Vital Changes

Welcome to Vital Changes

Caring that Creates Change

We are glad that you have found our group of dedicated mental health professionals who are ready to serve your needs for change. We are committed to supporting you for healing, growth, and personal transformation. We specialize in providing effective counseling and psychotherapy for individuals, couples and families. We create a collaborative relationship with individuals and families and couples to develop and achieve healing and transformation. We work with adults, teens and children using a variety of approaches such as cognitive-behavioral, interpersonal, existential, problem solving, and skill building. We focus on building your skills and strengths to support the changes that you need for your life challenges.

Our Staff

We are a Psychologist (Dr. David McFarlane) and a Psychiatrist (Dr. August Piper). We work together to provide full support for your needs. We look forward to meeting you and to serving you.

Our office is located in downtown Renton, one block from the 405 and 167 freeways.

Our Therapeutic Focus

We focus on creating healthy relationships and healthy lifestyles through our expertise, experience and caring. We work with you to create new meanings, directions, and purpose. Our clients include individuals, couples and families and we work with adults, children, teens, and seniors with concerns such as anxiety, depression, communication, trauma, conflict, ADHD, addictions, sexuality, and spirituality. We Support Your Needs for:

  • Making healthy and wise choices
  • Relationship skills
  • Communication skills
  • Developing new perspectives
  • Creating greater intimacy and joy with your partner
  • Stress reduction and increased coping skills
  • Identifying and building on your capabilities and strengths

Medication Evaluation and Support

Our staff includes the psychiatric services of August Piper, MD. He provides mental health evaluations and prescribes medication for those in need of medication support.


Meet Our Staff of Therapists

David McFarlane, Ph.D., M. Div., M. Ed.
August Piper, MD

To contact our office staff,
email Aleesha Albri.

For billing inquiries, click here.