Couples therapists in Tacoma, WA

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.

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 am a Licensed Independent Clinical Social Worker bringing a depth of experience supporting clients through life’s challenges. I believe seeking therapy takes courage, and I’m glad you’re here. Together, we’ll work to build practical, in-the-moment skills that help you feel more grounded and able to embrace your goals.

As your therapist, I bring several years of experience supporting individuals and families through crisis, healing, and transformation. My background spans emergency departments, inpatient care, child welfare, hospice, and community mental health—each setting has shaped my trauma-informed, solution-focused, and client-centered approach.

Hi, I’m Nicole! Therapy with me is about real conversations, practical tools, and accountability. Clients often tell me they appreciate that I’m down-to-earth, supportive, and won’t let them slide. I bring a diverse background of both life and professional experience, allowing me to see multiple perspectives and help you navigate complex relationship dynamics. Please note, we aren’t offering couples’ sessions at this time.

It's not easy starting therapy and investing time in yourself, but you've already done the first step! My experience has primarily been focused in clients with eating disorders and co-occurring diagnoses. With that said, I also have extensive experience working with relationship challenges, anxiety, self-harm, and suicidality. I generally like to pull from my knowledge of various therapy modalities such as DBT, CBT, FBT and EFFT. I also really enjoy self-compassion work. Your goals are always my top priority, and I am here to support you every step of the way.

Outside of work, I enjoy live music, spending time with friends, and hanging out with my dogs, Nala and Toni. These personal interests help me stay grounded and bring balance to my life, which I believe is crucial for overall well-being.

If you're ready to take the next step, I'm here to help you navigate your journey towards healing and growth. Let's work together to achieve your goals!

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I believe every person deserves to be heard, understood, and treated as more than a diagnosis. I take the time to understand the whole person, considering the biological, psychological, social, and lifestyle factors that influence mental health. I provide compassionate, evidence-based care for children, adolescents, adults, and older adults, creating personalized treatment plans that support lasting wellness. My goal is to help you feel supported, empowered, and confident throughout your mental health journey.

Hello, my name is Emmanuel Alfred (Manny). I am a board certified primary mental health nurse practitioner. I have graduate education in nursing leadership and management followed by post master's in primary mental health as a nurse practitioner. I have over 20 years of experience in critical care and psychiatric nursing. I am open-minded and positive in approach to challenges we face in life. It is my pleasure to be path of your mental health and psychiatric care team.

I am a licensed clinician and have doctorate in psychology. I offer clients a warm, practical, and approachable space to change their lives.

My goal is that you feel genuinely seen, supported, and understood in our work together. I bring a warm, grounded, and collaborative style to therapy, helping adults who are navigating anxiety, depression, trauma, relationship stress, and long‐standing emotional patterns. I pay close attention to the deeper themes beneath the surface—your beliefs, your protective strategies, and the ways you’ve learned to cope—so we can create meaningful, lasting change. My goal is to help you feel safe, empowered, and more connected to yourself from the very beginning.