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
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.
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 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.
DNP, MSN, FNP-C, PMHNP-BC
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.
As a new immigrant to the United States in 2021, I completed all of my education in British Columbia, Canada, where I was born and raised. I am a graduate of Trinity Western University where I completed a Master of Arts in Counselling Psychology. During this time, I was able to complete 3 internships at community counselling agencies, as well as be involved as a teaching assistant for master's level students learning group therapies. Before these experiences, I was also fortunate enough to complete a Bachelor of Arts in Criminology at Kwantlen Polytechnic University. As a university student, I completed another internship placement helping people who were being involuntarily detained in mental health facilities access the legal help that they required, as well as volunteered for over 4 years at a drop-in center for survival sex trade workers in the poorest area of Vancouver.
It was the relationships that I formed during all of these experiences that created a strong desire within myself to help those who are suffering in every way that I can, as well as respect and love people in every period of life. As a Licensed Mental Health Counsellor Associate, I strive to maintain a counselling approach that is centered around deeply ingrained values such as warmness, authenticity, empowerment and respect. I will always meet you where you are at, and tailor my approach to fit your needs and goals for counselling. I firmly believe that people are not their problems, but instead, problems are problems, and I consider it an honor to be able to walk with people through all periods of life. It is always my goal as your therapist to provide a judgement free space to help alleviate your suffering, and in cases where that is not possible, to instead, help to lighten the burdens that you carry.
I have been a licensed therapist, for the past twenty years. I have worked in a variety of therapeutic settings, including private practice, inpatient treatment centers, as well as various therapeutic agencies. I work with a variety of clients, and my specialties include trauma, addictions, depression, anxiety, and a variety of other areas to explore.
I make it my mission to assist you in exploring your life, by co-creating a specific wellness plan with you. Your wellness/treatment plan empowers us to explore your goals, and experience growth and healing over time. My therapeutic approaches include-person-centered therapy, solution-focused brief therapy, cognitive behavioral therapy, narrative therapy, family systems therapy, and EMDR.