I am a board certified child and adolescent psychologist with over 25 years of clinical experience working with all types of problems that confront children and adolescents. I am also trained to work with adults and couples.
I received my doctorate from Colorado State University and my clinical training at Harvard University and did postdoctoral training in child and adolescent clinical psychology at Boston's Children's Hospital and the Judge Baker Children's Center.
I perform evaluations for learning disabilities, ADHD, early kindergarten entrance, and evaluations for gifted education. I enjoy psychotherapy with children experiencing divorce, anxiety, life transitions, and adjustment problems. Counseling parents about effective parenting skills is also one of my specialties. I also dedicate a percentage of my practice to working with individuals, couples and families.
Who am I? I am a member of a family and also of an even larger community. The community includes Tacoma, where I have lived since 1990. As a physician, I have enjoyed my general adult psychiatry practice here at Rainier Associates. I divide my professional time between clinical practice and research.
What is my therapeutic orientation and philosophy? I think that the most effective treatments involve collaboration. This means that the types of treatment used are entirely dependent on an individual's needs, which may extend far beyond any one person's expertise. In general, I find that one's faith, one's culture, and modern medicine are not mutually exclusive elements of therapy, as some would have you believe. My hope is that we would use all available resources in any treatment process.
What is my training? I received my BA in education at Earlham College, Indiana, medical training at the University of Oklahoma, and my internship and psychiatry training at the University Hospitals of Cleveland, Case Western University, Ohio. Besides being trained in diagnosis and medical management, I received formal training in other related areas, such as cognitive therapies, behavioral therapies, analytic theory, transactional analysis, and family systems theory.
What are my particular areas of concentration? These include anxiety disorders, mood disorders, attention deficit hyperactivity disorders, and sleep physiology. I also look for new mental health applications for existing medications: A long-acting form of guanfacine has just received FDA approval for attention deficit disorder. Prazosin, used to treat high blood pressure, shows promise in the treatment of PTSD-related nightmares. Thanks to an award from the National Institute of Mental Health we are currently looking at how to dose Prazosin for nightmares in those with civilian and military trauma. For questions about the studies, call me.
What are my credentials?
Board Certification: National Board of Psychiatry and Neurology
Academic Post: Assistant Clinical Professor, Department of Psychiatry and Behavioral Sciences, University of Washington.
With whom do I work?
Rainier Behavioral Health, Tacoma, Washington.
Department of Psychiatry and Behavioral Sciences, University of Washington.
St. Joseph's Hospital, Tacoma, Washington.
I have been a member of Rainier Behavioral Health clinical staff since 1992. I graduated from California School of Professional Psychology and was also on the Dean’s list at California State University. My training is in adult and adolescent psychology, and I am trained and experienced in marital therapy. I have worked in a variety of settings such as a crisis counselor, teaching assistant and is currently a dedicated Psychologist since 1983.
My primary areas of specialty include: Attention Deficit Hyperactivity Disorder, Attention Deficit Disorder, Bipolar Disorder, Anxiety Disorders, Depression, Post Traumatic Stress Disorder, Anger, Stress, Grief, and a wide range of life and adjustment issues. I have a vast knowledge base in social, religious and cultural areas. I work with individuals and couples in need of marital therapy. My primary goal is to ensure that the client reaches their goal.
I also do evaluations and testing for Attention Deficit Hyperactivity Disorder/Attention Deficit Disorder and Bipolar for individuals age 15+.
I am a licensed psychologist in the state of Washington. I joined Rainier Behavioral Health in 1999 after completing an internship at Duke University and earning a doctoral degree (Ph.D.) in counseling psychology from Washington State University in 1998.
I work with adolescents and adults who are facing a variety of concerns such as: depression, anxiety, post-traumatic stress, bipolar disorder, adjustment to life stressors, adolescent issues, post-partum depression, sexual assault/abuse, divorce, marital issues, grief, gay/lesbian/bisexual issues.
