Kimberly Burke
Clinical Social Work/Therapist, LICSW Verified
Poulsbo, WA 98370
Offers online therapy
If you are struggling with anxiety, trauma, dysphoria, or life in general, I want to help you feel better. I believe you can find the calm, healing, clarity, and joy you seek. I have experience working with children, youth, and adults. I work predominately with clients who experience anxiety and adjustment disorders, ADHD, trauma and PTSD, depression, self-harm, and gender dysphoria. I particularly enjoy working with folks who are exploring their gender. I have experience supporting folks through gender transition and providing support to their loved ones.
(253) 285-7390
Verified
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Poulsbo, WA 98370
Offers online therapy
If you are struggling with anxiety, trauma, dysphoria, or life in general, I want to help you feel better. I believe you can find the calm, healing, clarity, and joy you seek. I have experience working with children, youth, and adults. I work predominately with clients who experience anxiety and adjustment disorders, ADHD, trauma and PTSD, depression, self-harm, and gender dysphoria. I particularly enjoy working with folks who are exploring their gender. I have experience supporting folks through gender transition and providing support to their loved ones.
Photo of John W Reynolds, Psychologist
John W Reynolds
Psychologist, PhD Verified
Poulsbo, WA 98370
Offers online therapy
My primary goal as a psychologist is to help the client work towards reducing their suffering and enhancing their health and resiliency. I work with adults that may be experiencing a variety of challenges including increased stress, anxiety, depression, anger management, and trauma recovery. I provide psychological assessments for a variety of complaints, and ground my counseling work in scientific, evidence-based interventions such as Eye-Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Clinical Hypnosis training, and various mindfulness-based interventions.
(360) 200-7096
Verified
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Poulsbo, WA 98370
Offers online therapy
My primary goal as a psychologist is to help the client work towards reducing their suffering and enhancing their health and resiliency. I work with adults that may be experiencing a variety of challenges including increased stress, anxiety, depression, anger management, and trauma recovery. I provide psychological assessments for a variety of complaints, and ground my counseling work in scientific, evidence-based interventions such as Eye-Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Clinical Hypnosis training, and various mindfulness-based interventions.
Photo of Janis Medow, Clinical Social Work/Therapist
Janis Medow
Clinical Social Work/Therapist, Janis , Medow, MSW, LICSW Verified
Poulsbo, WA 98370
Offers online therapy
Waitlist for new clients
I provide holistic counseling and psychotherapy for couples, adults, and families. My areas of focus include relationship issues, life transitions, gender and sexuality, conscious (positive) aging, living with mental and physical illness, trauma, grief and loss. Drawing on over 35 years in mental health and medical social work, I offer clients support and guidance dealing with the challenges and opportunities of life.
(360) 633-4366
Verified
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Poulsbo, WA 98370
Offers online therapy
Waitlist for new clients
I provide holistic counseling and psychotherapy for couples, adults, and families. My areas of focus include relationship issues, life transitions, gender and sexuality, conscious (positive) aging, living with mental and physical illness, trauma, grief and loss. Drawing on over 35 years in mental health and medical social work, I offer clients support and guidance dealing with the challenges and opportunities of life.
Photo of Holly Hulst, Marriage & Family Therapist
Holly Hulst
Marriage & Family Therapist, MA, LMFT Verified
Poulsbo, WA 98370
I have experience helping adults manage: depression, anxiety, trauma, grief, life-transitions, mood instability, relational stress as well as those yearning to find more meaning in their life.
Even though it may not seem like it, often times our symptoms are messengers from a deep part of our own psyche, sent to inform us that we need to find new ways of relating to ourselves and those around us in order to reach our next level of growth. My philosophy is one of wholeness; our bodies, emotions, thoughts, and background work in unison to inform our present experience. It is my goal to help you find more flexibility within your experience, so that you can move towards the life that you truly want to be living.
(360) 633-2904
Verified

Poulsbo, WA 98370
I have experience helping adults manage: depression, anxiety, trauma, grief, life-transitions, mood instability, relational stress as well as those yearning to find more meaning in their life.
Even though it may not seem like it, often times our symptoms are messengers from a deep part of our own psyche, sent to inform us that we need to find new ways of relating to ourselves and those around us in order to reach our next level of growth. My philosophy is one of wholeness; our bodies, emotions, thoughts, and background work in unison to inform our present experience. It is my goal to help you find more flexibility within your experience, so that you can move towards the life that you truly want to be living.
