Family therapy and counseling in Spokane, WA

I believe healing happens best when compassion and laughter meet. In our work together, you'll find a space grounded in honesty, vulnerability, and genuine human connection-free of judgment, filled with support, and occasionally lightened by humor. My goal is to walk alongside you as you navigate challenges, deepen your relationships, and reconnect with what brings meaning to your life.

I'm a licensed Marriage and Family therapist with over a decade of experience working with individuals, couples and families. My background spans schools, community behavioral health, clinics and private practice. I specialize in eating disorders (adolescents and adults), communication, identity development, and family-of-origin work, helping clients build awareness and lasting change.

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.

Welcome! and thank you for taking the time to do this step for yourself. As a psychiatric provider, I am committed to working with you and your family on your journey to healing and discovering your best self throughout this process. I am a board certified Adult Psychiatric-Mental Health Nurse Practitioner (PMHNP), currently licensed in Washington State and Massachusetts. I have been working in the healthcare industry for over two decades, treating adults age 18+ with chronic severe anxiety disorders, mood disorders, psychotic disorders, trauma, personality disorders, substance abuse disorders, and co-occurring disorders.

I specialize in trauma-informed care and evidence-based treatment for PTSD, anxiety, depression, mood disorders and military families. With over a decade of experience, I offer culturally responsive therapy in English and Spanish. My telehealth-only practice provides a safe, supportive space for healing, growth, and emotional wellness.

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.

Hi! My name is Emilia Magana; Licensed Mental Health Therapist. I have been providing evidence-based therapy for over 13 years in the State of Washington. I specialize in Behavior Modification and managing Anxiety, Depression, Mood Disorders, Addiction, and Neurodivergent impact.

I’m Tara Garland, and I will connect with you to work through and support you on any struggles or challenges you are going through—helping you turn them into healing and strength. I work with children, adolescents, adults, and seniors who may be managing anger, anxiety, depression, family issues, grief, and loss. I also support clients experiencing trauma, stress management challenges, sleep or panic disorders, OCD, ADD/ADHD, relationship or identity issues, and women’s issues. My goal is to help you find balance, relief, and the confidence to move forward in your life.

I enjoy learning about ways we can change and understand our human existence. We are thinking, feeling and doing beings. Cognitive behavioral therapy provides a framework to identify ways to do it differently and better. Trauma treatment modalities like EMDR may support processing neurological and physiological reactions and being able to feel secure and safe while staying connected to others more fully. Our story is just that; we write it and edit it. We get to choose the chapters and path of our lives, through the unknowns, mysteries and celebrations.

Hi, I’m Carisa Peeples, a Doctorally prepared Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 15 years of healthcare experience. My background includes psychiatric emergency care, crisis stabilization, and working with individuals experiencing anxiety, depression, mood disorders, trauma, ADHD, and life stressors.

I believe mental health treatment should be compassionate, individualized, and collaborative. My goal is to create a safe, supportive space where clients feel heard while we work together to develop a treatment plan that fits their needs and goals.