I view psychotherapy as a powerful process with the potential to change unhealthy life patterns, reduce uncomfortable emotional symptoms, restore a feeling of control over life, and improve self-esteem. I draw from a variety of therapeutic approaches, especially cognitive-behavioral and interpersonal, based on the needs of the individual client and knowledge of research findings for effective treatments.
My goal is to form a partnership with you and, through collaboration, build a treatment plan that will address your concerns and ultimately leave you empowered and prepared to manage your life with success.
I have been working at Rainier Behavioral Health since 2001. I am a board certified in psychiatry and completed residency training at Duke University. My clinical practice spans the breadth of general psychiatry, including medication management and psychotherapy or a combination of both. Additionally, he treats people ranging in age from early adolescence to geriatrics. I am also on the clinical staff at the St. Joseph Mental Health Unit
Credentials and experience: I am a clinical social worker, specializing in psychotherapy with adults. I received my Bachelor of Arts degree in psychology and social work from Pacific Lutheran University in Tacoma, WA, and my Master of Social Work degree from Catholic University in Washington, D.C. I have worked in a variety of settings, including hospital, mental health agencies, and private practice. In my practice in the greater Washington, D.C. area as well as in Tacoma, I have developed a broad scope of experience in my work with clients from diverse social, cultural, and religious backgrounds who present with a wide range of needs.
Current Practice: My primary areas of practice include generalized anxiety, panic disorder, phobias and specific fears, post-traumatic stress disorder, survivors of abuse, depression, self-esteem, interpersonal issues, grief and loss, and a wide range of adjustment issues.
Approach: Combined with other methods, I use strengths-based and solution-focused models of therapy to assist clients in both recognizing and further developing the strengths they already have, as well as helping them look toward solutions or goals rather than focusing primarily on the problem or concern. Utilizing various treatment approaches including cognitive/behavioral therapy, desensitization, exposure with response prevention, problem-solving, as well as other therapeutic interventions, I build on the client's strengths to help them move toward emotional healing, development of effective coping skills, problem/conflict resolution, personal growth, and improved wellness. I choose the model(s) and interventions most appropriate to each client's unique needs in order to most effectively work toward their individual goals. In addition, I strive to help each client develop 'tools,' which they can implement in their own lives for current and future needs
My approach to psychotherapy is both supportive and problem-focused. I will work actively with you to identify areas for change, improve self-awareness, enhance current strengths, and help you generate solutions. I view psychotherapy as a flexible process, guided by your input, and tailor the process to best fit your needs. I am open, accepting, emotionally expressive, candid, and I appreciate humor.
I am skilled at helping adults with a wide variety of concerns, including depression, anxiety, and the effects of trauma, as well as helping people manage major life challenges such as grief, relationship difficulties, retirement, and work-related difficulties. I use a wide variety of therapeutic approaches, most notably cognitive-behavioral psychotherapy, acceptance and commitment therapy, and mindfulness.
As a health psychologist and neuropsychologist, I am trained to help people adjust to and manage challenges related to acute or chronic illness. I have worked with a wide range of health concerns including chronic pain, insomnia, consequences of stroke and traumatic brain injury, post-concussive symptoms, neurologic disorders, seizures, diabetes, heart disease, and cancer. I can also provide support and guidance to you as you seek to make lifestyle changes for improved health.
I earned my Ph.D. in Clinical Psychology from The Ohio State University and completed postdoctoral training in neuropsychology and behavioral medicine at the VA Boston Healthcare System and Boston University School of Medicine. I have worked as a clinical psychologist in the state of Washington since 2004 and have been with Rainier Behavioral Health since 2007.
My practice is broadly-affirming and all are welcome.
I earned my doctorate in Clinical Psychology in 2005 from George Fox University and have been a member of the American Psychological Association since October of 2000. My practice includes the treatment of children, adolescents and adults for individual therapy and psychological evaluations in various forms. My Primary focus is the treatment of anxiety and depression.
