Addiction therapists & psychiatrists in Lacey, WA

I am a dual-certified Psychiatric-Mental Health Nurse Practitioner and Family Nurse Practitioner with a clinical background that spans psychiatry, addiction medicine, primary care, detoxification and recovery services, chronic pain management, and complex medical care. That range of experience has shaped the way I practice today: mental health concerns are rarely viewed in isolation, because emotional well-being, physical health, sleep, stress, relationships, medications, past experiences, and everyday life often influence one another.

I provide individualized psychiatric care for adults experiencing ADHD, anxiety, depression, bipolar disorder, schizophrenia and other psychotic disorders, trauma-related concerns, substance use disorders, sleep difficulties, mood changes, and other behavioral health concerns. Care may include comprehensive psychiatric evaluation, medication management, psychotherapy, or a combination of approaches based on your symptoms, history, preferences, and treatment goals.

My background includes years of caring for patients with overlapping psychiatric, medical, and substance-related conditions in outpatient, telehealth, detox, and residential treatment settings. I have experience managing psychotropic medications, providing medication-assisted treatment for substance use disorders, evaluating safety and psychiatric risk, supporting patients through withdrawal and recovery, and collaborating with therapists, physicians, case managers, and other members of the treatment team when coordinated care is needed.

Before focusing more extensively on behavioral health, I spent years in chronic pain care, where I evaluated complex medical histories, reviewed diagnostic testing, managed chronic conditions, and worked closely with specialists and primary care teams. That experience continues to inform my psychiatric practice.

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 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

I’m a doctoral-prepared, board-certified Psychiatric Mental Health Nurse Practitioner who works with clients across the lifespan. I earned my Doctor of Nursing Practice degree from the University of Arizona and have experience caring for individuals in outpatient, intensive outpatient, and higher-acuity mental health settings. My background includes treating anxiety, depression, ADHD, trauma-related concerns, OCD, mood disorders, and substance use. I take a thoughtful, practical, and individualized approach to care, with the goal of helping clients feel understood, safe, supported, and comfortable being honest when feeling emotionally vulnerable.

My specialties: PTSD, OCD, and Adults with ADHD, anxiety, depression, bipolar disorder, schizophrenia, and addictions.

Kayla, a licensed Clinical Social Worker with a background in community mental health, recognized the profound disparities in access to mental health care within BIPOC communities. Inspired by a vision of creating a space where healing is both inclusive and affordable, she founded Helen’s Project with the belief that everyone deserves access to quality mental health support, regardless of their background or financial situation.​​Helen’s Project operates on the principle that culturally competent and empathetic mental health care is essential for holistic well-being. The organization collaborates with a diverse team of mental health professionals who not only possess clinical expertise but also understand the unique cultural nuances and challenges faced by the BIPOC community.

About Me

Struggling with PTSD, anxiety, depression, and/or chronic illness and still feeling stuck? Many of my clients have done years of talk therapy but continue to feel disconnected. You understand your patterns intellectually, but your nervous system hasn't caught up yet.

In my 22 years of clinical practice, I have found that nervous system dysregulation sits at the crux of all chronic illness, trapping the body in survival mode and blocking true physical and emotional healing. As a University of Washington graduate, I provide culturally sensitive, evidence-based care specializing in trauma resolution, discovering your true life purpose, and helping individuals make meaning out of tragedies. My approach balances academic and clinical rigor with a highly intuitive style, integrating somatic work and core beliefs to create deep, lasting relief. I describe myself as a direct, compassionate "soul sister" with a humorous, no-nonsense style—because let's face it, the human plight is nuts! Beyond individual therapy, I extend this transformative work to the community by offering interactive public workshops designed to help people get out of their heads and step into integrated change.

I'm looking forward to coming alongside and walking with you as your mental health journey unfolds. In 2023 I completed my doctoral training as a psychiatric nurse practitioner at the University of Washington in Seattle, Washington. I earned my board certification in the fall of that same year. Since then I've had opportunities to work with clients from diverse backgrounds with a wide variety of mental health needs. Whether you're looking for help with ADHD, anxiety, bipolar disorder, depression, or sleep issues I'm confident that, working together, we can create positive change in your life.

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.