Rainier Associates
Clinicians who really care.
Clinician Profiles

J. Dale Howard, M.D.

Dale Howard has been practicing psychiatry in Tacoma for over 30 years.  He is chief of mental health at
St. Joseph's Hospital Medical Center and a Board Certified Psychiatrist.

Barry S. Anton, Ph.D., ABPP 

Barry Anton is a board certified child and adolescent psychologist with over 25 years of clinical experience working with all types of problems that confront children and adolescents.  He is also trained to work with adults and couples.

Dr. Anton received his doctorate from Colorado State University and his clinical training at Harvard University and did post doctoral training in child and adolescent clinical psychology at Boston's Children's Hospital and the Judge Baker Children's Center. 

Dr. Anton performs evaluations for learning disabilities, ADHD, early kindergarten entrance, and evaluations for gifted education.  He enjoys psychotherapy with children experiencing divorce, anxiety, life transitions, and adjustment problems.  Counseling parents about effective parenting skills is also one of his specialties.  Dr. Anton also dedicates a percentage of his practice to working with individuals, couples and families.

Barry Anton, CV

Emily Schoenfelder, M.S.W.

I have been in private practice with Rainier Associates for over 30 years.  I specialize in couple, marriage and family therapy and individual therapy.  Couples include marital, pre-marital, gay and lesbian, couples living together and family dyads.  In individual therapy I work with such issues as depression, anxiety, divorce and separation, childhood sexual abuse, major life adjustments and loss and grief.  

My approach to therapy is one of helping people look at patterns of behavior that are maladaptive and finding alternatives for them.  In individual therapy this may involve exploring past family and personal relationships, understanding how you interact within our interpersonal "system" and learning new more adaptive methods to help you achieve your goals.  I see myself in the role of a facilitator, who challenges old behaviors and ideas and encourages you to create new ways to solve problems.  

With couples I work with you to identify established patterns of interaction or the "emotional dance" between members of a couple.  My role is to help illuminate these patterns, uncover the layers of emotion that perpetuate the dance, create a safe environment for exploration of these feelings and help couples reconnect in a more open, less conflictual manner.  

Naomi Huddlestone, Ph.D.
Not Pictured

Dr. Huddlestone was specially trained in child and adolescent clinical psychology at the University of Michigan.  She has been in practice at Rainier Associates since 1987.  Dr. Huddlestone works with children who have: attention deficit hyperactivity disorder (ADHD), mood disorders, anxiety disorders, adjustment disorders, behavior disorders and children whose parents are divorced.  Dr. Huddlestone also works with parents so they can provide the support and structure that will allow their children to develop into successful adults.

Fletcher Taylor, M.D.

Who am I?  I am a member of a family and also of an even larger community.  The community includes Tacoma, where I have lived since 1990.  As a physician, I have enjoyed my general adult psychiatry practice here at Rainier Associates.  I divide my professional time between clinical practice and research.

What is my therapeutic orientation and philosophy?  I think that the most effective treatments involve collaboration.  This means that the types of treatment used are entirely dependent on an individual's needs, which may extend far beyond any one person's expertise.  In general, I find that one's faith, one's culture, and modern medicine are not mutually exclusive elements of therapy, as some would have you believe.  My hope is that we would use all available resources in any treament process. 

What is my training?  I received my BA in education at Earlham College, Indiana, medical training at the University of Oklahoma, and my internship and psychiatry training at the University Hospitals of Cleveland, Case Western University, Ohio.  Besides being trained in diagnosis and medical management, I received formal training in other related areas, such as cognitive therapies, behavioral therapies, analytic theory, transactional analysis, and family systems theory.

What are my particular areas of concentration?  These include anxiety disorders, mood disorders, attention deficit hyperactivity disorders, and sleep physiology.  I also look for new mental health applications for existing medications:  A long-acting form of guanfacine has just received FDA approval for attention deficit disorder.  Prazosin, used to treat high blood pressure, shows promise in the treatment of PTSD-related nightmares.  Thanks to an award from the National Institute of Mental Health we are currently looking at how to dose Prazosin for nightmares in those with civilian and military trauma.  For questions about the studies, call me at 253-475-6021.

What are my credentials?

Board Certification: National Board of Psychiatry and Neurology
Academic Post: Assistant Clinical Professor, Department of Psychiatry and Behavioral Sciences, University of Washington.

With whom do I work?

Rainier Associates, Tacoma, Washington.
Department of Psychiatry and Behavioral Sciences, University of Washington.
St. Joseph's Hospital, Tacoma, Washington.

Trenton Williams, Ph.D.

