AMR Therapy and Support Services Team

Ann Russo, LCSW

Clinical Director and Founder of AMR Therapy

Specializations

• Religious Trauma & Deconstruction
• Queer / LGBTQIA+ Identity
• Non-Monogamy

Specializations

• BIPOC Identity & Cultural Experience
• Complex Trauma (C-PTSD)
• Identity-Based Harm & Minority Stress
• Accelerated Resolution Therapy (ART)

Specializations

• Queer / LGBTQIA+ Identity
• Shame & Identity Development
• Navigating Non-Traditional Relationships

Specializations

• Fat-Affirming & Body Neutrality
• Climate Change Stress• Neurodivergence

Specializations

• Family and Cultural Trauma
• Shame & Identity Development
• Boundaries & Relationship Patterns

Specializations

• Family and Cultural Trauma
• Complex Trauma
• Religious Trauma & Deconstruction

Specializations

• Boundaries & Relationship Patterns
• Caregiver Burnout
• Polyamory / Ethical Non-Monogamy

Specializations

• BIPOC Identity & Cultural Experience
• Complex Trauma (C-PTSD)
• Shame & Identity Development

Specializations

• EMDR
• Complex Trauma (C-PTSD)
• Relationship & Attachment Trauma

Specializations

• Identity-Based Harm & Minority Stress
• Gender Identity & Exploration
Family & Cultural Trauma

Specializations

• Religious Trauma & Deconstruction
• Complex Trauma (C-PTSD)
Sexual Orientation and Gender Identity Support

Specializations

• Family & Cultural Trauma
• Identity-Based Harm & Minority Stress
• Relationship & Attachment Trauma

Specializations

• BIPOC Identity & Cultural Experience
• Queer / LGBTQIA + Identity
• Navigating Non-Traditional Relationships

Specializations

 • Queer / LGBTQIA+ Identity
• BIPOC Identity & Cultural Experience
• Boundaries & Relationship Patterns

Dee Ann Tumbuan

Executive Director

Heather A. Rauch

Administrative Assistant

Ann Russo, LCSW, MSW, MA (she/her), is the founder of AMR Therapy & Support Services and a therapist specializing in religious trauma therapy, sex therapy, queer-affirming therapy, and relationship counseling. She holds a BA in Religion, an MA in Theology, and a Master of Social Work from California State University, Long Beach. Her work focuses on the intersection of mental health, sexuality, identity, and faith, supporting individuals and couples navigating religious and spiritual trauma, sexual shame, identity development, and complex relationship dynamics.

Ann works with queer, transgender, nonbinary, and gender-expansive clients, as well as people exploring consensual non-monogamy, polyamory, and kink-affirming relationships. She is certified in domestic violence and sexual assault counseling and provides trauma-informed, survivor-centered care for people healing from abuse, coercion, and high-control environments. Clients often seek her support when religious belief, sexuality, identity, and personal autonomy come into conflict, or when shame-based systems have disrupted trust in self, body, or relationships.

Her therapeutic approach integrates cognitive behavioral therapy, trauma-informed care, mindfulness and somatic regulation, narrative and parts-informed work, attachment theory, communication skill building, and sex therapy frameworks. The work focuses on rebuilding self-trust, developing boundaries, and creating relationships rooted in consent, clarity, and autonomy.

Ann is also the developer of a Religious Trauma Treatment Model that informs her clinical work, consultation, and teaching. Her forthcoming book on religious trauma recovery will be published by PESI in 2027. Through therapy, training, and community partnerships, she works to expand access to queer-affirming and trauma-informed mental health care.