Photo of Dianah L Jackson, Marriage & Family Therapist
Dianah L Jackson
Marriage & Family Therapist, LMFT, MA Verified
Poulsbo, WA 98370
Offers online therapy
I specialize in counseling teenagers and their adults.
I counsel couples and families through a variety of life-stages, helping them find well-being in their changing roles. Dedicated to working through the entire therapeutic process with you and those you love, I create a time and place for couples and families to explore their challenges and find acceptance, appreciation and gratitude for each family member. I believe that acceptance in the face of struggle and transformation is the first step for change and healing. I offer clear and compassionate guidance to you so that you may become gentle, kind witnesses of yourselves and others.
(206) 745-3454
Verified
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Poulsbo, WA 98370
Offers online therapy
I specialize in counseling teenagers and their adults.
I counsel couples and families through a variety of life-stages, helping them find well-being in their changing roles. Dedicated to working through the entire therapeutic process with you and those you love, I create a time and place for couples and families to explore their challenges and find acceptance, appreciation and gratitude for each family member. I believe that acceptance in the face of struggle and transformation is the first step for change and healing. I offer clear and compassionate guidance to you so that you may become gentle, kind witnesses of yourselves and others.
Paula M Rovik
Counselor, MA, LMHC, MHP Verified
Poulsbo, WA 98370
Offers online therapy
I have experience working with children, teens, adults, families and couples.
COVID-19 Online Counseling Available. Everyone needs a listening ear and/or counsel at various times in our life journey. I enjoy working with people of all ages to become healthier mentally, physically and spiritually in order to help reach their goals in life. This may mean challenging destructive thoughts or behaviors, learning new ways to think about yourself, gaining new boundaries, finding healing from past hurt, walking through present though times together - all so that you can become the thriving person that God intended you to be. I care...You are worth it!
(360) 819-1254
Verified
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Poulsbo, WA 98370
Offers online therapy
I have experience working with children, teens, adults, families and couples.
COVID-19 Online Counseling Available. Everyone needs a listening ear and/or counsel at various times in our life journey. I enjoy working with people of all ages to become healthier mentally, physically and spiritually in order to help reach their goals in life. This may mean challenging destructive thoughts or behaviors, learning new ways to think about yourself, gaining new boundaries, finding healing from past hurt, walking through present though times together - all so that you can become the thriving person that God intended you to be. I care...You are worth it!
Photo of Kasia Hoskins - N. W. Family Psychology, Marriage & Family Therapist
Kasia Hoskins - N. W. Family Psychology
Marriage & Family Therapist, MA, LMFT Verified
Poulsbo, WA 98370
Kasia works with individual adults and couples, as well as children, adolescents, and their family members.
Kasia Hoskins, MA, LMFT is a Licensed Marriage and Family Therapist with a broad range of experience having worked both in community mental health settings as well as private practice. Kasia graduated in 2008 from Antioch University, Seattle, with a specialization in a child, couples, and family therapy. She has been licensed in her field since 2012. Kasia is passionate about assisting clients of all ages in the process of growth and change. She believes that therapy offers a unique opportunity to feel supported, and at the same time challenged in creating a more fulfilling and satisfying life.
(833) 905-1940
Verified
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Poulsbo, WA 98370
Kasia works with individual adults and couples, as well as children, adolescents, and their family members.
Kasia Hoskins, MA, LMFT is a Licensed Marriage and Family Therapist with a broad range of experience having worked both in community mental health settings as well as private practice. Kasia graduated in 2008 from Antioch University, Seattle, with a specialization in a child, couples, and family therapy. She has been licensed in her field since 2012. Kasia is passionate about assisting clients of all ages in the process of growth and change. She believes that therapy offers a unique opportunity to feel supported, and at the same time challenged in creating a more fulfilling and satisfying life.
Photo of Mark Adams - N. W. Family Psychology, Counselor
Mark Adams - N. W. Family Psychology
Counselor, MA, LMHC Verified
Poulsbo, WA 98370
Mark Adams, MA, LMHC, is a licensed mental health counselor practicing in Poulsbo, Washington. He has worked with children, adolescents, and adults in various community mental health settings since 1994. Mark has extensive experience working with issues of domestic disputes and high conflict. He has worked with adults to repair the damage and undo legacies of harmful behavior. Within the context of that work, Mark developed and co-facilitated a unique group for men dealing with issues of both abusive behavior and substance abuse.
