Family therapy and counseling in Puyallup, WA

¡Hola! I'm Leidy, a bilingual (English and Spanish) therapist. I work with adults navigating major life transitions, grief and loss, fertility issues, anxiety, depression, PTSD, family transitions and more. Many of the people I work with are in the middle of something big, whether that's a loss, a shift in their family, a fertility journey, or simply a season of life that feels heavier than expected, and they're looking for a space where they can finally exhale.

I'm originally from the Dominican Republic, and Spanish is my first language. As an immigrant myself, I understand what it's like to navigate multiple worlds, identities, and expectations. I'm also the proud parent of a son with autism, so I know firsthand what it's like to walk through major life transitions, advocate for your family, and find strength you didn't know you had. These experiences shape the way I show up for my clients every day.

My background is rooted in community work. I spent years in non-profit organizations supporting diverse communities, and that experience taught me the importance of meeting people where they are, honoring their culture, language, strengths, and identities. I believe in creating individualized treatment plans that reflect the whole of who you are.

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.

Welcome! and thank you for taking the time to do this step for yourself. As a psychiatric provider, I am committed to working with you and your family on your journey to healing and discovering your best self throughout this process. I am a board certified Adult Psychiatric-Mental Health Nurse Practitioner (PMHNP), currently licensed in Washington State and Massachusetts. I have been working in the healthcare industry for over two decades, treating adults age 18+ with chronic severe anxiety disorders, mood disorders, psychotic disorders, trauma, personality disorders, substance abuse disorders, and co-occurring disorders.

Hello. My name is Julie and I am a licensed mental health counselor. In addition to working in WA state in a clinic setting, I have spent five years in Singapore working as a social/emotional counselor in a large international high school. In that role, I supported students and families from over 75 countries in the world. That helps me to view counseling from an inclusive and culturally sensitive space. I now make my home in the beautiful PNW and am excited to ground my practice here.

Welcome. I provide virtual therapy to adults 18 and up in both Washington state and Florida. In addition to seeing people for a wide range of concerns including mental health conditions like depression and anxiety, I have expertise in adjustment issues/life transitions, relationship concerns, grief and loss, coping with chronic health issues, and concerns related to aging.

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 Independent Clinical Social Worker bringing a depth of experience supporting clients through life’s challenges. I believe seeking therapy takes courage, and I’m glad you’re here. Together, we’ll work to build practical, in-the-moment skills that help you feel more grounded and able to embrace your goals.

I am a Licensed Independent Clinical Social Worker (LICSW) with a Master of Social Work from Walden University, which I earned in 2021. I have over five years of experience providing mental health services in both community health and school-based settings, with a primary focus on supporting children and adolescents.

For the past five years, I have worked as a school-based mental health provider across elementary, middle, and high school settings. Through this experience, I have had the opportunity to work with young people experiencing a wide range of emotional, behavioral, and life challenges, including anxiety, depression, ADHD, trauma, and difficulties with emotional regulation and coping. I am certified in Cognitive Behavioral Therapy (CBT) and incorporate evidence-based approaches while tailoring treatment to each client's individual needs, developmental level, and strengths.

My goal is to help children and adolescents understand themselves more fully, develop healthy coping and communication skills, and recognize the strengths they already possess. I believe meaningful therapeutic progress begins with feeling safe enough to be yourself.