Prenatal and postpartum therapists & psychiatrists in Spokane, WA

I am a Licensed Clinical Social Worker with a Doctorate in Social Work, and I bring both clinical expertise and real life understanding into the therapy space. My professional background includes years of direct clinical practice as well as leadership roles in complex, high stress systems, including serving as a Mental Health Director. These experiences have shaped my ability to support individuals who are navigating pressure, responsibility, and emotional overwhelm while still being expected to function at a high level.

I work best with clients who are strong on the outside but struggling internally. Many of the people I support are women, mothers, professionals, caregivers, and helpers who are used to showing up for others while neglecting their own emotional needs. I have a particular passion for working with individuals experiencing anxiety, depression, imposter syndrome, burnout, life transitions, relationship stress, identity concerns, and trauma related to past or ongoing stressors.

Therapy with me is not about having all the answers. It is about learning how to trust yourself, set healthy boundaries, and show up for your life with more compassion and confidence.

I am able to evaluate and make diagnoses, and/or support existing diagnoses and work with you for a 'best-fit' solution to your needs. So many come from a past of being told they are 'X, Y, Z" and often misdiagnosed or underdiagnosed.

My goal is to help find a good treatment start point that resonates with you and provide evidence-based treatment to support your needs, goals, and desires to bring relief and remission, joy and hope.

All options on the table including progressive medication management, psychotherapy and counseling, or referrals for other modalities including deepTMS.

I’m a Licensed Couples & Family Therapist and the founder of a virtual private practice serving clients in Washington and Idaho. My background is rooted in systems theory, which means I consider how family, cultural, and social dynamics shape your experiences and well-being. I specialize in supporting individuals navigating life transitions, relationship challenges, identity exploration, and stress or anxiety. My work is grounded in creating a space where you feel seen, heard, and supported as you move toward meaningful change.

You're used to handling responsibility. You know life is what you make of it and you normally feel pretty optimistic and accomplished. But lately you find yourself off-balance. You may regret things you've said or done because there was no time to really sort out the best path. BEFORE you cut off important foundation pieces- your marriage, career, activities and people you've loved that feel like they no longer fit, see me and together let's make sure they're not part of your protective alarm system, begging for perspective and healthier personal balance.

Hi! I'm a doctorally prepared Psychiatric-Mental Health Nurse Practitioner and Certified Nurse Midwife!

I work with individuals across the lifespan experiencing anxiety, depression, ADHD, mood disorders, burnout, hormone-related mood changes, and major life transitions. I take a thoughtful, personalized approach to understanding your concerns and develop an integrative care plan that considers the many factors influencing your mental health and well-being.

My goal is not just symptom relief - it's helping you feel like yourself again.

• Outstanding Patient Reviews - Google reviews (Access Psych Meds)
• Experienced Mental Health Provider (13 years) assisting clients with ADHD (adult) Anxiety Depression Chronic Pain Chronic Sleep problems Mood disorder PTSD: Military combat, childhood & sexual trauma Alcohol Use Disorder
• Dual Master’s Prepared
• ANCC Dual Board Certified - Psych Mental Health Nurse Practitioner and Clinical Nurse Specialist
• Veteran 22 yrs retired US Navy Commander/O-5
• Licensed in 5 States - AZ, CA, OR, MD, WA

Welcome! I am Dr. Michelle Rake! I am a Psychiatric Nurse Practitioner providing medication management services/brief therapy.

Are you looking for a Psychiatry provider that listens to you and includes you in the your treatment plan? Would you like a compassionate, non-judgemental psychiatry provider that provides a comfortable, safe environment? Do you want to feel empowered knowing you are on the proper medications to overcome your struggles, and turn around your life?

Let me help you today!

I am a highly experienced mental health professional with over 31 years of practice in diagnosing and prescribing medication for depressive disorders, bipolar disorder, and attention deficits. My primary focus is on stabilizing your mood and helping you achieve a better quality of life.

Hi, I'm Selena! I'm a board-certified psychiatric nurse practitioner with over 20 years of nursing experience across settings like oncology, acute care, rehabilitation, and family medicine, in addition to psychiatry. That background shapes how I practice today — I like to look at the whole person, not just a list of symptoms. My focus is helping people with ADHD, anxiety, and depression find care that actually fits their life. Taking this step isn't easy, and I'm glad you're here.

I am a family and Psychiatric Nurse Practitioner. I received my advanced degree from Regis University and a postgraduate certificate in Psychiatry and Mental Health from the University of Cincinnati. I completed the Community-Based Integrated Care Training Fellowship at the University of Washington. I have an interest in treating mood disorders, anxiety, ADHD, insomnia, adjustment disorders, and PTSD, serving individuals from ages 18 to 99 years old in a compassionate and personalized way