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.

Desiree Burton

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

SaschaSascha Packwood

Sascha is passionate about working with the public and takes pride in being able to use her skills to help them. She has spent her career working with children and as well as in the medical field. In her spare time she enjoys camping, reading, spending time with her three children, husband and dog.


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

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.

Rachel NolanRachel Bastida

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.

Pamela Wilson

Pamela Wilson

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.


Emily Dachman

Emily graduated with her Masters in Professional Counseling in 2018 and completed undergraduate studies with a Bachelor of Arts in Psychology. She is a Licensed Mental Health Associate(LMCHA) with certification in trauma-focused Cognitive Behavioral Therapy, and is a Child Mental Health Specialist (CHMS). 

Emily believes in creating a safe and trusting counseling space, as well as building the foundation for a trusting therapeutic relationship. Emily has a strong passion for Cognitive Behavioral therapy and understanding the thoughts and feelings of others. She has experience in various treatment modalities to individualize treatment planning to best reach client’s goals. The focus is to create a collaborative approach and develop new ways of thinking and understanding in various environments.

Emily specializes in children and family needs including; emotional regulation, child trauma, skill building, coping mechanisms,mindfulness, play therapy, as well as helping children find safe ways to communicate and get their needs met. She works with children and families in identifying the function and feeling behind the child’s behaviors, and focuses on the individual’s specific needs. She believes in helping clients look through a new lense, by creating awareness and increased positivity in daily living.

angela macdonald

Angela MacDonald 

Angela MacDonald is a Licensed Mental Health Counselor in the state of Washington and Idaho. She has worked for over ten years in the field of mental health with a large population of individuals from adolescents into geriatrics. Her primary age group is 16-70 years old. She is an expert in the field of resiliency, compassion and forgiveness specializing in trauma therapy. She is approved to administer Eye Movement Desensitization Reprocessing remotely and is working towards her certification so that she can supervise counselors who are in training for their own certification in EMDR. 

Angela graduated from the University of Idaho with a masters in Rehabilitation Counseling and Human Services. During Grad school she started working with her professor and colleague Dr. Susan Stuntzner in the area of resiliency, compassion and forgiveness. She currently holds licensure in both Idaho and Washington. She is also a designated Geriatric Mental Health Specialist in the state of Washington.

Angela has focused on application of forgiveness and resiliency within the mental health field and how to apply it to various areas of disability focusing in mental, medical, emotional and physical disabilities.

ErmaErma B. Glazebrook

Professional experience:
Span Therapy Services 1 year, (Owner, Operator). 2 years Walker Family Services providing MST, Catholic Community Services 4 years. State of Washington Department of Health 5 years, providing Designated Crisis Response, State of Louisiana Department of Children and Family Services 12 years, Child Protection services Manager. Foster parent and adoptive parent for 25 years.

My modalities are Multi-systemic Therapy, Cognitive-behavioral therapy, Dialectical Behavioral Therapy, Trauma-Focused Behavioral Therapy, family functional Therapy, Parent, child interaction therapy.

Pamela Wilson

Eudora Eliason (They/Them)

I am is a Nationally Certified Counselor (NCC) and am currently working towards my Licensure in Mental Health Counseling (LMHC). I graduated in 2019 from Walden University, where I received my Masters in Science in Clinical Mental Health Counseling with a specialty in Crisis and Trauma.

During my education, and for some months after, I worked exclusively with individuals who lived with serious and persistent mental illnesses. I have nearly two years of experience helping people with Schizophrenia, Bi-Polar Disorder II, and Borderline Personality Disorder determine how they can best cope with symptoms in order to thrive. I use Motivational Interviewing, as well as Solutions-Focused Brief Therapy to assist my clients in achieving their goals.

I am passionate about providing services for individuals in the LGBTQIA+ and disabled communities. Trauma and crises are unfortunately common in these marginalized communities, and if you want to work with a counselor, I firmly believe you should have the freedom to do so.


Cindy Sahagun 


Cindy is a Licensed Mental Health Counselor Associate (LMHCA) and a Nationally Certified Counselor (NCC). She graduated with a Master of Science in Clinical Mental Health Counseling in 2021 and obtained her Bachelor of Science in Psychology in 2018 from Western Washington University.

Cindy is passionate about multicultural sensitivity and inclusivity by emphasizing the importance of whole-person wellness and understanding the entirety of the individual. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. She finds it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. Cindy is committed to holding a safe space for individuals to be their true authentic selves and fosters unconditional positive regard in the therapeutic relationship.

Cindy uses an eclectic theoretical orientation to personalize and adapt treatment to meet her client’s needs. She has experience in a variety of therapeutic modalities such as cognitive behavioral therapy, acceptance and commitment therapy, mindfulness, and existential therapy. Although, she uses person-centered and trauma-focused at the core of her work. 


Stephanie Aguilar

Maya Angelou once said, "There is no greater agony than bearing an untold story inside of you". Looking for the right counselor and good fit is important and takes courage and strength..

I aspire to serve marginalized identities who have experienced trauma and injustices. I am here for you. I am dedicated to healing the mental health issues that affect the ages of child, teen, adult, older adult, LGBTQ+, people of color, and marginalized identities. Whether that be grief and loss, trauma, exploration of racial identity, LGBTQIA+ exploration, depression, anxiety, sexual assault, self-harm, relationship issues or emotion regulation.

I believe and practice a holistic approach; I am passionate about inclusivity and diversity. I recognize that humans have a need to foster their mental, physical, and cultural needs.

I graduated from Eastern Washington University with my bachelor's in psychology in 2017. I received my master's in clinical mental health counseling from Gonzaga in 2019. While at the same time I became a Nationally Certified Counselor. During this time, I worked with adolescents and children in an inpatient setting that suffered from a variety of diagnosis. Later, I found a passion with working with adults and older adults working on telling and owning their trauma story.

The modalities that I use, but are not limited to; Cognitive Behavioral Therapy, Dialectical Behavioral therapy, Person Centered Therapy, Multi-Systemic Therapy, Motivational Interviewing, Narrative Therapy, Trauma Therapy (CETA), attachment therapy and art therapy.

Medical Practitioners

Pamela Wilson

Nadine Smith

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.


Ola Akinyele

Dr. Akinyele is a board-certified nurse practitioner who received her training from Brandman University in California. She is trained as a Doctor of Nursing Practice, Family Nurse Practitioner, and Psychiatric Nurse Practitioner. She is specialized in the treatment of both acute and chronic medical and mental health conditions. She is also certified in Medication Assisted Treatment for opioid addiction. She is well trained and stands ready in her graduate program to treat children, adolescents, adult patients, and geriatrics populations.

Dr. Akinyele has over 18 years of Nursing experience that includes diverse acute care hospitals, psychiatric hospitals, medical facilities, long term care and transitioned into her new role in 2017. She brings her clinical expertise and experience in assessing, diagnosing, and treating medical and psychiatric consultation and cases. She has worked in mental health inpatient and outpatient settings, long-term care, Telemedicine, and Telepsychiatry. Some of the conditions she treats include ADHD/ADD, OCD, PTSD, anxiety, mood disorder, depression, schizophrenia, bipolar disorder, panic attacks, eating disorders, substance abuse, health and wellness counseling, and many more.

Dr. Akinyele believes that every patient deserves a passionate doctor who will work with them through their healing process, improving their functionality thereby living a fulfilled life. She is passionate about caring for her clients and their supporting families in the context of their care. She provides services across all ages and endeavors to understand her patient’s health concerns to help strengthen their prospective treatment irrespective of their background and culture. 

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.


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

Contact Me Today