Karen Larkin Packwood
MA NCC LMHC CCTP CDPT
Is a Christian Counselor. She lives and works in the Spokane Valley, WA. She works with individuals, couples & families in both private and Telemental (Video/Internet Counseling); helping individuals and families overcome and cope with grief/loss due to death, job loss or divorce. She works with individuals in processing through anxiety, depression, trauma, sexual abuse, eating and learning disorders, self harming behaviors, anger management, OCD, oppositional defiant behaviors and ADD/ADHD.
She specializes in helping individuals, couples and families to create healthy, functional relationships and lives though a variety of therapies, while understanding that a more holistic approach to wellness emotionally, physically and spiritually are necessary for healing. When it is difficult to leave your home due to health, weather or other reason; Karen can conduct the therapy thru Telemental Health/Internet or Phone Counseling services.
MA, LMHCA, HHP
Feeling like you try to do all the “right” things but can’t seem to get where you want to be in life? Are you tired of doing the same things over and over and getting nowhere? Do you feel stressed, frustrated, defeated, hurt, scared, and are not sure what to do next? Perhaps you struggle with parenting a difficult child and are tired. You are courageous and wise to take the first step to freedom and consider counseling! Sometimes, hope and a little guidance in a safe, judgement free atmosphere is all you need to get back on your desired path and I would be honored to help you on this journey!
I am a Christian counselor but am also comfortable with secular counseling. I have a variety of experience including treatment centers, church, private and “in-home” counseling. I also am a Holistic Health Practitioner and martial artist who recognizes the interconnection of the mind, body, and spirit when dealing with life circumstances helping you to achieve your highest level of wellness and balance. I will meet you wherever are in the healing and change process, striving to help develop awareness within these areas, build on natural strengths while giving you tools and skills to move ahead and combat whatever life throws at you.
I have a great deal of experience with infants, toddlers, children, and teens as well as adults. It is so wonderful when changes can be made before life’s speed bumps become lifelong road blocks.
I utilize several treatment modalities such as Cognitive behavioral therapy, family systems, attachment, play therapy, expressive arts, positive psychology, solution focused brief therapy, coaching, and motivational interviewing and include holistic protocols in the process which may include nutritional therapy and lifestyle changes. Take the first step toward healing today by making an appointment and I will come along side to guide you
Gianni Giuliani earned his ARNP degree from Gonzaga University graduating in 2016. He works as a psychiatric nurse practitioner prescribing medication and therapy for patients in the mental health community. He has been in private practice for the last two and a half years and enjoys working collaboratively with therapists to help patients meet their goals. He previously earned a nursing degree at Huron Road Hospital School of Nursing. He worked as a psychiatric nurse for 30 years.
Gianni was born and raised in Cleveland Ohio. He is the youngest of four children born in an Italian/American family. His grandfather came to America in (1939?). Gianni holds dual citizenship in Italy and America. Gianni moved to Washington state in 1990. He lived in Ford Washington before moving to Spokane. He currently shares his home with the love of his life, his Labradoodle, Olive.
Maggie is an Advanced Generalist Practitioner with in-depth knowledge, experience and a wide range of skill sets. She believes building rapport and an authentic, non-judgmental partnership with her clients is essential. Maggie draws from a variety of modalities and applications, choosing the best fit for each client. The outcome is an individualized and tailored treatment plan that utilizes the client’s strengths to assist them in meeting their desired goals.
Maggie graduated from Eastern Washington University’s Advanced Standing Master of Social Work Program in 2017. She currently has her associate license and is working towards full licensure (LICSW). She has experience working with individuals, groups and families in both inpatient and outpatient settings.
An avid traveler, outdoor enthusiast and yoga devotee, in her free time Maggie loves to explore other cultures, garden, ski and spend time with her dogs.
Desiree Burton- Office Manager
Desiree is a graduate from Eastern Washington University with a BA in Biology and pre-med. She is the mother of three amazing children and has a long history of working in the medical field as a coding specialist, billing specialist and she worked in toxicology and virology at PAML
Her passion is working with the public and creating a smooth flow of paperwork and managing all the tasks to help the office run smoothly. We are honored that she is with Family Dynamics Counseling to help our therapists and our clients have an enjoyable and trusting experience
Rachel Bastida is a Licensed Mental Health Counselor (LMHC). Rachel has been in practice since 2016. Upon completion of her Master’s Degree, Rachel found herself interested in working with adults with unresolved early childhood trauma. Rachel has experience in working with all mental health related diagnoses. Much of Rachel’s practice has focused on Post Traumatic Stress Disorder, and Borderline personality disorder. Rachel takes a root approach to her work with clients. She believes that all people can recover and have the quality of life they wish for.
Rachel’s modalities can include, person centered, motivational interviewing, Cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and eye movement desensitization and reprocessing EMDR). Rachel does have an eclectic style, at times mixing modalities to best fit the individual she’s working with. Rachel does not believe in a one size fits all approach. Rachel while looking young has had a very full life with lots of difficult life experiences, including being a survivor of severe childhood abuse and neglect. She has a passion for teaching parents and caregivers how to raise emotionally well rounded children, by helping them to learn how to effectively validate their child’s emotions. Rachel takes a non-judgmental approach. Rachel will ask you 3 questions in place of good and bad. “Is it safe? Is it healthy? Is it effective to your life goals?”
Rachel has an interest in brain science. She believes that the more a person knows about their body and their mind will serve them in their road to recovery. Rachel has a passion for making music with her partner, and writing in her free time. Being a person who lives with chronic pain Rachel has taken an interest in helping herself and others with pain management through mindfulness.
