Integrated Therapy Services NW PLLC
Raising Parents and Children Together

Services Overview

ITSNW offers a refreshing and successful approach to treating individuals of all ages. While our main focus is on children's mental health issues, we are committed to providing you with innovative treatments, and personalized wellness that work toward healing for you, your child, and/or your family. We do this from a basis that employs the valuable contributions to the field of Marriage and Family Therapy, Social Work, and Mental Health Counseling as well as current and new research that supports specific evidence-based courses of treatment. In this way, we are able to provide an approach to treatment that embraces the past, looks to the future with hope, and makes space in the present for change. We are proud to offer our services to Tacoma and all of Pierce County.

Please contact ITSNW to discuss your specific needs. Scheduling an appointment is easy, call (253) 460-7248 and we will be happy to help you.

Services at ITSNW can address the following concerns:

  • Relationship Issues
  • Parenting Groups / Parent Training
  • Anxiety / Fears
  • Depression / Postpartum Depression
  • ADD / ADHD
  • Post Traumatic Stress Disorder
  • Aggression
  • Low Self Esteem
  • General Life Stress
  • Divorce and Blended Family Concerns
  • Co-parenting Following Divorce
  • Grief and Loss
  • Impact of Chronic Illness or Injury
  • Physical or Sexual Abuse Recovery for Children and Adults
  • Impact of Natural Disasters and/or Acts of Terrorism


Individual Therapy Tacoma Individual Therapy Tacoma Individual Therapy Tacoma
The potential possibilities of any child are the most intriguing and stimulating in all creation. - Ray L. Wilbur, 3rd President of Stanford University

General Services

Individual Therapy

Individual Therapy

Our providers are trained in a Family Systems approach to treatment, which means your presenting concern is viewed through a framework that includes understanding how multiple layers of influence (biological, psychological, sociological, spiritual, familial-generational, etc.) co-create and maintain your concerns. Individual counseling is useful for addressing a variety of concerns from general life stress and adjustments to recovery from traumatic life events.

Child and Adolescent Therapy

Child and Adolescent Therapy

Play therapy refers to a large number of treatment methods, all of which make use of one or more of the natural benefits of play. All Play Therapy differs from regular play in that the therapist helps children systematically address and resolve their own problems. Our therapists use the curative powers inherent in play in many ways. We employ the language of play to help children express what is troubling them when they cannot say their thoughts and feelings in words. Through play, children are taught more adaptive behaviors. Play may also be used to promote cognitive development and provide insight about inner conflicts or dysfunctional thinking in the child.

Play Therapy will help children learn to:

  • Replace inappropriate behaviors with more successful behaviors
  • Develop new solutions to their problems
  • Increase respect for themselves and others
  • Learn to experience and express emotions with respect to the thoughts and feelings of others

While play is a natural process for children, play and Play Therapy can be helpful to people of all ages with a variety of presenting concerns. When working with young children, we believe that talk therapy can be over-emphasized and limiting. We integrate expressive therapies such as art and sandplay in order to allow children ample strategies for communication, self-healing, and insight. ITSNW offers a great deal of expertise in child counseling for Tacoma.

Play Therapy

Family Therapy

Family Therapy Family therapy, also referred to as Family Systems Therapy, is a branch of psychotherapy that works with families and couples to nurture change and development. Our providers view change in terms of the system of interaction between family members. We emphasize family relationships as an important factor in psychological health.

Regardless of the origin of the problem and whether the client considers it an “individual” or “family” issue, involving the family in the solution is often beneficial. This is commonly accomplished by the direct participation of the family in therapy sessions. The skills of the family therapist thus includes the ability to influence conversations in a way that catalyzes the strengths, wisdom, and support of the entire family.

Couples Therapy

Couples Therapy

Couples therapy is provided to couples who are facing a variety of concerns. The following are concerns that can be addressed in couples counseling; infertility, birth of children, difficulty with parenting, parenting a special needs child, spouse's deployment, medical or mental illness, recent trauma or loss, general life stress, and divorce. Our staff are trained to assist couples to return to more successful ways of managing challenges, to make decisions that lead to success, and to remind and encourage couples to enhance their emotional connection.

Group Therapy

Group Therapy

We offer support and psychoeducation groups for children, adolescents, and adults. The following types of groups are available at various times of the year as they are formed based on referral patterns and clinician availability. New groups will be added as needed. Please continue checking this page for current and upcoming group services.

Bringing Baby Home

The Incredible Years®

Specialized Services

BLOOM - Maternal and Infant Wellness

Bloom - Maternal and Infant Wellness

We offer education, counseling, and support services for individuals and families before and after the arrival of a child. Our “Bloom” services focus on providing support to women, men and their families through the many transitions in early parenthood, a unique and often challenging time punctuated with endings and new beginnings. The following services are offered: Pregnancy and Post-Partum Wellness Counseling; Infant Mental Health Counseling (for children from birth to age 5); and Baby Proofing Your Relationship groups and counseling.

Read more about BLOOM - Maternal and Infant Wellness.

Parent Child Interaction Therapy

Parent Child Interaction Training - PCIT Parent Child Interaction Training (PCIT) is an evidence-based treatment using very specific, step-by-step, live coached sessions with both the caregiver and the child. PCIT places emphasis on improving the quality of the parent-child relationship and changing negative parent-child interaction patterns. In PCIT, parents are taught specific skills to use with their child to establish, improve, or maintain a nurturing and secure relationship while increasing their child's positive behavior and decreasing negative behavior. PCIT is a family centered treatment approach tailored for each parent and child's specific needs. PCIT can include multiple siblings and both parents.

Read more about Parent Child Interaction Training.

The Incredible Years®

Trauma Focused Cognitive Behavioral Therapy

The Incredible Years parenting programs are designed to strengthen parenting skills, prevent and treat behavior problems in children ages 3 - 8 years. The Incredible Years is an Evidence Based training series for parents, teachers and children. ITSNW offers a 12 week parent group on a rotating basis. See IY Group Schedule for information regarding the cost as well as meeting dates and times. The Incredible Years can also be offered in school settings where teachers trained in The Incredible Years lead groups for children. In some cases Dinosaur School (the Child's Incredible Years program) is available for children to attend while parents attend The Incredible Years adult group.

Read more about The Incredible Years®

Trauma-Focused Cognitive Behavioral Therapy

Trauma Focused Cognitive Behavioral Therapy

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is designed to help children and their parents overcome the negative and often devastating effects of trauma. Traumatic life events that children experience may include child sexual or physical abuse; traumatic loss of a loved one; exposure to domestic, school or community violence; exposure to disaster, terrorist attacks, or war trauma; serious accident such as car or plane; and serious medical procedures, operations or hospitalizations.

TF-CBT was developed by integrating cognitive and behavioral interventions with traditional child abuse therapies that focus on enhancement of interpersonal trust and empowerment. The intervention can be provided to children ages 3-18 and their parents.

Read more about Trauma-Focused Cognitive Behavioral Therapy.

Co-Parent Counseling

Co-Parenting/Collaborative Divorce

It is well documented that what causes the most harm to children during and after a divorce is how parents handle themselves and their interactions with each other, not the divorce itself. Through Co-Parent Counseling, we help parents learn to change dysfunctional, emotionally-charged communication and behavior patterns by helping them adopt clearly-defined, respectful, and dispassionate approaches to problem-solving and decision-making.

Read more about Co-Parent Counseling