About Us

Alita Kathryn Taylor, MA, LMFT

Alita Kathryn Taylor has been a mental health practitioner since 1992, receiving a Master of Arts degree in Clinical Psychology with an emphasis in marriage and family therapy from Pepperdine University in 1995, licensed as a Marriage and Family Therapist in California (LMFT#43665, 2006) and in Washington (LMFT#60785809, 2017).

She held a part-time practice while working in outpatient and hospital settings, the bulk being in emergency psychiatric consulting. She is a clinical member of the American Family Therapy Academy (AFTA), the American Association of Marriage and Family Therapists (AAMFT), the Washington Association of Marriage and Family Therapists (WAMFT), the California Association of Marriage and Family Therapists (CAMFT), the Family Systems Therapists of the Northwest (FSTNW,) and the Association of Family Therapists of Northern California (AFTNC).

Currently, she is in the International Certificate in Collaborative-Dialogic Practices (ICCP) program through Taos and Houston-Galveston Institutes, and she holds a certificate to train and supervise couple and family dialogical practices recognized under Finnish law (valtioneuvoston asetus terveydenhuollon ammattihenkilöistä annetun asetuksen muuttamisesta 11/20/2010) trained by Jaakko Seikkula, PhD, through Dialogic Partners and the University of Jyväskylä (2018.)

Through her work in private practice and in the hospital emergency room, Alita experienced first-hand the shortcomings of delivering care in the U.S. In search of solutions, Alita found Open Dialogue in 2016 and applied to be in the first international trainer's training offered in Finland. Learning about how to treat, train, and supervise dialogically, answered an inner call for her.

She most enjoys working collaboratively, as part of a team, to allow clients, families, and social networks the space required to welcome everyone’s voice in a way that facilitates the kind of consensual meaning-making often emerging from sharing experiences during difficult times. She also concentrates on co-creating dialogical spaces for organizations and for psychiatrists in family therapy. She envisions Open Dialogue as applied interpersonal neurobiology. The treatment approach she provides for clients, families, and their social networks, which she teaches to other practitioners, supports our healthy polyvagal nerve processes in a way that transforms our own lives, and those lives of everyone around us.


Fletcher Taylor, MD

I am a member of a family and of a community that includes us all. I have lived and worked in Tacoma as a psychiatrist since 1990. I divide my professional time between clinical practice, teaching, and research. Alita Taylor and I often see clients together with their families in the form of network meetings.

I think that the elements leading to good health often fold in one’s family, community, and culture, in addition to traditional western medicine. My hope is that we will be able to use all the available resources available to us.

I received my BA in education at Earlham College, Indiana, my medical training at the University of Oklahoma, and my psychiatry training at the University Hospitals of Cleveland, Case Western University, Ohio. Besides being trained in diagnosis and medical management, I sought out formal training in other areas such as statistics, wilderness medicine, Open Dialogue, cognitive therapies, behavioral therapies, analytic theory, transactional analysis, and family systems theory.

I see individuals, couples, families and groups, and often see people together with Alita Taylor, my wife, a skilled marriage and family therapist.

My published research includes new treatments for anxiety/depression, learning disabilities, trauma-related issues, and sleep physiology.

Fletcher's Publications & Academic Presentations
Arnsten A, Raskind M, Taylor F, Connor D. The effects of stress exposure on prefrontal cortex: Translating basic research into successful treatments for post-traumatic stress disorder. Neurobiology of Stress. 2015 January 14;1(Inaugural ed.):89–99.

Taylor F. Martin P. Thompson C, Williams J, Gross C, Peskind E, Raskind M. Prazosin effects on objective sleep measures and clinical symptoms in civilian trauma PTSD: A placebo-controlled study. Biol Psychiatry. 2008 Mar 15; 63(6): 629–632.

Raskind MA, Peskind ER, Hoff DJ, Hart KL, Holmes HA, Warren D, Shofer J, O'Connell J, Taylor F, Gross C, Rohde K, McFall ME. A parallel group placebo controlled study of prazosin for trauma nightmares and sleep disturbance in combat veterans with post-traumatic stress disorder. Biol Psychiatry. 2007 Apr 15;61(8):928-34.

