Abbie Spear

Tom Farmer, PsyD Working with individuals and families is a collaborative process. I hope to use my many clinical experiences to help guide clients through a path toward more satisfaction in life. Therapy is not a process of simple "change," but rather a process of finding and developing aspects of satisfaction in careers, families, leisure, and relationships that likely exist when we weed through the days' challenges. Through my years as a clinician, I know how to challenge that process. Through my years of teaching, I know when I can simply step aside and admire the strengths that each of us have inside. ​ My experiences in psychological assessment/treatment span from neuropsychological evaluations in a medical setting to work in psychiatric hospitals for those in extreme distress. I believe I offer a wholistic and comprehensive understanding of clients. Focusing on the science and the mind-body connection are essential for genuine growth. ​ I have spent years as a professor of psychology. I maintain expertise by teaching psychological assessment, family systems, and adult therapy to future clinicians at Bastyr University. While I enjoy the seeing growth in both students and clients, often they teach me how to be a better person. Ian Cusson, PsyD ​Insight is the cornerstone of change. Oftentimes we know something is wrong, and what we would like to see different but the process of doing so is muddled and uncertain. You may be uncertain in how to identify and express your feelings, have complicated relationships, a shaky self-concept, have experienced severe trauma, or a variety of concerns. Therapy is a way to sift through complex emotions, memories and motivations to determine your path forward; what you want to retain, discard, or change. Therapy is like a tough hike: sometimes I will lead, sometimes you will lead, but I’ll always make sure we’re safe as we do. I practice from an object-relations psychodynamic approach. We learn and change through our relationships and a supportive therapeutic relationship is our foundation. This has allowed me to work effective with a variety of concerns, such as (but not limited to) complex trauma, mood disorders, self-harm, disordered eating and personality disorders. Change is hard, be it taking the first step or the thousandth. My goal is to help you along no matter where you are in that process. Change is rarely linear but a process I hope to make easier through a blend of empathy, challenge and humor. We’ll find what works best for us. Julia Alcaraz-Gamez, PsyD (Postdoctoral Fellow) I believe our mental health and wellness is strongly influenced by our environment, experiences, and physical health. I work from a Liberation Psychology approach, which centers on developing an understanding of our environment, systems of oppression, identities/intersectionalities and health, and how these contribute to our wellness. My therapeutic approach is person-centered and trauma-informed, meaning our sessions will focus on your questions and concerns. I will work with you to find the coping skills and interventions that work best for you, with your strengths and your experiences in mind. I recently obtained my PsyD from Pacific University in Portland, OR and I am currently working towards licensure. My training was focused on Latine Psychology and working with adults, although I have also worked with adolescents. I have extensive experience with historically underserved communities including people of diverse races, ethnicities, genders, LGBTQ+, socioeconomic statuses, religions, and disabilities. I provide therapy in English and Spanish. I have helped clients deal with trauma, anxiety, depression, eating disorders, substance use, self-esteem, self-care, stress, immigration, and guilt and shame. I have provided psychological assessment for neuropsychological conditions, ADHD, learning disorders, and diagnostic clarification. As a 1.5 generation Latina immigrant who grew up in San Diego, CA, I feel a strong connection to my cultural identity and am familiar with immigration issues, racial/ethnic trauma, generational trauma, and a strong family value. ​ Yo creo que nuestra salud mental es influida por nuestro entorno, experiencias y nuestra salud física. Yo uso la teoría de psicología de liberación que se enfoca en analizar nuestro entorno, entender los sistemas de opresión, nuestras identidades y cómo estás contribuyen a nuestre bienestar. En terapia me enfoco en la persona y uso estrategias informadas del trauma, cual significa que nuestras sesiones se enfocaran en sus dudas, síntomas y/o preocupaciones y de ahí trabajaremos juntes para encontrar las estrategias e intervenciones que mejor le funcionen (con gran consideración a sus fortalezas y sus experiencias) para manejar sus síntomas y sanar. Recibí mi Doctorado en Psicología de la Universidad de Pacific en Portland, OR y actualmente estoy trabajando hacia mi licenciatura. Mi entrenamiento fue enfocado en trabajar con adultos y la comunidad Latina, pero también he trabajado con niños y adolescentes. Aparte tengo bastante experiencia trabajando con comunidades históricamente marginalizadas incluyendo personas de diversas razas, etnicidades, LGBTQ+, de diferentes estados socioeconómicos, religiones, y con dolor crónico. Proveo