SARAH FARNABY, PsyD, LPC, LCPC
Owner and Clinician
Sarah is an owner and clinician at Over the Rainbow, LLC and has been practicing in the field for over 15 years with various populations including but not limited to adolescents, law enforcement/public safety, and trauma survivors. She is a Converse College alumni who went on to complete her Masters in Counseling Psychology at Lesley University in Cambridge, MA and now her Doctorate in Clinical Psychology from the American School of Professional Psychology (ASPP-Argosy University). Dr. Farnaby currently provides treatment to adults and teens including first responders and law enforcement and their families. She is also an EAS-C (Employee Assistance Specialist-Clinical) provider.
In 2001, she started her career path as a clinician for adolescent females at the Germaine Lawrence School (GLS) of Arlington, MA. GLS is an adolescent female residential treatment center serving the NE United States. Sarah's work began with a variety of trauma and attachment issues experienced by these young women and their families stemming from histories of abuse and neglect. She also provided treatment to young women struggling with eating disorders and dual diagnosis of substance abuse and severe mental illness. She worked closely in the first years of her professional career with social services agencies and the public schools affiliated with these young women. Sarah also co-developed and implemented a rotating group therapy curriculum for the GLS campus. She also co-led the initiative of a family friendly treatment approach at GLS inviting the families and service providers of the young women into the dorms and events as well as utilizing parents or guardians as part of the treatment and behavioral planning. This experience catapulted Sarah to the Washington DC area in 2004.
Since arriving in Washington, DC Sarah has provided treatment to children, teens, and adults in outpatient settings and community mental health clinics in Maryland and Washington, DC urban settings. She began at the Center for Children in Maryland then spent 5 years with House of Ruth's Domestic Violence Support Center and 6 years with the Wendt Center for Loss and Healing in Washington, DC. Sarah provided trauma treatment in these clinics encompassing a wide variety of issues related to domestic violence, crime victims, childhood abuse, substance abuse and prostitution, and traumatic grief. She also began providing clinical supervision to MA interns and counselors pursuing their post-Master’s clinical hours for licensure. Sarah provided weekly domestic violence groups for women mandated to local substance abuse day treatment programs and she provided therapy to children and their mothers placed in shelters. Sarah also provided training on domestic violence and trauma treatment with children to social service agencies as well as mediating discussion panels with local law enforcement and domestic violence advocacy agencies in Washington, DC. Sarah has been involved as a member of the local Red Cross Disaster Mental Health Team.
In 2008 Sarah and Jennifer opened the doors of their practice and began providing contract work to various clinics in the area. Sarah provided supervision for local clinics for those seeking licensure as licensed professional counselors. She also began providing clinical trainings to treatment teams. In 2011 Sarah ventured on to pursue her doctorate in Clinical Psychology. She completed a Doctorate in Clinical Psychology with an APA Accredited Internship. Her doctoral training began with providing assessment in the juvenile justice court setting with the DC Superior Court. Sarah then began training in therapy and support services with law enforcement in Washington, DC's MPD EAP then within a practice providing services to Baltimore City and County as well as Maryland State Law Enforcement. She was the first non-military student chosen by the MPD EAP program to participate in doctoral training at the MPEAP program. Her career focus has now become more in depth in working with law enforcement, federal employees, and military support services in the Washington, DC, Northern Virginia, and Baltimore areas. Sarah brings an integrative treatment approach in which she views the person as a whole from a psychodynamic lens and utilizes CBT techniques with a mind-body connection that best fits the needs emotionally of the person.
Jeremy Hube, MA, LPC (DC Office)
Jeremy is a University of Mary Washington alumni and completed his Masters in Counseling Psychology at Argosy University, Washington DC in 2012. He began his career early in this field in inpatient services in 2001 working as a Mental Health Technician at Snowden Hospital in Fredericksburg, VA and then in 2004 as a Child Psychologist Specialist at Children’s National of Washington, DC. Within these experiences Jeremy built a foundation of strong skills in working with trauma and severe mental illness as well as working with treatment teams within complex mental health systems. Jeremy went on to build his training and career at the Green Door community mental health center of Washington, DC extending his vast experience and training with challenged populations and mental illness. Jeremy began his post-Master’s work as a clinician at the Wendt Center for Loss and Healing in various roles. He has worked closely with crisis response and de-escalation teams in the Washington, DC area during traumatic community events. His clinical work at Wendt Center also encompasses a variety of clients overcoming traumatic grief. He has worked with individual, families, and has led groups for the Wendt Center and continues to bring a wealth of experience to the agency and community. Jeremy brought his unique experience and skills when he joined the OTR team in 2014 and provides therapy for children, adolescents, and adults.
