Jewish therapists in Clarkston, WA

Avanour Behavioral Health Clinics provides compassionate, personalized, and evidence-based online care in a secure and supportive environment. Clients contact us for help with anxiety, depression, trauma, relationship concerns, life transitions, psychological assessments, and medication management. Our diverse team is committed to understanding each client’s unique needs and helping them achieve meaningful, lasting change.  

Hi, I’m Ryan. I became a therapist because I know how powerful it can be to have someone genuinely in your corner. Someone who sees the good in you when you’re struggling to see it yourself, who stays grounded when life feels overwhelming, and who believes that your current circumstances do not have to define your future. I believe people are capable of meaningful change, even after years of feeling stuck, lonely, anxious, disconnected, or shaped by painful experiences. Sometimes we simply need a relationship in which we feel safe enough to be honest, supported enough to take risks, and gently challenged enough to begin doing things differently. I hope to offer that kind of relationship to my clients. My path to becoming a therapist has not been entirely conventional. I grew up in Bellingham, Washington, earned degrees abroad in Italy and Spain, and previously worked as both a marketer and a psychometrist before entering the counseling profession. Living in different countries and moving through several professional worlds taught me to be curious about people. Their stories, cultures, relationships, contradictions, and the experiences that shape how they see themselves. In therapy, I want to know the person behind the symptoms. I want to understand what you long for, what keeps getting in the way, what you learned about yourself growing up, and who you might become if fear, shame, trauma, or self-doubt were no longer making so many of your decisions. You do not need to arrive with the perfect explanation for what is wrong. You may simply know that you feel lonely, overwhelmed, disconnected from yourself, haunted by the past, or tired of repeating the same relationship patterns. You may be outwardly successful while privately feeling insecure or lost. You may want deeper relationships but find yourself withdrawing, avoiding vulnerability, choosing unavailable partners, or questioning whether anyone could truly understand you. Whatever brings you here, you do not have to perform or pretend with me. I aim to create a space where you can speak honestly. Even about the thoughts, experiences, desires, fears, and parts of yourself that feel difficult to share elsewhere. My style is warm, grounded, direct, and deeply human. I will listen without judgment, but I will not simply nod along with everything you say. When helpful, I will gently challenge the beliefs or patterns that may be keeping you stuck. I believe we can be compassionate toward ourselves while also taking responsibility for creating change. Therapy with me is both insight-oriented and action-oriented. We will explore how early relationships, childhood experiences, unconscious beliefs, and protective behaviors may still influence your life today. I take an Adlerian and psychodynamic approach, meaning I am interested in the deeper story beneath your current struggles. However, I do not believe your past permanently determines who you are. Awareness gives us choices. Once we understand why a pattern developed and what purpose it once served, we can begin deciding whether it still belongs in the life you want today. Insight is important, but I also want therapy to extend beyond the hour we spend together. Depending on your goals, I may suggest small behavioral challenges (what I sometimes call “missions”) to help you practice new ways of relating to yourself and others. That might involve initiating an uncomfortable conversation, setting a boundary, reaching out to someone instead of isolating, tolerating the possibility of rejection, making eye contact, expressing a need, or interrupting a pattern of avoidance. These challenges are collaborative and paced carefully. The goal is not to overwhelm you or push you before you are ready. Instead, we gradually build your capacity to do things that once felt impossible. Little by little, you begin gathering evidence that you can survive discomfort, respond differently, and become more secure in yourself. I also use evidence-based approaches such as Eye Movement Desensitization and Reprocessing therapy, or EMDR, as well as Cognitive Processing Therapy and Cognitive Behavioral Therapy. These approaches can be especially helpful when painful memories, traumatic experiences, intrusive thoughts, or deeply rooted negative beliefs continue to affect your relationships and daily life. We can discuss these options together and determine what feels most appropriate for you. Therapy is not one-size-fits-all, and I want you to understand and feel comfortable with the work we are doing. Many of the people who feel drawn to my practice are young adults, members of Gen Z and the millennial generation, and people who want to build more meaningful relationships. I often work with men experiencing loneliness, insecurity, relationship difficulties, or questions related to sexual identity. I particularly value working with gay and bisexual men and hope to provide a space where you can explore identity, dating, intimacy, coming out, attachment, and relationship dynamics without having to explain or defend who you are. I also enjoy working with women navigating attachment concerns, dating patterns, motherhood, single parenthood, major transitions, and the desire to form healthier, more secure relationships. Across identities, I tend to connect well with people who are introspective, curious about themselves, and ready to move toward a life that feels more authentic, even if they are not yet sure how to get there. My goal is not for therapy to become the only place where you feel known and supported. I want the trust we build together to ripple outward into the rest of your life. Over time, I hope you become more comfortable expressing yourself, navigating conflict, forming close relationships, recovering from setbacks, and allowing others to truly know you. Ultimately, my goal is to help you build a life so full, secure, and meaningful that you no longer need therapy in the same way. Outside of my work, I enjoy spending time with my fiancé, family, and friends. I love being outdoors, walking through neighborhoods and cities, riding my bike, growing food, and working on DIY and home-renovation projects. I also practice Vipassana meditation, although, like many people, not quite as consistently as I would like. These parts of my life help me stay curious, grounded, and connected to the ordinary moments that make life feel meaningful. Choosing a therapist is deeply personal. Training and therapeutic methods matter, but so does the feeling you have when you speak with someone. You deserve a therapist with whom you can gradually lower your guard and feel more like yourself. A free consultation is an opportunity for us to talk, for you to ask questions, and for you to get a sense of my personality and approach without pressure. You do not need to commit before knowing whether the connection feels right. I would be honored to meet you, hear what has been happening in your life, and explore whether I might be the person to walk alongside you as you begin creating something different.  

