Couples therapists in Spokane, WA

My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)

I believe therapy should feel safe, human, and supportive—not cold or clinical. I’m a licensed therapist who genuinely cares about the people I work with, and I see you as a whole person, not just a diagnosis or a problem to fix. Whether you’re coming in feeling overwhelmed, stuck, disconnected in your relationship, or unsure where to start, you’re welcome here exactly as you are. I work with teens (13+) and adults, individuals and couples, and I value honesty, compassion, and real connection in the therapy space. My goal is to help you feel understood, supported, and empowered in your growth.

Hi, I'm Nichole

Therapist | LMFT | OCD, Anxiety & Relationship Specialist. I work with individuals. I’m a Licensed Marriage and Family Therapist with a bachelor’s degree in clinical psychology and a master’s degree in marriage and family therapy. I specialize in OCD, anxiety, ROCD, and relationship anxiety, perinatal/postpartum mental health, and helping people feel more secure and connected in their lives and relationships.

I am a Licensed Professional Counselor. I hold a Bachelors of Science in Psychology from James Madison University. I also hold a Master's degree and Educational Specialist degree in Clinical Mental Health Counseling from James Madison University. I have provided outpatient counseling services in multiple community settings including higher education, military counseling centers and veteran's counseling centers.

I have a Master's in Counseling and have practiced in the field of mental health for nearly two decades. My experience as a therapist includes extensive training and work in eating disorders, anxiety, depression, trauma, grief and loss, relationship issues, women’s issues, and spirituality. I am licensed in both California (LPCC) and Washington (LMHC), and I’m a Certified Eating Disorder Specialist (CEDS) through the International Association of Eating Disorder Professionals (IAEDP). I also hold a certification in Grief (CGP). I emphasize a whole-person approach to care, considering the full spectrum of physical, emotional, social, and spiritual factors that impact your overall health and well-being.

• I’m a “real” talker, down to Earth + hot takes
• Anticapitalist leftist
• Strengths-based, positive psychology, non-pathologizing
• Frank. I can call people on their crap without judgment.
• Insight-oriented
• Goofy and funny. My clients and I like to laugh and make fun of ourselves sometimes, even in the darkest times
• Likes to take things a bit deeper. Is capable of holding many layers of complexity and conceptualizing the connections- and the way forward
• A visual thinker (lots of stories and images in how I speak)
• Very hard to surprise with regard to human behavior

I'm Erika Preston, an LMHC with over 11 years of experience in the field. Throughout my career, I've had the privilege of working in a variety of settings, allowing me to develop a diverse skill set and a deep understanding of the complexities of mental health. My specialization encompasses a range of areas, including depression, anxiety, relationship dynamics, trauma, life dissatisfaction, postpartum challenges, low self-esteem, and addiction.

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.