Fletcher B. Taylor, Kathleen Lowe, Charles Thompson, Murray A. Raskind, Miles M. McFall, Elaine R. Peskind, Evan D. Kanter. Daytime prazosin reduces emotional responsiveness to trauma specific cues in civilian trauma PTSD. Biol Psychiatry. 2006 Apr 1; 59(7):577-81

Price C, Taylor F. A retrospective chart review of the effects of modafinil on depression: As monotherapy and as adjunctive therapy. Depress Anxiety. 2005;21(4):149-53

Taylor F. A Case of Reemergent Post-traumatic Stress Disorder Arrrested by Propranolol Intervention: Does a stitch in time save nine? In: Corales, TA (Ed.) Focus on Posttraumatic Stress Disorder 2004 (pp. 39-5122) Nova Science Publishers, Inc.

Taylor F. Tiagabine for Post Traumatic Stress Disorder: An openlabel prospective case series of seven women. J Clinical Psychiatry 2003;64(12):1421-1425

Taylor F., Allison, N. Effects of the alpha-1 blocker Prazosin on ADHD symptoms and cognition: A pilot study exploring the role of the noradrenergic system in ADHD. Presented at the American Psychiatric Association Meeting in San Francisco, May, 2003

Taylor F, Prather M. The efficacy of nefazadone augmentation for treatment resistant major depression: A case series. Depression and Anxiety. 2003 18:83-88

Taylor F, Cahill L. Propranolol for emergent Posttraumatic Stress Disorder following an event of retraumatization: A case study. J Traumatic Stress. 2002 Oct;15(5):433-437

Taylor F, Raskind MA. The alpha-1 adrenergic antagonist prazosin improves sleep and nightmares in civilian trauma Posttraumatic Stress Disorder. J Clin Psychopharmacol 2002 Feb;22(1):82-5.

Taylor F, Russo, J. Comparing guanfacine and dextroamphetamine for adult Attention Deficit-Hyperactivity Disorder. Journal of Psychopharmacol 2001; 21(2):223-228

Taylor F, Russo J. Efficacy of modafinil compared to dextroamphetamine for the treatment of Attention Deficit-Hyperactivity Disorder in adults. J Child Adolesc Psychopharmacology 2000;10(4):311-320

Taylor F, Raskind MA. The alpha-1 adrenergic antagonist prazosin improves sleep and nightmares in civilian trauma Posttraumatic Stress Disorder. Poster presentation International Society for Traumatic Stress Studies San Antonio, TX, November 17, 2000

Taylor F. “New Applications for Old Drugs”. Presented to the Pierce County Medical Society, Tacoma, WA, Oct 25th 2000

Taylor F, Russo J: Efficacy of Modafinil Compared to Dextroamphetamine for the Treatment of Attention Deficit-Hyperactivity Disorder in Adults. Presented at the Annual American Psychiatric Association Meeting in Chicago, 2000

Taylor F, Russo, J: Comparing Guanfacine and Dextroamphetamine for Adult Attention Deficit-Hyperactivity Disorder: Presented at the Annual American Psychiatric Association Meeting in Chicago, 2000.

“OCD and ADHD in the Same Person: A Compatible Paradox”, Presented for the Institute for the Advancement of Human Behavior in Seattle, WA, December 6-7, 1997

“Treatments for ADHD: Fact and Fiction”, Conference on Attention Deficit-Hyperactivity Disorders, Seattle, WA, January 19, 1996

“The 10 Percent of the Patients That Take 30 Percent of Your Time”, Presented at the CME Conference for Depression and Anxiety Disorders St Joseph’s Hospital, Tacoma, 1993

Feighner J, Taylor F. et al: Depression: Diagnosis and Treatment. CME Conference, St. Joseph’s Hospital, Tacoma November 12, 1992

Taylor F. Consultation-Liaison Handbook for the Wade Park Veterans Hospital. Cleveland University Hospitals, Cleveland OH, 1990

Taylor F: Emergency Psychiatry Handbook, Case Western University, Cleveland, OH 1988

Saadah H, Taylor F: Sustained Headache Syndrome associated with tender occipital nerve zones. Headache 1987; 27:201-205

Saadah H, Taylor F: Update on the Treatment of Headaches, Presented at the Annual Headache Symposium in Chicago 1986

Murphy T, Walter F, Taylor F, et al. Endogenous anticoagulation during extracorporeal perfusion: Generation of a heparin-like inhibitor. American Journal of Physiology 1980; 239:742-750

Murphy T, Taylor F, et al. Compliment-dependent activation of canine platelets by endotoxin and collagen: In vitro studies. Clinical Immunology and Immunopathology 1980; 16:57-71