A space to explore, heal, & thrive

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In-person/in-office services provided in Old Town Tacoma near Annie Wright School.

Telehealth and limited in-home services also available

Services are available by appointment only.

Based in Tacoma, WA, this therapy practice offers a supportive space to explore challenges, experiment with change, and heal with care rooted in curiosity, creativity, and connection.

  • Extensive experience working with:

    • Physicians, first responders, and healthcare professionals — Offering therapy that complements your current treatments and supports wellness in the context of your high-demand, high-responsibility profession.

    • Collaborative Care — Specializing in working with people who are currently receiving psychotropic medication management, or interventions like ECT, TMS, or esketamine.

    • People living with chronic illness or chronic pain — Supporting the emotional and psychological impact of complex health conditions.

    • Individuals experiencing or preparing for major life changes — Whether planned or unexpected, these shifts can be overwhelming, and therapy can help you move through them with clarity and resilience.

    • LGBTQIA+ specialty — An affirming, understanding, and safe place.

    • Gender transition support for late adolescents and adults — Providing affirming care for those navigating gender identity and expression.

    • Acquisition disorder (hoarding) support — Supporting individuals and families in developing meaningful, healthy relationships with their personal belongings, and working through the (often traumatic) origins of these patterns.

  • In-Person Appointments
    Sessions are available at a private practice office located in a quiet neighborhood of Old Town Tacoma, near Annie Wright School.

    In-Home Services
    For established clients, in-home sessions may be offered within a defined radius of the office or by special arrangement. This option can be especially beneficial for individuals experiencing symptoms of agoraphobia, anxiety, hoarding (acquisition) disorder, or medical conditions that make it difficult to leave home.

    Teletherapy
    Secure virtual sessions are available to clients located anywhere in Washington State, offering flexible and accessible care from the comfort of home.

  • Currently providing services to people aged 16+

    Whether you're seeking support for a specific challenge or looking to better understand yourself, individual therapy offers a safe and supportive space to do just that. Therapy offers a supportive space to explore challenges, build resilience, and foster personal growth. Services include comprehensive assessment and diagnosis, diagnostic clarification, and personalized one-on-one therapy sessions tailored to each client's needs.

    Support is available for individuals navigating:

    • Major life transitions

    • Grief and loss

    • Stress and burnout

    • Acute and cumulative trauma

  • Support is available for a wide range of relationship dynamics, including:

    • Parent and minor child

    • Parent and adult child

    • Adult siblings

    • Adult monogamous and polyamorous partnerships

    • Professional or work teams

    These services are tailored to the unique needs of each relationship, with a focus on improving communication, strengthening connection, and fostering understanding.

    Please note: Relationship-focused sessions (services not based in treating a qualifying condition or diagnosis) are typically not covered by insurance and are most often offered as private pay services.

  • For clients not using insurance, session fees range from $160 to $250 per appointment.

    Currently accepted insurance plans include:

    • BlueCross/BlueShield

      • Regence BlueShield

      • Premera BlueCross

    • First Choice Health Network (FCHN)

    • Kaiser Permanente PPO (through FCHN)

    • Apple Health/Medicaid (WA HCA)

    • United Healthcare Behavioral Health: Community Plan and EAP

    • Lifewise

    Don’t see your plan listed? Additional insurances are being added—feel free to reach out with questions.

    Please note: Most insurances generally do not cover true couple’s therapy, where the relationship itself is the client. This is because insurance generally covers specific services related to the qualifying diagnoses or conditions of an individual. However, these conditions usually also impact the individual’s closest relationships, and therapy can include work with significant others (partners, children, parents, siblings, friends) as part of a holistic plan tailored to the individual and their ecosystem. Employee Assistance Programs [EAPs] are generally not based on a diagnosis and can offer significant broader, brief support

Service Information

Dr Melissa Hoefer-Kravagna, DHSc, MSW, LICSW

Psychotherapist

Sometimes life hits us with unimaginable stress and complexity, and it can feel like the layers are piling on endlessly. I am here to help you make sense of these circumstances and figure out a way through.

Other times, we carry an unspeakable weight of cumulative past traumas and have nowhere to begin to unpack the tangle of thoughts, emotions, and reactions that come up. It can often feel like the ones closest to us don’t fully understand why we are, the way we are. I am here to help you sort out the pieces and give a safe place to the things that haven’t had a place to be spoken yet.

My goal is to truly listen to your experiences and partner with you to begin making the internal and external changes you’re craving. Everyone holds the power to bring change into their lives and shift from simply surviving to genuinely thriving. Sometimes, a fresh perspective and personalized support can move us closer to realizing that potential.

Background —I am an independently licensed social worker with a doctorate in health science, and can move flexibly between multiple disciplines. As a social worker, I am an activist at heart and believe that understanding a person must include deeply understanding the relational and environmental ecosystems they move in. My first doctoral program in clinical psychology provided a strong foundation in Jungian and archetypal psychology, and fostered a lifelong interest in psychodynamic psychotherapy, complex diagnosis, dream analysis, and object relations work. My Health Sciences work has allowed me to further hone my skills in systems analysis and evidence-based practice, while also developing a deep understanding of the nuances of healthcare systems and health practice.

My Approach — My approach is eclectic, drawing from psychodynamic and psychoanalytic traditions—reimagined through a practical, client-centered lens. I incorporate expressive and movement-based therapies alongside traditional talk therapy to co-create a treatment path that aligns with your unique needs, values, and goals. My specific tools include DBT, EMDR, cognitive behavioral approaches, and traditional psychotherapy; although there is no one-size-fits-all approach, and not every client will want or need every tool.

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Reach Out

Are you interested in working together? Queries will be returned within two business days.