Addiction therapists & psychiatrists in Puyallup, WA

Hello! I'm Niamh ( pronounced Neve). I work with dreamers, perfectionists, those that feel stuck or unheard, underappreciated or overwhelmed. Many of my clients are pregnant or in the postpartum period. I also work with many clients that work in the tech industry, college students, therapists, aviation professionals, authors, and artists. The issues that my clients primarily have are related to depression, anxiety, burn-out and relationship stress.

As a dually certified provider, I offer a unique blend of clinical precision and compassionate, holistic care for both the body and soul. My journey began in 1995 as a nurse, followed by earning my medical degree in 2002 and completing a residency in General Pathology in Postgraduate Education Academy, Kharkov, Ukraine, which provided me with a profound understanding of the biological foundations of health. In 2006, I met my future husband and moved to the United States.

In the United States, I advanced my nursing career, working as a Registered Nurse and becoming a Family Practice Nurse Practitioner (FNP) in 2019. During this time, I managed complex primary care and detoxification protocols for adults and adolescents in behavioral health inpatient settings. In 2024, I achieved my Doctorate in Nursing Practice (DNP) and certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP).

Hello, my name is Miguel A. Diaz and I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a Doctor of Nursing Practice (DNP) degree. I was born and raised in rural South Texas, which gives me a deep understanding of the unique challenges our local communities face when it comes to mental health care. My experience as a U.S. Army veteran has taught me the importance of resilience, service, and compassion—values I bring to every client relationship.

I specialize in providing psychiatric evaluation, medication management, and treatment for a wide range of mental health concerns, including anxiety, depression, and ADHD. My practice focuses on increasing access to care for children, adolescents, adults, and seniors, especially those living in underserved rural areas. Whether you’re new to mental health treatment or looking for ongoing support, you can expect care that is empathetic, evidence-based, and tailored to your individual needs.

I welcome you to reach out and take that first step toward improving your well-being.

I provide compassionate, evidence-based psychiatric care for children, adolescents, and adults. I specialize in the evaluation, diagnosis, and medication management of ADHD, anxiety disorders, depression, mood disorders, trauma-related conditions. My goal is to create a supportive, judgment-free environment where you feel heard, understood, and empowered throughout your mental health journey.

I believe that every person's story is unique, so I take the time to understand your concerns, symptoms, lifestyle, and treatment goals before developing an individualized care plan. I incorporate medication management with supportive counseling and evidence-based therapeutic approaches, including Cognitive Behavioral Therapy (CBT) techniques and Motivational Interviewing, to help you build practical coping skills and achieve lasting improvement.

Whether you're struggling with difficulty focusing, persistent worry, overwhelming stress, low mood, emotional challenges, or life transitions, I work collaboratively with you to help you regain balance and improve your overall well-being. My focus is on delivering personalized, compassionate care that supports meaningful, long-term success in both your mental health and daily life.

Guaranteed intake within a week, and often within a few days! A provider you can reach directly, by text. Personal responses to all messages within 24 - 48 hours, always. Evening and weekend hours available.

Thanks for reading this. I am a board-certified psychiatric nurse practitioner with over 14 years of experience. I work with clients ages 6 to 86 struggling with depression, anxiety, ADHD, borderline personality disorder, substance abuse and other issues. I help clients to find stability and reduce suffering.

Depression and anxiety can be logical responses to difficult life events. Many adults who experienced losses and traumas in childhood have never processed these events and continue to suffer their impacts.

(Please note that I am no longer taking on new therapy clients, I am only accepting new clients for medication management at this time.)

I am a psychiatric nurse practitioner with a Doctor of Nursing Practice degree and nearly a decade of experience working in community mental health. I work primarily with adults and older adolescents experiencing mood or psychotic disorders, anxiety, PTSD, and other complex or overlapping symptoms. I have a particular interest in diagnostic clarification and mood disorders, including helping people who are unsure whether a previous diagnosis fully explains what they are experiencing.

I am also a veteran of 27 years of service in the Army and Navy Reserve. That experience gives me an appreciation for military culture, service-related stress, and the challenges service members and veterans may face when seeking mental health care. I welcome both military-connected and civilian clients.