(206) 531-7203
Verified
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Poulsbo, WA 98370
Mark Adams, MA, LMHC, is a licensed mental health counselor practicing in Poulsbo, Washington. He has worked with children, adolescents, and adults in various community mental health settings since 1994. Mark has extensive experience working with issues of domestic disputes and high conflict. He has worked with adults to repair the damage and undo legacies of harmful behavior. Within the context of that work, Mark developed and co-facilitated a unique group for men dealing with issues of both abusive behavior and substance abuse.
Photo of Paul Quinlivan, Counselor
Paul Quinlivan
Counselor, MACP, MATC, LMHC Verified
Poulsbo, WA 98370
Offers online therapy
I work predominantly with young adults, adults and couples seeking assistance in areas of identity, trauma, sexual abuse, relational struggles, depression and life transition or stage of life difficulties.
The decision to seek out therapy and to find a therapist is a courageous one, and can be a scary or daunting process. Congratulations on taking the first steps towards healing, particularly in these stressful and trying times. I believe we are created for deep and profound relationship. It is in and through these relationship where our deepest satisfaction, as well as our pain, resides. You and I will work together to make your relationships fulfilling as we journey together into the intimate places of your stories, and assess the ways that you can begin to step into the strength and beauty you have to offer.
(253) 336-8201
Verified
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Poulsbo, WA 98370
Offers online therapy
I work predominantly with young adults, adults and couples seeking assistance in areas of identity, trauma, sexual abuse, relational struggles, depression and life transition or stage of life difficulties.
The decision to seek out therapy and to find a therapist is a courageous one, and can be a scary or daunting process. Congratulations on taking the first steps towards healing, particularly in these stressful and trying times. I believe we are created for deep and profound relationship. It is in and through these relationship where our deepest satisfaction, as well as our pain, resides. You and I will work together to make your relationships fulfilling as we journey together into the intimate places of your stories, and assess the ways that you can begin to step into the strength and beauty you have to offer.
Photo of Tom Freeman - N. W. Family Psychology, Marriage & Family Therapist
Tom Freeman - N. W. Family Psychology
Marriage & Family Therapist, LMFT Verified
Poulsbo, WA 98370
Freeman has extensive experience working with adolescents and adults suffering from depression, anxiety, trauma, grief, relationship issues, sexual/gender questioning (ICATH model), and the development of mindful awareness.
Tom Freeman, LMFT, is a licensed Marriage and Family therapist, having worked as the director of programs in community mental health, a research associate in behavioral health at a major Seattle research institute, and in private practice. He has worked in creative modalities with children for the past 25 years and has provided individual and couple's counseling, family counseling, and facilitated group counseling sessions. Most recently, he has gone through advanced training in dispute resolution and functioned as a mediator in small claims court for the Dispute Resolution Center of King County.
(360) 900-1761
Verified
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Poulsbo, WA 98370
Freeman has extensive experience working with adolescents and adults suffering from depression, anxiety, trauma, grief, relationship issues, sexual/gender questioning (ICATH model), and the development of mindful awareness.
Tom Freeman, LMFT, is a licensed Marriage and Family therapist, having worked as the director of programs in community mental health, a research associate in behavioral health at a major Seattle research institute, and in private practice. He has worked in creative modalities with children for the past 25 years and has provided individual and couple's counseling, family counseling, and facilitated group counseling sessions. Most recently, he has gone through advanced training in dispute resolution and functioned as a mediator in small claims court for the Dispute Resolution Center of King County.
Photo of Shawn Adams, Counselor
Shawn Adams
Counselor, MA, LMHC Verified
Poulsbo, WA 98370
Offers online therapy
Working with adults, couples and families.
I know sharing your struggles with someone can be difficult and scary. It takes courage to allow someone to join you in your healing journey. I have experience working in a variety of settings including private practice, community mental health, residential facilities. I have worked with individuals ages 4-87 from a variety of different cultural and religious backgrounds. Issues that I have gained more extensive experience with include: PTSD, Anxiety, Fear, Anger, Relationship Problems, Impulsiveness, Depression, Hopelessness, Grief, Loss, Self-esteem, Substance Abuse.
