Anxiety and depression therapists and psychiatrists in Lacey, WA

I support people in navigating anxieties and past and current traumas, chronic health diagnoses, finding wellness, and deepening connection and joy. I have extensive experience working with individuals whose lives are impacted by their own and others drug dependency, use, and abuse and working with people who have chronic or lifelong medical conditions such as HIV, Alzheimer’s or who are supporting others with such diagnoses.

Smart Duru is psychiatric mental health nurse practitioner with over 10 years of combined healthcare experience. He attended University of Derby, England for a Bachelor of Science Degree in Nursing and a master’s in psychiatric mental health nursing with Distinction. Smart Duru obtained a Master of Science Degree with specialization in Psychiatry mental health Nurse Practitioner. He has extensive experience in Mental health, Primary care, Sub/Post-Acute Care, Long Term Care, Correctional Medicine, and Family Medicine.

As a dually certified provider, I offer a unique blend of clinical precision and compassionate, holistic care for both the body and soul. My journey began in 1995 as a nurse, followed by earning my medical degree in 2002 and completing a residency in General Pathology in Postgraduate Education Academy, Kharkov, Ukraine, which provided me with a profound understanding of the biological foundations of health. In 2006, I met my future husband and moved to the United States.

In the United States, I advanced my nursing career, working as a Registered Nurse and becoming a Family Practice Nurse Practitioner (FNP) in 2019. During this time, I managed complex primary care and detoxification protocols for adults and adolescents in behavioral health inpatient settings. In 2024, I achieved my Doctorate in Nursing Practice (DNP) and certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP).

The approach I take is a bottom-up Psychodynamic approach.

I am Andrea Smalls. I have been practicing since 2005 and licensed since 2007. I have a Master of Arts in Counseling and Guidance. I have worked in various settings including intensive outpatient, inpatient, private practice, and telehealth. I have worked with a variety of diagnoses to assist others in stabilizing mental health and regulating emotions.