I also do testing to diagnose adult ADHD, and can provide Cognitive Behavioral Therapy. Some of my other areas of expertise include workplace issues, PTSD, grief, and anger.
I am a licensed psychologist in the state of Washington. I joined Rainier Behavioral Health in January 2011. Originally from New York, I completed my graduate schooling in the Midwest, before deciding to settle in the Pacific Northwest. I earned a masters degree in marriage and family therapy from Indiana State University (ISU) in 1994, and a doctoral degree, also from ISU, in counseling psychology in 1998.
I provide therapy to individuals, couples, and families exhibiting a wide range of presenting concerns including relationship difficulties, depression, bipolar disorder, anxiety disorders, life transitions, eating disorders, grief and loss, and trauma. Regarding the latter, trained in EMDR, I will sometimes additionally utilize EMDR to assist clients, diagnosed with PTSD, in resolving their traumatic and disturbing experiences.
I view my clients as the real "experts" with respect to themselves and their personal experiences. Throughout my therapy work, I attempt to tap into my clients' frame of reference; and through so doing, provide them with the skills, knowledge, and awareness to arrive at their own solutions and achieve their goals. I am an energetic, enthusiastic therapist who has much faith in the therapy process and people's inherent capacity to make desired changes in themselves and their lives. My goal-directedness is balanced by a gentle sense of humor and interactions with others are comfortable, respectful, and genuine.
I received a Bachelor of Science Degree in Psychology from Oregon State University in 1997 and a Master's of Social Work Degree from Portland State University in 2002. I have worked in outpatient and inpatient mental health settings since 2002. My professional experience includes individual, family, and group therapy in the treatment of children, adolescents, and adults. I have been trained in several evidence-based practices, including Cognitive-Behavioral Therapy for Depression and Anxiety, Trauma Focused Cognitive-Behavioral Therapy, Aggression Replacement Therapy, and Dialectic Behavior Therapy.
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events. Treatment work with children, adolescents and families also routinely includes exploring developmental issues and providing strategies for caregivers.
My training incorporates various counseling approaches: Family Systems, Cognitive-Behavioral Therapy (CBT), and Humanistic and Experimental theories. Because of my interest and belief in the connection of body, emotions, and cognition, my preferences of therapies are Eye Movement Desensitization and Reprocessing (EMDR) which is a psychotherapy that enables people to heal from symptoms and emotional distress that are the result of disturbing life experiences, and Sensorimotor Psychotherapy, a body-centered therapy that brings attention to the body with non-judgment and curiosity to help either develop inner resources in order to regulate affect or to help work out habitual fight, flight or freeze responses. With couples and families, I work from an attachment lens and lean greatly on Emotionally Focused Therapy. I have experience working with issues such as depression, anxiety, dependency (drugs, alcohol, food, shopping, sex etc..), trauma (big and small), grief and loss, as well as other aspects of the human condition in this modern era.
I work with individuals, couples, and families. I believe that therapy is first about gaining awareness and understanding, and once that is accomplished, there is a choice to make a change or not. Making a change takes courage, energy, and risk on your part, and a strong therapeutic alliance is greatly needed…key really. Research shows that despite the therapeutic modality used in therapy, it is the relationship between therapist and client that is most important. That makes sense since therapy requires such intimacy. My job is to witness, and I feel immensely grateful to have the honor to do so. My belief is that you are the expert of your mind, emotions, body, and spirit. You do the work in session; my role involves navigating, challenging, mirroring, and supporting you on your path. My job is to hold…to be present…to be authentic…to create a safe, nourishing, comfortable space for you to explore, get to know yourself (body, mind, and spirit), and hopefully, create within you a greater sense of acceptance, empowerment, and agency.
I fully welcome diversity and am a LGBT ally.
