I have continued to serve in different countries and ministries throughout the year, according to the need for mental health support that missions projects present. In summary during 2018 I served for 10 days with local church's in Cuba, two weeks at a rehabilitation center "Cuidad Refugio" in Medellin, Colombia, four months at TSC in NYC and seven months (disaster relief work after hurricane Maria) with the Catacumba Church in PR. In PR I also serve in a feeding program with my local church in an impoverished area and with a ministry that does counseling through the arts with children. I continue to focus my missions work on counseling consultations, mental health assessments, teachings and trainings in the mental health area for churches and ministries. I also provide member care for [my sending organization's] missionaries as well as for ministry leaders and pastors in the churches and ministries I serve in.

During the months I served in PR I also led several missions teams that came from the USA to do disaster relief work in the island. We distributed relief aid to the hardest hit areas by the hurricane. In each opportunity to either teach, train, consult, assess, counsel, or work with people within the communities our ministry work is based on scripture and the love of Jesus is shared either in an encouraging word and/or prayer with each person we encounter and each in teaching we do. During our workshops, some leaders and pastors have shared struggles and challenges they have had in themes we have discussed and we have seen many encouraged and even receive healing from the Lord in areas related to their emotional health. We have also directly shared the gospel with the people we have served in the communities and those that don’t know Jesus yet in our counseling sessions as well. I am very grateful to the Lord for the opportunity to use the skill sets in mental health care He allowed me to be trained in to share His truth and love with others wherever He leads.