Patrick Means
Counselor, MA, LMHC Verified
Seattle, WA 98109
My areas of expertise include addiction and codependency recovery, relationship issues (for both individuals and couples), life transitions, and trauma resolution.
I believe that almost all change that occurs in therapy comes from forming a safe therapeutic relationship, and in the context of that relationship increasing your awareness of self, challenging your old beliefs, establishing appropriate boundaries in relationships with others, and experiencing and letting go of old pain. My task is to support you in that process. I tend to be active in therapy. I ask questions, offer observations, and look for patterns in the client's life. However, I believe the client is the final expert on themselves, and I trust in their unique healing process.
(425) 890-4646
Verified
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Seattle, WA 98109
My areas of expertise include addiction and codependency recovery, relationship issues (for both individuals and couples), life transitions, and trauma resolution.
I believe that almost all change that occurs in therapy comes from forming a safe therapeutic relationship, and in the context of that relationship increasing your awareness of self, challenging your old beliefs, establishing appropriate boundaries in relationships with others, and experiencing and letting go of old pain. My task is to support you in that process. I tend to be active in therapy. I ask questions, offer observations, and look for patterns in the client's life. However, I believe the client is the final expert on themselves, and I trust in their unique healing process.
Photo of Heidi Gray, Marriage & Family Therapist
Heidi Gray
Marriage & Family Therapist, LMFT Verified
Seattle, WA 98136
Offers online therapy
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
(206) 858-8169
Verified
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Seattle, WA 98136
Offers online therapy
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
John A Lembo
Counselor, MA, LMHCA Verified
Seattle, WA 98121
I also work with couples who are experiencing infidelity, high conflict, low emotional connection and intimacy, and couples who are feeling stuck.
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like shame, fear, and pain, we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
(206) 312-2675
Verified
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Seattle, WA 98121
I also work with couples who are experiencing infidelity, high conflict, low emotional connection and intimacy, and couples who are feeling stuck.
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like shame, fear, and pain, we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
Photo of Talitha Bullock, Counselor
Talitha Bullock
Counselor, MA, LMHC Verified
Seattle, WA 98119
Offers online therapy
I have also worked with engaged couples who are desiring more connectedness with their partner.
I have learned that people can deeply disappoint you, and that your heart can be hopelessly broken. I have learned that marriages will turn stagnant and stale and that you will war within your body while no one else is looking. I have learned you will get dizzy from circling within your conflicted relationship with no signs of light at the end of the tunnel. I've learned that your marriage can come to be the place you feel most lost and alone. In my psychotherapy practice, we will start with where you are.
(863) 657-0766
Verified
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Seattle, WA 98119
Offers online therapy
I have also worked with engaged couples who are desiring more connectedness with their partner.
I have learned that people can deeply disappoint you, and that your heart can be hopelessly broken. I have learned that marriages will turn stagnant and stale and that you will war within your body while no one else is looking. I have learned you will get dizzy from circling within your conflicted relationship with no signs of light at the end of the tunnel. I've learned that your marriage can come to be the place you feel most lost and alone. In my psychotherapy practice, we will start with where you are.
Elizabeth Schoettle
Psychologist, PsyD Verified
Seattle, WA 98103
I am a generalist, and my practice includes adolescents, adults, couples, and families. Clients approach me for a wide range of issues and concerns, which can include interpersonal or relationship problems, family conflict, grief, transitions, depression, anxiety, and the recovery from trauma or abuse. I also see individuals who simply want to live happier or more fulfilling lives. My therapeutic orientation is flexible and integrative. Most often, I utilize emotion-focused, relational, experiential, and somatic techniques. However, I ultimately strive to work in a way that optimally matches my clients' unique needs.
(206) 855-3928
Verified
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Seattle, WA 98103
I am a generalist, and my practice includes adolescents, adults, couples, and families. Clients approach me for a wide range of issues and concerns, which can include interpersonal or relationship problems, family conflict, grief, transitions, depression, anxiety, and the recovery from trauma or abuse. I also see individuals who simply want to live happier or more fulfilling lives. My therapeutic orientation is flexible and integrative. Most often, I utilize emotion-focused, relational, experiential, and somatic techniques. However, I ultimately strive to work in a way that optimally matches my clients' unique needs.
Photo of Lily Hilen, Marriage & Family Therapist
Lily Hilen
Marriage & Family Therapist, MA, LMFTA Verified
Seattle, WA 98107
As well, I am trained in Gottman Method Couples Therapy and am a Certified Bringing Baby Home Educator.
