Prenatal and postpartum therapists & psychiatrists in Puyallup, WA

I'm Dr. Kara Hokes, a licensed clinical psychologist who offers telehealth therapy to adolescents and adults in Washington state. I have many years of training and experience focusing on trauma, anxiety, depression, anger, and emotion dysregulation. In the past, I have worked extensively with first responders and military affiliated individuals.

Are you feeling stuck, overwhelmed, or weighed down by anxiety, depression, self-doubt, or past experiences? Moving forward can feel difficult when emotional pain, relationship struggles, or life stress leave you feeling trapped or uncertain.You do not have to face these challenges alone. I provide a compassionate, supportive, and nonjudgmental space where we can work together to help you heal, grow, and regain confidence. I believe your worth is not defined by your past or your struggles. Together, we will explore practical tools and strategies to help you create meaningful change and move toward a healthier, more fulfilling life.

I am a licensed therapist with over ten years of experience working with people in a variety of settings. I have been practicing therapy for five years and established my Private Practice in March of 2025.

I enjoy working with clients who are motivated towards making changes in their day-to-day lives. However, therapy is slow work. That's why my foundation always starts with getting to know who you are through safety, trust, and autonomy. I work alongside you at a pace thats comfortable for you.

I focus on individual therapy utilizing therapeutic approaches including Narrative Therapy, Cognitive Behavioral Therapy (CBT) , Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). I am committed to being a trauma-informed therapist focusing on the impacts of trauma, physical and emotional safety, empowerment, autonomy, and trust.

I'm a licensed clinical social worker and therapist with over 10 years of experience working with children, teens, and adults. I'm passionate about supporting people in navigating life's storms, connecting with what matters most to them, and living meaningful, fulfilling lives.

I especially enjoy working with:

• New mothers and parents of all genders in nurturing their own well being through the world-upending transition to parenthood
• Parents at all stages facing the myriad pressures and stressors of modern life
• Adolescents and young adults navigating growth, change, and identity exploration

I work with individuals, couples, and families of all ages. I have a Masters in Clinical Health Psychology and a Masters in Nutrition/Dietetics, which helps lend to a holistic approach to my work with clients. I commonly work with health behavioral change, anxiety, depression, eating disorders, ADHD, OCD, and relationship change. My treatment approach utilizes a biopsychosocial lense in long-term therapy based in psychodynamic, strengths-based, and integrative work in overall health. I utilize coping skills from CBT, DBT, ACT, and Mindfulness. I incorporated life-skills such a assertiveness, boundaries, and career.

I love the work that I do and the healing relationships I have been able to foster with my clients. I believe that therapy is a form of self-care and I want to be an advocate of that for my clients. I welcome anyone who thinks they may want some support, whether long-term or short-term to reach out to me and set up a brief phone consultation.

People heal when they are provided with a safe, validating, and empowering environment. I strive to provide this type of environment to my clients in my therapeutic practice. I am a Licensed Mental Health Counselor (LMHC) in the state of Washington and a certified yoga instructor (200-YTT). I specialize in Mindfulness-Based Therapy (MBT) and trauma-informed Cognitive Behavioral Therapy (CBT) to increase mind-body connection and identify and change thought patterns that are no longer serving you.

I am a licensed Marriage and Family Therapist as well as a licensed Mental Health Counselor. I specializes in trauma, grief, loss, parenting, women's issues, depression, anxiety and family stabilization. Additionally, I am a Certified Grief Informed Professional. I have worked in community health for the past 12 years, working with children, adolescents and families to strengthen and stabilize the family unit and work toward wellness. Prior to working in community mental health, I spent over 20 years working with with women and families teaching and leading groups. I am a wife, mother and now a grandmother ... one of my favorite roles to date!

I’m a board-certified Psychiatric Mental Health Nurse Practitioner with more than 14 years of nursing experience, including extensive experience in psychiatric and behavioral health care. I have a passion for helping people feel heard, understood, and supported.

I have experience working with adolescents, adults, and older adults, including individuals experiencing anxiety, depression, mood disorders, stress, substance use concerns, and other mental health challenges.

My approach is compassionate, personal, and collaborative. I believe every person’s story is unique, and I take the time to understand your needs, experiences, and goals.

My goal is to create a safe, welcoming, and judgment-free space where you can feel comfortable being yourself and taking the next step toward better mental health and a healthier, more fulfilling life.

¡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 Carli, and I'm a Board Certified Psychiatric Mental Health Nurse Practitioner based in the Pacific Northwest. I work with teens and adults navigating everything from anxiety, depression, ADHD, and trauma to burnout, life transitions, and the stress of living in an increasingly complex world.

I believe mental health care should be compassionate, collaborative and tailored to you as a whole person—not just your symptoms. My goal is to create a space where you feel safe, heard, and genuinely supported from the very beginning.

Care with me is flexible and designed to meet you where you are. Together, we'll find the pace, treatment approach, and level of support that fits your needs—and adapt as those needs evolve.

My educational background includes undergraduate degrees in Psychology and Nursing, followed by a master's degree in nursing specializing in psychiatric mental health. Throughout my career I've cared for patients across outpatient clinics, psychiatric and medical inpatient units, intensive outpatient programs, and community mental health settings.

My approach is rooted in whole-person care, recognizing that mental health is influenced by far more than medication alone. When appropriate, treatment may include medication, supportive psychotherapy, lifestyle strategies, and integrative approaches tailored to your individual needs and goals.

Today, I provide telehealth psychiatric care for adolescents and adults across Oregon and Washington. I welcome individuals from all backgrounds and am committed to providing affirming, individualized care for neurodivergent individuals, people with developmental disabilities, and members of the LGBTQ+ community. I commonly treat anxiety, depression, ADHD, trauma, OCD, mood disorders, stress, life transitions, and other mental health concerns. My goal is to create a space where you feel safe, supported, and empowered.