Obsessive-compulsive disorder therapists & psychiatrists in Meridian, ID

Hi, I'm Tierra Kinnard, LCSW, and founder of Step by Step Healing Services, LLC. With more than 16 years of experience in the mental health field, I am passionate about helping individuals navigate life's challenges with compassion, understanding, and evidence-based care. I believe healing begins in a space where you feel safe, heard, and accepted exactly as you are. I specialize in treating Obsessive-Compulsive Disorder (OCD), Excoriation (Skin Picking Disorder), Trichotillomania (Hair Pulling Disorder), anxiety, depression, trauma, and grief and loss. Throughout my career, I have had the privilege of supporting individuals from diverse backgrounds, including members of the BIPOC and LGBTQIA+ communities. I understand the profound impact that mental health challenges can have on individuals, families, and relationships, and I am committed to helping clients build resilience, find relief, and create meaningful change.

I am a board-certified psychiatric nurse practitioner who holds a master’s degree in nursing from Frontier Nursing University. As an independent practitioner I can diagnose and treat mental health conditions with full prescriptive authority and order diagnostic labs as appropriate. With nearly 15 years of nursing experience, my passion for patient and family-centered care has evolved from working the on the front lines as an ICU RN during the covid-19 pandemic to addressing the mental health crisis impacting all of our communities as a nurse practitioner.

I am a double board-certified family and psychiatric/mental health nurse practitioner. As a Family and Psychiatric Nurse Practitioner, I believe that healing begins with understanding. My goal is to create a safe, supportive space where you can share your story without judgment and work toward meaningful, lasting change. I provide individualized, evidence-based care for adults facing depression, anxiety, PTSD, bipolar disorders, ADHD/ADD, and sleep disorders.

Outside of my work as a therapist, I enjoy spending time outdoors, riding my horses, and being with my family. These activities help me stay grounded and connected to what matters most in life. I value balance, authenticity, and meaningful relationships, and I bring those same values into my work with clients. I strive to create a welcoming, supportive environment where clients feel comfortable being themselves and working toward their goals.

Hello—I’m so glad you’re here.

I’m a Licensed Clinical Social Worker, and I received my Master’s degree from the University of Utah in 2009. I deeply believe in the value of seeking support—because being human means navigating both grief and gratitude, often at the same time.

There are seasons in life when we need additional support, and you don’t have to move through those alone. I strive in helping you reconnect with yourself, build self-trust, and make sense of what you’re carrying.

I specialize in women’s mental health, anxiety, betrayal trauma, divorce, grief, and loss.

I am a Licensed Professional Counselor who’s interested in supporting you to get back to a life worth living. I work with adults who feel exhausted, scared, stuck and overwhelmed. My style is structured, warm, compassionate, and collaborative.