Trauma and PTSD therapists & psychiatrists in Washington

As someone who suffers from anxiety, I understand how impactful therapy can be. If you are constantly in your own head, overthinking every decision, feeling anxious, or worrying about letting people down, I can help. You may be someone who looks like they have it together on the outside, but on the inside, you're overwhelmed and exhausted. You might struggle to say no and set boundaries or to stop the racing thoughts you have. If this sounds familiar, you are not alone - and it doesn't have to stay this way.

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.

Hey there, my name is Cynthia Leeann Mickel. I am a licensed therapist in TX, OR, AZ, and WA. I graduated with my Master's from Texas Tech University in Lubbock, TX. I have worked with a variety of treatment areas and populations. I have work at: CPS, a psychiatric hospital, Clinical Supervisor at an inpatient drug and alcohol rehabilitation center, Clinical Director at an out patient program with 4 locations, online therapy working with issues ranging from trauma, depression, anxiety, to grief, adhd, and many others. I have served most populations including: men, women, children 12+, people with legal troubles, relationship concerns, and more.

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.

I offer individual therapy for adults and teenagers! I specialize in neurodevelopmental conditions (like autism, ADHD, learning disabilities), and executive functioning skills- focusing, managing emotions, problem solving, and more. I also love working with general mental health concerns such as anxiety, depression, parenting challenges, existential crises, and life transitions!

I have ten years of experience in mental healthcare, and have an M.Ed. in Clinical Mental Health Counseling from Seattle University.

You are welcome to message me to schedule a free 15 minute consultation! Otherwise, you can use this calendar to schedule an intake session with me.

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I believe every person deserves to be heard, understood, and treated as more than a diagnosis. I take the time to understand the whole person, considering the biological, psychological, social, and lifestyle factors that influence mental health. I provide compassionate, evidence-based care for children, adolescents, adults, and older adults, creating personalized treatment plans that support lasting wellness. My goal is to help you feel supported, empowered, and confident throughout your mental health journey.

Taking the first step toward better mental health isn't always easy, but you don't have to do it alone. Whether you're feeling anxious, overwhelmed, depressed, or stuck, I'm here to provide a safe, supportive space where you can feel heard and understood.

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I work with you to create a personalized treatment plan that fits your unique needs and goals.

I’m a board-certified Psychiatric Mental Health Nurse Practitioner providing care to adolescents and adults across Washington State. I specialize in treating anxiety, depression, ADHD, trauma/PTSD, mood disorders, and stress-related concerns. My services include comprehensive psychiatric evaluations, medication management, and therapy. I use evidence-based approaches like Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and supportive therapy to tailor care to each person’s needs.