Couples therapists in Tacoma, WA

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 believe therapy should feel safe, human, and supportive—not cold or clinical. I’m a licensed therapist who genuinely cares about the people I work with, and I see you as a whole person, not just a diagnosis or a problem to fix. Whether you’re coming in feeling overwhelmed, stuck, disconnected in your relationship, or unsure where to start, you’re welcome here exactly as you are. I work with teens (13+) and adults, individuals and couples, and I value honesty, compassion, and real connection in the therapy space. My goal is to help you feel understood, supported, and empowered in your growth.

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.

Life can sometimes feel like you're living beneath a sky full of dark clouds—overwhelmed by anxiety, weighed down by stress and burnout, or questioning your own worth. You don't have to navigate those seasons alone.

I'm Kayla Szykowny, a Licensed Clinical Professional Counselor (LCPC) in Nevada and a Licensed Mental Health Counselor (LMHC) in Washington with 13 years of clinical experience. I specialize in helping adults who are struggling with anxiety, chronic stress, burnout, and low self-esteem. My goal is to create a supportive, nonjudgmental space where you feel heard, understood, and empowered to make meaningful, lasting changes.

Thank you for stopping by. I'm a licensed therapist and have been actively working with clients for the past 23 years. Iv had the pleasure and experience and have worked with most MH disorders/significant life affecting events and across all age groups. My passion is to be authentically present while facilitating a search for meaning of past/present events. I believe self love is essential therefor self esteem development is fostered.

I know that you expected your life to be fulfilling and enjoyable, but instead you just feel tired, discouraged, anxious, and stuck in patterns you can’t seem to break. Maybe you avoid conflict in your marriage just to keep the peace, going through the motions in public while feeling disconnected in private. Or perhaps the weight of stress, a job you don’t enjoy, or a sense of being stuck has drained the energy and meaning from your life.

Deep down, you want to laugh again, feel close to your partner, and truly be teammates instead of adversaries. You don’t have to settle for this version of your life or your marriage—change is possible, and something better is within reach.

Hello. My name is Liz. I am a Licensed Mental Health Counselor (LMHC) in the state of Washington and Licensed Professional Counselor for Telehealth (LPC) in Colorado. I have been practicing as a therapist since 2016. I have worked primarily with children, teenagers, and families for the past 10 years as a school-based therapist doing crisis intervention and counseling. For the past 5 years, I have also worked with adults experiencing life transitions, infertility, and grief via telehealth therapy. I enjoy supporting career and education goals utilizing career counseling interventions, as well. I utilize a client-centered, relational approach to therapy. I look forward to meeting you!