Anxiety and depression therapists and psychiatrists in Sparks, NV

Hi there, my name’s Ephraim and I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses.

Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Looking forward to meeting with you soon!

I approach therapy as a collaborator. My method is client-centered and humanistic. I aim to accompany my clients in achieving the goals brought into the therapeutic environment with openness, empathy, and compassion. Creating goals in small steps is vital for progress and change. Identifying insecure attachment and dysfunctional patterns will lead to lasting change. My clients can learn to recognize unhealthy cycles and gain a deeper understanding of their attachment styles.

Currently, I do not provide therapy for couples or minors.

Do you feel buried under the heavy weight of depression, or find your days derailed by intense mood shifts you can’t seem to control? Living with trauma or bipolar disorder can feel like an exhausting, lonely battle, leaving you feeling disconnected from the people and life you love. You might be constantly managing anxiety, stress, or relationship strain, wondering if you'll ever find solid ground. You do not have to navigate this darkness alone. You deserve a space where your pain is met with deep understanding, and where your story is heard without judgment.

(Hablo Español) I'm a warm, welcoming person who enjoys making others feel comfortable and heard. I approach conversations with an open mind, staying nonjudgmental and genuinely curious about different perspectives. I value kindness, honesty, and creating a space where people can be themselves. Whether we're solving a problem or just chatting, I aim to keep things approachable, positive, and easy to understand.

What Clients Should Know About Me

Hi, I’m Kelli, a Licensed Marriage and Family Therapist with over 20 years of experience in the people-helping field. I’m dedicated to creating a space where you feel truly seen, heard, and supported—without judgment.

I work with a diverse range of clients. I am a Certified First Responder Counselor and also specialize in supporting collegiate to professional-level athletes. Drawing from my own life experiences, I’m passionate about helping those who are often expected to stay strong for others but need a safe space to nurture their own mental and emotional wellbeing.

Treatment areas include, but are not limited to, anxiety, depression, stress, grief and loss, life transitions, performance enhancement, foster care and adoption, juvenile justice and corrections, abuse, and trauma.

Specializing in relationship issues, addiction, trauma, PTSD, and LGBTQ+

am a professional clinical counselor, licensed in Ohio, with over 29 years of experience working with adults, children, and families. I have worked with clients who have a wide range of concerns, such as depression, anxiety, relationship issues, gender issues, addictions, family systems, marital/relationship or career challenges, trauma, and ADHD. My approach combines CBT, cognitive-behavioral therapy, Gottman Therapy, DBT, and trauma-focused CBT interventions.

I am Joseph M. Tonui, PMHNP-BC, a Board-Certified Psychiatric and Mental Health Nurse Practitioner with over 15 years of experience in healthcare. I began my academic journey at Kean University, earning a Bachelor of Science in Medical Technology, and later completed a Bachelor of Science in Nursing at the University of Medicine and Dentistry of New Jersey. I went on to graduate with honors from Walden University with a Master of Science in Nursing, specializing in Psychiatric and Mental Health.

Christine Ramos is a dual certified acute care nurse practitioner and psychiatric nurse practitioner who enjoys treating a patient population across the lifespan. Her approach to treatment is base upon patient centered-goals. No controlled substance schedule II (I.e. Xanax, Adderall ) prescriptive authority at this time.

If you’ve felt unseen, misunderstood, or torn between belonging and authenticity, you’re not alone. Together, we’ll explore your story, build self-acceptance, and better understand the patterns and experiences that have shaped you. Our work will be guided by your goals, your pace, and what healing looks like for you, creating a path toward greater connection, empowerment, and inner peace. I strive to create a space where you can feel seen, heard, and accepted for who you are.

Therapy should be a place where you can talk honestly about the things that are difficult to say out loud without being judged or reduced to a diagnosis—or to the hardest chapter of your life.

I work with adults and couples experiencing anxiety, depression, trauma and PTSD, suicidal thoughts, sexual trauma, intimacy and sexual-health concerns, grief, life transitions, military and veteran concerns, first-responder stress, and relational distress. Relational distress can include communication breakdown, recurring conflict, loss of trust, emotional distance, intimacy concerns, separation or divorce-related stress, changes within a family, parenting-related strain, or simply reaching a point where you are unsure how to move forward.

My role in therapy is to help you understand what is happening, identify what you want to change, strengthen your ability to respond differently, and work toward healthier functioning and relationships. My clinical style is direct, collaborative, trauma-informed, practical, and shame-free.

I am independently licensed for clinical social-work practice in Washington, Nevada, Arizona, New Mexico, Texas, and Florida; EMDR-trained; a Certified Psychosexual Assessment Specialist (CPAS); a Board-Certified Forensic Mental Health Evaluator (CFMHE); a Board-Certified Forensic Psychometrist (CFP); and a U.S. Army veteran.

My broader professional practice includes forensic mental-health evaluation and consultation. Those services are separate from psychotherapy. Once I am retained as your treating therapist and a clinical treatment relationship has been established, I cannot also serve as your forensic evaluator, expert witness, or child-custody evaluator in the same matter. Therapy is treatment-focused and is intended to support your clinical needs—not to generate an independent forensic opinion for litigation.