Family therapy and counseling in Bend, OR

Hi, I’m Sarah Kuretzky, a Licensed Professional Counselor with graduate training in Clinical Mental Health Counseling and School Counseling. I work with individuals, couples, and families using a trauma-informed, compassionate, and practical approach. I specialize in anxiety, trauma responses, relationship patterns, emotional regulation, body image, women’s health issues, hormone-related mood changes, sexual dysfunction, parenting stress, and life transitions. My style is collaborative and direct, helping clients reduce shame, build insight, regulate emotions, communicate more clearly, and create meaningful change.

I believe therapy is most powerful when it feels safe, collaborative, and deeply human. My style is warm, compassionate, and direct, and I work to create a space where you feel heard, understood, and supported while also being gently challenged toward growth. I draw from an integrative, holistic framework that includes psychodynamic exploration, systems therapy, trauma-informed care, mindfulness-based cognitive therapy, EMDR, and humanistic-existential approaches. This allows me to tailor therapy to your unique needs, whether you are navigating anxiety, depression, trauma, relationship issues, attachment wounds, emotional dysregulation, burnout, self-worth concerns, or major life transitions. I have worked extensively with individuals facing complex trauma, personality-related challenges, adoption, migration, and recovery from human and sexual trafficking. For organizations, I also provide Mental Health and Psychosocial Support services.

With a strong foundation in both social work and law enforcement, I bring a compassionate, grounded, and practical perspective to therapy. I hold both a Bachelor’s and Master’s degree in Social Work and spent eight years in law enforcement, primarily working patrol. This experience gave me the opportunity to support individuals and families during some of the most challenging and vulnerable moments of their lives.

Through my professional work—and my own lived experiences with critical and traumatic incidents—I developed a deep commitment to helping others heal from trauma. I specialize in trauma-focused therapy and work with individuals navigating life’s challenges, processing difficult past experiences, and building resilience for the future.

My approach blends clinical expertise with real-world understanding to create a space that is supportive, nonjudgmental, and genuine. I strive to ensure clients feel heard, respected, and empowered throughout the therapeutic process. Whether you are working through trauma, adjusting to life transitions, or seeking healthier coping strategies, I aim to help you gain clarity, strengthen your inner resources, and move forward with confidence. I’m here to support you every step of the way on your path toward healing and personal growth.

Nikki Day, LCSW, is a licensed clinical social worker and therapist with experience providing mental health services since 2019 through community mental health agencies, group practices, and private practice settings. She earned her Master of Social Work from the University of Denver in 2020 and completed her clinical licensure requirements in 2025. Nikki is the founder of Vivant Counseling, LLC, where she works primarily with individuals navigating depression, anxiety, trauma, and life transitions. While maintaining a generalist approach, she has developed specialized experience supporting members of the LGBTQIA+ community, and survivors of domestic and sexual violence. In 2026, she expanded her professional licensure to include both Utah and Nevada, allowing her to broaden access to mental health care across multiple states.

Bicultural clinician with a passion for providing therapy to children, their families and individual adult clients.

I am deeply committed to supporting women who are navigating the overwhelm of modern life (relationships, career, identity of self) moving from survival mode to feeling calm, clear and safe. By identifying and healing the underlying origins of your distress we will work to restore your internal battery.

I have also spent 15+ years counseling parents and children prioritizing healthy communication tools, boundary setting and relationship repair using cognitive behavioral, collaborative problem solving and family systems interventions.

My background includes providing therapeutic services to children, families and adults in outpatient mental and school based K-8 integrated health clinics. I am a Licensed Professional Counselor and Certified Case Manager in the state of Oregon.

I see you as a whole person, where your culture, heritage, and gender identity are respected and valued as core parts of your healing journey. Fluent in Spanish and English.

I grew up in rural PA working on my grandfather's potato farm, learning equine therapy benefits starting at age eight. I joined the food industry as a waitress and worked throughout my RN undergrad.

I began my nursing career after earning my BSN from IUP in 2015, stepping directly into the fast‐paced world of behavioral health care within emergency room settings. Those early years shaped my clinical foundation and deepened my commitment to supporting individuals who have experienced trauma. I continued to grow, learning medicine, therapeutic communications skills, de-escalation techniques while working inpatient contracts at various facilities across PA, including child and adolescent units, adult and geriatric units, and correctional facility contracts.

Driven to expand efficient care through impact, I completed my MSN as a Psychiatric‐Mental Health Nurse Practitioner in November 2024. I initially provided inpatient hospital care, gaining valuable experiences in a new psychiatric treatment facility. As my career and family needs evolved, I discovered that remote psychiatric care offered the balance and flexibility that best supported both my professional goals and home life balance. My passion for farms, animals, and my large blended and busy family will help my clients see why I enjoy offering them a decade of behavioral health experience. With my advanced PMHNP training, I will deliver compassionate, accessible mental health support in a comfortable virtual setting.