Couples therapists in Tacoma, WA

Greetings. I am a private practice therapist in Washington State. I am an Independent Clinical Social Worker and I am focused on people's empowerment and connection. I specialize in:

• Inferenced-Based Cognitive Behavior Therapy for OCD.
• Alcohol and other substance use disorders.
• Social anxiety
• Depression and anxiety
• Compulsive sexual behaviors including pornography use.
• (For compulsive sexual behaviors, I have a Sexual Compulsivity Informed Professional Certification from the Modern Sex Therapy Institutes.)

Hello! I'm Lauren Salerno (she/her), a licensed mental health therapist in Washington! I am also trained in art therapy, and love to incorporate creativity into my work with people. My typical client is neurodivergent, creative, and looking for healthy coping skills to learn when to adapt and when to advocate for themselves. I work with adults 18+ and sometimes with groups. Nice to meet you!

I am a licensed therapist with over ten years of experience working with people in a variety of settings. I have been practicing therapy for five years and established my Private Practice in March of 2025.

I enjoy working with clients who are motivated towards making changes in their day-to-day lives. However, therapy is slow work. That's why my foundation always starts with getting to know who you are through safety, trust, and autonomy. I work alongside you at a pace thats comfortable for you.

I focus on individual therapy utilizing therapeutic approaches including Narrative Therapy, Cognitive Behavioral Therapy (CBT) , Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). I am committed to being a trauma-informed therapist focusing on the impacts of trauma, physical and emotional safety, empowerment, autonomy, and trust.

Amy Harp is a dedicated mental‐health therapist who graduated in 2006 and has been honing her practice across a variety of clinical settings ever since. She specializes in supporting both teens and adults, bringing a compassionate, trauma‐informed approach to the treatment of anxiety, depression, and family‐related stress. Over the years, Amy has also taught parenting classes, helping families build healthier communication patterns and resilience. Her blend of solid academic training, diverse professional experience, and genuine love for guiding individuals through life’s challenges makes her a trusted partner for anyone seeking meaningful, personalized care.

I am Stephen O’Neill, LSCSW, MBA, a licensed clinical social worker with over two decades of experience in behavioral and mental health. I specialize in evidence-based approaches to help clients navigate life’s challenges, improve relationships, and achieve personal growth. I am passionate about whole-person care, integrating mental health, well-being, and practical solutions tailored to each client’s needs. I believe in fostering a safe, supportive, and nonjudgmental space where clients can explore their concerns and develop meaningful change. I will see you, I will hear you, and I will walk alongside you. My approach is grounded in collaboration, empowerment, and respect for each person’s unique journey. In my free time, I enjoy hiking, biking, canoeing, playing video games, tabletop gaming, and cars.

I have been working as a therapist to help clients find healing and gain understanding in themselves since 2016.

I hold a Body Acceptance Group for Women where clients work towards overcoming body shame, learn to nourish and heal their relationship with their body, and start living an empowered life.

Other areas of focus in my work are on adult family relationships, trauma, healing from sexual assault or abuse, and anxiety.

You've taken the most important step, now let me support you through the next. I’m a Washington Licensed Mental Health Counselor with over two decades of experience in behavioral health. Throughout my career, I have worked closely with individuals and couples, guiding them through various life challenges including relationship conflicts, communication challenges, anxiety, depression, life transitions, perinatal health and personal growth. I will create a safe space for you to explore your needs.

I am a Licensed Clinical Social Worker with a Doctorate in Social Work, and I bring both clinical expertise and real life understanding into the therapy space. My professional background includes years of direct clinical practice as well as leadership roles in complex, high stress systems, including serving as a Mental Health Director. These experiences have shaped my ability to support individuals who are navigating pressure, responsibility, and emotional overwhelm while still being expected to function at a high level.

I work best with clients who are strong on the outside but struggling internally. Many of the people I support are women, mothers, professionals, caregivers, and helpers who are used to showing up for others while neglecting their own emotional needs. I have a particular passion for working with individuals experiencing anxiety, depression, imposter syndrome, burnout, life transitions, relationship stress, identity concerns, and trauma related to past or ongoing stressors.

Therapy with me is not about having all the answers. It is about learning how to trust yourself, set healthy boundaries, and show up for your life with more compassion and confidence.

I know reaching out for support isn’t always easy, and simply being here is an important first step. Whether you are navigating anxiety, depression, grief, trauma, life transitions, relationship challenges, or simply feeling overwhelmed, you don’t have to face it alone.

I worked in the field for several years under my MSW degree in various roles- (social worker at an inpatient psychiatric evaluation and treatment unit, on a community crisis response team, and in an outpatient setting)- before applying for my licensure approximately six years ago. Bachelor degree major was Psychology and a minor in Child and Family Studies.

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.

I work well with anyone who seeks therapy and is ready to work on themselves. I have worked with about every population, culture and age group. Issues that I am best suited to treating include a wide variety of disorders, childhood trauma, addictions, domestic violence, parenting/bonding/interpersonal relationships. I certified in EMDR and expressive arts therapy. I like to offer different forms of expression to my clients in the healing arts. I also give plenty of skill building tools and homework so clients can maximize their progress outside of the weekly sessions. I speak Spanish fluently.