Ash & Birch Counseling
Outpatient Mental Health Therapy,
Weight-Inclusive Nutrition Counseling, and Movement Coaching
What Services are Offered at Ash & Birch Counseling?
Weight-Inclusive Nutrition Counseling
We specialize in supporting individuals healing from eating disorders/disordered eating, those shifting away from chronic dieting, reproductive health, and nutritional-related diagnoses.
We utilize various philosophies including the Weight-Neutral approach, Intuitive Eating, Self-Compassion, Body Liberation, Embodiment, Medical Nutrition Therapy, and a Non-Diet approach.
We can meet with you virtually and/or in-person in our Puyallup office.
Mental Health Counseling
We specialize in supporting adults and adolescents with mood disorders, anxiety disorders, obsessive-compulsive disorder (OCD), trauma and/or post-traumatic stress disorder (PTSD), eating disorders/disordered eating, and other life challenges.
We utilize various practices and techniques of therapy including Mindfulness-based, Somatic, Emotional Freedom Techniques (EFT), Acceptance and Commitment Therapy (ACT), Narrative Therapy, Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) Skills, Exposure and Response Prevention (ERP), Intuitive Eating, and Self Compassion.
We can meet with you virtually and/or in-person in our Puyallup office.
Virtual Movement Coaching
Rediscover joyful movement with one of our trained NASM-Certified Personal Trainers, offering weight-neutral, trauma-informed exercise sessions tailored to your needs.
Whether you're healing your relationship with exercise, focusing on women’s health, or simply seeking compassionate support without diet culture, we’re here to meet you where you are.
We can meet with you virtually.
Animal-Assisted Therapy
Coming in Winter 2026: Therapy Dog Sessions with Shiloh — the Not-So-Shy Guy!
Get ready for tail wags, warm snuggles, and heart-melting comfort from our favorite four-legged friend. Shiloh’s gentle spirit and playful charm are about to bring big feelings and even bigger fluff to your healing journey.