Dr. Williams has been a member of Rainier Associates clinical staff since 1992.  His training is in adult and adolescent psychology. 

Dr. Williams works with individuals who have ADHD, Bipolar Disorder, anxiety disorders, depression, PTSD and general life issues. 

Dr. Williams works with couples in need of marital therapy. 

Susan Poole, Ph.D.

Dr. Poole is a licensed psychologist in the state of Washington.  She joined Rainier Associates in 1999 after completing an internship at Duke University and earning a doctoral degree (Ph.D.) in counseling psychology from Washington State University in 1998.

Dr. Poole works with adolescents and adults who are facing a variety of concerns such as: depression, anxiety, post-traumatic stress, bipolar disorder, adjustment to life stressors, adolescent issues, post-partum depression, sexual assault/abuse, divorce, marital issues, grief, gay/lesbian/bisexual issues. 

Dr. Poole views psychotherapy as a powerful process with the potential to change unhealthy life patterns, reduce uncomfortable emotional symptoms, restore a feeling of control over life, and improve self-esteem.  She draws from a variety of therapeutic approaches, especially cognitive-behavioral and interpersonal, based on the needs of the individual client and knowledge of research findings for effective treatments. 

Dr. Poole's goal is to form a partnership with you and, through collaboration, build a treatment plan that will address your concerns and ultimately leave you empowered and prepared to manage your life with success.

George Jackson, M.D.

Dr. Jackson has been working at Rainier Associates since 2001.  He is board certified in psychiatry and completed residency training at Duke University.  Dr. Jackson's clinical practice spans the breadth of general psychiatry, including medication management and psychotherapy or a combination of both.  Additionally, he treats people ranging in age from early adolescence to geriatrics.  Dr. Jackson is also on the clinical staff at the St. Joseph Mental Health Unit.

Catherine Mulhall, M.S.W.

Credentials and experience: Catherine Mulhall is a clinical social worker, specializing in psychotherapy with adults.  She received her Bachelor of Arts degree in psychology and social work from Pacific Lutheran University in Tacoma, WA, and her Master of Social Work degree from Catholic University in Washington, D.C.  She has worked in a variety of settings, including hospital, mental health agencies, and private practice.  In her practice in the greater Washington, D.C. area, as well as in Tacoma, Catherine has developed a broad scope of experience in her work with clients from diverse social, cultural, and religious backgrounds who present with a wide range of needs.

Current Practice: Catherine's primary areas of specialty include generalized anxiety, phobias and specific fears, panic disorder, post-traumatic stress disorder, survivors of abuse, depression, self-esteem, interpersonal issues, grief and loss, and a wide range of adjustment issues. 

Approach: Combined with other methods, Catherine uses strengths-based and solution-focused models to assist clients in both recognizing and further developing the strengths they already have, as well as helping them look toward solutions or goals rather than focusing primarily on the problem or concern.  Utilizing various treatment approaches, including cognitive/behavioral therapy, desensitization, problem-solving, as well as other therapeutic interventions.  Catherine builds on the client's strengths to help them move toward emotional healing, development of effective coping skills, problem/conflict resolution, personal growth, and improved wellness.  Catherine chooses the model(s) and
intervention(s) most appropriate to each client's unique needs in order to most effectively work toward their individual goals.  In addition, Catherine strives to help each client develop 'tools,' which they can implement in their own lives for current and future needs.

Vanessa Honn, Ph.D.

Dr. Honn earned her Ph.D. in Clinical Psychology from The Ohio State University.  She completed postdoctoral training in neuropsychology and behavioral medicine at the VA Boston Healthcare System and Boston University School of Medicine.  She has worked as a clinical psychologist in the state of Washington since 2004 and has been with Rainier Associates since 2007.

Dr. Honn is skilled at treating depression, anxiety, and the effects of trauma, as well as helping people manage major life stressors such as grief, divorce, or work-related difficulties.  She will use strategies such as cognitive-behavioral psychotherapy and mindfulness-based interventions to help you develop healthier relationships with difficult emotions and challenging life circumstances.  Dr. Honn's approach to psychotherapy is both supportive and problem-focused.  She will work actively with you to identify areas for change, improve self-awareness, enhance current strengths, and help you generate solutions.  She views psychotherapy as a flexible process, guided by your input, and tailors the process to best fit your needs.

As a health psychologist, Dr. Honn specializes in helping individuals adjust to and manage health concerns including chronic pain, insomnia, consequences of stroke and traumatic brain injury, post-concussive symptoms, neurologic disorders, functional neurologic symptoms, and other challenges related to acute or chronic illness.  She supports clients in developing and implementing lifestyle changes for improved health.

