Trauma and PTSD therapists & psychiatrists in Vancouver, WA

I have experienced many roles as I begin to edge out of "middle age" (daughter, sister, student, employee, spouse, parent, pet owner, friend, grieving family member, congregant, team player, book-clubber, yogi, etc.), I am more connected than ever to what is important in life and what is true for most people and communities. We work hard, we try to create relationships and joy, we need to play & create, and most of us need some sense of love & belonging, along with a sense of purpose. It is an honor to journey with clients.

I currently have a waitlist, with weekly session openings expected in about 4~5 months.

I'm a bicultural, bilingual immigrant therapist, and my work is deeply shaped by my own lived experiences, with passion to support and empower people of color, LGBTQ folks, and other marginalized groups. Both personally and professionally, I’m committed to challenging systems of oppression and helping create a world that feels more equitable, safe, and livable for all of us.

I am a Psychiatric Mental Health Nurse Practitioner Board-Certified (PMHNP-BC) with experience in mental health care since 2016. I earned my psychiatric certification in 2019 and have dedicated my practice to helping individuals navigate a wide range of mental health concerns with compassion, respect, and clinical expertise.

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.

Hello,

Welcome to recovery and to getting back into the flow. Healing and growth are possible.

I have many years of experience as a counselor.

Are you ready for something different?

I am a board‐certified psychiatric nurse practitioner with a doctorate in psychiatric mental health, and I believe healing begins when you feel understood, supported, and empowered in your own care. I treat children, adolescents, and adults, and I work to create a calm, welcoming space where you can show up as you are and feel genuinely seen—not just your symptoms.

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 am a lifelong behavioral health practitioner with 35 years of experience providing counseling services to a large cross section of clients including veterans, first responders, athletes, and individuals learning to manage symptoms associated with post traumatic stress, chronic pain, chronic conditions, depression, anxiety, and phase of life transitions. I am a certified Cognitive Behavioral Therapist and licensed to treat co-occurring disorders in another state.