Our Therapists

amira SIEGEL, ma, med, lmft (she/they)

Amira is originally from a small town in Oregon, but spent the majority of her childhood and adolescence growing up in sunny San Diego, CA. She moved to Tacoma in 1996 to attend the University of Puget Sound, where she studied Rhetoric and African-American Studies.
After her undergraduate education, Amira earned a Master's degree in Education from Seattle University, and a Master of Arts in Marriage and Family Therapy at Pacific Lutheran University. She is a Washington State Approved Clinical Supervisor, training graduate students and associate level therapists for careers in Queer-*competent*, systems-oriented psychotherapy.
Amira is passionate about the idea of helping others identify and utilize their strengths, overcome barriers, and achieve their goals. As a therapist, she brings patience, compassion, humor, and problem-solving strategies from her former classroom into the therapy room, providing her clients with the tools they need to uncover their potential, lead more meaningful, authentic lives, and build healthier, more fulfilling relationships with partners and family members.
Amira is available for in-person sessions in our Tacoma office and offers telehealth sessions for individuals and couples ages 18 and older. Her rate is $180/session with an available sliding scale.

JOSH SPECHT, M.Ed., LMHC (HE/HIM)

Josh spent the first 20 years of his life in Texas, growing up in Austin before attending Rice University in Houston, where he studied English and Philosophy. After graduating, Josh spent 7 years in the Bay Area in California, working in a residential program at a high school dedicated to serving young members of historically marginalized communities. In that time, Josh discovered his passion for mental health support as a means of empowering individuals to advocate for themselves and their community.
As a cis, male, Queer-identified clinician, Josh is particularly interested in working with other male and masculine-identifying individuals on navigating the world in ways that preserve their sense of their own masculine identities, while also acknowledging and working through the very real barriers and obstacles that many men and masculine folks face when it comes to being our best selves.
Josh also specializes in working with Queer-identified adolescents and young adults in the exploration of various topics including gender and sexual identity, self-esteem, and developing positive coping mechanisms. In his work, Josh always strives to utilize a non-judgmental, strengths-based approach to cultivate a space where his clients feel accepted, celebrated, and empowered with the confidence to continue along their unique and precious paths towards self-actualization.
In his free time, Josh enjoys playing video games, watching scary movies, participating in and hosting trivia nights, and tabletop gaming.
Josh sees individual clients ages 13 and older, and also sees couples and families. His rate is $160/hr with an available sliding scale. Josh sees in-person clients in our University Place office and also offers telehealth sessions.

Des haigh, LMHCA (she/they)

Welcome — I’m grateful our paths have crossed.

We are not meant to journey through this human experience alone. As a therapist, it is my honor to walk beside you — to witness, to listen, and to support you as you return to the wisdom already within you. Healing, I believe, is not something we do in isolation. It is a deeply human, often sacred, process best nurtured in connection. It’s a collaborative experience that invites meaning, belonging, and aliveness.

I approach this work with dedication for the whole person. Your story, your complexity, your becoming will be held. I trust the parts of you that already know the way home. I hold space not only for the challenges, but also for joy, wonder, and play. These elements can soften our edges and open us to deeper connection, contentment, and peace. Our work together will be a collaborative and co-created space where you can explore, question, rest, and emerge. I bring a lens rooted in social justice, cultural awareness, and a deep respect for the diverse ways we exist in the world. All of you is welcome here, your spirituality, your traditions, your rituals, your grief, and your growth.

My approach weaves together psychoeducation, humanistic care, and the research that reminds us: healing happens in community. I draw from attachment theory, somatic practices, mindfulness, and a decolonized framework- always with a person-centered heart. I specialize in working with marginalized and mixed-identity populations with academic training grounded in trauma-informed, culturally responsive, and relational care. My areas of focus include midlife transitions, identity exploration, parenting, grief, relational work, and spiritual inquiry.

Des is a genderqueer individual who identifies both as mixed and bi-cultural, they graduated from Saybrook University. Des spent her early years navigating life between the Philippines and the States but now calls the PNW home. In their life they fill the role of spouse, parent, home educator and creative. Des has recently found the utter joy of experiencing life with their first family dog, an Aussie named Roux.

Des is available to work with individuals ages 18 and older. Their rate is $160/session with an available sliding scale.