Prenatal and postpartum therapists & psychiatrists in Everett, WA

I'm a licensed professional counselor with over 20 years of experience working with adults navigating some of life's hardest seasons — infertility, adoption, depression, anxiety, life transitions, and the kind of grief that doesn't have a clear name yet. I'm faith-integrated in my approach, which means I honor the role spirituality plays in your life without ever making it a requirement. My clients describe me as warm, easy to talk to, and refreshingly direct. I don't do one-size-fits-all therapy — every treatment plan starts with your story.

I'm Dr. Kara Hokes, a licensed clinical psychologist who offers telehealth therapy to adolescents and adults in Washington state. I have many years of training and experience focusing on trauma, anxiety, depression, anger, and emotion dysregulation. In the past, I have worked extensively with first responders and military affiliated individuals.

I'm a Licensed Marriage and Family Therapist with over 10 years of experience helping children, families and adults navigate life's challenges. My approach is warm, collaborative, and solution-focused, and I tailor therapy to each client's unique strengths and goals. I also have experience supporting individuals coping with anxiety, depression, life transitions, relationship concerns and complex medical challenges, helping them build practical skills and create meaningful, lasting change. I especially enjoy working with adults, including women who are pregnant, postpartum or adjusting to motherhood.

Florida + Washington residents

Midlife got you spinning? Not feeling yourself? Empty nest blues?

Midlife brings an undercurrent of change that few are completely prepared for. For decades, your time, energy, and identity may have been anchored by familiar roles—running a busy household, climbing a career ladder, or maintaining long-standing family dynamics. When those roles shift by way of an empty nest, career evolution, relationship changes, or retirement, the silence left behind can feel surprisingly heavy.

Many expect to feel a sense of relief or simple pride during this season. Instead, it’s incredibly common to find yourself wrestling with grief, anxiety, or a persistent question: Who am I now?

If you are feeling disconnected from your purpose, uncertain about the future, or struggling to adjust to a new pace of life, you are not alone. You haven’t lost yourself; you are simply navigating the space between who you once were and who you are becoming.

Areas of Focus

• Midlife Transitions & Role Shifts
• Self-Discovery & Identity Reconstruction
• Empty Nest Adjustment
• Grief, Loss, and Navigating Change
• Anxiety, Stress, and Uncertainty About the Future

My goal is to help you reconnect with your core self—not just through the roles you play for others, but as a whole person with your own distinct needs, interests, and dreams. Remember when you had needs? This isn't about starting over from scratch; it’s about reconstructing your life so that it feels deeply meaningful, aligned, and fulfilling for the years ahead.

Service for residents of Florida + Washington state

I'm a compassionate mental health provider who believes healing is possible for everyone. I specialize in supporting individuals navigating anxiety, chronic illness and pain, and substance use and addiction. My work is rooted in the belief that you are the expert on your own life — and my role is to walk alongside you with evidence-based tools and unwavering support. I bring warmth and authenticity to every session, creating a space where you feel truly seen, heard, and valued. Whatever you're carrying, I'm here to help.