Our counselors provide therapy in Vancouver, WA

I’m a Licensed Clinical Social Worker with 11 years of experience providing compassionate care across diverse behavioral health settings. My background includes hospice and grief counseling, supporting adults and families through life’s most vulnerable transitions. I bring a culturally sensitive, intersectional approach to therapy, especially for those navigating identity, loss, or major life changes. My goal is to help clients gain clarity, emotional relief, and confidence as they work toward healing and transformation.

I earned my Master’s in Clinical Social Work from the University of Central Florida, where I also completed minors in Gerontology and Sociology. I integrate cognitive behavioral therapy, dialectical behavior therapy, trauma-focused cognitive behavioral therapy, and mindfulness-based therapy to create individualized, evidence-based care.

I meet clients where they are with compassion, curiosity, and collaboration. Whether coping with anxiety, depression, chronic illness, or self-esteem challenges, my approach is restorative and empowering. Therapy doesn’t have to feel intimidating; it can be transformative, helping you reconnect with your purpose and inner resilience.

Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 20 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic and Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade, working independently in Comfort Counseling. She also has experience serving individuals from six years old to 65 years old from her time at the Renton Counseling Center. She is a clinical member of The American Association of Marriage and Family Therapy.

Mary Lou received a Bachelor of Social Work from Eastern Washington University and a Master of Arts in Marriage and Family Therapy from Pacific Lutheran University. She utilizes multiple treatment approaches including, but not limited to, solution-focused therapy, narrative therapy, cognitive behavioral therapy, and structural family therapy. Mary Lou's dominant practicing theories are those of structural family therapy, which focuses on the ways in which families function and the changes that need to be made in the family structure to help them function more effectively, and solution-focused theory, which looks at the solutions that the client brings to therapy for coping with problems and builds on the client’s successes. She also likes to use some narrative therapy, which is focused on changing the way that you look at your life or problems.

Mary Lou is a trauma survivor and comes from an immigrant family, both of which influence the work that she does on a day-to-day basis. This, along with her clinical experience, allows her to support and understand her clients in unique ways.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience providing comprehensive mental health care across the lifespan. I specialize in psychiatric evaluation, medication management, and psychotherapy for conditions such as anxiety, depression, bipolar disorder, mood disorders, schizophrenia, conduct disorders, and insomnia. I focus on evidence-based treatment designed to reduce symptoms, improve functioning, and promote lasting emotional well-being in outpatient and telehealth settings.

I earned my Doctorate in Nursing from Arkansas State University. My approach combines clinical expertise with empathy to support individuals as they navigate life’s challenges. I tailor each treatment plan through careful evaluation, medication management, and therapy to help clients build resilience, balance, and overall well-being.

I understand the challenges of living with mental health conditions and strive to create a safe, judgment-free space where clients feel heard and supported. My goal is to provide compassionate, personalized care that encourages healing and growth, helping each person take meaningful steps toward recovery and emotional stability.

I am a psychiatric mental health nurse practitioner (PMHNP) with 6 years of experience supporting adults facing depression, anxiety, bipolar disorder, trauma, and other mood and thought-related challenges. I provide a warm, grounded space for clients who want to better understand themselves, build emotional balance, and create sustainable change. My goal is to meet each person with clarity, compassion, and evidence-based care.

I earned my Doctor of Nursing Practice from Walden University. My approach blends clinical expertise with a whole-person lens, using evidence-based treatments tailored to individual needs. I work collaboratively with clients to explore symptoms, strengthen insight, and develop practical strategies that support long-term stability and well-being.

I am here to help you feel understood, supported, and empowered as you navigate what comes next. Together, we will identify your goals and create a plan that meets you where you are. You do not have to face your challenges alone. I would be honored to partner with you in building the healthier, more grounded life you deserve.

I am a Licensed Independent Clinical Social Worker with 2 years of experience helping clients manage anxiety, depression, stress, and relationship challenges. I specialize in supporting individuals who want to build stronger boundaries, improve self-esteem, and create meaningful connections. I guide clients toward healing and personal growth with empathy and insight, offering a safe, supportive environment for lasting change.

I earned a Master’s in Social Work from the University of Washington. I integrate cognitive behavioral, solution-focused, and trauma-informed approaches to help clients develop confidence, manage emotions, and feel more empowered. My goal is to support self-discovery and emotional well-being.

