Grief counselors and therapists in Kennewick, WA

I provide online individual, couples, and family therapy using a relational and narrative approach through Pinehurst Relationships Seattle. Based out of the Pinehurst neighborhood (98125) of North Seattle—right next door to Shoreline and Northgate—my telehealth services are available to clients throughout all of Washington State.

My approach to therapy is rooted in the belief that our lives and relationships are deeply connected to the world around us. When a family dynamic feels tense, a couple loses their shared intimacy, or a child or teen gets stuck in a repetitive, draining loop, modern macro-stressors, grief, and overwhelm are usually magnifying the strain. I work to help you break the cyclical patterns that leave your relationships running on empty. If your primary bonds feel overwhelmed right now, you don't have to navigate it alone.

Education and experience: I hold a BA from the University of Washington (1985) and an MA in Marriage and Family Therapy from Antioch Seattle (2022). My clinical roots include a dedicated internship in community mental health in Edmonds and an associate residency at a Seattle group practice. Outside the office, I recharge by gardening, walking with my partner, and heading out on PNW trail adventures with our hiking cat, Jasper.

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’m Tara Garland, and I will connect with you to work through and support you on any struggles or challenges you are going through—helping you turn them into healing and strength. I work with children, adolescents, adults, and seniors who may be managing anger, anxiety, depression, family issues, grief, and loss. I also support clients experiencing trauma, stress management challenges, sleep or panic disorders, OCD, ADD/ADHD, relationship or identity issues, and women’s issues. My goal is to help you find balance, relief, and the confidence to move forward in your life.

Stimulants, Suboxone and Benzodiazepines are prescribed in this practice with DEA guidelines. Dr. Padilla is a Doctor of Nursing Practice from the New York tri-state area and has over 30 years of experience in healthcare. He treats children from 6 years old through adulthood, focusing on psychiatric medication management. He specializes in mental health and has extensive experience in the field of psychiatry. Dr. Padilla takes a “start low and go slow” approach to prescribing, paying special attention to medication potency and potential interactions with other medications prescribed by other providers. Dr. Padilla earned his Doctorate in Clinical Practice Nursing from Rutgers University–New Brunswick. He also holds bachelor’s degrees from Rutgers, The State University of New Jersey, and the University of Miami, as well as an associate’s degree from Bergen Community College.

I’m Elizabeth Webber-Mikaele, LMHC, a Licensed Mental Health Counselor in Washington State. I have spent my career supporting children, teens, and adults through life’s challenges with compassion, respect, and practical tools for change.

My background includes a Bachelor’s degree in Multicultural Social Services from the University of Washington and a Master’s degree in Education with a School Counseling certification, along with National Board Certification in School Counseling. I am also a National Certified Counselor and Approved Clinical Supervisor, which allows me to mentor and supervise counseling professionals across the country.

Over the years, I have worked in schools, community programs, and clinical settings, helping individuals navigate anxiety, stress, trauma, life transitions, and relationship challenges. I have a particular passion for working with women, adolescents, and children, helping them build confidence, emotional resilience, and a stronger sense of self.

My approach to therapy is warm, collaborative, and strengths-based. I draw from evidence-based practices such as cognitive-behavioral and trauma-informed approaches while tailoring therapy to each person’s unique needs, experiences, and goals.

Whether you’re feeling overwhelmed, navigating a difficult season, or simply seeking personal growth, my goal is to provide a safe, supportive space where you feel heard, understood, and empowered to move forward.

I hold a master's in marriage, couple and family counseling from George Fox, where I also focused my studies on trauma therapy through the trauma response institute. I specialize in trauma therapy through the ages, as well as family trauma therapy