You are not alone. Maybe you're needing support in preparation for marriage, pregnancy, and baby's arrival. Or maybe these issues bring about pain and challenge, such as infertility, miscarriage, or perinatal anxiety/depression, or childbirth trauma. Are you feeling stuck in a relationship or your career? Has your partnership hit some bumps while facing life transitions, is parenting feeling overwhelming, or are you in the midst of a difficult chapter of life? I provide a safe and non-judgemental space to address such life issues and meet my clients where they're at. I am direct, yet compassionate and supportive.
(206) 567-7534
Verified
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Seattle, WA 98107
As well, I am trained in Gottman Method Couples Therapy and am a Certified Bringing Baby Home Educator.
You are not alone. Maybe you're needing support in preparation for marriage, pregnancy, and baby's arrival. Or maybe these issues bring about pain and challenge, such as infertility, miscarriage, or perinatal anxiety/depression, or childbirth trauma. Are you feeling stuck in a relationship or your career? Has your partnership hit some bumps while facing life transitions, is parenting feeling overwhelming, or are you in the midst of a difficult chapter of life? I provide a safe and non-judgemental space to address such life issues and meet my clients where they're at. I am direct, yet compassionate and supportive.
Photo of Michele Deklaver White, Counselor
Michele Deklaver White
Counselor, MA, LMHC Verified
Seattle, WA 98122
I also provide support for couples and parents by rebuilding relationships through establishing healthy boundaries, roles, and effective communication.
I provide psychotherapy to individuals and families to promote growth and empowerment through supportive listening, mindfulness, and examination of past experiences, allowing clients to cultivate insight and bring about lasting change. I use a collaborative and dynamic approach that incorporates multiple theoretical approaches and techniques to meet both individual and family needs and preferences. I believe that insight alone does not bring about change; rather, we must do something different to become something different. I offer compassion, humor, honesty, and straightforward feedback while I empower individuals and families to explore their own goals and work toward growth and healing.
(206) 453-2163
Verified
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Seattle, WA 98122
I also provide support for couples and parents by rebuilding relationships through establishing healthy boundaries, roles, and effective communication.
I provide psychotherapy to individuals and families to promote growth and empowerment through supportive listening, mindfulness, and examination of past experiences, allowing clients to cultivate insight and bring about lasting change. I use a collaborative and dynamic approach that incorporates multiple theoretical approaches and techniques to meet both individual and family needs and preferences. I believe that insight alone does not bring about change; rather, we must do something different to become something different. I offer compassion, humor, honesty, and straightforward feedback while I empower individuals and families to explore their own goals and work toward growth and healing.
Photo of Nicole Wilson, Marriage & Family Therapist
Nicole Wilson
Marriage & Family Therapist, MS, MA, LMFTA Verified
Seattle, WA 98136
Offers online therapy
I work with individuals, couples and all forms of relationship systems (polyamorous, triads, polycules, etc.) to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact me for services are usually seeking therapy because they are experiencing issues in their relationship, working toward healing after loss of trust, are in conflict, having sexual difficulties, or are contemplating separation. Prior to my current practice, I worked at Seattle Counseling Service where I became adept in working with humans from a variety of diverse sexual experiences and backgrounds.
(206) 495-6836 x7
Verified
View

Seattle, WA 98136
Offers online therapy
I work with individuals, couples and all forms of relationship systems (polyamorous, triads, polycules, etc.) to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact me for services are usually seeking therapy because they are experiencing issues in their relationship, working toward healing after loss of trust, are in conflict, having sexual difficulties, or are contemplating separation. Prior to my current practice, I worked at Seattle Counseling Service where I became adept in working with humans from a variety of diverse sexual experiences and backgrounds.
Photo of Celeste Sargin, Marriage & Family Therapist Associate
Celeste Sargin
Marriage & Family Therapist Associate, MA, LMFTA Verified
Seattle, WA 98116
Offers online therapy
My practice is predominantly focused on working with individuals, couples, and families who are going through life transitions.
(Accepting New Clients) During these unprecedented times, it can feel like what we once knew is no longer there. All generations and people are feeling the impact that Covid-19 has had on their lives. If you are feeling the urge to seek out therapy, I admire you for taking the leap. Sometimes, the hardest part of therapy can be searching for a therapist or making that first appointment. Going through therapy is a journey, and together with support, I am confident that it will be an experience you are proud of. Let's work together to create a story that fits exactly where you are in life.  ​ ​
(206) 558-9230
Verified

Seattle, WA 98116
Offers online therapy
My practice is predominantly focused on working with individuals, couples, and families who are going through life transitions.