I provide individual and couples counseling. I am open to providing outreach including presentations, workshops, and training to various groups in the community. My professional interests include stress/anxiety, depression, peak performance, eating disorders, substance abuse/addictions, relationship issues, adjustment, trauma and intersections of identity and culture. I consider myself to be a generalist with recent experience in higher education working with undergraduate and graduate students, medical/law students, and those hoping to improve focus, attention, motivation, and work efficiency. I consider social justice an important piece of my work striving for equity and social opportunity. I use a wide variety of collaborative approaches in therapy, depending on the nature of the work, identities present in the room, and cultural considerations. I enjoy being creative using a variety of interventions including cognitive-behavioral(CBT), psychodynamic, humanistic, and feminist modalities. I utilize the relationships in the room, motivational interviewing, mindfulness, and interpersonal process to further personal development and positive change. I tend to use a casual and open approach to the therapy process and appreciate humor. My overall goal is to help individuals maximize their life potential and thrive.
I am a licensed psychologist in the state of Washington. I earned a doctoral degree (Ph.D.) in Clinical Psychology from the University of Kentucky and completed my predoctoral internship at the VA Puget Sound: American Lake Division, where I stayed for a postdoctoral residency in chronic pain management from a biopsychosocial perspective.
I work with adults, and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues.
My primary treatment modalities are Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. Both of these are designed to help increase your awareness of your thoughts, emotions, and behavioral patterns, and to empower you to create real and lasting change in your life. I believe that therapy is not only a safe place to be heard and understood without judgment, but also an opportunity to grow and change in ways that reduce suffering and make life more meaningful.
I am a general psychiatrist interested in an integrative care approach to healing, incorporating medication, psychotherapy and exercise.
After graduating Hartwick College, in upstate New York, summa cum laude with departmental honors in Biology, I attended Michigan State Medical School in East Lansing. I went on to complete four years of residency training in Psychiatry at the Henry Ford Health System in Detroit and moved to Washington in 1999. My background is in working with individuals disabled by mental illness.
In my free time, I enjoy spending time with my family and friends, hiking, skiing, and practicing yoga and meditation.
Counseling families, teens, individuals, children, and couples, including but not limited to underserved populations such as veterans, sexual assault and child abuse victims, PTSD, those with what is sometimes called psychosis and their families and social networks, and eating disorders. Appropriate documentation and crisis assessment protocols practiced. Collaboration with other professionals in co-therapy.. Completed September 2018, two year in-person training including but not limited to the following: outside practicum, international study groups literature review, video supervision practice, co-teaching topics such as embodiment and somatic reflection, thesis-writing, family-of-origin small group work, specialized training in anticipation dialogues, dialogical approach to treating adolescents, and need-adapted and social network collaboration. Cohort included psychiatrists, social workers, psychologists and psychotherapists from Europe, Asia, Australia, and the U.K..
ü 16 years in acute, sub-acute, outpatient, emergency levels of care
ü Psychiatric crisis assessment/consultation emergency department 2007-17
ü Core preceptor for new hires emergency psychiatric department 2008-17
ü Clinical private practice (Santa Barbara, California 2006-2016, Tacoma, Washington 2017-Present)
ü Internationally-trained Educator/Trainer/Supervisor in Open Dialogue and Need-Adapted Approaches to psychosis and other psychiatric crises
I feel very fortunate that in clinical psychology I have found a field where I have been glad to go to work since I saw my first client in 1974. My training has been ‘eclectic’. My undergrad work was in philosophy of science at University of Michigan. After a short stint in medical school, I went to San Diego State University, where my professors were Rogerians, cognitivists and behaviorists (that was before the latter two got hyphenated and finally acronym-ized into CBT), plus one crypto-Freudian who spoke little but offered the most amazing insights. I also had some years of personal psychoanalysis.
In 1975 I moved back to Ann Arbor, where I trained in psychodynamic therapy and community mental health. I then lived almost four decades in Cambridge, MA, doing clinical work, teaching, and supervision. And in 2017, when my husband was offered a job here, we came to Tacoma.
