Bipolar disorder therapists & psychiatrists in Tacoma, WA

Hello! I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with advanced training from Drexel University. I provide compassionate, evidence-based psychiatric care for adolescents, adults, and older adults. My practice integrates thoughtful medication management with supportive psychotherapy, lifestyle strategies, and collaborative care to help you feel heard, informed, and empowered in your treatment.

I am a Licensed Professional Counselor with a Master's degree in Counseling Psychology, and I have been working in the field since 2019. I enjoy working with a wide range of clients but especially young adults struggling with navigating anxiety, depression, ptsd, marriage and family issues. I also enjoy incorporating faith based counseling at the client's request. My approach is compassionate, collaborative, and focused on helping clients find solutions and build skills that create lasting change in their live.

I have over 15 years experience supporting people seeking to be their best selves. I work best with people that are looking to end self-defeating behaviors, adopt new ones and sustain them.

I am a board-certified Psychiatric Nurse Practitioner with a passion for helping individuals improve their mental health and overall well-being. I completed my training at Walden University and have experience treating conditions such as depression, anxiety, ADHD, and substance use disorders. My approach is compassionate, practical, and tailored to each person’s unique needs. I focus on creating a safe, supportive space where we can work together toward your goals. I look forward to partnering with you on your journey to better mental health.

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.

I strive to create collaborative therapeutic relationships based on mutual trust and respect. I work with individuals to build new skills to cope with stress and uncertainty, enhance emotional awareness, and create new approaches to stuck patterns. I enjoy working with clients navigating anxiety, depression, impulsivity and compulsive behavior, self-esteem, LGBTQIA+ identity and sexuality, non-monogamy, and neurodivergence.

I'm Erika Preston, an LMHC with over 11 years of experience in the field. Throughout my career, I've had the privilege of working in a variety of settings, allowing me to develop a diverse skill set and a deep understanding of the complexities of mental health. My specialization encompasses a range of areas, including depression, anxiety, relationship dynamics, trauma, life dissatisfaction, postpartum challenges, low self-esteem, and addiction.

Life’s challenges can feel overwhelming at any stage—whether you’re navigating adolescence, adulthood, relationships, parenting, or the transitions that come with aging. Anxiety, depression, grief, and life changes can disrupt how you think, feel, and connect with others. Therapy offers a supportive place to slow down, feel understood, and develop effective tools to move forward with greater clarity, balance, and confidence.

Life doesn’t come with a roadmap—and when stress, anxiety, grief, or major changes pile up, it’s easy to feel overwhelmed or alone. Therapy offers a place to slow down, feel understood, and begin finding your way forward with clarity and confidence.

I provide a compassionate, supportive space where you can explore what’s holding you back, build resilience, and reconnect with your inner strength. Together, we’ll work toward meaningful change so you can feel more confident, grounded, and at peace.

Who I Work With

I work with individuals across the lifespan, including:

• Teenagers and young adults
• Adults experiencing anxiety, depression, or life transitions
• Women and single mothers
• Men facing male-specific challenges
• Older adults navigating aging-related concerns

I also work with couples, parents, and business partners, helping strengthen communication, emotional understanding, and connection.

I am a transmasc, queer therapist. My ongoing, personal journey of exploration definitely informs my work as a psychotherapist.

I’ve been working as a mental health professional for over two decades,I have been helping people navigate systems and life changes throughout my career. My goal is to ensure that everyone feels valued and supported in my practice – gay, lesbian, bi, queer, exploring, neurodivergent, polyamorous, kinky, ASE, intersex gender expansive, genderqueer, transgender, nonbinary, and those who are exploring – I want everyone to feel safe, seen and heard in my office.

The focus of my work over the past 25 years has been on fostering a welcoming and inclusive space for individuals across the LGBTQIA+ spectrum – especially those who are questioning or wanting to explore their queer and trans identities in a safe, inclusive space.

I provide individual therapy and work with older teens, young adults to elder audlts who are exploring their gender identities.