Couples therapists in Spokane, WA

Hello! I am a Licensed Clinical Social Worker that firmly believes in personalized and whole-person care. I am a neurodivergent therapist that loves to work with other neurodivergent people. I have been practicing therapy since 2019. I have worked in schools as well as working in a group therapy practice.

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.

Hi! I’m Vanessa! I’m a wife, Mom and entrepreneur. I’m also a psychiatric nurse practitioner specializing in integrative psychiatry and women’s mental health. I run a niche mental health clinic called Kavah Wellness Psychiatry. I hold a bachelors degree, two masters degree and a doctor of nursing practice degree. I have almost a decade of experience in the mental health sector. I love everything mental 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.

Hi! My name is Emilia Magana; Licensed Mental Health Therapist. I have been providing evidence-based therapy for over 13 years in the State of Washington. I specialize in Behavior Modification and managing Anxiety, Depression, Mood Disorders, Addiction, and Neurodivergent impact.

Hello, I’m Charles, a Licensed Independent Clinical Social Worker (LICSW) dedicated to helping adults build healthier, more fulfilling lives. I work with individuals and couples facing anxiety, depression, trauma, PTSD, grief, relationship difficulties, self-esteem concerns, and major life transitions. My approach is compassionate, collaborative, and grounded in trauma-informed care. I strive to create a safe, nonjudgmental environment where you can openly explore your experiences, gain insight into patterns that may be holding you back, and develop the tools needed to heal, grow, and move forward with confidence.

Let's work together and help you find your direction. My counseling style is highly consultative and coaching-like. It is typically non-directive, as I believe each client pilot's their own ship, but when the situation warrants, there is plenty of idea sharing and strategizing as well.

I have been practicing for 21 years and work with clients of all ages and various backgrounds. I believe that with a strong therapeutic alliance, we can mutually come together and help you find a path forward that suits you.

Florida + Washington residents

Midlife got you spinning? Not feeling yourself? Empty nest blues?

Midlife brings an undercurrent of change that few are completely prepared for. For decades, your time, energy, and identity may have been anchored by familiar roles—running a busy household, climbing a career ladder, or maintaining long-standing family dynamics. When those roles shift by way of an empty nest, career evolution, relationship changes, or retirement, the silence left behind can feel surprisingly heavy.

Many expect to feel a sense of relief or simple pride during this season. Instead, it’s incredibly common to find yourself wrestling with grief, anxiety, or a persistent question: Who am I now?

If you are feeling disconnected from your purpose, uncertain about the future, or struggling to adjust to a new pace of life, you are not alone. You haven’t lost yourself; you are simply navigating the space between who you once were and who you are becoming.

Areas of Focus

• Midlife Transitions & Role Shifts
• Self-Discovery & Identity Reconstruction
• Empty Nest Adjustment
• Grief, Loss, and Navigating Change
• Anxiety, Stress, and Uncertainty About the Future

My goal is to help you reconnect with your core self—not just through the roles you play for others, but as a whole person with your own distinct needs, interests, and dreams. Remember when you had needs? This isn't about starting over from scratch; it’s about reconstructing your life so that it feels deeply meaningful, aligned, and fulfilling for the years ahead.

Service for residents of Florida + Washington state