Not understanding. Not caring. Guilty until proven…read moreotherwise. Not supportive. Don't communicate well nor explain their decisions about your life!!! Controlling and very invasive of your whole life. Miserable experience. Wouldn't recommend to anyone. Finally left and went to another place next day and completely different experience. Very happy now!!!

They saved the day for me! Got me in quick and got all my information sent over to the DOL right…read moreaway. The staff was amazing and friendly. I never felt rushed or like they didn't care about me or my situation. I would recommend them to anyone. Thanks again!! You guys are awesome!!

I had a great experience working with Ariel. She is easy to connect with, is skilled at what she…read moredoes and is very responsive.

From the owner: Counseling can be a scary step to take. Some wonder: Will I be judged? Will it really make a…read moredifference? Can I even afford it? At Next Step Therapy, we offer a nonjudgmental setting in which clear goals are established to help you create the change in your life that you so strongly desire. We offer competitive rates, and provide a sliding scale fee for those with financial difficulties. Everyone deserves to live a happy, fulfilling life. We are here to help you reach your potential. We provide services for a wide range of emotional and behavioral issues: Adolescent issues Communication issues Premarital counseling Parenting support Grief counseling Trauma counseling Work and career issues Stress management Conflict resolution Sexual issues Life transitions Depression, anxiety, PTSD, ADHD, and many other mental health diagnoses

I can't say enough good things about Tanya. When I met with her, it was at the darkest part of my…read moreentire life. I was lost and failing miserably at adulting. She never once judged me or made me feel like a lesser person. Instead she listened. She cared. She helped me find solutions and encouraged me. She completely helped turn my life around, and to this day I am truly grateful because I became the person I always wanted to be because of her. Tanya has a talent for understanding people individually and she has the gift of empathy. That is so hard to find in counselors! She's not just a therapist. She's an ally. I guarantee if you put your trust in her you will get amazing results in your journey forward.

From the owner: Individual, couples and family counseling. Specializing in anxiety, depression, OCD, interpersonal…read morerelationship problems, life transitions, senior and aging complexities.

The atmosphere in this place is great. It's very clean, warm, and welcoming - I feel very…read morecomfortable here. They offer complimentary beverages near the front desk and have a decent selection of magazines. I can't remember who I spoke with to set up my initial appointment but she was very knowledgeable about insurance and was also very helpful with my new patient paperwork.

Charissa Walson, alleged founder of Karis Collective, entered into my men's therapy group by…read moreinvitation from Walson's reported friend and CSAT Supervisor Heidi Kinsella, President and Clinical Director of Fourth Dimension Counseling & Coaching in Issaquah, WA. My partner and I do not live in any state where Walson holds a license. Practicing with us constitutes unauthorized practice. Walson used the group to offer free couples counseling -- documented in Zoom chat -- without proper informed consent or a release of information. She then solicited a separate one-on-one session with me, framed as helping me better understand my partner's experiences, which she instead used to disclose details about her own divorce before billing for the session under Charissa Walson PLLC. When we raised concerns with Kinsella, she claimed Walson had appeared on the Fourth Dimension team page but had never actually worked for her -- a contradiction that delayed Walson's removal from the group long enough for Walson to complete her CSAT credential, which she announced via group text in December 2024. Walson did not respond to my November 2025 records request, in violation of HIPAA and Washington state law. Instead, she text messaged both me and my partner -- who had made clear she wanted no contact from Walson -- to ask that we stop leaving reviews, and to deny that either of us had ever been her patients or that any records exist. I have records. These include Charissa Walson PLLC portal emails confirming both appointments. Portal access was revoked following the records request. Two weeks after Walson texted my men's group to announce completion of her CSAT training, the one-on-one session charge was refunded on December 16, 2024 -- without any contact from either my partner or me -- the same day a written complaint about Walson's conduct was delivered to Kinsella.

Staff is always so nice great people work here that really care about you. Very comforting…read moreenvironment nonjudgmental just all around great place. I have yet to have a bad experience.

Grate staff at the Tacoma location. I have gotten nothing other than love and support since…read morestarting working with them two months ago. They truly care and want to help you get better. If you're struggling with Addiction , Depression and or any other mental health issues this is the place to go for help.