Book a therapist or psychiatrist in Lacey, WA covered by United Healthcare

I’m Stephanie Jairam, a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner. I help adults and adolescents navigate ADHD, anxiety, depression, stress, burnout, sleep difficulties, and other mood-related concerns. I also work with individuals experiencing PTSD, OCD, PMDD, and mood-related challenges. who are seeking supportive, effective treatment.

I offer thoughtful medication management alongside CBT-informed and supportive therapy strategies. Whether you’re seeking care for the first time or exploring a different approach, I want you to feel comfortable asking questions, sharing concerns, and being yourself.

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.

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📅 Book an appointment now! Same day appointment available, 9am to 9pm central time

Understanding Your Issues:

I understand that every individual is unique, and your concerns are as individual as you are. Whether you're grappling with anxiety, depression.

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.

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.

My approach is person-centered, focusing on you, the client, and the moment-to-moment engagement, discovering insights together. I can help you discover insights into barriers, and the constructive solutions to overcoming those barriers. Each person has the right to live a life free of negative thoughts and experiences—a life of healthy well-being.

I am a trans masc, trauma informed therapist with a spiritual and holistic approach to healing. Guided by a deep belief in love and compassion for all living beings, I create a welcoming and affirming space for individuals from all walks of life. With many years of experience supporting diverse populations, I am committed to fostering connection, understanding, and growth in every therapeutic relationship.

I'm a trilingual Licensed Mental Health Counselor (Portuguese & Spanish). I earned my BA in Psychology from the University of Washington and a Master's degree in Clinical Mental Health Counseling from Northwest University. I provide therapy services in-person and via telehealth to individuals (18+) struggling with anxiety, depression, trauma issues, OCD, DID, self-esteem, self-harm, and grief and loss.

I am a Licensed Mental Health Counselor in Washington and a Licensed Professional Counselor in Colorado. I have over 7 years of post graduate experience working with individuals and couples.