Anxiety and depression therapists and psychiatrists in Tacoma, WA

The past is a good place to visit but certainly not a place to stay

I work with individuals, couples and families with teenagers who are struggling with managing stress, depression and anxiety, sexual issues (such as porn use, kink and gender issues), parenting and couples relationship conflicts, as well as helping individuals move on from past experiences of trauma or loss. I have a doctorate in Social Psychology and a Masters degree in Counseling Psychology. I have a solid and extensive background and training in treating addictions and substance abuse.

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I believe healing happens when people feel truly seen, heard, and supported. For more than twenty years, I’ve worked across medical, psychiatric, forensic, and community settings, helping individuals navigate trauma, anxiety, depression, life transitions, and overwhelming stress. My approach is warm, strengths‐based, and culturally sensitive. I meet you where you are, honor your lived experience, and help you build the tools and confidence to move forward at your own pace.

As a Licensed Clinical Social Worker with over 30 years of experience working with adults and families, I look forward to partnering with you and offering support as we navigate some of the curveballs that life throws your way.

I am Andrea Smalls. I have been practicing since 2005 and licensed since 2007. I have a Master of Arts in Counseling and Guidance. I have worked in various settings including intensive outpatient, inpatient, private practice, and telehealth. I have worked with a variety of diagnoses to assist others in stabilizing mental health and regulating emotions.

I believe therapy is most effective when it feels safe, collaborative, and human. My approach is grounded, compassionate, and non-judgmental, with an emphasis on helping clients feel understood while building insight and emotional resilience.

I am a licensed therapist with advanced training in trauma-informed and parts-based approaches, including Internal Family Systems (IFS). I work primarily with adults, parents, and caregivers navigating anxiety, depression, relationship challenges, life transitions, and the impact of complex or relational trauma. Many of my clients are managing over-responsibility, boundary challenges, or the pressures of caregiving and midlife transitions.

I am LGBTQIA+ affirming and support clients exploring identity, authenticity, and belonging. I also enjoy working with parents of neurodiverse children and who may be neurodiverse themselves. My style blends evidence-based practices with warmth and flexibility, helping clients feel more grounded, connected to themselves, and better equipped to meet their lives with clarity and confidence.

Refresh. Renew. Restore. (Isaiah 43:18-19). As owner of Renewed Focus Health & Wellness, I am a DNP-prepared nurse practitioner with dual certifications in psychiatric-mental health and family practice. Faith-Based Believer and mental health provider privileged to serve a diverse population with kindness, virtue, and respect. We specialize in infertility-related anxiety/depression. At Renewed Focus, we integrate evidence-based medicine with a holistic approach (supporting the whole person-mind, body, and spirit). We offer language & ASL interpreter services at no additional charge.

Website: https://www.renewedfocuswellness.com/

Call or Text us: (659) 212-8310

Not only am I extremely passionate about my practice, but I also provide clinical-based expertise and community-based education during conference presentations, workshops, health fairs, and podcasts.

Additionally, I am also a distinguished member of the Epsilon Omega Chapter of Sigma Theta Tau International Honor Society. Within the community, I actively serve on several committees for my local, state, and national organizations..