Prenatal and postpartum therapists & psychiatrists in Spokane, WA

As a late diagnosed ADHD woman, I understand the struggles of perfectionism, anxiety and disordered eating and strive to provide neuro-affirming care. You deserve to feel good about yourself and I am confident we can get you there.

Demetric “Dee” Marsh, LCSW, JD, is a dedicated behavioral health professional with over 25 years of experience in the mental health field. She is a multistate licensed Licensed Clinical Social Worker and holds a Juris Doctor degree from the Jacob D. Fuchsberg Law School in New York. She earned her Master’s degree in Social Work from Adelphi University, with a specialization in mental health and addictions, and holds a Bachelor’s degree from Hofstra University in Sociology with a minor in Political Science and French Language/Culture.

Dee has extensive experience working in a variety of roles, including psychotherapist, program director, clinical supervisor, adjunct professor, and consultant. She also provides LCSW clinical supervision. Her practice includes working with individuals, families, couples, and groups.

She specializes in a wide range of areas, including anxiety, depression, trauma, stress management, addictions, grief and loss, workplace and employment issues, women’s issues, diversity and cultural concerns, spirituality, and court-related assessments and recommendations, as well as foster care and adoption-related services.

Dee believes in meeting each client where they are and tailoring treatment to their unique needs. She is committed to creating an inclusive, safe, and supportive environment that fosters trust, healing, growth, and a strong therapeutic alliance.

You can’t break out of a cage you’re still trying to decorate. I’ve been many people’s 4th/5th/8th/9th therapist and been told they felt like something finally clicked for them. I care about it clicking. My approach is based on self-compassion and living an integrated life. Even if you’re motivated to change, it’s still hard because negative events can shape beliefs about the world and ourselves that we often don’t even realize we hold. So we start with self-compassion, and then work on trying to bring our actions into alignment with our goals. I’ve been a therapist for over a decade now, and I promise – self-compassion is the move.

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.

I am a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) offering telehealth psychiatric care across Oregon and Washington.

With 12 years of nursing experience laying the foundation for my deep love of patient care, I bring warmth, clinical expertise, and heartfelt dedication to individuals navigating life's most complex mental health conditions.

Specialized Sensitivity

Expertise in hormone-related mood changes, pregnancy and postpartum care, attention-deficit hyperactivity disorder (ADHD), and menopause. I'm committed to providing a safe, supportive space .

Integrative Wellness

I weave together evidence-based psychiatry with somatic and mindfulness techniques to help clients reconnect with themselves.

Whatever mental health concerns you are navigating, my approach is always trauma-informed and heart-centered.

I am a Psychiatric Mental Health Nurse Practitioner Board-Certified (PMHNP-BC) with experience in mental health care since 2016. I earned my psychiatric certification in 2019 and have dedicated my practice to helping individuals navigate a wide range of mental health concerns with compassion, respect, and clinical expertise.

I am a licensed mental health counselor. I work adult clients in private practice setting

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.

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.

Hi, I’m Maddie, a mental health counselor who works with teens, and young adults navigating life transitions, emotional challenges, and identity development. I earned my Master’s in Clinical Mental Health Counseling from Antioch University and have a background in English Literature from Western Washington University. I’ve worked within the Bellingham counseling community and value supporting individuals in a place I’ve long called home.

I specialize in anxiety, depression, self-esteem, and identity exploration, and have experience supporting neurodivergent clients. My approach is strengths-based, developmentally responsive, and collaborative.