Every client is capable of growth and healing. I offer a compassionate, judgment-free space where clients can explore who they are and where they want to go. If you’re feeling overwhelmed or ready for change, you don’t have to go through it alone, and healing can begin with one conversation. Reach out today!

I am a licensed independent clinical social worker (LICSW) with 34 years of experience. I have spent my career serving vulnerable individuals, providing therapy for adults navigating depression, anxiety, post-traumatic stress disorder, and bipolar disorder. My background includes extensive work within community mental health systems, emergency departments, and community healthcare centers. I am passionate about supporting individuals experiencing serious mental health and crisis concerns.

I hold a master’s in social work from Michigan State University. My approach to care is holistic and strength-based, integrating cognitive behavioral therapy, mindfulness, motivational interviewing, and solution-focused therapy. I tailor treatment to meet each person’s goals, empowering them to build resilience and achieve lasting wellness.

I find my work deeply fulfilling and am honored to witness the dedication clients put into their healing. I value collaboration, compassion, and authenticity in the therapeutic relationship and enjoy walking beside individuals as they rediscover balance, purpose, and hope on their journey to recovery.

I am a licensed mental health counselor associate (LMHCA) with 4 years of experience supporting adults and young adults through anxiety, depression, trauma, and life transitions. I take a warm, collaborative, and person-centered approach to help clients build self-awareness, strengthen relationships, and find balance. My goal is to create a safe, compassionate space where you can explore what’s holding you back and move toward lasting emotional wellness and growth.

I earned my master’s in clinical mental health counseling from the University of Wisconsin. I use an integrative approach combining cognitive-behavioral, mindfulness, and solution-focused techniques to help clients gain insight, develop coping skills, and create meaningful change.

You don’t have to face life’s challenges alone. Together, we can uncover your strengths, navigate what feels overwhelming, and create a path toward peace and fulfillment. I’d be honored to walk alongside you as you take this important step toward healing and growth.

Nanette Guild is a Licensed Independent Clinical Social Worker with 25 years of experience supporting individuals navigating depression, anxiety, trauma, grief, relationship transitions, identity concerns, and chronic illness. She brings warmth, humor, and a collaborative spirit to her work, helping clients feel empowered and understood. Nanette creates a safe space that honors each person’s story, promoting healing through trust and emotional connection.

Nanette earned a Master’s in Social Work from the University of Kansas. Her approach integrates cognitive behavioral therapy, behavioral activation, mindfulness, distress tolerance, and solution-focused techniques to support emotional regulation, resilience, and well-being.

Nanette values diversity, equity, and justice and believes in the deep connection between mind, body, and spirit. She uses a strength-based, interactive, and often humorous style to support long-term growth. Clients often appreciate her humility, open-mindedness, and deep respect for their lived experiences. Reach out to Nanette today!

Christina Lynch is a Licensed Mental Health Counselor and a Child Mental Health Specialist (LMHC, CMHS)  who has 10 years of experience partnering with children, adolescents, and adults seeking help with behavioral issues, ADHD, depression, anxiety, and trauma. She completed her Bachelor's degree in Psychology from Eastern Washington University and received her Master's degree in Counseling Psychology from California State University Bakersfield.  

Christina utilizes strengths-based, person-centered (PCT), cognitive behavioral (CBT), dialectical behavioral (DBT), and solutions-focused (SFT) approaches to therapy. Christina does not prescribe to a one size fits all method and will work collaboratively with individuals to find the tools and approaches to best meet the unique needs of every individual she works with.

Christina seeks to establish a caring partnership with you or your child, in order to assist in meeting your goals. Work with her to start building on strengths you already possess while finally accessing the tools you need to live a healthy and fulfilling life.

Hi, I’m Meredith, a Licensed Independent Clinical Social Worker with five years of experience supporting adults (18+) navigating depression, anxiety, trauma, suicidal thoughts, substance use concerns, relationship challenges, emotion regulation difficulties, and struggles with self-esteem. My practice is LGBTQIA+ affirming, culturally responsive, and social justice-oriented. I value the therapeutic relationship and aim to support both personal growth and genuine connection.

I draw from evidence-based approaches, including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Solution-Focused Therapy, & Motivational Interviewing. I practice from a warm, relational, & strengths-based framework that honors your lived experience while helping you build practical skills.

I know that finding the right therapist can feel daunting. My goal is to create a safe, judgment-free space where you can deepen self-awareness, process difficult emotions, and begin to release beliefs or narratives that have diminished your sense of worth. If you’re considering therapy, I invite you to reach out.