(Accepting New Clients) During these unprecedented times, it can feel like what we once knew is no longer there. All generations and people are feeling the impact that Covid-19 has had on their lives. If you are feeling the urge to seek out therapy, I admire you for taking the leap. Sometimes, the hardest part of therapy can be searching for a therapist or making that first appointment. Going through therapy is a journey, and together with support, I am confident that it will be an experience you are proud of. Let's work together to create a story that fits exactly where you are in life.  ​ ​
Photo of Katie Graham, Counselor
Katie Graham
Counselor, MA, LMHC Verified
Seattle, WA 98101
Areas of special interest and training include: Relationships/Couples; Anxiety/Trauma/PTSD including EMDR (Eye Movement Desensitization Reprocessing); Pain Management & Body/Mind Psychotherapy including use of EMDR, Lifespan Integration, Biofeedback, Focusing, and Mindfulness-based Cognitive Therapy; Art Therapy (see below).
We all have times when life seems like more than we can navigate on our own. With over 25 years of experience, I help clients with a wide range of issues for both short and long-term goals. My style is warm, interactive, and direct while honoring individual uniqueness and self-expression. In a safe and confidential setting, my goal is to provide an opportunity to challenge self-limiting beliefs/behaviors and to establish lifelong tools for improving/maintaining a healthy and enriched life.
(206) 452-2729
Verified
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Seattle, WA 98101
Areas of special interest and training include: Relationships/Couples; Anxiety/Trauma/PTSD including EMDR (Eye Movement Desensitization Reprocessing); Pain Management & Body/Mind Psychotherapy including use of EMDR, Lifespan Integration, Biofeedback, Focusing, and Mindfulness-based Cognitive Therapy; Art Therapy (see below).
We all have times when life seems like more than we can navigate on our own. With over 25 years of experience, I help clients with a wide range of issues for both short and long-term goals. My style is warm, interactive, and direct while honoring individual uniqueness and self-expression. In a safe and confidential setting, my goal is to provide an opportunity to challenge self-limiting beliefs/behaviors and to establish lifelong tools for improving/maintaining a healthy and enriched life.
Photo of Victoria Coen, Clinical Social Work/Therapist
Victoria Coen
Clinical Social Work/Therapist, MSW, LICSW Verified
Seattle, WA 98115
With 30+ years of professional experience, I enjoy supporting and inspiring adults and couples to overcome depression, anxiety, relationship issues, PTSD, childhood and adult abuse and trauma, loss and major life transitions.
My clients' holistic healing and my passion for my work both come from the co-creative process of building caring, supportive and trusting relationships. Therapy is an amazing transformational journey of exploring your concerns with care, compassion and curiosity. By learning to know and trust yourself, you can heal stuck emotions, access inner strength and wisdom, and gain positive self-acceptance. Let's work together to break out of old patterns that distance you from those you love and from yourself, realizing that you are already OK, enough and lovable. Making more empowered choices leads to greater happiness and success!
(206) 922-8205
Verified
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Seattle, WA 98115
With 30+ years of professional experience, I enjoy supporting and inspiring adults and couples to overcome depression, anxiety, relationship issues, PTSD, childhood and adult abuse and trauma, loss and major life transitions.
My clients' holistic healing and my passion for my work both come from the co-creative process of building caring, supportive and trusting relationships. Therapy is an amazing transformational journey of exploring your concerns with care, compassion and curiosity. By learning to know and trust yourself, you can heal stuck emotions, access inner strength and wisdom, and gain positive self-acceptance. Let's work together to break out of old patterns that distance you from those you love and from yourself, realizing that you are already OK, enough and lovable. Making more empowered choices leads to greater happiness and success!
Photo of Peter Thomas, Psychologist
Peter Thomas
Psychologist, PhD Verified
Seattle, WA 98103
Offers online therapy
I am a direct, warm, engaged and interactive therapist. I love working with couples and families seeking deeper intimacy and with individuals who approach their life challenges as opportunities for personal growth. I encourage clients to trust themselves, follow the wisdom of their bodies, and do what they truly love. My best work is with clients who not only seek immediate relief but also want to empower themselves emotionally, creatively, and spiritually.
Verified
View

Seattle, WA 98103
Offers online therapy
I am a direct, warm, engaged and interactive therapist. I love working with couples and families seeking deeper intimacy and with individuals who approach their life challenges as opportunities for personal growth. I encourage clients to trust themselves, follow the wisdom of their bodies, and do what they truly love. My best work is with clients who not only seek immediate relief but also want to empower themselves emotionally, creatively, and spiritually.
