Anxiety and depression therapists and psychiatrists in Puyallup, WA

As a Licensed Clinical Social Worker with over 30 years of experience working with adults and families, I look forward to partnering with you and offering support as we navigate some of the curveballs that life throws your way.

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.

I believe therapy is most effective when it feels safe, collaborative, and human. My approach is grounded, compassionate, and non-judgmental, with an emphasis on helping clients feel understood while building insight and emotional resilience.

I am a licensed therapist with advanced training in trauma-informed and parts-based approaches, including Internal Family Systems (IFS). I work primarily with adults, parents, and caregivers navigating anxiety, depression, relationship challenges, life transitions, and the impact of complex or relational trauma. Many of my clients are managing over-responsibility, boundary challenges, or the pressures of caregiving and midlife transitions.

I am LGBTQIA+ affirming and support clients exploring identity, authenticity, and belonging. I also enjoy working with parents of neurodiverse children and who may be neurodiverse themselves. My style blends evidence-based practices with warmth and flexibility, helping clients feel more grounded, connected to themselves, and better equipped to meet their lives with clarity and confidence.

Refresh. Renew. Restore. (Isaiah 43:18-19). As owner of Renewed Focus Health & Wellness, I am a DNP-prepared nurse practitioner with dual certifications in psychiatric-mental health and family practice. Faith-Based Believer and mental health provider privileged to serve a diverse population with kindness, virtue, and respect. We specialize in infertility-related anxiety/depression. At Renewed Focus, we integrate evidence-based medicine with a holistic approach (supporting the whole person-mind, body, and spirit). We offer language & ASL interpreter services at no additional charge.

Website: https://www.renewedfocuswellness.com/

Call or Text us: (659) 212-8310

Not only am I extremely passionate about my practice, but I also provide clinical-based expertise and community-based education during conference presentations, workshops, health fairs, and podcasts.

Additionally, I am also a distinguished member of the Epsilon Omega Chapter of Sigma Theta Tau International Honor Society. Within the community, I actively serve on several committees for my local, state, and national organizations..

I’m a licensed clinical social worker with a Master’s degree in Social Work, and I’m trained in Cognitive Behavioral Therapy (CBT). My approach is practical, supportive, and focused on helping you create meaningful change in your life.

I believe that success looks different for everyone. My goal is to meet you where you are and help you move toward where you want to be—whether that’s improving your mental health, navigating life transitions, or building healthier patterns and relationships. Together, we’ll identify what’s working, what’s not, and develop tools that help you feel more confident and in control.

I strive to create a space where you feel heard, understood, and supported while also being gently challenged to grow in ways that align with your goals

A big passion of mine is supporting moms through all stages of motherhood. Whether you’re pregnant, postpartum, adjusting to life as a new mom, balancing work and family, feeling overwhelmed, or trying to find yourself again outside of motherhood — you don’t have to figure it all out alone. Motherhood can be beautiful and exhausting all at once, and I love creating a space where moms can feel supported, understood, and able to show up for themselves too.

Welcome to my page! I am a Board-Certified Psychiatric Mental Health Nurse Practitioner. I am committed to assisting adults and elderly dealing with anxiety, depression, ADHD, bipolar disorder, schizophrenia, eating disorders, and more live a healthy fulfilled life.. I am currently accepting new clients in Florida.