Areas of Focus

• Religious and Spiritual Trauma • Sex Therapy and Sexual Empowerment • Consensual Non-Monogamy and Polyamory • Couples and Relationship Counseling • Queer and LGBTQIA+ Affirming Care • Identity Exploration and Life Transitions • Domestic Violence and Sexual Assault Survivor Support • Trauma and PTSD • Kink-Affirming Care • Boundaries, Consent, and Communication

Nic (he/him) is a certified EMDR therapist who provides trauma-informed, culturally responsive care for adults and couples. He specializes in intimate partner violence, sexual trauma, racial identity, sexual identity development, and complex trauma. Clients value his calm, nonjudgmental presence and the way he translates evidence-based methods into practical skills for daily life. Nic integrates EMDR, Brainspotting, trauma-focused therapy, cognitive behavioral tools, and mindfulness to help clients process the past, reduce symptoms, and build resilience. His sessions emphasize safety, consent, and collaboration so clients can clarify values, strengthen boundaries, and make meaningful, sustainable change.

In addition to individual therapy, Nic offers couples counseling focused on intimacy, communication, and repair. He helps partners navigate trust, attachment injuries, and repeating patterns with clear goals and actionable strategies between sessions. Nic’s approach is LGBTQIA+ affirming and sex-positive, welcoming clients exploring identity, desire, and relationship dynamics. Whether you are healing from abuse, addressing the impact of racism and oppression, or seeking deeper connection in relationships, Nic provides steady, evidence-based support that fosters confidence, self-trust, and a more connected life.

Specialties: Intimate Partner Violence (IPV), Sexual Trauma, Complex Trauma and PTSD, Racial Identity, Sexual Identity Development, Couples Counseling, Intimacy and Communication, EMDR Therapy, Brainspotting, Trauma-Focused Therapy, Mindfulness and CBT Skills.

Kelly (she/her) is a psychotherapist with an MS in Counseling who creates a supportive, collaborative space where clients feel empowered to navigate life’s challenges by positioning them in their better judgement. She takes a systemic, culturally responsive approach that considers how family, community, and societal structures shape how clients understand the world they live in, the people in their lives, and themselves. She integrates Narrative Therapy with a feminist and de-colonial approach to critically examine what informs how clients define experiences like suffering, joy, love, rage, success, failure, and wellness. Kelly is neurodiversity affirming and helps clients tap into their own wisdom for healing and growth while building practical skills for daily life.

Kelly specializes in grief and loss, neurodiversity, identity development, and relationship dynamics, including parent-child interactions and family communication. She has a special interest in work that reconnects people to each other and to our planet, especially while living in these times of multiple climate disasters. Her overall philosophy views problems as separate from the person, which reduces shame and opens space for change. Kelly welcomes clients of all backgrounds, including LGBTQIA+ and BIMPOC communities, and offers compassionate support for teens, families, and adults.

Specialties: Grief and Loss, ADHD, Identity Development, Culture and Gender Affirming Care, Fat-Affirming and Body Neutrality, Life Transitions, Relationship Building and Maintenance, Parent-Child Relationships, Anxiety, Stress and Fear in Response to Climate Change and Disaster. 

Liz, (she/her) is a licensed psychotherapist with over 25 years of experience specializing in trauma recovery, anxiety, depression, and life transitions. She is known for her compassionate and nonjudgmental care, creating a safe and supportive environment where clients can explore challenges and build lasting change. Drawing on evidence-based methods such as cognitive behavioral and trauma-focused therapies, Liz helps clients reduce symptoms, build resilience, and feel more grounded in daily life.

With extensive experience supporting survivors of abuse and intimate partner violence, Liz works with individuals, couples, and adolescents to address PTSD, process grief, strengthen boundaries, and improve communication. Her approach is collaborative, culturally responsive, and focused on practical tools that promote confidence, self-awareness, and emotional well-being.

With extensive expertise in supporting survivors of abuse and intimate partner violence, Liz works with individuals, couples, and adolescents to navigate life’s obstacles and unlock their full potential. Whether facing emotional struggles or seeking personal transformation, Liz offers tailored support to help clients feel heard, empowered, and ready to embrace a healthier, happier life.

Specialties: Intimate Partner Violence, Sexual Trauma, Survivor’s Guilt, PTSD, Adolescents, Grief and Loss, Couples and Relationship Counseling.

