Meet Rev. Karla Fleshman, LCSW, MDiv (They/She)
Therapist – Speaker Trainer – Advocate
LGBTQ+ folx are at increased risk for experiencing intersectional trauma, including yet not limited to socioeconomic marginalization, racial discrimination, religious abuse and ableism. These compounding trauma exposures can amplify psychological distress and heighten reliance on dissociative coping mechanisms.
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As a Consultant in Training, I believe EMDR therapy from an integrative approach will cultivate a new pathway illuminating that LGBTQ+ individuals often carry complex trauma from rejection, discrimination, and internalized messages – healing happens when we can process these experiences in a safe enough, affirming therapeutic space.
Clinical Director, TransitionsDE LLC
Specializes
✓ LGBTQ+
✓ Dissociation
✓ Spirituality and Religion
✓ Medical Trauma
Building Bridges: EMDR Consultation for LGBTQ+, Spirituality & Dissociative Experiences
Individual EMDR Consultation
Pricing: $45 per hour
What to Expect:
During a one-on-one EMDR consultation for trained therapists, you can expect an in-depth clinical discussion focused on refining your skills with standard protocol, addressing complex cases, exploring techniques and best practices for special populations
Group EMDR Consultation
Pricing: (Limit 4 Per Group) for two hours is $45 per group.
What to Expect:
During a two-hour Group EMDR (limit four per group) consultation for trained therapists, you can expect an in-depth clinical case consultation experience. Each group participant will have space to present their case for input from peers and the CIT.
LGBTQ+, Spirituality, & Dissociation Consultation
Pricing: $125 per hour
What to Expect
In-depth clinical discussion focused on best practices from an intersectional framework when engaging LGBTQ+ Clients, Persons with Dissociative Experiences or Folx Struggling with Existential Crisis/Religious Trauma.
Other Consultations
Spiritual Direction Consultation
$100
Per hour
Seeking short-term support for discerning an important life matter, consider scheduling a consultation
Private Practice Consultation
$150
Per Hour
Starting a private practice or have a practice and are running into questions, consider booking a consultation
Clinical Consultation for Your Team
$150
Per Hour
Are you & your team unsure of how to proceed in having safe enough practices, policies, and procedures for LGBTQ+ clients, or a difficult case unsure the best course of treatment, consider booking a consultation
All fees due at the time of Scheduling
Have additional questions?
email me at: [email protected]
Prioritizing the Lived Experience of Therapists & Clients who identify as Queer, Neurodivergent, People of the Global Majority, and/or Living with Dissociative Experiences.
Additional Information
EMDR Focused Consultations
As a consultant in training, Rev. Karla can provide you with up to 15 of the 20 hours of consultation that are required to become an EMDRIA Certified EMDR Therapist. Rev. Karla also provides consultation for clinicians wanting to strengthen knowledge and skills working with members of the LGBTQ+ Community, as well as incorporating Parts Work from a Dissociative Experiences Framework into EMDR therapy.
- EMDR Certified Therapist
- Advanced Certification in Dissociation Studies for EMDR
- EMDR Consultant In Training
- Certified Trauma Conscious Yoga Method
- The Transgender Training Institute Certified Trainer
Rev. Karla Fleshman is an EMDRIA-approved Consultant in Training under Amy Wagner
Non-EMDR Consultations & Trainings
Rev. Karla Fleshman, LCSW, MDiv specializes in delivering professional development experiences that go beyond surface-level discussions to create genuine transformation in how individuals and organizations support the LGBTQIA+ community and other marginalized populations. With a unique approach that combines clinical expertise, theological understanding, data-driven insights, and authentic storytelling, her sessions create safe spaces where real, courageous conversations can flourish.
A Google Review from an Administrator
As an administrator in child welfare, I have come to rely on the clinical expertise of Transitions Delaware, LLC. I have had the organization present several specialized training sessions for our Treatment Foster Care (TFC) staff and families, which I can only describe as transformative for all involved. From challenging our thinking, providing profound insights into supporting LGBTQIA+ youth in foster care settings, and addressing both clinical considerations while offering practical day-to-day support strategies have been invaluable. What truly sets this practice apart is their emphasis on developing genuine compassion and understanding rather than merely following protocols.
I particularly appreciate how they balance professional clinical frameworks with heartfelt discussions affirming youth identities. This holistic approach has helped us create more inclusive, supportive environments where all children feel valued for who they are.
The facilitators create a safe, judgment-free environment where participants feel comfortable asking questions and work through challenging scenarios. Use of personal lived experiences by facilitators only add to the content presented. Information presented upholds our core social work values and ethics; utilizes evidenced based practices and is grounded in cultural sensitivity.
Since implementing their guidance, we have witnessed remarkable improvements in how our foster parents and staff connect with LGBTQIA+ youth. The practice’s focus on unconditional positive regard and authentic allyship has equipped our team to become better advocates for those we serve and support. I cannot recommend this practice highly enough.