A different kind of mental-health care for people whose needs don’t fit neatly into a box.

Integrated psychotherapy and psychiatric care for complex minds, bodies, and lives.

We specialize in trauma, dissociation, serious and persistent mental illness, and medically or psychologically complex presentations. Care is available for adolescents, adults, and older adults in Washington state.

Trauma &
Dissociation
Psychiatric Medication
Management
Medical Family Therapy /
Caregiver Support
Neurodivergent- &
LGBTQIA+-Affirming Care

◷  Opening April 2027

Care for complexity

Neuropsychotherapy & Trauma Therapy

Therapy informed by how the brain and nervous system work, with attention to trauma, dissociation, body experience, relationships, memory, and meaning.

Psychiatric Evaluation & Medication Management

Thoughtful prescribing and ongoing psychiatric care tailored to symptom relief, side effects, quality of life, and your goals.

Medical Family Therapy & Caregiver Support

Support for people and families affected by chronic or serious illness, including caregiving, communication, changing roles, and adapting together as illness changes daily life.

Our Clinicians

Deborah A. Smith

Deborah A. Smith, MSN, ARNP, PMHNP-BC

Psychiatric Nurse Practitioner

A holistic, collaborative psychiatric nurse practitioner focused on thoughtful prescribing and whole-person care.

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Jeremy L. Smith

Jeremy L. Smith, LMFTA

Neuropsychotherapist

A neuropsychotherapist specializing in trauma, dissociation, complex presentations, and therapy informed by brain and body biology.

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Our Approach

Neuropsychotherapy is therapy informed by how the brain and nervous system actually work. We consider how your brain and body work, your relationships, and your emotions, and tailor treatment to you.

Jeremy’s work also includes Embodied Depth Integration (EDI), an integrative approach for understanding complex patterns and choosing treatment that fits the person.

Resources to Support Your Journey

Dementia Caregiver Resources

Information and support for people caring for someone with dementia.

View the caregiver guide