Prenatal and postpartum therapists & psychiatrists in Puyallup, WA

Hello! I specialize in helping people heal from codependency and narcissistic abuse. This may include exploring family of origin issues. I look forward to supporting you on your journey to wellness.

Patricia A. Shepard is a dedicated Licensed Independent Clinical Social Worker (LICSW)

with a wealth of experience providing direct therapeutic services to diverse populations.

With advanced degrees in Social Work and Child Development, she is skilled in

conducting complex bio-psychosocial and diagnostic assessments for children,

adolescents, and adults. Ms. Shepard provides individualized, evidence-based treatment

for individuals, couples, and groups, addressing a broad range of behavioral health

challenges including post-traumatic stress disorder (PTSD), depression, anxiety,

adjustment disorder and grief. Her clinical practice is grounded in a variety of proven

modalities such as Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy

(CPT), and Dialectical Behavioral Therapy (DBT).

Throughout her career, Ms. Shepard has demonstrated a profound commitment to

patient care within demanding environments, including military and outpatient settings.

She has served as a primary therapist in Embedded Behavioral Health clinics,

supported the Family Behavioral health Clinic, and provided on-call crisis support for

hospital emergency rooms. A core component of her work involves developing and

monitoring individualized treatment plans to ensure measurable progress and positive

outcomes for her clients. By providing specialized, person-centered counseling and

intervention, Ms. Shepard empowers her clients to achieve recovery and wellness.

My name is Kylene, and I genuinely love what I do. I work with adolescents and adults, and have experience and training in treating a range of issues, including trauma, anxiety, and depression.

I want to make the most of our time together, so I use approaches like EMDR and CBT, which have been well-established as evidence-based treatments.

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.

Bachelor's in Child Development and Family Relationships, focused on all stages of the life span

Master's in Counseling Psychology, Family Therapy, Gender Development

Research Thesis: Depression in Wives of Alcoholics, The Alcohol Recovery Project

Continuing Education: Genetic and Nutritional factors in Mental Health; Anxiety, Depression, ADHD, Autism, Narcissism and Gaslighting, Neurotransmitter function

Life Experience: Remarried Widow, Raised six children, some with ADHD, one with schizophrenia

I specialize in trauma-informed care and evidence-based treatment for PTSD, anxiety, depression, mood disorders and military families. With over a decade of experience, I offer culturally responsive therapy in English and Spanish. My telehealth-only practice provides a safe, supportive space for healing, growth, and emotional wellness.

I feel very lucky to have the opportunity to connect to others through compassion, meaningful conversations and authenticity. I started my own mental health journey when I was affected by crippling anxiety in my twenties. I felt alone and ashamed and really just needed someone to listen compassionately. I now want to offer this to others.

I received my BA in Social Sciences from Washington State University and went on to finish my Master's in Marriage and Family Therapy at Touro University. I have three years of clinical experience and have worked with individuals, couples, and families. My main focus is: self-esteem, anxiety, depression, neurodivergence, life transitions, relationship issues, and communication.

I am a good match for clients who want to:

• improve self-esteem
• reduce anxiety and/ or depression
• improve how they communicate with others
• learn how thoughts, feelings, and behaviors are connected and how they can utilize new skills to make changes in their lives
• accept themselves for who they are now, while committing to growth
• be as kind to themselves as they are to others
• understand and utilize neurodivergence to reach their full potential

I am not a good match for those who require very specialized care, including clients who are experiencing active:

• delusions, hallucinations, or paranoia
• suicidal ideation or self-harm
• addiction
• disordered eating
• personality disorder, i.e., borderline, narcissistic, etc.
• domestic violence
• obsessive-compulsive disorder

I am also not a good match for those who are seeking therapy with the primary or secondary goal of obtaining a letter or testimony from a therapist for legal, employment reasons, etc.

If you feel overwhelmed by a sea of things outside of your control— facing a new health diagnosis, a deep loss or the weight of anxiety—I am here to help you anchor yourself. I am a multi-state licensed therapist (CA, MA, WA, MD, SC) seeing clients online coast to coast on Tuesdays and Fridays. I am dedicated to helping you move from feeling boxed in to feeling empowered to make changes. My approach is centered on controlling the controllables. We will work together to identify the practical steps you can take today whether you are navigating through a career change or new stage in your life, or processing the deeper emotional impact of grief, trauma or chronic illness. I look forward to helping you find your footing and reclaim your sense of agency.