Our Team

Meet Our Team

We chose the name Three Rivers because when we think of rivers we think of the dialectic of movement and stillness. The river is simultaneously right there where it is—we can point to it—and it is forever changing, flowing, moving from here to somewhere else. At Three Rivers, we embrace the reality that we ourselves are always exactly what and where we are and we are always flowing into something or somewhere new. In this embrace, we find both peace and true liberation. Below you’ll find our team of “river guides.” We’re looking forward to meeting you.

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Sean Cook, Psy.D.

Speciality Areas:

EFT couples therapy, mindfulness-based approaches to anxiety and depression, mindfulness trainer, works with adults.

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Luana Coloma Cook, Psy.D.

Speciality Areas:

Child and family therapy, EFT couples therapy, treating anxiety in children (including when it manifests physically), mindfulness trainer, works with children, adolescents, adults.

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Carol Borges Knight, Psy.D.

Speciality Areas:

EFT couples therapy, mindfulness-based approaches to anxiety and depression, works with adults.

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Sean

Specialties

Sean is certified as an Emotionally Focused Couples Therapist (EFT) and has a significant background in mindfulness. He is a certified Mindful Self-Compassion (MSC) teacher, and along with Luana, regularly offers the 8-week MSC Course in Sacramento. As a therapist, Sean specializes in couples therapy and mindfulness-based approaches to anxiety and depression. He relies heavily on attachment theory, and is particularly interested in the adaptations each person makes in their earliest relationships in an effort to stay safe. Often therapy is a process of exploring ways that these adaptations are playing out in one’s current relationships with unintended effects.

Personal Background

Although Sean rarely meditates directly with therapy clients (unless asked), his presence in the room is deeply influenced by his own meditation practice. At a personal level, he began meditating in his mid-twenties and spent about a decade building a disciplined spiritual practice that eased some of his suffering, but that he did not enjoy very much. Then in 2012, with his second child on the way, he refocused his practice on something he had been actively ignoring: the heart practices of loving-kindness, forgiveness, and compassion. This was a game-changer. As he began to apply the balm of love to his own wounded heart, he found himself in a process of seeing more and more opportunities to love and be loved. Like seeing a three-dimensional image emerge in a stereogram, a truth became apparent: every moment is an occasion for love. As a meditation teacher, Sean has become especially interested in bringing the Mindful Self-Compassion program to other men who have been conditioned to label their need to be loved as weakness and to shrink from, scoff at, or harden against the idea of holding themselves with tenderness and compassion. In recent years, Sean has been honored to assist Kristin Neff and Christopher Germer at their annual MSC Intensive at Esalen and to serve as an online mentor for the Sounds True program Power of Self-Compassion.

Educational Background

Sean is a licensed clinical psychologist (CA Lic # PSY23611). He earned his doctorate in clinical psychology from the Wright Institute in Berkeley, CA, an American Psychological Association (APA) accredited program. His training included year-long rotations in the following settings: a primary care clinic offering behavioral medicine services, an outpatient hospital clinic, a center providing outpatient services to children and families, and several college counseling centers. He completed an APA-accredited internship at UC San Diego Counseling and Psychological Services, and a post-doctoral residency at UC Davis Counseling and Psychological Services.

Interests and Hobbies

Sean has a background in the arts and holds a BA in Theatre from UC San Diego, and a Masters in Performance Studies from New York University. When not in the therapy office, he enjoys hiking, yoga, and his role as lead crew member and assistant-everything-else in the bedroom theatre company run by his three young daughters.

Luana

Specialties

Luana works with children, adolescents, parents, couples, and families. She believes therapy should be a warm and collaborative environment, where people can feel safe enough to take risks, be authentic and make lasting changes. She works to explore with her clients the many dynamics that may inadvertently contribute to a problem cycle, so that clients can feel empowered to act in more preferred ways of being. Luana feels comfortable working with many different diagnoses and challenges, including anxiety management (and ways this may manifest physically), depression, identity shifts, school difficulties, and relationship struggles.

Luana is a certified Emotionally Focused Couples Therapist (EFT) and has advanced training in Emotionally Focused Family Therapy (EFFT). She is also a certified Mindful Self-Compassion teacher (MSC). She and Sean regularly teach the 8-week MSC course in Sacramento.