Kelli, (she/her) is a licensed clinical social worker with over 20 years of experience specializing in depression, anxiety, trauma, and intimate partner violence. She offers compassionate, strengths-based care that helps clients build resilience, regulate emotions, and improve relationships. Drawing on cognitive behavioral therapy, trauma-focused approaches, and parts-informed work, Kelli provides practical tools that reduce symptoms and support growth in daily life. Her style is warm, direct, and collaborative, creating a safe space where clients feel heard, respected, and empowered to make meaningful change.

Kelli’s background includes more than a decade at Mary’s Path, where she progressed from overnight staff to social worker, lead social worker, interim head of service, and Director of the Aftercare Program.She has extensive experience supporting teens and young adults transitioning from congregate care to independent living, with attention to housing instability, safety planning, and community connection. Kelli’s practice is culturally responsive, queer-affirming, and grounded in consent. She partners with clients to identify strengths, rebuild self-trust, and develop sustainable coping strategies that promote confidence, clarity, and long-term well-being.

Specialties: Depression, Anxiety, Trauma and PTSD, Intimate Partner Violence, Teens and Transitional Age Youth, Pregnancy and Perinatal Mental Health, Grief and Loss, HIV and AIDS, Foster Care and Aftercare Support.

Sandra, (she/her) is an experienced mental health professional and life coach who specializes in couples coaching, parenting support, and caregiver well-being. She understands the emotional highs and lows of family life and offers a calm, practical space where clients can focus on their needs and create meaningful change. Using a person-centered approach with evidence-based tools, Sandra helps partners improve communication, rebuild trust, and navigate conflict with clarity. She draws on Gottman-informed and emotionally focused strategies, cognitive behavioral skills, and nervous system regulation so clients can reduce reactivity, set healthy boundaries, and strengthen connection at home.

Parents and caregivers turn to Sandra for grounded guidance on co-parenting, blended families, and stress related to school, behavior, and developmental needs. Her style is warm, collaborative, and results oriented, with clear goals and actionable steps after each session. Clients describe her as insightful, organized, and deeply encouraging. Whether you are working through relationship strain, parenting challenges, or burnout, Sandra offers smart, structured support that helps families move toward stability, confidence, and lasting well-being.

Specialties: Couples Coaching, Communication and Conflict Resolution, Parenting and Co-Parenting, Caregiver Stress, Blended Families, Anxiety and Stress Management, Boundaries, Life Transitions, Behavior and School Support.

Nadra (she/her) is a trauma-informed psychotherapist and woman of color who provides culturally responsive, queer-affirming care for adults seeking meaningful change. She specializes in trauma, attachment healing, grief, anxiety, depression, mood changes, and addiction recovery. Clients appreciate her warm, collaborative style and steady focus on safety, connection, and practical skills. Using evidence-based methods including cognitive behavioral therapy, attachment-based therapy, mindfulness, parts-informed work, and narrative approaches, Nadra helps clients reduce symptoms, regulate the nervous system, and build resilience in daily life.

Her practice honors the intersections of identity, culture, and lived experience, with support for professionals, creatives, veterans, parents, and members of the LGBTQIA2S+ community. Together, clients explore relationship patterns, strengthen boundaries and communication, and rebuild self-trust. Sessions emphasize compassion, curiosity, and clear goals so clients can reconnect with their voice, clarify values, and move toward balance and growth. The work blends reflection with concrete tools that support long-term well-being.

Areas of Focus: Trauma and PTSD, Attachment Healing, Grief and Loss, Anxiety and Depression, Mood Disorders, Addiction Recovery, Identity and Culture, LGBTQIA2S+ Affirming Care, Women of Color, Veterans, Mindfulness and Creativity.

Mary (she/her) is a compassionate therapist specializing in trauma recovery who believes in the healing power of personal story. She understands how life experiences shape identity and survival patterns that can linger in daily life. Mary offers a supportive, nonjudgmental space to reconnect with yourself, explore your past, and transform unhelpful dynamics into pathways for growth. Using EMDR therapy, parts-informed work, cognitive behavioral therapy, mindfulness, and talk therapy, she tailors care to each client’s needs, helping reduce symptoms, regulate the nervous system, and build resilience.

