Marisa Bell

Psychiatric Nurse Practitioner

Hi, I’m Marisa (she/her), a psychiatric nurse practitioner and the founder of Talking Twenties. I believe people in early adulthood deserve high-quality and compassionate care tailored for this challenging phase of every person’s life. Your twenties (and thirties) can be awesome. Let’s make it happen for you.

I am straightforward in my approach, listen carefully and work at your pace. In treatment, I attempt to balance my expertise– the science supporting medication decisions– with your own expertise– your body and mind.

At the core, I work with people who are struggling and want to reclaim their lives. If you don’t know what’s going on, I’m happy to guide you on your path to finding out.

I provide…

Medication Management & Therapy

I see clients in…

Online in Washington
In-person & online in Oregon

I see ages…

15+

I accept…

Aetna, Blue Cross Blue Shield (Regence & Premera), First Choice, Moda, PacificSource, Providence and United/Optum

Specialties

Bipolar

Trauma & PTSD

Mental health during pregnancy & postpartum

Mental health for healthcare providers & first responders

See more below about my focus in therapy

Licenses & Education

  • Education: Master of Nursing (MN) and Bachelor of Nursing (BSN) from Oregon Health & Sciences University // Bachelor of Arts (BA) from Washington University in St. Louis

  • License: Advanced Registered Nurse Practitioner (ARNP) and Psychiatric Mental Health Nurse Practitioner (PMHNP) by Washington & Oregon Boards of Nursing

  • Certification: Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) national board certification in psychiatric nursing

Additional Training

Reproductive Psychiatry: Over 100 hours of continuing education via Postpartum Support International (PSI), Mass General Hospital Center for Women’s Health, University of Washington ECHO Project and others

Trauma: EMDR foundational training, advanced EMDR training for perinatal mental health, and Cognitive Processing Therapy (CPT) foundational training

Psychopharmacology: ongoing continuing education from NEI, Psych Congress, and the Carlat Report

Sleep: Cognitive Behavioral Therapy for insomnia (CBTi) through the VA

Healthcare Workers & First Responders

  • CPT, EMDR or insight-oriented therapy for workplace violence, vicarious trauma, moral injury and burnout.

  • I enjoy working with all types of frontline professionals, most commonly nurses, military veterans, and corrections officers.

  • In my own experience as a RN and nurse practitioner in jails and prisons, I have seen the spectrum of how trauma influences all of us.

Birth Trauma & Pregnancy Loss

  • CPT, EMDR or insight-oriented therapy for traumatic birth experiences, medical trauma and pregnancy or baby loss.

  • I have supported people through an abundance of reproductive experiences, positive and negative. Every journey is different and I am continually learning from my clients.

  • I am a parent and bring to this work my own history of birth trauma and pregnancy loss.

Birth Story Processing

  • Appropriate for positive or difficult birth experiences

  • Generally 1-3 sessions

  • May be done alone or in the context of other therapy