTSD, ADHD, sexual issues and anxiety.  She especially enjoys working with geriatric populations, those in life transition or relationship struggles.  Milar also works with adults coping with disease or death and dying issues.

Joan Ayala, CSWA, CADC III provides dual diagnosis, drug and alcohol addiction services and recovery options to our work with clients. We are excited to have one of the few level III drug and alcohol counselers in Oregon joining Create Change.  Joan will also be bringing group therapy to our practice in the areas of Skills for Living using DBT concepts. Later groups will include Stages of Change as well as Healthy Relationships.


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

Eye Movement Desensitization Reprocessing (EMDR)

EMDR Is a powerful psychotherapy technique that has been very successful in helping people who suffer from trauma, anxiety, panic, disturbing memories, post traumatic stress and many other emotional problems. EMDR is a simple, noninvasive patient-therapist collaboration in which healing can take place quickly and effectively.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy is a form of psychotherapy that emphasizes the role of thought with respect to how we feel, and how we act. CBT is based on the idea that our thoughts dictate our feelings and behaviors, as opposed to external things, like people, situations, and events. The goal of therapy is to help clients transform their reactions through new ways of thinking.


Hakomi is a body-centered, somatic psychotherapy. Hakomi helps people change “core material.” Core material is composed of memories, images, beliefs, patterns and deeply held emotional dispositions. It shapes the styles, habits, behaviors, perceptions and attitudes that define us as individuals.

Emotional Freedom Technique (EFT)

EFT is accomplished by the tapping on acupressure points on the body in order to release emotions attached to negative life situations. Current situations are acknowledged while instilling positive thoughts and emotions about the future. EFT calms negative emotions and allows clients to move forward in life.


The subconscious mind controls 95% of most behaviors. People keep suffering because they hold beliefs that are contrary to their goals. This technique replaces the limiting beliefs with positive self-empowering beliefs that then become self fulfilling prophecies.``



Contact Create Change for more information about how Sheila can help you or to schedule an appointment.