Dr. Misty began the practice as a solo venture in 2016. Over the years of working solo, she realized that the niche population that she serves needed more specialized mental health care than Dr. Misty could provide alone. In 2018 Dr. Misty made the decision to expand the practice into a group collective, inviting interns and associates to join her in practicing clinical mental health and sex therapy for humans who are neurodivergent, queer, polyamorous, and kinky.

Over the years, Dr. Misty has trained many students, interns, and associates in competent, compassionate, and consent-based therapy, using a relational-cultural approach to therapy. To be included as a therapist at FlowArt Therapy, It is imperative that all therapists are sex-positive and neurodivergent informed, and are willing to continue to further their education in sex-positive, consent-based, and neurodivergent friendly methods. Dr. Misty has evolved her practice into a collectively operating teaching practice, where she models and trains the therapists closely in these focused methods.

Together with her colleague and business partner, Michell Brockman, Dr. Misty is working on expanding the reach of FlowArt. They're working on bringing on-demand learning opportunities to the general public and to clinical mental health practitioners about the intersection of neurodivergence and queer identities, through FlowArt Academy and the Neurosparkly podcast.