Find a therapist in Puyallup, WA — covered by insurance

I'm a Licensed Marriage and Family Therapist with over 10 years of experience helping children, families and adults navigate life's challenges. My approach is warm, collaborative, and solution-focused, and I tailor therapy to each client's unique strengths and goals. I also have experience supporting individuals coping with anxiety, depression, life transitions, relationship concerns and complex medical challenges, helping them build practical skills and create meaningful, lasting change. I especially enjoy working with adults, including women who are pregnant, postpartum or adjusting to motherhood.

I am a board-certified, doctorally educated, Psychiatric Mental Health Nurse Practitioner (PMHNP) and owner of TTS. I started my career as a RN in 2006 and have practiced as an advanced registered nurse practitioner (ARNP) since 2018. I have managed medications for most psychiatric and substance use disorders. I have counseled patients with psychological and addictive disorders. I have over two years of direct experience providing transcranial magnetic stimulation (TMS) services for treatment-resistant depression and other mental health disorders.

Are you feeling stuck, anxious, or worn down by the demands of life or work? Many of my clients seek therapy during times of transition, burnout, self-doubt, or when they’ve lost connection with their sense of balance and purpose. As a Licensed Mental Health Counselor and Certified Employee Assistance Professional, I’m here to provide a supportive space to explore challenges with honesty, resilience, and compassion. I help clients navigate stress, life transitions, and personal struggles while honoring their identities and cultural backgrounds to invite authenticity, balance, and self-discovery.

With nearly 15 years of practice, I support women, immigrants, and multiracial clients through the complexities of relationships, work, identity, pregnancy, postpartum, and parenthood. I offer specialized support for adult TCKs (Third Culture Kids) navigating identity fragmentation, assimilation, and belonging, and am also a Ketamine-Assisted Psychotherapy (KAP) provider.

I’m a licensed clinical social worker with a Master’s degree in Social Work, and I’m trained in Cognitive Behavioral Therapy (CBT). My approach is practical, supportive, and focused on helping you create meaningful change in your life.

I believe that success looks different for everyone. My goal is to meet you where you are and help you move toward where you want to be—whether that’s improving your mental health, navigating life transitions, or building healthier patterns and relationships. Together, we’ll identify what’s working, what’s not, and develop tools that help you feel more confident and in control.

I strive to create a space where you feel heard, understood, and supported while also being gently challenged to grow in ways that align with your goals

A big passion of mine is supporting moms through all stages of motherhood. Whether you’re pregnant, postpartum, adjusting to life as a new mom, balancing work and family, feeling overwhelmed, or trying to find yourself again outside of motherhood — you don’t have to figure it all out alone. Motherhood can be beautiful and exhausting all at once, and I love creating a space where moms can feel supported, understood, and able to show up for themselves too.

I am a board‐certified psychiatric nurse practitioner with a doctorate in psychiatric mental health, and I believe healing begins when you feel understood, supported, and empowered in your own care. I treat children, adolescents, and adults, and I work to create a calm, welcoming space where you can show up as you are and feel genuinely seen—not just your symptoms.

My name is Monica, and I am a board-certified Psychiatric Nurse Practitioner proudly serving individuals and families throughout Washington state. After seven years as a psychiatric nurse, I recently transitioned into a nurse practitioner role, graduating with honors and deepening my commitment to providing thoughtful, compassionate mental health care. Working with individuals across the lifespan, including children and adolescents, has given me a broad understanding of the diverse challenges people face and the resilience they possess.

I'm a Licensed Mental Health Counselor with more than 20 years of experience — and I've spent much of that time working with women navigating anxiety, ADHD, trauma, grief, and the weight of carrying everything at once. I also work as a clinical supervisor, which means I'm constantly learning, staying sharp, and bringing the best of current practice into my work with clients.

I believe therapy works best when it doesn't feel like a performance. My sessions have room for real talk, a little laughter when it's called for, and honesty about what's hard. I take my own wellbeing seriously — time with my dogs, getting outside — because I know showing up fully requires taking care of myself too.

Hello, and welcome. I am a board-certified Psychiatric Mental Health Nurse Practitioner with more than ten years of experience in psychiatry and a passion for helping individuals achieve lasting mental wellness. I provide compassionate medication management and brief psychotherapy for adolescents and adults experiencing a variety of mental health concerns, including anxiety, depression, bipolar disorder, PTSD, psychosis, sleep difficulties, and ADHD.

I’m Stephanie Jairam, a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner. I work with adults and adolescents navigating ADHD, anxiety, depression, stress, burnout, insomnia, PTSD, PMDD, OCD, and other mood-related concerns who are seeking supportive, effective treatment.

My background in healthcare gives me a well-rounded perspective. I take a holistic approach, recognizing the close connection between mental and physical health. I’m known for being collaborative, non-judgmental, and thorough, and I strive to create a space where you feel heard, understood, and supported throughout your care.