(206) 504-3383
Verified
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Poulsbo, WA 98370
Offers online therapy
Working with adults, couples and families.
I know sharing your struggles with someone can be difficult and scary. It takes courage to allow someone to join you in your healing journey. I have experience working in a variety of settings including private practice, community mental health, residential facilities. I have worked with individuals ages 4-87 from a variety of different cultural and religious backgrounds. Issues that I have gained more extensive experience with include: PTSD, Anxiety, Fear, Anger, Relationship Problems, Impulsiveness, Depression, Hopelessness, Grief, Loss, Self-esteem, Substance Abuse.
Photo of Kelly Sievertson, Clinical Social Work/Therapist
Kelly Sievertson
Clinical Social Work/Therapist, MSW, LICSW Verified
Poulsbo, WA 98370
Offers online therapy
I focus on adults and adolescents with trauma, grief, depression, and anxiety.
Life's stressors can be overwhelming. Therapy shows us new ways of being and engaging through practicing adaptive skills and mindfulness. I help my clients uncover connections between past experiences that shape their current ways of coping. This leads to the ability to recognize inner strengths, identify and embrace discomfort, and cultivate self-compassion to find peace and true connection. With empathetic listening in a safe environment, I strive to be my client’s ally. I use cognitive and somatic modalities to connect mind and body and tailor my approach to your needs, even using humor when appropriate!
(206) 202-9974
Verified
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Poulsbo, WA 98370
Offers online therapy
I focus on adults and adolescents with trauma, grief, depression, and anxiety.
Life's stressors can be overwhelming. Therapy shows us new ways of being and engaging through practicing adaptive skills and mindfulness. I help my clients uncover connections between past experiences that shape their current ways of coping. This leads to the ability to recognize inner strengths, identify and embrace discomfort, and cultivate self-compassion to find peace and true connection. With empathetic listening in a safe environment, I strive to be my client’s ally. I use cognitive and somatic modalities to connect mind and body and tailor my approach to your needs, even using humor when appropriate!
Lisa Defaria
Clinical Social Work/Therapist, MSW, LICSW, BCD Verified
Office is near:
Poulsbo, WA 98370
Offers online therapy
Waitlist for new clients
Therapy is always individualized, specializing in mood, anxiety and phase of life adjustments for adults.
Providing quality, compassionate and confidential psychotherapeutic services for over 20 years. With a specialty in young children with developmental, emotional & behavior challenges, I also have extensive experience working with parents, individuals & families. You may be a parent concerned about your child, a family/couple with relationship challenges, or an individual in transition. We partner together in a process of exploration, discovery & solutions that support personal growth. I strive to provide the highest standards of professional practice - personable, respectful, non-judgmental & strength-based.
(206) 203-6722
Verified
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Office is near:
Poulsbo, WA 98370
Offers online therapy
Waitlist for new clients
Therapy is always individualized, specializing in mood, anxiety and phase of life adjustments for adults.
Providing quality, compassionate and confidential psychotherapeutic services for over 20 years. With a specialty in young children with developmental, emotional & behavior challenges, I also have extensive experience working with parents, individuals & families. You may be a parent concerned about your child, a family/couple with relationship challenges, or an individual in transition. We partner together in a process of exploration, discovery & solutions that support personal growth. I strive to provide the highest standards of professional practice - personable, respectful, non-judgmental & strength-based.
Photo of Dr. Steve Tutty - N. W. Family Psychology - Premier, Psychologist
Dr. Steve Tutty - N. W. Family Psychology - Premier
Psychologist, MA, PhD Verified
Office is near:
Poulsbo, WA 98370
Dr. Tutty is a licensed clinical psychologist who has particular expertise in evaluating both youth and adults over the past 25 years who find themselves at crossroads with the court system, such as family (e.g., custody, relocation) and tort (e.g., personal injury) matters. Dr. Tutty regularly evaluates and testifies on these matters across multi-US States (WA-UI). He collaborates with his forensic team to provide a comprehensive evaluation to the courts to inform best interest recommendations for the parties.Dr. Tutty has presented nationally on these matters and is published in peer-reviewed journals (e.g., JAMA).