Personal Background

Luana is a mother of three adventurous and opinionated girls. This adventure in mothering gives her plenty of opportunities to “walk her own talk,” as she works to integrate health, happiness, vulnerability, connection, and self-compassion. Although there are many paths to valued living, Luana’s current recipe for this involves having a daily self-compassion and meditation practice, a regular exercise schedule, daily gratitude exercises, and by connecting with loved ones.

Educational/Career Background

Luana is a licensed psychologist (CA Lic # PSY23610). She earned her doctorate in clinical psychology from the Wright Institute in Berkeley, CA, an American Psychological Association (APA) accredited program. Luana trained at several child/adolescent and family yearlong placements and completed an APA-accredited internship in Santa Monica at St. John’s Child and Family Development Center. She completed her postdoctoral residency at Kaiser Permanente, where she was hired on as permanent staff. She was hired into the child/adolescent Intensive Outpatient Program and worked there between 2010-2016. Luana also served as Training Director for the postdoctoral residency program during her time with Kaiser. Luana has been in full-time private practice since fall of 2016.

Interests and Hobbies

Luana loves to find family adventures. This includes hikes, walks to the park, and camping. Her background includes playing collegiate sports, and so she enjoys continuing to stay active with challenging and fun workout routines. As Luana has joined the “mother of young children club,” she has also developed interests in finding ways to bring self-compassion and authenticity to parenting.

Carol

Specialties

Carol works with adults and couples using a relational approach that emphasizes connection: being seen, heard, and valued for who you are and where you are in your journey. Carol’s goal is to create a welcoming, nurturing, non-judgmental space where you feel safe to share your needs and the challenges that are impacting your quality of life. As an immigrant, Carol is particularly sensitive to the many ways different people show vulnerability. Therefore, she strives to take multicultural, interpersonal, and contextual factors into account in order to get to know the multiple identities forming our whole selves. Carol believes in using the safety of the therapeutic relationship as a healing experience, and when appropriate, in taking advantage of skill-based approaches to support that powerful work.

Carol is currently working towards certification in Emotionally Focused Couples Therapy (EFT). She has extensive training in Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy (DBT), and often incorporates mindfulness-based therapies in her practice. Carol is comfortable working with a variety of diagnoses and issues, including depression, anxiety, trauma, identity shifts, and how those issues affect our relationships and wellbeing.

Personal Background

Carol was born and raised in a small town in Brazil, and immigrated on her own to the United States at the age of 18 with hopes of attaining higher education. After working full time and attending community college for 2 years, Carol transferred to the University of California, Berkeley where she completed her B.A. in Psychology. After graduating from her Master’s program in Forensic Psychology at John Jay College in New York, Carol went to work as a case manager, advocating for mentally ill offenders to receive treatment in lieu of jail time. Carol also volunteered for a suicide hotline, which fueled her passion for crisis intervention and suicide prevention. Since moving back to California to pursue her doctoral degree, Carol has gotten married and became a mother, two identities she constantly strives to balance with her professional life. Through her own work in therapy and through supervisory experiences, Carol has had a chance to explore her losses, identities, values; and broaden her capacity for emotional experience, empathy, and compassion — including self-compassion. It is from her own work and growth that Carol draws hope and belief in the therapeutic change process.

Educational Background

Carol is a registered psychological assistant (CA Registration # PSB94024195). She earned her doctorate in Clinical Psychology from the Pacific Graduate School of Psychology/Stanford University Psy.D. Consortium in Palo Alto, CA an American Psychological Association (APA) accredited program.  Carol’s training included year-long rotations in the following settings: an outpatient mental health clinic at the Menlo Park VA Hospital, a substance use and treatment clinic at the San Francisco VA Medical Center, and a counseling center at a small university in Belmont, CA. Carol completed an APA-accredited internship at UC Davis Student Health & Counseling Services, and is currently working on her post-doctoral residency here at Three Rivers under the primary supervision of Dr. Sean Cook.

Interests and Hobbies

Coming from a large family back in Brazil, Carol values spending time with friends and family, and spends most of her weekends with her young son and husband discovering new adventures around the Sacramento area. Carol enjoys nature and being near the water, so they often seek out coastal day trips or forest hikes. Since joining most of her friends in parenthood, Carol has made a priority of being a supportive ear to her friends experiencing the joys and perils of parenting little ones.