Her philosophy centers self-compassion and practical skills so clients can quiet the inner critic, understand their choices, and break free from cycles that no longer serve them. Mary collaborates on clear goals, paces sessions for safety, and focuses on alignment of body, mind, and values to support intentional living. Clients describe her as warm, steady, and empowering, and she views the therapeutic relationship as a key driver of change. Mary provides evidence-based care that fosters clarity, confidence, and lasting growth.

Areas of Focus: EMDR Therapy, Trauma and PTSD, Complex Trauma, Anxiety and Depression, Attachment Healing, Grief and Loss, LGBTQIA+ Affirming Care, Consensual Non-Monogamy and Polyamory, Parts/IFS-Informed Work, Mindfulness and Self-Compassion, Survivors of Abuse, Life Transitions.

Cece (she/her) is a trauma-informed psychotherapist who has worked in mental health since 2009 and in private practice since 2019. She earned her master’s degree from California State University, Long Beach in 2013 and approaches therapy as a collaborative process grounded in respect and courage. Cece provides client-centered, compassionate care tailored to each person’s needs. She specializes in maternal mental health and reproductive trauma, adjustment disorders, grief and loss, anxiety and depression, stress management, life transitions, and LGBTQIA+ affirming care. Using evidence-based approaches including cognitive behavioral therapy, DBT-informed skills, strengths-based therapy, and solution-focused work, she helps clients build resilience, reduce symptoms, and create meaningful change.

Cece supports clients in clarifying values, strengthening coping skills, and improving communication and boundaries. Her practice honors culture, identity, and lived experience, with affirming care for BIMPOC communities, transgender women, and clients exploring gender identity and sexuality. Sessions emphasize safety, self-compassion, and practical tools that foster confidence and self-expression while addressing body image and relationship concerns. Clients describe Cece as warm, thoughtful, and empowering, and she is honored to walk alongside each person as they move toward healing, stability, and a more connected life.

Areas of Focus: Maternal Mental Health and Reproductive Trauma, Perinatal Mood and Anxiety Disorders (PMADs), PTSD,  Gender Identity, LGBTQIA+ Affirming Care, BIMPOC Clients, Body Image and Self-Expression, Sexuality, Consensual Non-Monogamy and Polyamory, and Transgender Women.

Del is ready and excited to meet with you and become your co-pilot on your therapy journeyDel (he/him, they/them) is a trauma-informed psychotherapist who provides LGBTQIA+ affirming therapy for adults and teens navigating identity, relationships, trauma recovery, and life transitions. Centered in Narrative Therapy, Del collaborates with clients to reauthor limiting stories, clarify values, and build skills that support everyday stability and self-trust. Sessions integrate EMDR for trauma processing alongside cognitive behavioral therapy, DBT skills, IFS-informed parts work, mindfulness, expressive arts, and psychodynamic insight. Clients appreciate Del’s warm, nonjudgmental style, clear goals, and practical strategies for emotion regulation, boundaries, and self-advocacy.

Del specializes in consensual non-monogamy and polyamory, couples counseling including same-sex and transgender couples, and harm reduction–oriented care for substance use and sexual health. Their approach is feminist, person centered, culturally responsive, and grounded in consent. Del creates an affirming space for sex workers, sexual assault survivors, and clients exploring gender and sexuality, with attention to intersectional stressors and community contexts. Together, clients examine patterns with compassion, reduce shame, and develop coping skills that improve communication, intimacy, and daily functioning. Whether you are processing PTSD, strengthening a relationship, or seeking tools for neurodivergent living, Del is ready and excited to meet with you and become your co-pilot on your therapy journey. 

Areas of Focus: EMDR Trained, LGBTQIA+ Affirming Therapy, Couples Therapy including Same-Sex and Transgender Couples, Consensual Non-Monogamy and Polyamory, CBT, DBT, Eclectic Therapy, Feminist Therapy, Harm Reduction, Person-Centered Therapy, Psychodynamic Therapy, Trauma-Focused Therapy, ADHD, Anxiety, Autism Spectrum, Chronic Illness and Disability, Sex Work–Affirming Care, Sexual Assault Survivors, PTSD.