(360) 208-2713
Verified
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Office is near:
Poulsbo, WA 98370
Dr. Tutty is a licensed clinical psychologist who has particular expertise in evaluating both youth and adults over the past 25 years who find themselves at crossroads with the court system, such as family (e.g., custody, relocation) and tort (e.g., personal injury) matters. Dr. Tutty regularly evaluates and testifies on these matters across multi-US States (WA-UI). He collaborates with his forensic team to provide a comprehensive evaluation to the courts to inform best interest recommendations for the parties.Dr. Tutty has presented nationally on these matters and is published in peer-reviewed journals (e.g., JAMA).
Photo of Jane Ellen Curtis, Psychologist
Jane Ellen Curtis
Psychologist, PhD Verified
Office is near:
Poulsbo, WA 98370
Offers online therapy
My practice focuses mainly on adults and older adults, but we have other highly trained clinicians who focus on children and adolescents.
I am a licensed clinical psychologist with training from the University of Washington School of Medicine and Utah State University. I offer individual, couples, and family psychotherapy for issues related to depression, anxiety, health concerns, grief, and/or adjustment difficulties due to life changes. I have worked with many successful professionals who require the services of a highly trained doctoral level provider.
(206) 922-8838
Verified
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Office is near:
Poulsbo, WA 98370
Offers online therapy
My practice focuses mainly on adults and older adults, but we have other highly trained clinicians who focus on children and adolescents.
I am a licensed clinical psychologist with training from the University of Washington School of Medicine and Utah State University. I offer individual, couples, and family psychotherapy for issues related to depression, anxiety, health concerns, grief, and/or adjustment difficulties due to life changes. I have worked with many successful professionals who require the services of a highly trained doctoral level provider.
Photo of Diane M. Stuart, MSW, LICSW, Clinical Social Work/Therapist
Diane M. Stuart, MSW, LICSW
Clinical Social Work/Therapist, MSW, LICSW Verified
Office is near:
Poulsbo, WA 98370
I work with men and women who are struggling with symptoms of depression and/ or anxiety, issues of grief and loss, compulsive eating, relationship/family and family-of-origin issues, as well as life-phase-transition issues. I am particularly attuned to how early life attachment relationships impact clients' interpersonal functioning as adults. Other special interest areas include working with clients with adrenal fatigue, individuals/ couples struggling with issues as related to fertility challenges and working with/ diagnosing clients with ADHD. I am qualified and licensed to conduct ADD/ADHD assessments and to assign a diagnosis accordingly.
(206) 429-6843
Verified
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Office is near:
Poulsbo, WA 98370
I work with men and women who are struggling with symptoms of depression and/ or anxiety, issues of grief and loss, compulsive eating, relationship/family and family-of-origin issues, as well as life-phase-transition issues. I am particularly attuned to how early life attachment relationships impact clients' interpersonal functioning as adults. Other special interest areas include working with clients with adrenal fatigue, individuals/ couples struggling with issues as related to fertility challenges and working with/ diagnosing clients with ADHD. I am qualified and licensed to conduct ADD/ADHD assessments and to assign a diagnosis accordingly.
Photo of Ellen Hresko Counseling, LLC, Marriage & Family Therapist
Ellen Hresko Counseling, LLC
Marriage & Family Therapist, MA, LMFT Verified
Office is near:
Poulsbo, WA 98370
Not accepting new clients
I counsel children, teens and their parents, as well as adults and couples who are experiencing a wide range of psychological and relationship difficulties due to parent child conflict, major life transitions, grief and loss and recent or historic trauma. My approach is systemic, meaning that I try to understand human problems in terms of the complex set of psychological and social systems in which they are embedded - family, social, cultural, educational and emotional experiences. I have specialized training and experience in treating anxiety and depression and trauma/PTSD using Cognitive Behavioral Therapy (CBT).
(206) 458-1695
Verified
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Office is near:
Poulsbo, WA 98370
Not accepting new clients
I counsel children, teens and their parents, as well as adults and couples who are experiencing a wide range of psychological and relationship difficulties due to parent child conflict, major life transitions, grief and loss and recent or historic trauma. My approach is systemic, meaning that I try to understand human problems in terms of the complex set of psychological and social systems in which they are embedded - family, social, cultural, educational and emotional experiences. I have specialized training and experience in treating anxiety and depression and trauma/PTSD using Cognitive Behavioral Therapy (CBT).
