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Strong Back. Soft Front. Wild Heart.

- Brené Brown, Braving the Wilderness

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Providing and promoting affirming and competent relationship-based mental health care for families and people of all ages that fosters the courage to live more authentic, connected and creative lives.


Our Therapists


Mackenzie Dunham, LICSW, CMHS, CDWF | She/Her/Hers

Mackenzie has a unique ability to meet both kids and parents right where they’re at, and help them come back together to reconnect, or foster deeper connection within families.  She specializes in working with LGBTQ youth and their families, and is highly regarded by clinicians throughout the Vancouver/Portland area as the “go-to” therapist for this work.   Her practice is rooted in the most current research, and standards of care for LGBTQ youth, and child mental health. She is also certified to facilitate The Daring Way, curricula based on the research of Brené Brown, as well as eight additional curricula for positive parenting.  Voted class-clown in high school, her sessions often contain the healing powers of laughter, art and music.  When she’s not working, she enjoys spending time with her family, playing the piano, reading and going to plays.


Arielle Fettman, lmfta  | She/Her/Hers

Arielle graduated with her masters degree in Marriage and Family Therapy from the Lewis & Clark Graduate School of Education and Counseling. Due in part to her education and  training, Arielle views the world from a relational perspective. She focuses her work on how people are affecting and being affected by their relationships. Arielle considers the influence of a wide variety of relationships in her work, from relationships with partners, family members, and friends to relationships with various institutions, to relationships with various aspects of the self. Arielle particularly enjoys working with individuals, couples and families who identify as LGBTQ+ or are experiencing questions and/or transitions around sexual orientation and/or gender identity. Arielle’s approach is warm, nurturing, and validating. She believes in the healing power of being genuinely seen, genuinely heard, and genuinely accepted. Arielle provides this level of attunement to every person she has the pleasure of working with. When she is not working, Arielle enjoys relaxing and spending time with her partner, her two young children, her parents, and her menagerie of pets.


Justin Little, lmft | He/him/his

Justin uses his calming and thoughtful presence to foster deep connections with clients and families, in order to provide empathic and insightful treatment for relationships and mental health concerns including depression, anxiety and trauma or stress-related symptoms. He is a Licensed Marriage and Family Therapist, specializing in working with adults, couples and families with young children to efficiently and compassionately bring about desired change through the use of mindfulness, emotional self-regulation practices and positive parenting techniques. Justin is a certifiedLevel II Restoration Model clinician, as well as a certified Incredible Years facilitator. Justin enjoys playing his guitar, going to concerts with his wife, playing with his kids and exploring the green PNW.

Insurance Plans We Accept:

  • Cigna

  • Kaiser Permanente

  • Regence Blue Cross Blue Shield

  • Premera Blue Cross Blue Shield

  • Private Pay (Cash)

  • United Health Care

  • Optum

  • Providence

More Coming Soon


Contact Us


There are several ways to get in touch with us. This form works, and so does reaching out to the email address below, or calling us. We’re open to other forms of communication as well - like carrier pigeon, or paper airplane, though they seem to be less effective.


New Clients

Billing Questions


Name *
Connection and relationship with your therapist is really important. Based on what you know so far, who seems like a good fit?
If you plan to use insurance, it is probably a good idea for us to make sure they cover our services.


Our office is located at 656 Officer’s Row, Vancouver, WA 98661. It can be a little difficult to find when you come the first time. We recommend planning a few extra minutes the first time you come in. Despite it being a little hidden, we love that we are surrounded by lots of greenery, and are a short walk to a play ground, the Fort Vancouver Regional Library, and coffee shops.

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WHere To Go, Where to Park

Our office is located at 656 Officer’s Row. If you’re familiar with Officer’s Row or Fort Vancouver, our building is the most north western building on Officer’s Row. There is plenty of parking near our building. The closets place to park is on the north end of the building, “around back.”

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All the buildings look alike

Each building on Officer’s Row is uniform so that it still reflects its history. This makes the area particularly beautiful, it also makes it particularly easy to get lost. Our office is located on the back side of our building. This is what it looks like from the northern most parking lot.