It is always my goal to create a warm, safe, and judgment-free therapeutic space for my clients to feel comfortable sharing.

I meet clients where they are in an attempt to create a safe space for them to be fully involved in their treatment.

Accepting new clients remotely and in person. I've practiced psychotherapy for over 40 years, and during most of that time also taught psychiatric residents at Johns Hopkins Medical School. My areas of specialization are bipolar type 2 and borderline personality condition. I've also worked with many entrepreneurs since the publication of my book, The Hypomanic Edge: The Link Between (a Little) Craziness and (a Lot of) Success in America. What's different about me is that after receiving traditional training, I've integrated it with meditation. Mindfulness, especially when combined with therapy, provides calm, objective self-awareness that leads to self-control, which may lessen the need for medication. More meditation can mean less medication. More recently, I'm working with research subjects who have undergone psilocybin therapy for a book, "The Cosmic Consciousness Cure." Affecting the same brain areas as meditation, psilocybin therapy produces a quantum leap in mindfulness. I'd be happy to speak with anyone seeking legal psilocybin treatment. I can't provide it, but it is now legally available in Oregon, and I would be happy to work with clients on integrating that experience.

If you’re feeling stuck—knowing what’s hard but unsure how to break through—you're not alone. Whether you're grappling with trauma, anxiety, or the lasting effects of sexual or domestic abuse, it’s normal to feel uncertain about the next step. Therapy can be a safe and powerful space to unpack these struggles, find clarity, and learn how to move forward in a way that feels right for you. Together, we will empower you, helping you take control of your life and build deeper, more meaningful connections—with yourself, others, and the world. You don’t have to navigate this journey alone; healing is possible. My therapeutic approach is client-centered, focusing on genuineness, warmth, and unconditional positive regard. With a trauma-focused lens, I integrate IFS, Gestalt, mindful self-compassion, and mindfulness techniques. This holistic approach helps clients heal, gain insight, and build resilience on their journey to growth and recovery. Life is already hard enough without trauma; allow yourself the opportunity to unburden, learn new strategies and perspectives, and start living authentically. If you are ready to begin this chapter in your healing journey, please reach out today. I look forward to our work together.

Searching for a therapist to guide you on your journey towards healing, change, and empowerment can be time-consuming and daunting. Everyone has the right to quality and affirming care, and that starts from the first moment you reach out to me. I will strive to always provide a safe, open, and non-judgmental atmosphere that will foster the positive therapeutic alliance needed to help you achieve your goals. My approach is not one-size-fits-all, and I only see a limited number of clients, which allows us the opportunity to set a focus and the pace you require along your path.

Ileana is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC) who manages and treats a wide range of mental health concerns, including depression, anxiety, bipolar, insomnia, and other mental health issues that may be interfering with normal daily functioning. She is passionate about providing quality, compassionate, and comprehensive mental health services to adults. As a PMHNP, Ileana's view of mental health care is as a mutual partnership where she takes things at your pace. She prioritizes patient-focused care that is individually tailored to meet your needs.

Does your child struggle with stress and anxiety? Is it difficult for him or her to make positive choices, manage emotions or perform in school? Teenagers and young adults face unique challenges in life, and it can be very overwhelming for them and you, the parent. I work with adolescents and young adults, ages 12-25, to help them understand stress and anxiety. We work together to overcome their obstacles and self-doubts; helping them focus on building positive thinking and behaviors to achieve their life goals. Together, your child and I focus on his or her role in overcoming setbacks, embracing challenges, and utilizing skills like optimism, resilience and grit to achieve his or her ideal self. I employ positive psychology and solution-focused counseling to help your child set priorities, identify goals, and develop strategies for emotional and mental well-being. I understand the difficulties our young adults face everyday and I know each individual is capable of achieving their goals with proper supports! Contact me at MBS Performance Counseling today in order to help your son or daughter take the first step to setting priorities, creating positive thoughts and discovering the amazing things they can accomplish!

I believe the therapeutic relationship itself is a healing experience. During sessions, we are able to process your thoughts, emotions, and lived truth in context with your current life. We work together, with you in charge of the pace and direction that we go in. I offer you a mirror to see your life from different perspectives, as we so often get stuck in one thought pattern. I believe you have deep wisdom within you; my job is to help you connect to your inner self so that you can gain insight that allows you to live your best life.

I have been working in the helping field related to counseling for almost 20 years. In that time I have learned that the best way to help others is to be an excellent listener, to be compassionate, empathetic, and to collaborate with individuals to assist them in gaining the tools that they need to make positive change in their lives. I work hard to encourage clients that the strength for change lies within them and my job is to help them find it. I utilize a great deal of mindfulness based techniques and believe that learning the process of becoming more mindful in life can be extremely beneficial to problem solving and learning to sit with discomfort. As a counselor I do not believe that I have all of the answers or can fix anyone, however, I do believe that if the client is willing to do the work to create change in their life that I can assist them in doing so successfully. Ultimately, my goal for the counseling relationship is to assist clients in managing stress more effectively and learning skills that can be used well after the counseling relationship has terminated, in a straightforward and honest approach.

Ann “Lisa” Peralta is a Licensed Professional Counselor (LPC) in Virginia with over 34 years of experience providing clinical assessment and therapeutic care to adults seeking help with a variety of issues. These issues include substance use challenges, stress, depression, and anxiety, to name a few.

One of my favorite quotes is: "Life is not measured by the number of breaths we take, but by the moments that take our breath away." To me, life is a journey. There will be many bumps, bruises, and obstacles along the way. That's okay. It's how you overcome those hurdles that count. Some need more assistance than others on this journey, and that's okay too. My approach is to promote healing and personal growth and development along this journey called life. I do not claim to have all of the answers. I believe that everyone is the expert of their own lives. My role is to assist you with getting out of your own way and discovering the path that you want to follow.

We offer medication management, therapy, or both depending on what you need. Led by a psychiatric mental health nurse practitioner (PMHNP), we provide what most practices can't: comprehensive psychiatric support under one roof from someone who sees the whole picture. No bouncing between providers. No repeating your history. No gaps in your care. Our approach is simple: we listen first. A successful treatment plan requires a true understanding of your history, your goals, and what hasn't worked before—so we can build a plan that actually moves you forward.