About and staff

David DeMarco, MS, CDPT, LMHCA, CMHS

I use an humanistic person-centered approach with a foundation in Cognitive Behavioral Therapy (CBT).

I work with those in recovery from addiction to develop coping skills from underlying trauma, depression, or other co-occurring mental health issues. I am also a certified intimate partner violence victim’s advocate and an anger management treatment provider.

I have specialized training in Exposure Therapy modalities that are proven an effective treatment for trauma and specific training on exposure methods for combat-related PTSD.

I work with adolescents, adults, couples and families.

My goal is to treat the entire individual by helping them recognize their skills, strengths, and abilities to reach their own full potential. This can be done not only by treating symptoms but by working on each individual’s core needs.

Leslie DeMarco, MS, LMHC

I primarily use an integrative humanistic approach with a foundation in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).

I specialize in working with teens and young adults that may be struggling with mood regulation, finding a sense of self, out of control anxiety, difficulty with interpersonal relationships, self-harm, or frequent suicidal thoughts. DBT with both the teen and their parent, family member, or adult caregiver is proven to be an effective therapeutic method to learn Mindfulness, Distress Tolerance, Emotional Regulation, and Interpersonal Effectiveness.

My experience includes promoting healing for those experiencing symptoms of depression, anxiety, mood dysregulation such as bipolar disorder or
Borderline Personality Disorder, replacing self-harm with positive coping mechanisms, reducing symptoms of trauma and PTSD, and concerns specific to the LGBTQ+ community. I have worked with adults of all ages, children, adolescents, couples, and families.

Kelly Woods, LICSW

Kelly enjoys working with children and teens using art, parent coaching, and play therapy.

Kelly is also talented in working with individuals who suffer from issues related to stress, anxiety, depression, weight related issues and bariatric surgery evaluations, self-esteem problems, and related symptoms due to trauma. Kelly is trained in a variety of methods and interventions such as Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Solution Focused Therapy.

Kelly accepts out of network insurance (if benefits are available), Regence and Kaiser PPO February/March 2019.

Sarah Gautreaux, LICSWA

Sarah comes to this program from both professional and personal roads. She has lived as an out trans-woman since 2010 in both rural and urban spaces.
Sarah uses solution-focused and Cognitive Behavior Therapy to treat children, adolescents, and adults that may experience Gender Dysphoria, gender transitioning, and other mental health symptoms that manifest as a result.
Her experience includes founding and managing LGBTQIA support groups in two states and providing crisis therapeutic services in Thurston and Mason Counties.

Sarah accepts private pay, income-based sliding scale, and can offer Super Bills for insurance reimbursement for plans that qualify.


Caroline Leithner, ARNP

Caroline is a nurse practitioner with experience in community health, primary care, pediatrics, and geriatrics settings. She enjoys working with people of all ages, especially children and adolescents, and partnering with them to achieve their health goals.

Caroline offers gender care services, including hormone initiation and management and injection self-administration teaching. In addition, she does evaluation and assessment for medical letters for those pursuing transition.

Caroline also provides psychiatric evaluation and medical services, including medication management and initiation of new prescriptions. She has experience working with patients who deal with depression, anxiety, bipolar disorder, ADHD, autism, and other mental health concerns.

In her free time, Caroline spends time with her retired racing greyhound, Jack, explores Olympic National Park, and co-runs a nonprofit that supports LGBTQ+ youth in rural southwest Washington.

Caroline is currently billing out of network (if benefits are available) and will be in network with several plans by March/April 2019.