Neuropsychological Evaluation:
Dr. Honn also specializes in assessment of individuals with dementia, stroke, traumatic brain injury, and other medical and neurologic illnesses.  Neuropsychological evaluation is designed to carefully evaluate a broad range of mental functions including memory, attention, intelligence, verbal ability, visual ability, academic skills, reasoning, problem-solving, and emotional functioning.  Dr. Honn is not accepting new referrals for neuropsychological evaluation at this time.

Vanessa Honn - CV

Ryan Coon, Psy.D.

Dr. Ryan Coon earned his doctorate in Clinical Psychology in 2005 from George Fox University and has been a member of the American Psychological Association since October of 2000.  Dr. Coon's practice includes the treatment of children, adolescents and adults for individual therapy and psychological evaluations in various forms.  Dr. Coon's primary focus is the treatment of anxiety and depression.

Jodi Howell Nagy, Ph.D.

Dr. Howell Nagy is a licensed psychologist in the state of Washington.  Dr. Howell Nagy joined Rainier Associates in January 2011.  Originally from New York, Dr. Howell Nagy completed her graduate schooling in the Midwest, before deciding to settle in the Pacific Northwest.  She earned a masters degree in marriage and family therapy from Indiana State University (ISU) in 1994, and a doctoral degree, also from ISU, in counseling psychology in 1998.

Dr. Howell Nagy provides therapy to individuals, couples, and families exhibiting a wide range of presenting concerns including relationship difficulties, depression, bipolar disorder, anxiety disorders, life transitions, eating disorders, grief and loss, and trauma.  Regarding the latter, trained in EMDR, Dr. Howell Nagy will sometimes additionally utilize EMDR to assist clients, diagnosed with PTSD, in resolving their traumatic and disturbing experiences. 

Dr. Howell Nagy views her clients as the real "experts" with respect to themselves and their personal experiences.  Throughtout her therapy work, she attempts to tap into her clients' frame of reference; and through so doing, provide them with the skills, knowledge, and awareness to arrive at their own solutions and achieve their goals.  Dr. Howell Nagy is an energetic, enthusiastic therapist who has much faith in the therapy process and people's inherent capacity to make desired changes in themselves and their lives.  Her goal-directedness is balanced by a gentle sense of humor and her interactions with others are comfortable, respectful, and genuine.


Amy Dwyer, LICSW

I received a Bachelor of Science Degree in Psychology from Oregon State University in 1997 and a Master's of Social Work Degree from Portland State University in 2002.  I have worked in outpatient and inpatient mental health settings since 2002.  My professional experience includes individual, family, and group therapy in the treatment of children, adolescents, and adults.  I have been trained in several evidence-based practices, including Cognitive-Behavioral Therapy for Depression and Anxiety, Trauma Focused Cognitive-Behavioral Therapy, Aggression Replacement Therapy, and Dialectic Behavior Therapy.

I believe in a collaborative approach to therapy.  In partnership, we will work to explore your needs and develop a treatment plan to address identified issues.  I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy.  In addition, I use a strengths-based framework.  Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies.  In addition, our work will likely include making meaning of important life events.  Treatment work with children, adolescents and families also routinely includes exploring developmental issues and providing strategies for caregivers.   

E. Thomas Dowd, Ph.D., ABPP

I am a board certified psychologist in Behavioral and Cognitive Psychology through the American Board of Professional Psychology, Inc.  I am President of the Behavioral and Cognitive Psychology certifying board and President-elect of the Division of Psychological Hypnosis of the American Psychological Association.  I am an internationally acclaimed speaker on a variety of topics.  I have published 7 books, 60 book chapters and 130 journal articles.  I provide psychotherapy and coaching for adults and older adults.  I also provide couples counseling and therapy, for relationship enhancement and repair.  I have extensive experience in both academic and practice settings with a focus on a broad spectrum of treatment methods for emotional and behavioral problems.  I primarily utilize the cognitive-behavioral-developmental model, in which existing problems and concerns are placed within the context of the client's developmental and familial history.  But I am eclectic in many ways.  I treat depression and anxiety disorders, fears and phobias, various types of traumas, religious/spiritual issues, relationship problems, adjustment difficulties, stress management, career and occupational counseling, self-esteem issues, smoking cessation, grief and bereavement, as well as utilizing hypnosis and hypnotherapy for a variety of concerns.  I teach and provide compassion and insight to help clients overcome destructive life patterns.  I promote positive psychology.  I constantly search for new challenges and opportunities in life and encourage my clients to do the same.  It is only when we change that we can grow.  It is easy to become stuck in fear and avoidance and I can help you with that.   Remember: "Avoidance is the central human problem.  Validation is the central human need."

