River City Counseling LLC

Hi, I’m Sara Carmona (she/her), a Licensed Clinical Social Worker (LCSW) in Oregon and Colorado and Certified Perinatal Mental Health Therapist (PMH-C). I’ve been providing mental health support since 2011, with a focus on perinatal and reproductive mental health. I work with people across the full span of their reproductive lives—from menarche to menopause. This includes support for fertility challenges, pregnancy and postpartum, birth trauma, abortion, miscarriage, stillbirth, infant loss, birth trauma, and postpartum psychosis recovery. I work with individuals navigating the spectrum of premenstrual mood disorders and perimenopause/ menopause-related changes.

My approach is collaborative and relational. I believe healing happens through support, connection, conversation and the sharing of practical tools that make a difference in daily life. I draw from evidence-based therapeutic interventions while centering your lived experience, strengths, and goals. Together, we’ll explore what’s hard, build insight, and identify steps that feel manageable and meaningful.

I practice from an anti-oppressive, anti-racist framework and value the unique identities and lived experiences of each person I work with. River City Counseling LLC welcomes individuals of all cultures, races, abilities, religions, sexual orientations, and gender identities. I am open to coordinating care with your medical team, family, or other individuals you'd like to involve in your counseling services.