Rachel has a passion for working with new therapists. Her eclectic approach puts new therapists at ease. Rachel has an interest in teaching at the community college level and in clinic in the future. Rachel also teaches Dialectical Skills, which encompasses emotional regulation, interpersonal effectiveness, and distress tolerance.
Your situation in life is pivotal, and only you can take the first step towards a positive change in your life.
Mindy graduated with both her bachelor's and graduate degrees in Social Work from Eastern Washington University and is currently obtaining her LICSWA. During her educational journey she completed her internships at the local Domestic Violence program and the State Psychiatric Hospital working with severely mentally ill geriatric population. Mindy is experienced in many therapeutic modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution Focused and Tasks Centered Therapy in both individual and group settings. Mindy also likes to utilize mindfulness techniques that assist individuals during the change process. Mindy believes that it is important to look at the individual holistically while creating a treatment plan that will best serve the individual strength, needs, and any challenges that may impact the change process. Along with Mindy's educational background and diverse life experiences, she is confident in her ability to support you throughout the journey of finding your true potential.
When Mindy is not working, she enjoys gardening, camping, and swimming, taking long nature walks all year round, and tapping into her creative side through acrylic nail art. Her favorite time is spent with her family especially her niece and nephews as well as her four feline furr babies.
Pamela Wilson is a graduate of Northwest University in Kirkland, WA. where she obtained her BA in Psychology/Pastoral care and Counseling and an MA in Counseling Psychology. She is a Licensed Mental Health Counselor Associate (LMHCA) who has been practicing since 2017 in an eclectic capacity.
Her studies had a specific concentration on trauma where she holds the highest level of certification in Lifespan Integration Therapy (LI) which includes, Lifespan Integration Therapy with children, adolescents, adults, and couples. She has work(ed) with women and children in long term recovery at Union Gospel Mission, in house, dealing with Complex trauma and Post Traumatic Stress Disorder (PTSD) across the lifetime, and generations.
She has come alongside individuals in their own healing journey where they are experiencing current issues due to earlier experiences such as, domestic violence (DV), adoption issues, trauma in the womb/birth process, early childhood anxiety, and toxic stress. She has worked side by side with occupational therapist (Ellie Olson), at Fall City Children’s Therapy where she received referrals when there was need for trauma clearing so the results (goals) from the comprehensive occupational therapy evaluation could be met, without the complications of trauma stored in the body.
Pamela has worked extensively with addiction in individuals and couples dealing with sexual brokenness, addressing underlying issues using modalities such as, but not limited to, Lifespan Integration Therapy, understanding Family Dynamics, Anxiety, and Attachment Therapy.
She has taught and trained large groups such as, but not limited to Royal Family Kids where she has been able to impart learned knowledge to counselors who are seeking to transform communities by interrupting cycles of neglect, abuse, and abandonment of children in the foster care system. She has served the International community of cross-cultural exchange students through Agape Hosting International where she taught foreign exchange student trauma informed care and the effects of early childhood toxic stress.
I received my Masters of Science in Women’s Health from Emory University and a Post Masters Certificate in Psychiatric Mental Healthcare from the University of Maryland School of Nursing. I earned my Bachelor of Science in Nursing from the College of New Rochelle.
I am passionate about helping you to achieve optimal functioning in your pursuit to regain emotional and mental well-being. As a board-certified psychiatric nurse practitioner, I provide high-quality mental health care for adolescences and adults. I conduct comprehensive psychiatric evaluations and collaboratively create individualized treatment plans. I give thorough consideration to the biological, psychological, and social factors impacting your mental health. I have over 20 years of combined work experience. I have worked in various mental health care settings, including community mental health clinics, long-term care facilities, and crisis residential treatment centers.
I treat all individuals with compassion, respect, and honesty. My treatment approach is solution-focused, and medications are understood to be a part of the treatment and not the entire plan. Brief supportive therapy is incorporated into treatment sessions if needed. I provide medication management for a wide range of mental health issues, including depression, anxiety, bipolar disorder, and ADHD for ages 18 through 65
LMHCA, MHC-LP, MA, CHC
Eugene completed his Bachelor's degree at Cornell University and his Master's degree in Clinical
Mental Health Counseling at Fairleigh Dickinson University. He also has a Master's degree from
Oxford Brookes University. In addition, Eugene is a Certified Health Coach (CHC) through the
Dr. Sears Wellness Institute and completed the Essentials of CBT: The Beck Approach course
from the Beck Institute for Cognitive Behavior Therapy.
Eugene's goal is to work with clients in an empathic and non-judgmental manner to help them overcome whatever struggles they may be going through, improve their quality of life, and help them to create any changes they want to make. He believes that people can have many different lifestyles and still be mentally healthy. This is why he is alternative lifestyle friendly, including LGBTQ, polyamorous, open relationship, and sex worker friendly, and this is of course not a full list.
Eugene is fluent in English and Russian and has a basic conversational level in Spanish.
DNP, FNP-C, PMHNP-BC
Dr. Nkiruka Aderogba is a board-certified Psychiatric mental health nurse practitioner with a passion for helping and uplifting others. She is also board certified as a family nurse practitioner. Dr. A as she is fondly called by her patients, specializes in treating patients diagnosed with various mental health disorders, including but not limited to bipolar disorder, depression, anxiety, major depressive disorder, schizophrenia, schizoaffective disorder, etc. Dr. Aderogba enjoys working with her patients by providing medication management as well as therapy when needed. She also mentors and teaches graduate-level psychiatric mental health nurse practitioner students, and loves what she does.