Teresa (she/her) is a compassionate Latina psychotherapist who centers family, culture, and connection in her work. She earned her master’s in Counseling Psychology from Santa Clara University and has worked in mental health since 2017, providing crisis intervention for children and teens, case management for transitional-age youth with co-occurring needs, and school-based therapy for students and families. These experiences inform a steady, practical style that helps clients build coping skills, reduce symptoms, and feel more grounded in daily life.

Teresa specializes in supporting adolescents, young adults, and adults navigating stress, self-doubt, anxiety, depression, grief, and major life transitions. She offers culturally responsive, LGBTQIA+ affirming care with an understanding of how identity, family expectations, and community shape mental health. Using cognitive behavioral therapy, strengths-based and solution-focused tools, and mindfulness, Teresa creates a collaborative space where clients feel seen, understood, and empowered to make meaningful change. Clients appreciate her warm, authentic presence and clear, actionable steps between sessions that support confidence, resilience, and self-trust.

Area of Focus: Adolescents and Young Adults, Women’s Mental Health, Anxiety and Depression, Stress and Burnout, Self-Esteem and Self-Doubt, Life Transitions, Cultural Identity and Family Expectations, First-Generation Experiences, School and Academic Stress, Co-Occurring Needs, Grief and Loss, Trauma-Informed Care, CBT and Skills for Emotion Regulation, Communication and Boundaries. and more

Tiffany (she/her) is a dedicated therapist with a master’s in social work who empowers diverse clients to reach their goals through inclusive, evidence-based care. She specializes in anxiety, depression, trauma, gender identity, and relationship concerns, with affirming support for transgender and gender-expansive clients, sex workers, and marginalized communities. Using cognitive behavioral therapy, mindfulness, and strengths-based, person-centered strategies, Tiffany helps clients reduce symptoms, build coping skills, and create sustainable change. Her style is warm, collaborative, and practical, with clear goals and tools clients can use between sessions.

Tiffany provides culturally responsive, sex-positive therapy for individuals, couples, and multi-partner relationships, including consensual non-monogamy and polyamory. She integrates communication coaching, boundary setting, and values clarification to improve intimacy and repair patterns that no longer serve. Clients appreciate her nonjudgmental presence, cultural humility, and attention to safety and consent. Whether navigating identity exploration, stigma, or life transitions, Tiffany offers steady support that fosters resilience, self-trust, and well-being.

Specialities: Anxiety and Depression, Trauma and PTSD, Gender Identity and Trans-Affirming Care, LGBTQIA+ Affirming Therapy, Sex-Positive and Sex-Worker–Affirming Care, Consensual Non-Monogamy and Polyamory, Couples and Relationship Counseling, Mindfulness and CBT Skills, Communication and Boundaries, Life Transitions, Cultural Identity and Stigma.

Shima (she/her) is a licensed psychotherapist at AMR Therapy who provides trauma-informed therapy using cognitive behavioral therapy (CBT) and goal-oriented approaches. She works with individuals and couples seeking support for anxiety, depression, trauma, identity exploration, and relationship challenges. Shima helps clients understand and manage difficult emotions, thoughts, and behaviors while building practical tools that support meaningful, sustainable change. Her work integrates evidence-based therapy with culturally responsive care to help clients develop resilience, self-awareness, and emotional regulation.

Shima brings an intersectional and culturally responsive perspective to therapy. She is especially committed to supporting LGBTQIA+ clients, first-generation individuals, immigrants, and people navigating complex questions of identity, culture, and belonging. Her approach emphasizes collaboration, curiosity, and respect so clients can explore their experiences without judgment. By creating a safe and inclusive therapeutic space, she helps clients deepen self-compassion, strengthen coping skills, and reconnect with their values.

Shima believes that healing begins with trust and authentic connection. In therapy, she works alongside clients to build insight, clarify goals, and move toward growth at a pace that feels grounded and sustainable. Her work supports clients in developing confidence, improving relationships, and creating a life that reflects their identity, needs, and aspirations.