Photo of James E Bederaux-Cayne, Counselor
James E Bederaux-Cayne
Counselor, MA, LMHC Verified
Seattle, WA 98116
Offers online therapy
I have a broad range of clinical training and experience related to individual, couples, families and group therapy.
I will actively use my training and experience to help you meet your needs & goals. Successful treatment is a direct result of mutual efforts, honesty, respect, and collaboration. Life is full of transitions. Many transitions require skill to navigate. Some happen easily and others require thought, planning and occasionally outside help. I regularly help people manage depression, anxiety, life & work transitions, relationship problems, the processing of and recovery from trauma, and developmental issues throughout the lifespan.
(253) 220-6158
Verified
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Seattle, WA 98116
Offers online therapy
I have a broad range of clinical training and experience related to individual, couples, families and group therapy.
I will actively use my training and experience to help you meet your needs & goals. Successful treatment is a direct result of mutual efforts, honesty, respect, and collaboration. Life is full of transitions. Many transitions require skill to navigate. Some happen easily and others require thought, planning and occasionally outside help. I regularly help people manage depression, anxiety, life & work transitions, relationship problems, the processing of and recovery from trauma, and developmental issues throughout the lifespan.
Photo of John Schwab, PhD, Psychologist
John Schwab, PhD
Psychologist, PhD, <center Verified
Seattle, WA 98104
Offers online therapy
I am a Licensed Clinical Psychologist treating individuals, couples and families with a wide range of concerns including depression, anxiety, relationship issues, sexual concerns and career challenges. I work to establish a place where people can disclose and pursue their most personal challenges openly and truthfully. Therapy is a kind of 'second chance', an opportunity to 'correct' behaviors that may have been necessary in the past.
(206) 922-8244
Verified
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Seattle, WA 98104
Offers online therapy
I am a Licensed Clinical Psychologist treating individuals, couples and families with a wide range of concerns including depression, anxiety, relationship issues, sexual concerns and career challenges. I work to establish a place where people can disclose and pursue their most personal challenges openly and truthfully. Therapy is a kind of 'second chance', an opportunity to 'correct' behaviors that may have been necessary in the past.
Photo of Sean Michael Carvey, Marriage & Family Therapist
Sean Michael Carvey
Marriage & Family Therapist, LMFT Verified
Seattle, WA 98122
Offers online therapy
I strive to bring my own sense of authenticity to every session as I believe that therapy at its core is successful due to the relationship between clinician and client. As your therapist I will promise to be consistently present, challenge you gently but firmly when you need me to, and to empathetically and truly care about what you have to say. I have twelve years of experience in the mental health field addressing issues ranging from depression and anxiety to substance use to feelings around gender and sexuality. I work with individuals and families but also have a strong passion in working with couples and relationships
(206) 207-8215
Verified
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Seattle, WA 98122
Offers online therapy
I strive to bring my own sense of authenticity to every session as I believe that therapy at its core is successful due to the relationship between clinician and client. As your therapist I will promise to be consistently present, challenge you gently but firmly when you need me to, and to empathetically and truly care about what you have to say. I have twelve years of experience in the mental health field addressing issues ranging from depression and anxiety to substance use to feelings around gender and sexuality. I work with individuals and families but also have a strong passion in working with couples and relationships
Photo of Katrina M Sanford, Counselor
Katrina M Sanford
Counselor, PsyD Verified
Seattle, WA 98122
Offers online therapy
I can support couples and individuals with issues not limited to: sexual health difficulties, relationships, life transitions, alternative lifestyles/relationships, LGBTQ community, individuals with racial identity issues, anxiety, mood disorders, womyn's issues.
Peace and Blessings! I am best suited for clients that are ready to make change on a holistic, level, touching on all issues that contribute to your overall health, including physical, emotional, and spiritual health. Your mind and body's connection is inseparable and must be nurtured and understood. For that reason, I want to help empower you to gain insight into the behavioral and psychological patterns that make it difficult for you to function happily and healthily in life.
(240) 949-7761
Verified
View

Seattle, WA 98122
Offers online therapy
I can support couples and individuals with issues not limited to: sexual health difficulties, relationships, life transitions, alternative lifestyles/relationships, LGBTQ community, individuals with racial identity issues, anxiety, mood disorders, womyn's issues.
