About Us

Robin Taylor Kirk, LMFT
Executive and Clinical Director

With an integration of complimentary approaches, including Psychodynamic Psychotherapy and Acceptance and Commitment Therapy (ACT), Ms. Kirk tailors treatment to that which is most helpful for each individual.  Insight into the dynamics that originated and continue to maintain problems is very important, but it is often not enough.  Developing the willingness to experience fully a wide range of emotions is one factor that makes change possible and will allow you to feel at ease in your life.

Ms. Kirk has been in the mental health field for over 20 years and specializes in the treatment of Anxiety Disorders (Obsessive-Compulsive Disorder, Phobias, Social Anxiety) and Eating Disorders (Anorexia, Bulimia, Compulsive Eating, Compulsive Exercise).  Her interest in Eating Disorders began when she was the Student Director of the Weight Control Clinic at San Diego State University.   After becoming a Licensed Marriage and Family Therapist, Robin co-owned Summit Eating Disorders Program (now Eating Recovery Center of California) which offered both Intensive Outpatient and Inpatient Programs in Sacramento.  Many of her clients also suffered from an Anxiety Disorder and she became very interested in the treatment of anxiety, including OCD.    As a result of her interest in ACT and her recognition of the limitations of a singular Exposure and Response Prevention (ERP) model of treating OCD, Ms. Kirk developed Sage's Anxiety Treatment Program which includes and combines ERP techniques with ACT core processes with the result that treatment tends to be much more approachable and integrated more easily than with ERP alone.  In 2014, Ms. Kirk founded the Sacramento Affiliate of the Association for Contextual and Behavioral Sciences (the association for ACT).

Robin is a graduate of the International OCD Foundation Behavioral Training Institute, has received in-depth training in Acceptance and Commitment Therapy (ACT) and has participated in a 7-day intensive mindfulness-based stress reduction meditation teacher training program under the direction of Dr. Jon Kabat-Zinn and Dr. Saki Santorelli.

Robin presents on the subjects of the use of Mindfulness in psychotherapy, Obsessive-Compulsive Disorder and ACT.  She is an instructor in the Continuing Education program for JFK University and the Professional Development Program at the Community Institute for Psychotherapy in Marin, California.  She provides supervision for psychotherapy interns and consultation for licensed clinicians. Ms. Kirk has served on the boards of the Sacramento Eating Disorders and Outreach Program, Sacramento OCD Foundation, and the Sacramento Valley Association for Psychoanalytic Psychotherapy.  She is also happy to present to local groups on topics related to anxiety disorders, Mindfulness and ACT.  California License Number:  MFC 37167.

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Janet Spaulding, LMFT
Psychotherapist, Supervisor

Janet believes each of us sometimes needs someone who will "walk awhile with them".  Drawing from systems, existential and acceptance-based theories to assist her clients in moving toward a more joyful, meaningful and effective existence, Janet's approach is warm, lively and personal.  Her past experience encompasses private practice and nonprofit clinical work as well as chemical dependency and codependency treatment.  Ms. Spaulding works with women whose relationships are suffering either due to depression and/or anxiety or with phase of life transitions (e.g.. first marriage, birth of a child, juggling careers and home, divorce, dating the second time around, empty nest).  Janet received her MA in Marriage, Family therapy from Phillips Graduate Institute in Chattsworth, California.  Her thesis "Sociocultural Factors Contributing to Rates of Depression Among Women" was chosen for Phillips' annual scholarly publication.  She is currently an active member of the California Association of Marriage and Family Therapists (CAMFT) and is a contributor to Parent Magazine's "Ask the Expert".   California License Number: MFC 40471.

Ryan Cheperka, Ph.D.
Psychologist

Dr. Cheperka has specialized her work with anxiety, trauma and histories of sexual violence, LGBTQ populations, and multicultural issues.  She also commonly works with eating disorders, substance use issues, depression, and enjoys assisting with the development of self-worth, acceptance, and coping skills.  Dr. Cheperka has an integrative approach utilizing psychodynamic, interpersonal, and relational-cultural theories.  She has received advanced training in Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and mindfulness.  She values developing trust and creating a safe space to process difficult emotions, thoughts, and interactions.

Dr. Cheperka received her Ph.D. in counseling psychology at Southern Illinois University, Carbondale.  She is a member of the American Psychological Association, California Psychological Association and is the Diversity Chair for the Sacramento Valley Psychological Association.   California License No. PSY25969.

Mark Ettensohn, Psy.D.
Psychologist

Dr. Ettensohn approaches treatment from a blend of mindfulness and psychoanalytic traditions.  He received his training at The Wright Institute in Berkeley, CA, where he earned his Master's and Doctorate degrees in clinical psychology. Dr. Ettensohn has also received advanced training in Acceptance and Commitment Therapy (ACT).  He has worked in diverse treatment settings, including community clinics, university mental health, and inpatient/outpatient psychiatric care.  In addition to his work at Sage, Dr. Ettensohn has a private practice in Sacramento where he works with adults and adolescents.  