terapia en ingles y/o español. Tengo mucha experiencia trabajando con problemas como el trauma, ansiedad, depresión, desórdenes alimenticios, abuso de substancias, autoestima, auto-cuidado, estrés, inmigración, y la culpa y vergüenza. Como inmigrante de generación 1.5 que creció en San Diego, CA, siento una fuerte conexión con mi identidad cultural, y tengo familiaridad con las dificultades de la inmigración, trauma racial/étnica, trauma generacional, y el fuerte valor de la familia. Sam Osborne, BA, MDiv (Predoctoral Intern, PsyD In Progress) Meaningful psychotherapy is grounded in a human relationship. My approach is one of depth and breadth, predicated on the living, dynamic reality of the psyche and the unconscious, and the relationship formed between us within the psychotherapeutic frame. My broadly psychodynamic approach incorporates both psychoanalytic and Jungian methods, as well as drawing from a deep well of other therapeutic modalities as needed. All my work is filtered through an anti-oppression, anti-racist, critical lens that acknowledges generations of damage committed by white, patriarchal, colonialist power structures and our collective need for liberation. For decades, I have been and remain an outspoken, unapologetic ally and advocate for Black lives, my trans brothers and sisters, and anyone who has ever felt marginalized. When I work with you, I commit to being with you all the way, no matter where the path may lead us. Katherine Nay, LMHCA Life can sometimes leave us feeling stuck, especially when we’re navigating significant changes, evolving identities, or adapting to new environments and relationships. These transitions can feel isolating and overwhelming, causing us to lose touch with who we are. But in these moments, there is also potential for healing and growth. I specialize in supporting those facing such transitions, including Third Culture Kids (TCKs), adult TCKs, military families, international adoptees, college students, immigrants, and individuals navigating cross-cultural experiences. My approach is rooted in attachment-based counseling, where we explore how early relationships shape our sense of self and our connections with others. For children and teens, I work closely with families, helping them recognize intergenerational patterns and messages that influence their relationships, fostering lasting change for everyone involved. Together, we will uncover new ways to understand your experiences, build resilience, and process difficult emotions at a pace that feels right for you. Whether you’re dealing with attachment wounds, unresolved grief, or ambiguous loss, I am here to guide you on this journey. When you feel ready to explore your story, I invite you to reach out. Serena Konkin, LMHC Certain passages in life call one to walk hand in hand with uncertainty. I offer my clients support and guidance through periods of instability, change, and self-discovery. My approach is collaborative and process based, encouraging a sense of trust, safety, and self-agency. Integrating Jungian, psychodynamic, humanistic, and family systems techniques, I work with each individual to develop their inner emotional resources and natural creative resilience. My approach begins with the formulation of the therapeutic alliance, allowing for the unique and individual perspective of each client to be the guiding focus. I see transformation and healing as a nonlinear, organic processes that requires cultivation, patience, curiosity, and occasionally, humor. I use client centered techniques to lay a foundation of compassion and empathy, with depth approaches to support deep and lasting change. I also provide dreamwork, active imagination, and involvement of creative practices as therapeutic approaches for interested clients. Abbie Spear, LICSW Every life is a series of transitions, some of which can feel impossible to navigate. People and families can often feel ‘stuck’ in their current struggles and unable to overcome the challenges and changes they are experiencing. Whether the tough moments are navigating issues in daily life or processing landmark events such as pregnancy or parenthood, the need for support is valid and you don’t have to push through alone. Therapy helps you develop the tools and knowledge needed to bring out your unique strengths and abilities. No matter what age or life stage you are in, healing is possible. I believe that every person has the potential to be successful and happy. When working with adults, I emphasize an ecological and strengths-based approach using psychodynamic and evidence-based interventions. You are the expert of your own experience and with the right tools, every person is capable of success. I most often see people regarding perinatal mental health, parenting issues, ADHD, life transitions, and anxiety/depression. When working with children I strongly encourage parental involvement. Therapy doesn’t exist in a vacuum and it is my belief that therapeutic success can only be achieved when therapists and caregivers work together. I use a blend of cognitive-behavioral therapy, play therapy, and art therapy. I work with children age 3-11 and their families, specializing in ADHD, anxiety/depression, inter-family conflict, and support during family transitions. ​