LGBT therapists in Spokane, WA

Hi! My name is Tristan. I am a Licensed Clinical Social Worker in Washington and New York. I am a sex and body-positive, LGBTQI+ affirming, kink-friendly therapist who works with adults, 18 and over, around varying topics such as gender, sexuality, HIV/AIDS & STIs, safer sex, self-esteem, self-acceptance, family, Asian (Filipino) identity, polyamorous/alternative relationship structures, harm-reduction, depression, and anxiety.

• Outstanding Patient Reviews - Google reviews (Access Psych Meds)
• Experienced Mental Health Provider (13 years) assisting clients with ADHD (adult) Anxiety Depression Chronic Pain Chronic Sleep problems Mood disorder PTSD: Military combat, childhood & sexual trauma Alcohol Use Disorder
• Dual Master’s Prepared
• ANCC Dual Board Certified - Psych Mental Health Nurse Practitioner and Clinical Nurse Specialist
• Veteran 22 yrs retired US Navy Commander/O-5
• Licensed in 5 States - AZ, CA, OR, MD, WA

I am a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) offering telehealth psychiatric care across Oregon and Washington.

With 12 years of nursing experience laying the foundation for my deep love of patient care, I bring warmth, clinical expertise, and heartfelt dedication to individuals navigating life's most complex mental health conditions.

Specialized Sensitivity

Expertise in hormone-related mood changes, pregnancy and postpartum care, attention-deficit hyperactivity disorder (ADHD), and menopause. I'm committed to providing a safe, supportive space .

Integrative Wellness

I weave together evidence-based psychiatry with somatic and mindfulness techniques to help clients reconnect with themselves.

Whatever mental health concerns you are navigating, my approach is always trauma-informed and heart-centered.

Life can feel incredibly heavy when you’re navigating the layers of grief, trauma, or the complexities of disordered eating and body image. I believe you deserve a space where you feel truly seen and supported without judgment. Whether you are navigating a major loss or seeking a therapist who truly affirms your queer identity, I am here to walk alongside you. My goal is to create a supportive environment where we can identify the challenges you're facing and begin building a path toward healing and authenticity.

I hold a master's in marriage, couple and family counseling from George Fox, where I also focused my studies on trauma therapy through the trauma response institute. I specialize in trauma therapy through the ages, as well as family trauma therapy

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.

Do you feel overwhelmed, disconnected, or stuck? Maybe you're navigating a major life transition, healing from religious or relational trauma, or struggling with anxiety and self-doubt. If so, now might be the time to reach out for support. I specialize in helping adults process life’s challenges, break free from guilt and shame, and build an authentic and fulfilling life. Taking that first step toward healing can be daunting, but booking a free consultation today might be the best decision you can make.

Finding and embracing your authentic self is a journey that can be challenging. Figuring out how to cope in a healthy way with what the world throws at us can be difficult. I'm interested in working with you to figure out how you want your life and experiences to be, and how to start making your way there. I've been practicing for over 5 years, working mainly with LGBTQ+ young adults and adults struggling with anxiety, gender, and interpersonal communication issues.

I’m Elizabeth Webber-Mikaele, LMHC, a Licensed Mental Health Counselor in Washington State. I have spent my career supporting children, teens, and adults through life’s challenges with compassion, respect, and practical tools for change.

My background includes a Bachelor’s degree in Multicultural Social Services from the University of Washington and a Master’s degree in Education with a School Counseling certification, along with National Board Certification in School Counseling. I am also a National Certified Counselor and Approved Clinical Supervisor, which allows me to mentor and supervise counseling professionals across the country.

Over the years, I have worked in schools, community programs, and clinical settings, helping individuals navigate anxiety, stress, trauma, life transitions, and relationship challenges. I have a particular passion for working with women, adolescents, and children, helping them build confidence, emotional resilience, and a stronger sense of self.

My approach to therapy is warm, collaborative, and strengths-based. I draw from evidence-based practices such as cognitive-behavioral and trauma-informed approaches while tailoring therapy to each person’s unique needs, experiences, and goals.

Whether you’re feeling overwhelmed, navigating a difficult season, or simply seeking personal growth, my goal is to provide a safe, supportive space where you feel heard, understood, and empowered to move forward.

Let's work together and help you find your direction. My counseling style is highly consultative and coaching-like. It is typically non-directive, as I believe each client pilot's their own ship, but when the situation warrants, there is plenty of idea sharing and strategizing as well.

I have been practicing for 21 years and work with clients of all ages and various backgrounds. I believe that with a strong therapeutic alliance, we can mutually come together and help you find a path forward that suits you.