LGBT therapists in Spokane, WA

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.

Hi, I’m Dr. Manuel, APRN, a board-certified Psychiatric-Mental Health Nurse Practitioner providing comprehensive, evidence-based psychiatric care for adults.

I specialize in the evaluation and treatment of Adult ADHD, depression, anxiety disorders (generalized anxiety disorder, panic disorder, social anxiety), bipolar I and II disorder, PTSD, trauma-related disorders, mood instability, and co-occurring mental health and substance use disorders. I also provide addiction psychiatry and Medication-Assisted Treatment (MAT) for opioid use disorder and alcohol use disorder, including treatment with Suboxone (buprenorphine), naltrexone, and Vivitrol.

With over 20 years of clinical experience, I provide structured psychiatric evaluations, personalized medication management, and individualized treatment planning. My approach integrates psychopharmacology, addiction medicine, and trauma-informed psychiatric care to support long-term stability and measurable improvement.

I am committed to providing LGBTQ+ affirming mental health care and creating a safe, inclusive space for individuals navigating identity-related stress, trauma, or healthcare disparities. My practice emphasizes collaboration, clear communication, and respectful, judgment-free care.

Patients often seek my services for ADHD diagnosis and medication management, depression treatment, anxiety and panic disorder management, bipolar disorder stabilization, dual diagnosis care, and addiction treatment.

If you are searching for an experienced psychiatric provider specializing in ADHD, depression, anxiety, bipolar disorder, and addiction treatment, I am here to provide compassionate, evidence-based care focused on your recovery and long-term mental wellness.

Everyone deserves a safe space — and a provider who truly cares.

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.

I found passion for mental health while working with children at an autism summer camp that I have worked for for 15 years. Mental health is a major component that makes us happy, sad, or just ok. I am here to help you meet your goals and help guide you along the way. I have experience in mood disorders, trauma, autism & learning differences, and sleep.

I believe self care is important for our health