Shakera Kathleen Snelling
Please fill out the intake form prior to our appointment: https://intakeq.com/new/d0rpoq Please first consider booking with me via Alma if you would like to talk prior to making an appointment. I offer f r e e consults on Alma. https://secure.helloalma.com/providers/shakera-snelling/ Please be aware that I cannot prescribe controlled medications outside of the state of Washington. Controlled medications are medications like, but not limited too, Xanax or Adderall or Ambien.
I am a dual-certified psychiatric and family nurse practitioner: I diagnose, prescribe, and utilize therapy for mental health conditions and medical conditions.
Hey! You’re seeking help because it is needed. That’s huge! Many people don’t seek treatment or therapy but you’re already on this path. Some folks don’t find the path. You’ve got some idea of what you need and are ready for someone to be along with you on this journey. We both know humans succeed in a team not so much when we are alone. First, give yourself credit because it takes a lot of courage to not do things alone and to be willing to open up to someone you do not know. Your courage is where our journey together starts. It would be an honor to be a part of your team in life, for life! Oh, hi, by the way, I’m Shakera Snelling. I am a dual-certified psychiatric and family nurse practitioner: I diagnose, prescribe, and utilize therapy for mental health conditions and medical conditions. A diagnosis or symptoms helps us to figure out a plan together, but it is NOT who you are.( Yeah, I know you heard that before, but it’s true!). High blood pressure does not define that person. Borderline personality, antisocial personality, obsessive-compulsive disorder, ADHD, substance use disorder, anxiety disorder, phobias, psychosis, self-harm, suicide attempts, and trauma does not define you either. Please KNOW you’re way more amazing, beautiful, and complex than a label. Let’s get started!
First session
First session, we will discuss what your goals are for our appointment together, we will discuss your development, starting with early development and childhood, attachment to parental figure, and reflect on life prior to discussing current events. After the life review, we will discuss the present. We will hone in on a diagnosis together and follow through with medication treatment and psychotherapy.
Strengths
My biggest strength is my passion for what I do. I will not give up on you. I am driven to find a solution that works for you.
Ideal clients
I treat clients ranging from the age of 18 years and older
Treatment methods
Acceptance and commitment (ACT)
I weave ACT into my work when clients are stuck fighting their own thoughts and feelings — anxiety, intrusive thoughts, perfectionism, grief. Rather than trying to argue every difficult thought away, we practice making room for discomfort while moving toward what actually matters to you. I've found it especially powerful for trauma and OCD-spectrum concerns, where struggling against the mind often makes things louder. Expect values work, mindfulness that's practical (not mystical), and a lot of compassion
EMDR
I completed EMDRIA-approved EMDR training and use it to help clients process experiences that talk therapy alone hasn't been able to reach — single-incident trauma as well as complex and childhood trauma. My approach is paced and preparation-heavy: we spend real time building stabilization and internal resources before touching anything painful, and I integrate parts work so every part of you feels safe with the process. You stay in the driver's seat the whole time.
Cognitive Behavioral (CBT)
CBT is the backbone of my practice — I'm certified through the Beck Institute (BICBT-CC) and continue advanced supervision there. My goal isn't just symptom relief; it's teaching you to become your own therapist. Sessions are structured but warm: we set an agenda together, examine the thoughts and core beliefs, emotions and behaviors driving distress, and build skills you'll use long after we're done. I also use CBT-I for insomnia and trauma-focused approaches like CPT.
Location
Virtual sessions