Photo of Bethany Anderson, Marriage & Family Therapist
Bethany Anderson
Marriage & Family Therapist, MS, LMFT Verified
Office is near:
Poulsbo, WA 98370
I enjoy working with children, teens, adults, couples, and families, to help them adjust to life transitions.
I am interested in the meanings that you make from your life experiences and the influence that these have on your perspectives of yourself, your relationships, and your future. I find that viewing problems as separate from personhood helps to lessen feelings of guilt and shame so that we can work together in a collaborative environment. My training in family systems theory informs my view of people in the context of their relationships, environment, and culture. I consider it a privilege to work with people to bring about the changes they desire in their lives and relationships.
(253) 248-4519
Verified
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Office is near:
Poulsbo, WA 98370
I enjoy working with children, teens, adults, couples, and families, to help them adjust to life transitions.
I am interested in the meanings that you make from your life experiences and the influence that these have on your perspectives of yourself, your relationships, and your future. I find that viewing problems as separate from personhood helps to lessen feelings of guilt and shame so that we can work together in a collaborative environment. My training in family systems theory informs my view of people in the context of their relationships, environment, and culture. I consider it a privilege to work with people to bring about the changes they desire in their lives and relationships.
Photo of Bill Reddy, Counselor
Bill Reddy
Counselor, MCIOB, MA, LMHCA Verified
Office is near:
Poulsbo, WA 98370
Offers online therapy
I work with career professionals, adults, couples and teenagers who are experiencing difficulty in the office, at home or at school. I work with clients whose life experience is impacted by: trauma, relationships issues, midlife, leaving home, relocating, job loss, grief, anxiety, depression, culture shock or other significant life events including simply feeling stuck or at a loss. I bring over 30 years of professional and personal development to my work with individuals, families, adolescents, and couples. I hold a safe, secure, non-judgmental space in which to explore emotions, behaviors, thoughts, and feelings.
(206) 823-1241
Verified
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Office is near:
Poulsbo, WA 98370
Offers online therapy
I work with career professionals, adults, couples and teenagers who are experiencing difficulty in the office, at home or at school. I work with clients whose life experience is impacted by: trauma, relationships issues, midlife, leaving home, relocating, job loss, grief, anxiety, depression, culture shock or other significant life events including simply feeling stuck or at a loss. I bring over 30 years of professional and personal development to my work with individuals, families, adolescents, and couples. I hold a safe, secure, non-judgmental space in which to explore emotions, behaviors, thoughts, and feelings.
Photo of Roberta Louise Dueno, Counselor
Roberta Louise Dueno
Counselor, LMHC, MA, LMT, CBT Verified
Office is near:
Poulsbo, WA 98370
Offers online therapy
I am a LMHC, art therapist, former special education teacher with many years of experience working with children, teens, young adults, adults, and the elderly.
I have helped clients engage and integrate helpful ways of looking at themselves and their world with resiliency and confidence. Those who have in some way witnessed abuse, major losses, or other overwhelming events often experience anger, depression, sleep disorders, new fears, and troubled relationships. The effects of trauma can impact victims long after the incident. Trauma victims have difficulty expressing their experiences directly and effectively through words. I am passionate about healing mind, body and spirit and truly care about my clients well being.
(206) 451-1565
Verified
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Office is near:
Poulsbo, WA 98370
Offers online therapy
I am a LMHC, art therapist, former special education teacher with many years of experience working with children, teens, young adults, adults, and the elderly.
I have helped clients engage and integrate helpful ways of looking at themselves and their world with resiliency and confidence. Those who have in some way witnessed abuse, major losses, or other overwhelming events often experience anger, depression, sleep disorders, new fears, and troubled relationships. The effects of trauma can impact victims long after the incident. Trauma victims have difficulty expressing their experiences directly and effectively through words. I am passionate about healing mind, body and spirit and truly care about my clients well being.

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Adults Therapists
The Poulsbo adult therapists listed here have identified their focus on adult therapy in Poulsbo, adult counseling, help for Poulsbo adults in therapy, or Poulsbo adult counseling. An adult therapist in Poulsbo and adult psychologists mostly work with adults, handle a broad range of issues especially as they relate to adult relationships, and adult child relationships.