Dr. Dowd - CV

Stephanie Munizza, LMFT, CDP

I work with individuals, couples, and families.  Regardless if you are coming to therapy on your own, with a partner, or your family, I will tailor the therapeutic process to fit your needs.  I believe that therapy is about gaining awareness and understanding, and once that is accomplished, there is a choice to make a change or not.  I also believe that you are the expert of your mind, emotions, body and spirit, and my role involves navigating, challenging, mirroring, and supporting you on your path.  My training incorporates various counseling approaches, such as Family Systems, Cognitive-Behavioral(CBT), Humanistic and Experimental theories.  I prefer using EMDR, an evidence based therapy for the treatment of trauma, in my work with individuals.  I have experience in working with such issues as depression, anxiety, grief and loss, drug and alcohol abuse or dependency, emotional, physical, sexual neglect or abuse, as well as a variety of other life issues.

Thomas Roe, Psy.D.

I provide individual and couples counseling.  I am open to providing outreach including presentations, workshops, and training to various groups in the community.  My professional interests include stress/anxiety, depression, peak performance, eating disorders, substance abuse/addictions, relationship issues, adjustment, trauma and intersections of identity and culture.  I consider myself to be a generalist with recent experience in higher education working with undergraduate and graduate students, medical/law students, and those hoping to improve focus, attention, motivation, and work efficiency.  I consider social justice an important piece of my work striving for equity and social opportunity.  I use a wide variety of collaborative approaches in therapy, depending on the nature of the work, identities present in the room, and cultural considerations.  I enjoy being creative using a variety of interventions including cognitive-behavioral(CBT), psychodynamic, humanistic, and feminist modalities.  I utilize the relationships in the room, motivational interviewing, mindfulness, and interpersonal process to further personal development and positive change.  I tend to use a casual and open approach to the therapy process and appreciate humor.  My overall goal is to help individuals maximize their life potential and thrive.

Marsha L. Cain, M.D.

I am Dr. Marsha Cain, a Board Certified Psychiatrist.  I have been in the private practice of psychiatry for 37 years and in the practice of medicine for 48 years.  I do consider myself first a physician and second as a specialist in
psychiatry.  I completed my psychiatric residency in Washington State and have continued to live here.  Over the years I have done teaching and consultation with many of the Mental Health Professionals in the Seattle-Tacoma area.  This includes psychiatric social workers, marriage and family therapists, psychiatric nurse practitioners and clinical psychologists.  Earlier in my career I was on the clinical faculty at the University of Washington supervising and teaching residents in psychiatry.

My work experiences beyond private practice have included being the Psychiatric Consultant at Purdy Treatment for Women, Psychiatric Consultant at Pacific Lutheran University, University of Puget Sound, Medical Director of Good Samaritan Mental Health Center, Psychiatric Consultant at Kwawachee Counseling Center Puyallup Tribal Authority.

I practice adult psychiatry and see the range of pathologies from serious mental illnesses such as schizophrenia, major depressive disorders, bipolar affective disorders to adjustment disorders.  I do management of psychopharmacology as well as psychotherapy.  I subscribe to the biopsychosocial model of understanding emotional disorders.  This means that psychotherapy, social factors, including individual spirituality, and medication all play an important role in working for the goal of better health for the individual.  I strive to tailor my approach to individual needs of each patient.

Natalie Glover, Ph.D. 

I am a licensed psychologist in the state of Washington. I earned a doctoral degree (Ph.D.) in Clinical Psychology from the University of Kentucky and completed my predoctoral internship at the VA Puget Sound: American Lake Division, where I stayed for a postdoctoral residency in chronic pain management from a biopsychosocial perspective.

I work with adults, and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues.

My primary treatment modalities are Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. Both of these are designed to help increase your awareness of your thoughts, emotions, and behavioral patterns, and to empower you to create real and lasting change in your life. I believe that therapy is not only a safe place to be heard and understood without judgment, but also an opportunity to grow and change in ways that reduce suffering and make life more meaningful.  

Kirstin Kirschner, M.D.

I am a Board Certified Pediatrician, Psychiatrist and Child and Adolescent Psychiatrist.  A passion for working with individuals with mental health and addiction diagnoses caused me to change from pediatrics to psychiatry in 2011.  I recently relocated from the Mid-West to the Tacoma area with my family.

I provide both medication management and therapy for children and adults; however, my focus is on children and young adults.  I look forward to working with other pediatric providers in the area to develop services for our youth and young adults who struggle with mental health diagnoses and/or addiction. 

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