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Ducks Over the Lake

Let Everything Happen To You,
Beauty And Terror,
Just Keep Going No Feeling Is Final

-Rainer Rilke

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Serving Clients Since 2010

My name is Elle Miller and I am a licensed psychotherapist located in Tacoma and Issaquah, Wa. I provide a compassionate, safe and thoughtful environment for first responders to work through a variety of concerns.

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Being vulnerable and sharing ones experiences can be tremendously daunting and requires feeling supported and safe. I provide a space of non-judgment, compassion, and trust in order to meet my clients where they are. In our sessions you will be able to share your experiences openly without criticism. I will listen, provide feedback, reflections and collaborate with you to work towards change. I will care deeply for you and be my true self with you. My goal is to enable each client to leave therapy with the ability to address the issues that brought them in. 

At times, unhealthy thoughts, behavior and feelings can burden us and get in the way of how we want to feel about our selves and our lives. Therapy can provide an avenue for change through the use of various psychotherapy methods and authenticity between the client and therapist. 

My approach is integrated and involves utilizing treatments from multiple therapeutic orientations. These are not limited to, but often include: Trauma-Focused Cognitive Behavioral Therapy, Humanistic/ Person-Centered Therapy, Motivational Interviewing, Intensive Behavior Therapy and Mindful Based Cognitive Behavioral Therapy. I work in both short and long term therapy format depending on the client.

I believe people are influenced by a combination of their upbringing, biology and social constructs. Each of these areas alone cannot accurately account for an individuals distinguishing actions, thoughts and feelings. However, collaboratively they create a person who is unique from everyone else. Therefore, it is important that your therapy experience is tailored to you as a person; taking into account all parts that make you who you are.

No one has lived your life other than you. That makes you the expert of your life and your experiences. In therapy any changes you make are credited to you and you alone.

Two Dried Leaves
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I have worked in the mental health field since 2010 providing therapy for adolescence and adults, first responders, medical professionals and military members. I have a Masters in Clinical Psychology from Argosy University, Seattle and I am a Licensed Mental Health Counselor in Washington state. I currently am the contracted Mental Health Practitioner for Tacoma Fire Department, Central Pierce Fire and Rescue and Graham Fire Deparment. Along with providing therapy, I also conduct debriefs, trainings and work with developing peer support groups within fire departments. In order to best serve my clients, I stay current in my field through workshops, CEU's and consultation with fellow therapists. I also attend my own therapy as I believe you can best encourage growth in others if you continue to grow yourself.

I have worked with clients on a myriad of issues in my 14 years as a therapist. My primary focus for my private practice has been working with first responders  focusing on trauma, depression, anxiety, change in life circumstance, narcissism, difficult interpersonal relationships, and feeling "stuck."

Foggy Pier
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Ducks Over the Lake



I am currently accepting first responder clients.  I charge $130 per 50 minute session. The first appointment is an intake and is $150. I accept cash, checks, and other online payment options. Although I do not bill insurance directly, insurance companies may reimburse you for my paid services as an out-of-network-provider, which compensates for 20-50% of my fee. Paying out of pocket provides more flexibility and privacy in the work we do together.       

Payment is due at the beginning of each therapy session. I accept cash, check, visa and mastercard as payment options.

A GFE is available upon scheduling or upon request.

I believe therapy should be accessible to everyone and reserve a certain number of time slots for clients who cannot afford my full fee. Feel free to contact me to see if I have reduced fee sessions available.

If you have questions or would like to schedule an appointment please call 206.402.7463 or email me at

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Union Wellness Tacoma
711 St Helens Ave,
Suite 103B
Tacoma, WA 98402
17 NW Alder Pl
Suite 202
Issaquah, WA 98027


Two Dried Leaves
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