Dr. Ettensohn sits on the board of directors for the Sacramento Valley Psychological Association (SVPA).  In addition, he is a member of the Association for Contextual Behavioral Science (ACBS), the California Psychological Association (CPA), The American Psychological Association (APA), APA Division 39 (Psychoanalysis), and the Northern California Society for Psychoanalytic Psychology (NCSPP).  California License No. PSY25461

Nicole Nelson, LMFT, LPCC
Psychotherapist

Using a combination of CBT, experiential and minfulness-based techniques, informed by attachment, relational, and psychodynamic theories, Nicole finds a mixture that is right for each client.  Ms. Nelson has been in the counseling field since 1996, and has been licensed as a Marriage and Family Therapist since 2001.  During that time, she has worked in different settings -- from working with homeless teens to foster youth to victims of trauma (including domestic violence, rape, molest, attempted murder) to working/supervising in a large counseling center with families and individuals to being the program manager/clinical director of a domestic violence/secual assault treatment center.  Nicole has also maintained a private practice in Sacramento since November of 2001.

Ms. Nelson also has a passion for teaching and has been a member of the adjunct faculty at John F. Kennedy University and California State University, Sacramento.  She is currently adjunct faculty at Argosy University Online and Alliant International Univesity where she provides practicum supervision for students completing their Master's in Counseling Psychology.

Nicole graduated Magna Cum Laude with a B.A. in Psychology from the University of California, Davis, and completed her M.A. degree with a dual specialization in Child and Adolescent Treatment and Expressive Arts Therapy at John F. Kennedy University's School of Professional Psychology.  CA License No:   MFT 38111, LPCC 931

Angie Hensley, LMFT
Psychotherapist

In addition to her interest in the treatment of anxiety and related disorders, Ms. Hensley specializes in somatic psychotherapy and therapeutic uses of expressive arts.  Her training and experience includes working with depression, anxiety, eating disorders, substance abuse, attachment issues, Obsessive-Compulsive Disorder sexual abuse, trauma, dissociative identity disorder and relational issues.  CA License No:  MFT 53177

Bridget Koch-Timothy, Psy.D.
Psychologist


Drawing heavily on humanistic theory, Dr. Koch-Timothy utilizes a collaborative, integrative approach to psychotherapy, using strengths-based interventions to assist clients in the process of healing.   She obtained her Masters and Doctorate degrees in Clinical Psychology from Alliant International University.  Dr. Koch-Timothy has worked in a variety of outpatient settings and has extensive experience in the treatment of depression, anxiety, substance use/abuse, and trauma-related symptoms in both adolescents and adults.  

Dr. Koch-Timothy is a member of the American Psychological Association, the California Psychological Association, the Sacramento Valley Psychological Association, and the Association for Contextual Behavioral Science.  California License No. PSY26734.

Fiona Arenson, MS
Marriage and Family Therapist Registered Intern
Specialized Individual Program


Fiona employs a collaborative approach in working with clients with a wide range of life's challenges and psychological issues which include anxiety, depression, OCD, marital distress and conflict, development and improvement of communication skills, life transitions, codependency, trauma, grief and loss.  Her work incorporates cognitive-behavioral, mindfulness, acceptance and interpersonal approaches to therapy.  Ms. Arenson prides herself in providing a sensitive, non-judgmental and supportive environment for her clients.  Fiona received her MS in Marriage and Family therapy from California State University, Sacramento and holds an undergraduate degree in Psychology.

Fiona is a member of the California Association of Marriage and Family Therapists (CAMFT), the American Association of Marriage and Family therapists (AAMFT) and the American Counseling Association (ACA).  California Registered Intern Number:  IMF 30307.  All services provided under the supervision of Robin Taylor Kirk, LMFT (MFC 37167).

Courtney Harrison, MS
Marriage and Family Therapist Registered Intern
Specialized Individual Program

Courtney is dedicated to helping clients let go of limiting beliefs about themselves and replace  them with a healthier perspective of self.  Ms. Harrison assists clients in developing tools that will lead to significant, long-term, healthy life changes utilizing a variety of evidence-based theoretical approaches, including mindfuloness-based  practices and Acceptance and Commitment Therapy.  Courtney has worked extensively with adults and adolescents who are struggling with eating disorders and body  image issues.  she also has over eight years of experience working with indivudals, couples, and families who are struggling with anxiety, deoression, grief/loss, trauma, and life transitions, in both lcinic and private-practice settings.  Her approach is both warm and engaging, with a strong belief in empathic  humor, compassion, and a solid foundation of trust between client and therapist. 

Courtney received a Bachelor of Arts in English ffrom the University of Oregon and a Master of Science in Counseling Psychology from California State University, Sacramento.  She is a Registered Marriage and Family Therapist Intern with the Californiua Board of Behavioral Sciences.  She is supervised by Robin Taylor Kirk, LMFT (MFC 37167) at Sage Anxiety Treatment Program. 

Member of:
(CAMFT) California Association of Marriage and Family Therapists
(AAMFT) American Association of Marriage and Family Therapists