Simona Efanov, Psy.D. (Alexandria Office)
Simona is a Licensed Clinical Psychologist and a McGill University Alumni where she obtained a BS degree in Psychology with a focus on Neuroscience. She has a Master's in Bioethics from University of Montreal. She completed her Doctorate in Clinical Psychology (Psy.D.) at the American School of Professional Psychology, at Argosy University, Washington DC where she is now an adjunct professor teaching assessment. Prior to obtaining her doctoral degree, Simona conducted assessments and clinical research at the Douglas Mental Health University Institute, in Montreal, working with individuals with severe eating disorders in inpatient and day-hospital programs. She also participated in research studies of the effects of chronic stress on personality, neurocognition, and depression at the Montreal Neurological Institute, McGill University. Her research contributions yielded scientific publications in the areas of eating disorders, and on the neuroendocrine effects of stress on psychological well-being.
Simona’s strong research knowledge continues to be incorporated in her clinical work, as she uses integrative approaches to therapy with a focus on evidence-based treatments. Her clinical interests include working with individuals with relationship difficulties, co-dependency, chronic stress, self-esteem, and difficulty with life adjustments. She has a strong knowledge of neuropsychology and ways neurological conditions impact individuals and their families. Simona also has experience working with individuals healing from past trauma. She has a certification in Trauma-Focused Cognitive-Behavioral Therapy and has used elements of Dialectic Behavioral Therapy (DBT) for emotion dysregulation. She has received clinical training in private practice and outpatient medical/integrated primary care settings in the Washington DC area, working with adult and adolescent populations. Simona has trained in inpatient hospitals, including the Psychiatric Institute of Washington conducting group and individual therapy with adults and adolescents with severe mental illness and complex trauma history.
Simona’s clinical areas of interests include treating anxiety and depression, grief, chronic pain, identity issues, eating disorders, and trauma recovery. She also works with public safety employees. At OTR, in addition to individual therapy and psychological testing, she will be providing group therapy for stress management, life adjustment, and coping with relationships. Simona is a Licensed Clinical Psychologist in Virginia and will provide individual, family, couples, and/or group therapies at our OTR Virginia location. Simona creates a safe environment to facilitate the process of growth for individuals. She is also fluent in 3 languages and is available to provide therapy in French and Romanian.
Jack Werstein, MA, CMHC, LPC (DC Office)
Jack is our adolescent specialist! Jack also works with adult patients learning to walk their path with grief and trauma as well as public safety employees. Jack is a Licensed Professional Counselor and a George Mason University Alum and completed his Master's level clinical training at Trinity Washington University. Jack joined the OTR team in 2016 and also provides school-based clinical services for the Washington Latin Public Charter School here in D.C. Jack brings a wealth of educational knowledge as it relates to children, having worked as a K-5 teacher and librarian with DCPS for close to 10 years. Previously, he also worked with the Random House Books for 25 years, visiting and working with bookstores in 48 states. His clinical background covers 4 years of experience working with children (grades 5-12) and adults, of different socioeconomic levels and cultural backgrounds addressing life issues such as anxiety, depression, grief, loss, relational difficulties, and stress symptoms tied to childhood and with families struggling with behavioral challenges. Jack brings to OTR his humanistic yet existential mind-body clinical approach and is a relational and strength based therapist who emphasizes resourceful and reciprocal care, especially as it concerns Middle and Upper School students and the LGBT community. Jack has specific training with Dialectical Behavior Therapy (DBT) and Motivational Interviewing. Jack is also working towards his certification in Eye Movement Desensitization and Reprocessing (EMDR). Jack employs an integrated and holistic approach in his work with young adults, both individually and in group, drawing upon various modalities including existential therapy, psychoeducation, sand tray therapy, art therapy and cognitive behavioral techniques. He addresses the attributes of life challenges, conflicts and coming out concerns, while upholding the individual’s psychosocial, physical and psychodynamic strengths and needs. Jack fosters development of communication skills to help with and improve self-efficacy, self-esteem and connection. Jack completed his post-MA hours for licensure as an LPC under the direct supervision of Sarah and Jennifer.
Melanie Flossman, MSW, MPA, LCSW (Alexandria Office)
Melanie Flossman is a Licensed Clinical Social Worker with over 30 years of experience in a wide range of mental health services. She received her Masters’ Degree in Social Work from the University of Michigan and began her career working with kidney dialysis and transplant patients. She wrote and published an internationally acknowledged article on the psychological effects of chronic illness, published in the Annals of Internal Medicine, and authored a chapter in the Williams/Wilkins Rehabilitation in Medicine series focused on working with the families of patients living with chronic illness.