Have you been feeling stuck? Whether from anxiety, eating concerns, or depression, or feeling trapped in similar patterns in relationships, dating, family, or work I'm grateful you're here to create change. My aim in therapy is to help you find a more empowered life with a grounded understanding of yourself and confidence from the therapy tools you’ve gained. We will work together to help you gain useful insights and specific skills to manage your concerns in addition to changing patterns that are no longer serving you. I specialize in areas of anxiety, depression, eating disorders, ADHD, relationships, fertility issues, and career changes. I believe in finding a strong therapeutic fit and encourage you to reach out for a consultation so you can get see if my therapy style is what you are looking for. I'm looking forward to speaking with you and I'm glad you're here!  

We are a collective of couples psychologists united by the shared conviction that relationships deserve more emotional care and community support than our culture provides. Building and sustaining a loving partnership isn’t meant to happen in isolation — it takes a village. In today’s world, we ask more of our partners than ever before. Our partners are our confidants, our co-parents, our lovers, our best friends, and the witnesses to both our strength and our vulnerability. This profound closeness is one of life’s greatest gifts, yet it can also create immense pressure. At PCT, we strive to be that village — a steady emotional anchor for couples navigating the highs and lows of connection. Every kind of couple is welcome here: those deeply in love, those in conflict, those recovering from betrayal, and those unsure of how to move forward. Together, we help partners rediscover what first drew them together while uncovering new ways to grow intimacy and trust. Our work isn’t about perfection — it’s about helping two people feel seen, understood, and supported as they evolve together. Sometimes, relationships reach a crossroads. The clinicians at PCT are skilled at holding space for both partners’ perspectives, guiding them through painful or uncertain transitions toward clarity and peace. That might mean learning to co-parent respectfully, parting ways with compassion, or exploring whether staying together is truly right. Even after a breakup, we help couples find a way to relate from steadier ground — because healing, too, is a form of love. We remain beside you for as long as you need, until the storm calms and a new balance emerges. We also offer individual therapy for those seeking personal growth, clarity, or support. Whether you’re navigating life transitions, managing stress, or simply looking to better understand yourself, our psychologists provide a safe, compassionate space to explore your goals and challenges.  

Do you want life changing results? When you make the decision for change, finding a professional with the right amount of expertise matters. As a Board Certified Clinical and Licensed Psychologist, and former U.S. Navy Operational Psychologist, I am uniquely qualified to help guide you. Check me out on TikTok and Instagram at dr.justindarienzo if you would like to know more about me and my approach.