Trauma and PTSD Therapists in Washington

Procrastinating on work or running on autopilot? Struggling to stay focused, get quality sleep, or keep your routines on track? Maybe you’re feeling drained, frustrated by nutrition, exercise habits, or hormonal shifts, or just not like yourself lately. You’re not alone. I help people stop wasting their energy on things that drain them and start investing it where it counts. I’m a Psychiatric Mental Health Nurse Practitioner and work with adults ages 19 to 45. My focus is on comprehensive medication management for ADHD, Depression, Insomnia, PMDD, PTSD, and weight management. I treat the whole person, not just their symptoms. This includes looking closely at sleep habits, screen time, food choices, weightlifting, communication, mindset, and daily routines to support lasting change. My focus is on making sure you’re strong in every area, not just surviving. With 10 years of experience as a travel nurse, including 6 in psychiatry, I bring a strong clinical foundation to my current role as a nurse practitioner. Over the years, one thing has become clear to me: at the core, we are all more alike than different. Most people want peace, autonomy, and real enjoyment in their lives. My philosophy is a lot like sports. In baseball, maybe you can catch, run, and hit line drives, but if you can’t throw the ball, you’ll never reach your full potential. Mental health works the same way. Medication, sleep, movement, and daily habits all work together. That’s how real change happens

Hello, I’m Dr. Francesca Derius, a psychiatric nurse practitioner dedicated to helping individuals achieve emotional balance and clarity. I offer personalized, supportive care grounded in clinical excellence, empathy, and respect for your unique journey.

I’m an AASECT-certified sex therapist and licensed psychotherapist who works with individuals and couples navigating concerns related to relationships, sex, and intimacy. Many of the clients I work with are experiencing distress around desire discrepancies, difficulty being present or fully enjoying sex, sexual functioning challenges, or are looking to explore and expand their sexuality—including kink, BDSM, or polyamorous relationship dynamics While I am highly trained in sex therapy, I also specialize in couples therapy and help couples navigating relationship issues like emotional intimacy, conflict, parenting issues, and affair recovery. Sessions with me are warm, direct, rich with tangible tools and strategies to help you overcome the challenges you're facing in your relationship. Each session is tailored directly to your needs. Together, we will normalize what's going on and find ways forward so you can start living your most fulfilled, erotic, and passionate life.

Procrastinating on work or running on autopilot? Struggling to stay focused, get quality sleep, or keep your routines on track? Maybe you’re feeling drained, frustrated by nutrition, exercise habits, or hormonal shifts, or just not like yourself lately. You’re not alone. I help people stop wasting their energy on things that drain them and start investing it where it counts. I’m a Psychiatric Mental Health Nurse Practitioner and work with adults ages 19 to 45. My focus is on comprehensive medication management for ADHD, Depression, Insomnia, PMDD, PTSD, and weight management. I treat the whole person, not just their symptoms. This includes looking closely at sleep habits, screen time, food choices, weightlifting, communication, mindset, and daily routines to support lasting change. My focus is on making sure you’re strong in every area, not just surviving. With 10 years of experience as a travel nurse, including 6 in psychiatry, I bring a strong clinical foundation to my current role as a nurse practitioner. Over the years, one thing has become clear to me: at the core, we are all more alike than different. Most people want peace, autonomy, and real enjoyment in their lives. My philosophy is a lot like sports. In baseball, maybe you can catch, run, and hit line drives, but if you can’t throw the ball, you’ll never reach your full potential. Mental health works the same way. Medication, sleep, movement, and daily habits all work together. That’s how real change happens.

I am a board-certified Psychiatric Nurse Practitioner who offers comprehensive, evidence-based mental health care, including medication management and supportive therapy for individuals experiencing depression, anxiety, ADHD, PTSD, bipolar, and insomnia disorder. Through a combination of advanced medication management and evidence-based therapeutic approaches, I support clients in reaching their highest level of mental performance and stability. I believe mental health care should be supportive and nonjudgmental, creating a safe space where individuals feel heard, understood, and respected. My goal is to partner with you in your journey, providing guidance, clarity, and personalized treatment to help you move forward toward emotional balance and overall well-being.

Good news: I accept most major insurance, including Molina Healthcare, Blue Cross Blue Shield, Anthem, Regence, Premera, Aetna, Cigna, Evernorth, and Kaiser. You deserve a therapist who truly understands. As a gay mental health professional and LGBTQ+ ally, I see how identity shapes mental health. I honor your cultural, racial, and gender identity, welcoming all backgrounds. Whether navigating anxiety, OCD, self-esteem struggles, bipolar disorder, relationships, family conflict, grief, trauma, PTSD, or non-traditional relationships, I'm here for you. I create a warm, judgment-free space to process life's challenges and build meaningful growth. My approach combines genuine warmth with effective therapeutic methods. I meet you where you are today, not where you or others expect you to be. Together, we'll discover what's serving you, what's holding you back, and what transformation looks like for you. Expect real conversations, actionable strategies, and your own sacred space. Taking this step shows incredible courage, and I'm honored you're considering this journey with me. Whether you're working through challenges or ready to flourish, I'm here to walk alongside you. Let's talk about how we can create meaningful change together. I'd love to hear from you. Reach out for a consultation today.