About Us

Karen Larkin PackwoodKaren Larkin Packwood

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.

Deborah BakerDeborah Baker

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

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.

margMaggie Stevenson

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.

tobiTobi Goering

Therapy is hard, not getting therapy is harder. Taking the first step to wellness can be the most difficult and I will gladly help you navigate though life's challenges to find your path worth living.

I'm a former financial planner turned licensed mental health counselor who understands what it is like to feel like "something is missing" in life. I became a counselor to help others find hope and their potential in life. I have experience working with clients who have been diagnosed with a personality disorder, anxiety/panic, depression, PTSD, adjustment disorders, and who have suicidal ideation, attempts, and/or self-harming behaviors. I have worked with civilians and veterans and while we diagnose in order to "name it to tame it," I view us all as human beings who need extra help along the path of life.

I have experience teaching groups in many areas such as DBT skills training, Overcoming Low Self-Esteem, Building Self-Compassion, Behavioral Activation for Depression, Rejection Sensitivity, Finding Joy, Grief, Coping with PTSD, Shame Resiliency, Values, Posttraumatic Growth and Resiliency, Coping with Anger, and Self-Defeating Behaviors. I am trained DBT therapist and use modalities such as CBT, DBT, Motivational Interviewing, Person-Centered, Reality Therapy, Existential Therapy, and Solution-Focused Brief Therapy. I am transparent and practice what I preach. I use the skills I teach clients daily and believe being authentic is imperative to building trust. You are the expert on you, I am here to walk alongside you during your healing journey.

I will be your biggest cheerleader while challenging you along the way. I look forward to helping you find your life compass and follow your path worth living.

Desiree Burton

Desiree Burton

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

Andrea Nolan

Andrea Nolan

Life can be full of challenges and hardships. My desire is to come alongside you in your journey of mental health. I do my best to provide my clients with a safe, non-judgmental environment, in which they feel positive acceptance.
I am a licensed mental health counselor associate, recently receiving a Master of Science in Counselor Education from Eastern Washington University. During my counseling internship, I primarily worked with children and families in a community mental health setting. I've had experience working with trauma, anxiety, depression, adjustment disorder, PTSD, and other stress-related disorders. I am open to working with all individuals, regardless of age, abilities, sexual orientation, ethnicity, or religious background.
Through counseling, I hope to collaborate with you in creating a treatment plan tailored to your individual needs and goals. I use several modalities in treatment, including evidenced based techniques from Cognitive Behavioral Therapy through the lens of Compassion-Focused Therapy. With this approach, my aim is to journey with you in developing compassionate strategies for working with emotions, relationships, and difficult life situations


Appointment Times


9:00 am-8:00 pm


9:00 am-8:00 pm


9:00 am-8:00 pm


9:00 am-8:00 pm


9:00 am-6:00 pm


9:00 AM-4:00 PM


11:00 AM-3:00 PM

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