Addiction therapists & psychiatrists in Gig Harbor, WA

As a Licensed Clinical Social Worker, I approach therapy as a collaborative, relational process grounded in authenticity, trust, and respect. I believe meaningful change happens when individuals feel genuinely seen, understood, and supported, and I strive to create a space where clients can explore their experiences openly without fear of judgment. My work is informed not only by clinical training, but also by lived experience, which allows me to connect with clients in a way that is both empathetic and deeply human.

My therapeutic style is engaged, flexible, and tailored to each individual. I integrate evidence-based modalities including EMDR (Eye Movement Desensitization and Reprocessing), Ketamine Assisted Psychotherapy, and Dialectical Behavior Therapy (DBT). Through EMDR, I help clients process and resolve trauma and distressing life experiences. In Ketamine-Assisted Therapy, I support clients in accessing new perspectives and reducing symptoms that may feel stuck or resistant to traditional approaches. With DBT, I focus on building concrete skills in emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. I aim to balance insight-oriented work with practical tools that clients can apply in their daily lives.

I believe therapy does not have to feel overly clinical or rigid to be effective. I intentionally incorporate humor, warmth, and relatability into my work, recognizing that moments of lightness can be incredibly grounding and healing. Humor can create connection, reduce shame, and make difficult conversations feel more approachable, while still honoring the depth and seriousness of each person’s experience.

I am a licensed mental health counselor and substance use disorder profession in the state of Washington with over 35 years of experience working in various community clinics, treatment centers, hospitals and private practice. I am also a geriatric mental health specialist. I have worked with hundreds of people with a wide variety of concerns, including addiction/recovery, depression and anxiety, PTSD, stress management, LGBTQ-related issues, family systems, codependency, self-esteem, relationships of all types, grief and loss, and issues related to abuse and trauma.

As your Psychiatric-Mental Health Nurse Practitioner, I want you to know that I am here for you every step of the way. You can trust that I am fully committed to your well-being and dedicated to providing you with the highest quality of care.

Something positive, warm, and uplifting about me as your PMHNP is that I genuinely believe in your strength and resilience. I see your potential for growth and healing, even during the toughest of times. Together, we'll navigate through the challenges.

I am a nurse practitioner with dual certifications in family practice and psychiatric mental health. My passion for holistic care drives my integrated approach, addressing both primary care and mental health to meet my patients' diverse needs. I provide care that considers the physical, emotional, and mental well-being of each individual. By blending evidence-based practices with empathetic listening, I empower patients to take an active role in their health journey and achieve optimal outcomes.

Hi, I’m Dr. Manuel, APRN, a board-certified Psychiatric-Mental Health Nurse Practitioner providing comprehensive, evidence-based psychiatric care for adults.

I specialize in the evaluation and treatment of Adult ADHD, depression, anxiety disorders (generalized anxiety disorder, panic disorder, social anxiety), bipolar I and II disorder, PTSD, trauma-related disorders, mood instability, and co-occurring mental health and substance use disorders. I also provide addiction psychiatry and Medication-Assisted Treatment (MAT) for opioid use disorder and alcohol use disorder, including treatment with Suboxone (buprenorphine), naltrexone, and Vivitrol.

With over 20 years of clinical experience, I provide structured psychiatric evaluations, personalized medication management, and individualized treatment planning. My approach integrates psychopharmacology, addiction medicine, and trauma-informed psychiatric care to support long-term stability and measurable improvement.

I am committed to providing LGBTQ+ affirming mental health care and creating a safe, inclusive space for individuals navigating identity-related stress, trauma, or healthcare disparities. My practice emphasizes collaboration, clear communication, and respectful, judgment-free care.

Patients often seek my services for ADHD diagnosis and medication management, depression treatment, anxiety and panic disorder management, bipolar disorder stabilization, dual diagnosis care, and addiction treatment.

If you are searching for an experienced psychiatric provider specializing in ADHD, depression, anxiety, bipolar disorder, and addiction treatment, I am here to provide compassionate, evidence-based care focused on your recovery and long-term mental wellness.

Everyone deserves a safe space — and a provider who truly cares.

I found passion for mental health while working with children at an autism summer camp that I have worked for for 15 years. Mental health is a major component that makes us happy, sad, or just ok. I am here to help you meet your goals and help guide you along the way. I have experience in mood disorders, trauma, autism & learning differences, and sleep.

I believe self care is important for our health

Many of my clients are students, young adults, and working professionals navigating the demands of school, careers, relationships, and life transitions. They’re often trying to balance everything while wondering why life feels harder than it should.

I believe treatment works best when you better understand yourself and your options. Whether you’re experiencing symptoms of ADHD, anxiety, depression, psychosis, or another mental health concern, my approach is practical, collaborative, and tailored to your individual needs.

As a board-certified Psychiatric Nurse Practitioner, my goal is to help you better understand what’s going on, feel confident in your treatment, and find an approach that fits your life.

I take an active role in therapy and typically don't do the minimalistic responses - though there is a time and place for this. I like to have conversational-style dialogue with clients, and feel that I am open and empathic while bringing in humor and "realness" to the session; I show up as my true self as much as possible.

I received my Bachelor of Science in Psychology from Texas A&M University, and my MS in Counseling Psychology from SMU.

The primary modalities I find most impactful are EMDR (I am an EMDRIA Certificied EMDR Therapist and EMDR Consultant-In-Training/CIT) with an attachment-focused and polyvagal theory lens.

I hold advanced training in EMDR, ART, Brainspotting, Trauma Conscious Yoga Method, and others. I am an expert in treating trauma with medication-assisted psychotherapy and have completed numerous trainings in training from MAPS PBC, as well as a year-long fellowship in with the Integrative Psychiatry Institute (Headway does not allow these services on their platform).

I am licensed in over 15 states and am a board-approved Associate counselor supervisor in multiple states as well, where I oversee the required supervised hours of associate-level counselors working towards their full licensure status.

In my non-therapy time, I enjoy cooking (and eating - I'm a bit of a foodie), concerts, reading, traveling, being outside, pilates (all hail the reformer!), and playing golf with my husband. We live in Austin, TX with our dog, Otter.

You can find out more about me at laciehamilton.com