Peace and Blessings! I am best suited for clients that are ready to make change on a holistic, level, touching on all issues that contribute to your overall health, including physical, emotional, and spiritual health. Your mind and body's connection is inseparable and must be nurtured and understood. For that reason, I want to help empower you to gain insight into the behavioral and psychological patterns that make it difficult for you to function happily and healthily in life.
Photo of Shanyn Gilio-Tenan, Clinical Social Work/Therapist
Shanyn Gilio-Tenan
Clinical Social Work/Therapist, LICSW, MHP, CMHS Verified
Seattle, WA 98136
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
(541) 241-2777
Verified
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Seattle, WA 98136
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
Photo of Matt Cox, Marriage & Family Therapist Associate
Matt Cox
Marriage & Family Therapist Associate, MA, MFTA, MDiv, MBA Verified
Seattle, WA 98107
Offers online therapy
If you and your partner are looking to work on your relationship, I conduct 80 min couples sessions.
At one time or another, we all find ourselves stuck. We end up burdened by depression, loss, or anxiety. Our relationships become mired in conflict and disconnection. We feel the life we want is out of reach. As a therapist, my goal is to help you get unstuck and step into the life you want. I provide therapy to individuals and couples that is engaging, caring, practical, and applicable to your life and goals. I have experience working with anxiety, depression, and life transition issues. I also have training and experience supporting clients with issues related to spirituality or purpose. For individuals, I conduct 50 min sessions.
(206) 231-6862
Verified
View

Seattle, WA 98107
Offers online therapy
If you and your partner are looking to work on your relationship, I conduct 80 min couples sessions.
At one time or another, we all find ourselves stuck. We end up burdened by depression, loss, or anxiety. Our relationships become mired in conflict and disconnection. We feel the life we want is out of reach. As a therapist, my goal is to help you get unstuck and step into the life you want. I provide therapy to individuals and couples that is engaging, caring, practical, and applicable to your life and goals. I have experience working with anxiety, depression, and life transition issues. I also have training and experience supporting clients with issues related to spirituality or purpose. For individuals, I conduct 50 min sessions.
Photo of Omid Roustaei, Counselor
Omid Roustaei
Counselor, MA, LMHC Verified
Seattle, WA 98101
Offers online therapy
I work with individuals & couples who are seeking change and strive to better understand and work through their negative patterns in their relationships and personal lives. Have you been yearning for the love & respect that you once had in your intimate relationship? Is anger, stress, worry or depression getting the best of you in your personal life? Finding yourself getting into the same patterns of fighting and arguing with your partner? Not feeling heard? Maybe you've lost touch with the friendship & love that started your relationship. Do you find yourself shutting down to keep from arguing with your partner?
(206) 228-6797
Verified
View

Seattle, WA 98101
Offers online therapy
I work with individuals & couples who are seeking change and strive to better understand and work through their negative patterns in their relationships and personal lives. Have you been yearning for the love & respect that you once had in your intimate relationship? Is anger, stress, worry or depression getting the best of you in your personal life? Finding yourself getting into the same patterns of fighting and arguing with your partner? Not feeling heard? Maybe you've lost touch with the friendship & love that started your relationship. Do you find yourself shutting down to keep from arguing with your partner?
Photo of Capitol Hill Therapy, Counselor
Capitol Hill Therapy
Counselor, MA, LMHC Verified
Seattle, WA 98102
Offers online therapy
I work with individual adults, and couples. I specialize in relationship issues, work stress, and spiritual or existential concerns. I provide therapy for a broad range of issues including: anxiety, depression, grief, self-esteem, adjustment, and family issues. My approach is person centered, and client driven. This involves open conversation that is candid, and collaborative. I strive to provide a nonjudgmental, caring environment to support the goals you define.
(206) 488-0486
Verified
View

Seattle, WA 98102
Offers online therapy
I work with individual adults, and couples. I specialize in relationship issues, work stress, and spiritual or existential concerns. I provide therapy for a broad range of issues including: anxiety, depression, grief, self-esteem, adjustment, and family issues. My approach is person centered, and client driven. This involves open conversation that is candid, and collaborative. I strive to provide a nonjudgmental, caring environment to support the goals you define.

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Couples Counseling Therapists
If you're looking for couples counseling in Seattle or for a Seattle couples counselor these professionals provide couples counseling services in Seattle. They include counselors for couples. Couples therapy, sometimes called marital therapy, can be defined as treatment for the relationship of the couple. Conjoint treatment--seeing the couple together--is the approach used most of the time by therapists who identify themselves as doing couples or marital therapy.