​​​​​​​​​​​​​​​​​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 twenty years working with various populations including but not limited to trauma survivors (thrivers), adolescents, law enforcement/public safety, and humanitarian service employees.  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 including first responders and law enforcement and their families along with those in various jobs requiring work in conflict zones. 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 dual diagnosis and substance abuse.  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.  

Jennifer Fuentes, MS, LPC

Owner and Clinician

Jennifer Fuentes is an owner and clinician at Over the Rainbow LLC.  She has been in the field for over twenty-five years working with various populations including but not limited to trauma survivors (thrivers), adolescents, children, public safety, and humanitarian service employees.  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, public safety, military families, 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



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 affiliated with Chicago School of Professional Psychology.  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 and military personnel.  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  as well as psychological testing 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.

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.

KRISTIN DEZEN, PhD (DC and Alexandria Offices)

Kristin is a licensed clinical psychologist and certified school psychologist who is particularly passionate about working with children who have experienced trauma. She began her training studying social work and psychology at Nazareth College of Rochester, and subsequently completed a Masters degree in public policy at Georgetown University and a doctorate in Urban Education and School Psychology at the University of Wisconsin-Milwaukee. As part of her graduate training, Kristin’s research interests included resilience and the effects of trauma on children, and her dissertation included the creation of an online training module for school psychologists working with children who have experienced trauma.    

Since realizing she could transform her passion into a career, Kristin has sought opportunities that have combined social justice with mental health, resulting in opportunities to serve children and families through domestic violence shelters, runaway and homeless youth shelters, Head Start centers, public schools, and community mental health centers. Kristin’s internship with Miami-Dade County taught her the significance of linking community resources to prevent and treat mental health concerns among our most vulnerable, while her post-doctoral experience with Harbor Behavioral Health allowed her to sharpen her assessment and diagnostic skills, with a focus on more serious mental health concerns. Kristin’s work as a school psychologist provided invaluable experience in an educational setting, and enabled her to gain a deeper understanding of special education and the services available in public schools.

 Kristin is passionate about the children and families with whom she works, and strives to create lasting and supportive relationships designed to help improve overall well-being. Kristin primarily utilizes cognitive-behavioral, solution-focused, and play therapy techniques in her work.

Nadia Khansa, MA, LGPC (DC Office)

​Direct Post-Graduate Supervisor: Jennifer Fuentes, MS, LPC & Sarah Farnaby, PsyD

Nadia is an alum of the University of Denver's Graduate School of Professional Psychology. Her focus in school was in trauma and global mental health. Early in her career while studying at the University of Louisiana at Lafayette, she headed research projects on the culture around sexual violence and its impact on survivors, while also working closely with survivors as a volunteer in a crisis center and has since then worked in varying clinical capacities with sexual violence. During her masters program, Nadia spent time training nurses abroad in Liberia on integrating mental health counseling techniques into medical appointments as a part of making mental health a more accessible field. She has experience working with varying types of trauma, grief and loss, as well as depression and anxiety. Nadia's experience expands internationally across cultures including working with international aid workers.
Nadia is passionate about social justice and believes therapy should be a safe and brave space for people of all identities and backgrounds. She believes in working with her clients to recognize broader systems in their lives playing into their mental health concerns. Outside of therapy she is passionate about arts, poetry, and personal expression, and likes to incorporate that with clients as well as part of helping them own their story and healing process in the ways that feel best for them. Nadia is under the direct supervision of Dr. Sarah Farnaby and Jennifer Fuentes, MA, LPC.  Nadia is available to provide therapy and consultation in Arabic

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 adults with various traumatic experience backgrounds including public safety and  military. 

Nicole Smith, MA, QMHP (DC and Alexandria Offices)
Direct Post-Graduate Supervisor: Jennifer Fuentes, MS, LPC & Sarah Farnaby, PsyD, LPC

Nicole Smith is a recent graduate of Marymount University with an MA in Clinical Mental Health Counseling. Nicole completed her clinical internship with us at OTR where she developed a niche' for working with complex trauma as well as children and adolescents. Nicole is also an alum of George Washington University. During her time at George Washington University, she served as an undergraduate research assistant with the Unified Parenting Project, where she conducted in-person interviews to gather data about the co-parenting styles of non-cohabitating, low-income families. Nicole aspires to specialize in trauma work, and currently has experience working with anxiety, depression, trauma, and loss. Nicole has been working with families of public safety and military personnel. In her work with clients, she combines CBT techniques with a client-centered approach to help clients meet their goals and continue to grow. Nicole is under the direct supervision of Dr. Sarah Farnaby and Jennifer Fuentes, MA, LPC.


​​Fatima Ali, MA, QMHP (DC and Alexandria Offices)

Marymount University

Training Program: MA  Clinical Mental Health Counseling Fall 2019-Summer 2020

Post-Graduate: Beginning August 2020
Supervisor: Jennifer Fuentes, MS, LPC & Sarah Farnaby, PsyD, LPC

​Fatima is a post-graduate from Marymount University. Fatima has completed her training at OTR and is with us until the Fall of 2020. She did her undergraduate in Applied Psychology from Lahore, Pakistan and is currently completing her Master’s in Clinical and Mental Health Counseling from Marymount University. Fatima approaches her work with a strong stance in equal rights for all and is a strong advocate for women empowerment. She has a passion and experience working with victims and survivors of domestic violence, trauma and sexual abuse locally and internationally. She also has experience working with depression, anxiety, suicide ideation and grief & loss. 
Fatima incorporates Cognitive-Behavioral Theory (CBT), Dialectical Behavioral Therapy (DBT), and mindfulness techniques. She also believes that faith and spirituality can be avenues of hope and healing and she is open to incorporating those in sessions upon client’s request.

Fatima can provide therapy in English, Urdu and Punjabi’. 


Lexi Beckstrand, BA, QMHP (DC and Alexandria Offices)
Marymount University
Training Program: MA  Clinical Mental Health Counseling Fall 2019-December 2020
Supervisor: Jennifer Fuentes, MS, LPC & Sarah Farnaby, PsyD, LPC

Since joining OTR Lexie has focused on work with humanitarian aide workers and military personnel and their families as well as working with complex trauma. Lexie's international studies have influenced her clinical work. 


Nathan Reza, QMHP (DC Office)
Marymount University 
Training Program: MA Clinical Mental Health Counseling Fall 2018
Supervisor: Jennifer Fuentes, MS, LPC, Jeremy Hube, MA, LPC, & Sarah Farnaby, PsyD, LPC

​​​​​Over The Rainbow, LLC