Addiction therapists & psychiatrists in Spokane, WA

Guaranteed intake appointment available within a week, usually a few days! A provider you can reach directly, by text. Personal responses to all messages within 24 - 48 hours, always. Evening and weekend hours available.

Thanks for reading this. I am a board-certified psychiatric nurse practitioner with over 14 years of experience. I work with clients ages 6 to 86 struggling with depression, anxiety, ADHD, borderline personality disorder, substance abuse and other issues. I help clients to find stability and reduce suffering.

Depression and anxiety can be logical responses to difficult life events. Many adults who experienced losses and traumas in childhood have never processed these events and continue to suffer their impacts.

(Please note that I am no longer taking on new therapy clients, I am only accepting new clients for medication management at this time.)

Hi! My name is Marisa, I am a Licensed Independent Clinical Social Worker and Substance Use Disorder Professional in the State of Washington. I started working as a Substance Abuse Counselor in 2010 with Adolescents and discovered that mental health often intersected. I decided to attend graduate school at the University of Denver for my Master's in Social Work with a concentration in Family Systems.

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 an AuDHD Licensed Independent Clinical Social Worker and Substance Use Disorder Professional Trainee whose mission is to help people who feel out of place, lost, or different reconnect with their confidence, find a sense of belonging, and rediscover their most authentic selves. My work is grounded in neurodivergent-affirming, LGBTQIA2S+-affirming, and anti-oppressive care. It's important to me to offer a space where people can reclaim their full selves, without the pressure to mask or shrink to be understood.

Since 2015, I've worked in community mental health — supporting adults in crisis as part of a voluntary short-term inpatient crisis triage team, connecting people experiencing homelessness with resources as an outreach case manager, and working as a therapist with kids, youth, and families.

These experiences have shaped my specialties: ADHD, Level 1 Autism, anxiety, depression, trauma, and substance use. The population I serve are youth 13+, young adults, and families.

I believe in our capacity to adapt, grow, love, grieve, overcome & thrive. Stressful events, trauma, loss, illness & change can overwhelm our ability to cope. We become stuck. We protect ourselves to avoid ever feeling that pain again. Solutions that once worked become part of the problem. When the wound is triggered, we experience pain & distorted ways of thinking. In therapy, we journey together to uncover & remove blocks to healing, transforming pain & loss into meaning, awareness & choice.