About Teresa

Teresa M. Eltrich-Auvil, MS, LMHC

After graduating with my BS and MS  in Applied Psychology at Eastern Washington University, in 2003, I returned to the PNW, a place that I called home. I have been involved in different aspects of Mental Health Counseling, experiences that were valuable to my professional development. Some areas of experience inculde crisis intervention, relative placement, child therapy, infant mental health and perinatal mood and anxiety disorders. I feel lucky to have had these experiences and look forward to continuing to grow my private practice in the downtown area working with adolescents and adults who may be struggling with anxiety, depression, transitional issues, PMAD and life therapy.


I attend regular workshops and trainings as well as consultations with other professionals in the area to continue to develop skills and to remain updated on current mental health topics and issues that are relevant today. I have attended regular trainings as well as recently completing the PSI and 2020 Mom Professional Maternal Mental Health Certificate Training in July of 2017,  and am currently working toward perinatal infant loss certification. I feel that to be a well rounded therapist for mothers, it is also important to have education surrounding birth education and have completed doula education as well. As a Perinatal Support of Washington provider, it is imperative that therapists commit to ongoing education to continue to offer quality services to their clients. That is my comittment. 


Picket Fence Therapy has been serving individuals since 2007.  Along with our downtown location in Puyallup, Picket Fence Therapy is excited to include Equine Assisted Psychotherapy (EAP) to its specialties in the Puyallup area. After owning my own horse Freeway, I realized that there was a potential to reach clients through the healing nature of horses. Horses have great healing abilities for those struggling with anxiety, depression, developng self awareness and coping skills and strategies as well as for families/couples to develop relationship insights and communication skills. Certified to provide EAP, I have joined with Rustic Heart Ranch to offer services to individuals, families and couples. Through EAP, Picket Fence Therapy continues to offer services for women's issues and the needs of adolescent girls in this specialized therapy. 

About Sarah Hoaglin, LMFTA

Contracted Mental Health Provider



In 2007 I graduated with my degree in Education from Pacific Lutheran University.  To me teaching was a passion. As I continued down this path,  I learned that my heart went out to my students, and their families who were going through hardships and struggles. 
 After listening to my heart, I decided to return to College to earn my Master's Degree in Marriage and Family Therapy.  I returned to the education field and began working full-time as an academic advisor at a local community college. Enjoying the diverse environment and helping students with their educational goals as well as supporting them through times of struggle and stress. I since have worked in Community Mental Health helping adults, teens, and children with life’s transitions and emotional struggles.  I have had the opportunity to work with a diverse population in overcoming depression, post-traumatic stress disorder (PTSD), and anxiety related disorders.  These experiences have helped to provide me with the insight that I need in order to guide me towards working in a private practice and I am eager to team up with Picket Fence Therapy to continue to offer specialized support to women and adolescent girls struggling with anxiety, depression and life transitions.
I offer individual services to women, adolescents and am continuing my specialized education to offer support to mothers during the perinatal period and women who have experienced perinatal loss. Along with individual services, I will be supporting Picket Fence Therapy in offering a number of groups throughout the year. 
 I look forward to hearing how I can help walk this journey along side you. 

Contact Us Today!

 102 23rd Ave SE
 Suite A
Puyallup, WA   98372

Phone: +1 253 3106226 +1 253 3106226

E-mail: teresa.auvil@picketfencetherapy.com

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