Areas of Focus:

•• Queer+ Affirming Therapy & Gender Identity • Anxiety & Depression • Trauma-Informed Therapy • Cognitive Behavioral Therapy (CBT) • Mood Disorders • Identity Exploration & Self-Esteem • Immigration & Acculturation Stress • First-Generation Client Support • Cultural Identity & Belonging • Autism Spectrum Support • ADHD & OCD • Relationship & Communication Skills • Couples Therapy & Queer+ Couples

 

Dee Ann Tumbuan (she/her) is the Executive Director of AMR Therapy & Support Services, where she has led operations since 2021 with a focus on accessibility, inclusive mental health care, and client-centered practice systems. As a member of the queer community, she helps ensure that every step of the therapy process—from first contact and free consultation to intake, scheduling, and ongoing client support—feels welcoming, trauma-informed, and clear. Her leadership centers culturally responsive care, disability access, and neurodivergent-affirming design so clients seeking therapy can engage services with clarity, consent, and dignity.

At AMR Therapy, Dee Ann oversees operations that support queer-affirming therapy, trauma-informed mental health services, and sex-positive counseling delivered through secure telehealth across California. She works closely with clinicians and administrative staff to maintain streamlined client intake, scheduling systems, and ethical practice standards. Her work helps ensure that individuals and couples seeking therapy for trauma, identity exploration, relationships, sexuality, and life transitions encounter a practice structure built around transparency, accessibility, and responsive client care.

Dee Ann’s advocacy also includes expanding access to affordable mental health care through sliding-scale therapy options and community partnerships. She supports initiatives that address the long-term effects of religious trauma, racial trauma, and childhood trauma by strengthening pathways for people who have historically faced barriers to mental health services.

She holds a bachelor’s degree from the University of California, Santa Cruz and brings extensive experience in organizational systems, operations management, and project coordination. Before joining AMR Therapy, Dee Ann worked on initiatives addressing the Los Angeles affordable housing crisis, strengthening her commitment to equity and community empowerment. At AMR she leads clinician onboarding, operational infrastructure, HIPAA-compliant systems, and practice standards that support ethical, accessible therapy services.

Her leadership helps AMR Therapy deliver queer-affirming, culturally responsive, trauma-informed telehealth therapy across California while maintaining a practice culture grounded in empathy, accountability, and practical care. The operational work she leads ensures that inclusive mental health care remains accessible to the communities AMR serves.

 
 

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Heather (she/her) is the Administrative Assistant and Client Care Coordinator at AMR Therapy & Support Services, where she supports clients and clinicians through scheduling, intake coordination, and telehealth therapy support. She helps ensure that individuals seeking therapy experience a smooth, welcoming entry into care by guiding new clients through appointment scheduling, intake forms, and communication with therapists. Her work focuses on accessibility, clear communication, and trauma-informed, queer-affirming client service so people contacting AMR Therapy for mental health support feel informed and supported from their first interaction.

Heather brings a unique background in grief care to her role. She is a licensed funeral director with a degree in Funeral Services Administration, training that deepened her understanding of grief, loss, and resilience. That experience informs the compassion and steadiness she brings to client coordination within a mental health setting. At AMR Therapy she manages scheduling logistics, supports telehealth therapy access, assists with insurance documentation, and maintains HIPAA-compliant client records so clinicians can focus fully on therapy and clinical care.

Originally from Buffalo, New York, Heather joined AMR Therapy in 2023 after connecting with the practice’s mission to expand access to inclusive and affordable mental health care. She is known for her warm presence, reliability, and attention to detail across client intake, therapist coordination, and administrative processes. Her work also emphasizes disability access and neurodivergent-friendly communication, helping clients navigate therapy services with clarity and reduced stress.

Outside of work, Heather enjoys travel and learning about diverse cultures, experiences that inform her culturally responsive approach to client care. Her commitment to organization, empathy, and client-centered service plays a key role in AMR Therapy’s ability to provide accessible, queer-affirming, trauma-informed mental health support to the communities it serves.