She moved to the Virginia area and began her tenure in private practice, working in an outpatient mental health setting. In addition to practice, she worked as staff with Human Affairs International, a national Employee Assistance Program which led to her start with the Drug Enforcement Administration’s EAP, where she spent twenty years providing a full range of mental health services, more specifically Critical Incident Stress Debriefing and Intervention. At the DEA Training Academy in Quantico, Virginia, she taught courses in Stress Management for Law Enforcement Officers, and psycho-education on Post Traumatic Stress, its risk factors, identifying early warning signs, prevention and treatment. In addition, she was part of the DEA Trauma Training faculty, training DEA agents to be effective first responders to their fellow agents experiencing traumatic incidents.
In addition, she served as Interim Director of Social Work supervising the clinical social work staff at Charter Springwood Hospital (now Northspring ) addressing the acute and chronic issues of hospitalized in-patients. Through the years, she became increasingly interested in trauma informed care and working with marginalized populations. She provided parenting classes for female ex-offenders and served in a support role for those ex-offenders living in transitional housing.
Besides clinical roles, she became a passionate advocate for her profession and for teaching. Through the years she has been a Clinical Field Instructor for three different graduate social work programs: the School of Applied Social Sciences, Case Western Reserve University; San Diego State School of Social Work, and Virginia Commonwealth University School of Social Work where she was also Director of Field Instruction for three years placing and monitoring the field experience of the 200 graduate students on the Northern Virginia campus. During her ten years teaching in the VCU graduate program, she taught Diagnosis and Assessment, Direct Practice with Individuals, Couples, Families and Groups, and Crisis Intervention.
Most recently she was involved, jointly with the Fairfax Police Department/Human Trafficking Division, in a 4 day seminar for the residential treatment programs in Virginia where she presented on Clinical Work With Survivors of Human/ Sex Trafficking: the levels of complex trauma involved with that population and how to approach treatment modalities that are effective. Melanie’s special areas of interest and expertise include: public safety employees, couples, men’s issues, law enforcement issues, and trauma related issues. She is EMDR trained.
CURRENT & PAST Clinical interns, externs, and practicum students:
Nathan Reza, BA, QHMP (DC and Alexandria Offices)
Training Program: MA Clinical Mental Health Counseling Fall 2018
Supervisor: Jennifer Fuentes, MS, LPC & Sarah Farnaby, PsyD, LPC
Over The Rainbow, LLC
Jennifer Fuentes, MS, LPC
Owner and Clinician
Jennifer Fuentes is an owner and clinician at Over the Rainbow LLC. She has been practicing in the field for over twenty years. Jennifer always dedicated herself to support services and volunteer work throughout her undergraduate and graduate training. Jennifer is a Millersville University in Pennsylvania alumni. Her work with survivors of trauma began in 1995 when she was a volunteer counselor with survivors of sexual trauma. Jennifer went on to receive her Masters of Science in Counseling Psychology from Indiana University in 1999. Jennifer has trained and continues to adhere to an integrative model of psychotherapy. Jennifer’s professional career has included counseling and support services with the Sexual Assault Counseling and Prevention Center in Lancaster, PA; the Domestic Violence Intervention Network in Bedford, IN; the Crisis Services Center in Lexington Park, MD; Child Help residential services for abused and neglected children in Fredericksburg, VA; family therapy with at risk youth at Center for Children in La Plata, MD; and as the Coordinator in the Domestic Violence Emergency Services Center in Washington, DC. Jennifer brought those skills to her private practice as well in her contract services at the Wendt Center for Loss and Healing for trauma, grief, and loss survivors in Washington DC. Jennifer’s client work has included all genders and ages that include survivors of sexual assault/abuse, domestic violence, witnesses of crimes, survivors of arson, theft, murdered loved ones, natural disasters, child survivors of abuse and neglect with behavioral difficulties, at risk youth and their families, support services for safe house locations in Washington DC, and for four years she facilitated the Remembering Mom support group at the Wendt Center. She now is an Adjunct Faculty at Howard Community College teaching undergraduate coursework.
Jennifer has always been committed to ongoing education on updated interventions that assist her patients on their healing path. She is currently a member of the International Association of Trauma Professionals (IATP) and working towards a Trauma Treatment Certification. Her commitment has led to multiple honors and certifications during her extensive career. In 1998-1999 she was the Southwest Regional Representative to the Executive Board of the Indiana Coalition Against Sexual Assault. In May of 1999 Jennifer was a co-presenter of Treating the Non-offending Parent at the NASW (National Association of Social Workers) Indiana State Conference. In June of 1999 she was the co-presenter of Trauma and the Cycle of Victimization at the Professional Development Center for NASW. In August of 1999, she also received her Board Eligible National Certified Counselor status. Jennifer then went on to received her Clinically Certified Domestic Violence Counselor status in November 2001. In January of 2002 she received her Nationally Certified Counselor status. In June of 2005 she completed training certification as a Functional Family Therapist (FFT). She then received her certification in in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) in 2008. Jennifer was also part of the Disaster Mental Health Team with the American Red Cross.