Along the way I have had training experiences in Gestalt, psychodrama, Transactional Analysis, family systems, hypnotherapy, 12-step and other approaches to alcohol and other addictions, CBT, DBT, EMDR, Mindfulness, Meditation and Spirituality, and Internalized Family Systems (IFS). I have seen many “schools” of psychotherapy arise and gradually blend into the mainstream, contributing their perspectives, insights, and techniques. Whenever I see a set of fonts, I first seek out the ampersand (&).
So I am a generalist. My earliest “specialty,” being one of the first gay grad students in clinical psych at Michigan, has been working with the LGBTQIA community (starting back when it was L&G). During the early years of the HIV epidemic I was among the first to work in therapy with AIDS patients. But I have seen so many different kinds of individuals and couples over the years — artists, writers, actors, musicians, scientists, doctors, lawyers, other therapists; students and teachers; parents, pregnant women; people going through illnesses, deaths, divorces, job loss, retirement; administrators, clerks, business people; people from other countries, cultures, and languages; people with various medical conditions — that I really don’t have a specialty group.
In therapy I try to understand each person in their own terms, working together to see how various issues have emerged and played themselves out over time —from childhood through today, recognizing the importance of the various stages of life — introducing additional ways of looking at them and ways to experimentally make changes in what they do and say to themselves and others. I have often thought that if I ever wrote a book about therapy, it would be called “Prisoners of Metaphor,” because the very images and phrases we use to describe our experience express and amplify our understanding and future behavior, but also unintentionally limit our lives.
Sometimes an issue will occur within the therapy itself, so we get to compare notes on how each of us experienced a moment, an interaction, a reaction. Sometimes we cry together; very often, we laugh. (I have learned as much from stand-up comedians as from any other single source.) And sometimes we talk about spiritual and religious matters, which have little formal place in therapy teaching, but may have a huge importance in the quality of our lives.
I am a Licensed Clinical Social Worker with 20 years of experience working with adolescents and adults in both community and hospital settings.
I completed my graduate program in Clinical Social Work at the University of Washington in Seattle, WA, and have been a practicing therapist since 2009. I provide individual, group and family therapy, and utilizes a variety of modalities, to include Dialectical Behavior Therapy, Cognitive Behavior Therapy, mindfulness strategies and more. I have experience treating a myriad of diagnoses and symptoms, to include mood disorders, anxiety disorders, personality disorders and the self-destructive thoughts, behaviors and emotional dysregulation that often accompany these diagnoses.
I provide a validating environment in which to encourage my clients to replace self-destructive coping mechanisms with healthy coping strategies and skills. I incorporate education, skills training and compassionate listening and feedback in my sessions
I provide a space for people to be with all aspects of who they are – mentally, emotionally, physically, and spiritually. I believe we are all experts on our own lives and have within us the knowing of what is best for us. There are times when we feel disconnected from that knowing and can benefit from support in reconnecting with it. I offer space to enter into a deeper exploration of one’s life. I provide support to enter into one’s inner process in order to be with all of the parts of one’s personality and all the information and wisdom held there. I assist others in connecting with a feeling of more internal space and a greater sense of ease from which to reflect on what they are needing. I believe therapy is a collaborative process and feel grateful to have the privilege to join others in their personal process.
I work with individual adults and adolescents. The issues and symptoms I have worked with is extensive and as a result I would call myself a generalist. I draw largely from a family systems perspective as well as a wide range of trainings – Internal Family Systems, DBT, Trauma Focused CBT, Mindfulness, Play Therapy. I also often incorporate Expressive Art Therapy – visual art, imagery and movement in my work.
I received a Bachelor of Science in Psychology at Santa Clara University in 1990, a Certificate in Expressive Arts from John F. Kennedy University in 1996 and a Master of Arts in Counseling (Marriage, Family, & Child Counseling) from Sonoma State University in 1998. I worked with youth and families in social services and crisis residential from 1990 – 1996. I have been working as a therapist since 1996 and have worked in a variety of settings. I was licensed by the State of Washington as Marriage and Family Therapist (No. LF00001495) in 2001.