Family therapy and counseling in Puyallup, WA

I currently accept individual adult clients only through Headway. I do not provide couples or family therapy through this platform at this time.

I am a licensed Marriage and Family Therapist who works with individuals, couples, and LGBTQ+ clients seeking deeper self-understanding, emotional healing, and more connected relationships. My approach is warm, relational, trauma-informed, and grounded in the belief that healing happens through safety, honesty, and meaningful connection.

I specialize in relationship therapy, anxiety, depression, identity exploration, attachment wounds, complex trauma, and psychedelic assisted psychotherapy. I also support clients navigating life transitions, grief, shame, self-worth, communication challenges, and patterns that keep them feeling stuck or disconnected from themselves and others.

My work draws from Emotionally Focused Therapy, the Gottman Method, Internal Family Systems, somatic awareness, humanistic and existential therapy, and trauma-informed care. I help clients slow down, listen inward, understand their patterns, and develop more compassionate and empowered ways of relating.

As a queer-affirming therapist, I am especially passionate about supporting LGBTQ+ clients and relationships. I strive to create a space where clients can bring their full selves—without judgment—and explore healing in a way that honors their identities, histories, relationships, spirituality, and lived experience.

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 support children, families and adults through all facets of life and take careful time to understand their specific needs, dynamics, identity, background and experience when exploring treatment plans and goal. I support families and children as they are going through divorce or custody changes, including reunification therapy. I also offer support with children with challenging behaviors. For adults I support with transitions no matter your season of life, with a focus on trauma and attachment. Whether a new mom, transitioning high school student or new retiree.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) licensed in WA, NY, NM, and AZ. With 18 years of dedicated experience in psychiatry, I bring a unique, deeply grounded perspective to your care. I’ve spent nearly two decades sitting with clients, listening to their stories, and watching what treatments truly work in real life.

Hi, I’m Dulal, a qualified supervisor and a Licensed Mental Health Counselor and Registered Marriage and Family Therapist with over a decade of experience helping individuals, couples, and families find peace, purpose, and connection in their lives.

As a current Doctoral candidate in Marriage & Family Therapy at Nova Southeastern University, I bring a research-informed, compassionate, and collaborative approach to mental health. I work with adults, children, teens, couples, families, and the elderly—guiding each client with empathy and tailored support.

Hello. I hope that you recognize the strength that it has taken to take this first step.

I have worked in mental health and substance use disorders for over 25 years. I am here to help you on your journey.

Are you seeking healing, clarity, and self-understanding while navigating trauma, anxiety, low self-worth, anger, or relationship conflict? I work with people who feel emotionally overwhelmed, disconnected, or stuck in painful patterns and want to feel empowered, emotionally safe, and more connected. Together, we’ll create space to reclaim your voice, strengthen resilience, and move toward greater confidence and hope

I’ve spent 10 years working with teens and families, and I care deeply about helping people feel understood. I create a space where you can be yourself and feel a sense of belonging, without judgment. I value both family connection and your privacy. Most of all, I believe real change starts with a genuine, comfortable relationship.

Hi, I’m Nicole! Therapy with me is about real conversations, practical tools, and accountability. Clients often tell me they appreciate that I’m down-to-earth, supportive, and won’t let them slide. I bring a diverse background of both life and professional experience, allowing me to see multiple perspectives and help you navigate complex relationship dynamics.

Hi, I'm TJ — a Marriage and Family Therapist and the founder of A Better You Wellness, LLC. I work with couples, individuals, families, and teens (17+) across Texas, offering both in-person sessions in the Fort Worth area and teletherapy statewide.

My training is deeply relational. I graduated from North Central University with a degree in Marriage and Family Therapy, and I hold additional certifications as a Certified Trauma Professional, Master NLP Practitioner, and Hypnotherapist — training that shapes how I think about healing beyond the surface level. I specialize in relationship challenges including communication breakdowns, infidelity and trust repair, and premarital counseling, along with anxiety, depression, trauma, codependency, career stress, life transitions, and self-esteem.

What sets my approach apart is a philosophy of integration. I believe that meaningful, lasting healing rarely comes from one method alone. The experiences that shape us — especially the hard ones — leave imprints on the mind and body, and I honor both in my work. Clients often tell me they feel heard from the very first conversation, and that's something I take seriously.