ADHD therapists and psychiatrists in Puyallup, WA

I work with individuals, couples, and families of all ages. I have a Masters in Clinical Health Psychology and a Masters in Nutrition/Dietetics, which helps lend to a holistic approach to my work with clients. I commonly work with health behavioral change, anxiety, depression, eating disorders, ADHD, OCD, and relationship change. My treatment approach utilizes a biopsychosocial lense in long-term therapy based in psychodynamic, strengths-based, and integrative work in overall health. I utilize coping skills from CBT, DBT, ACT, and Mindfulness. I incorporated life-skills such a assertiveness, boundaries, and career.

I love the work that I do and the healing relationships I have been able to foster with my clients. I believe that therapy is a form of self-care and I want to be an advocate of that for my clients. I welcome anyone who thinks they may want some support, whether long-term or short-term to reach out to me and set up a brief phone consultation.

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.

I found passion for mental health while working with children at an autism summer camp that I have worked for for 15 years. Mental health is a major component that makes us happy, sad, or just ok. I am here to help you meet your goals and help guide you along the way. I have experience in mood disorders, trauma, autism & learning differences, and sleep.

I believe self care is important for our health

Life’s challenges can feel overwhelming at any stage—whether you’re navigating adolescence, adulthood, relationships, parenting, or the transitions that come with aging. Anxiety, depression, grief, and life changes can disrupt how you think, feel, and connect with others. Therapy offers a supportive place to slow down, feel understood, and develop effective tools to move forward with greater clarity, balance, and confidence.

Life doesn’t come with a roadmap—and when stress, anxiety, grief, or major changes pile up, it’s easy to feel overwhelmed or alone. Therapy offers a place to slow down, feel understood, and begin finding your way forward with clarity and confidence.

I provide a compassionate, supportive space where you can explore what’s holding you back, build resilience, and reconnect with your inner strength. Together, we’ll work toward meaningful change so you can feel more confident, grounded, and at peace.

Who I Work With

I work with individuals across the lifespan, including:

• Teenagers and young adults
• Adults experiencing anxiety, depression, or life transitions
• Women and single mothers
• Men facing male-specific challenges
• Older adults navigating aging-related concerns

I also work with couples, parents, and business partners, helping strengthen communication, emotional understanding, and connection.

Hello I am Anna Salinas, a dedicated Psychiatric-Mental Health Nurse Practitioner. I specialize in diagnosing, treating and prescribing psychiatric medication management for individuals struggling with ADHD, depression,anxiety, PTSD, insomnia, Autism, eating disorders, and bipolar disorders. My focus is helping patients feel more stable, focused, and functional through careful evaluation, clear diagnosis, and thoughtful medication planning.

Many patients seek care because symptoms are affecting work, school, relationships, or daily life. Whether you are newly seeking treatment or looking for more effective medication management, I work with you to create a plan that makes sense and feels manageable.