Therapists in 98045
Often times my clients have done a lot of "functioning" in life—often appearing capable and strong on the outside—but carry a deep inner sense of disconnection, self-doubt, or emotional overwhelm. They may be navigating the effects of trauma (past or ongoing), struggling with people-pleasing, anxiety, emotional suppression, or chronic self-abandonment.
They are sensitive, introspective, and driven by a desire for meaning and wholeness. Many are in a life transition or healing season, seeking to understand themselves more deeply and reclaim parts of themselves that were lost, hidden, or shamed.
Often times my clients have done a lot of "functioning" in life—often appearing capable and strong on the outside—but carry a deep inner sense of disconnection, self-doubt, or emotional overwhelm. They may be navigating the effects of trauma (past or ongoing), struggling with people-pleasing, anxiety, emotional suppression, or chronic self-abandonment.
They are sensitive, introspective, and driven by a desire for meaning and wholeness. Many are in a life transition or healing season, seeking to understand themselves more deeply and reclaim parts of themselves that were lost, hidden, or shamed.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
You might be the one who holds everything together—the person others rely on to stay calm and keep things running. But lately, it’s felt harder to keep going. Maybe anxiety, resentment, grief, or exhaustion has started to creep in, or you feel disconnected from the version of yourself you want to be. You’re not looking for quick fixes; you want a space that feels safe, honest, and real.
You might be the one who holds everything together—the person others rely on to stay calm and keep things running. But lately, it’s felt harder to keep going. Maybe anxiety, resentment, grief, or exhaustion has started to creep in, or you feel disconnected from the version of yourself you want to be. You’re not looking for quick fixes; you want a space that feels safe, honest, and real.
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
Alexandria Packard I Larch Counseling
Marriage & Family Therapist, MS, LMFTA
10 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
You are tired. Things have been hard for a long time and there doesn’t seem to be any relief. You need someone who can listen, really listen, and then walk along side you to make the changes that would make life more bearable, more enjoyable, more beautiful. Maybe worries and anxieties that were more manageable before have now become insurmountable. Maybe you have lost your identity in a new role ( motherhood, teenage changes, career shifts etc) and your footing isn’t as steady as it once was. Maybe life doesn’t seem worth living. Let’s find the calm, the steady, and the joy together.
You are tired. Things have been hard for a long time and there doesn’t seem to be any relief. You need someone who can listen, really listen, and then walk along side you to make the changes that would make life more bearable, more enjoyable, more beautiful. Maybe worries and anxieties that were more manageable before have now become insurmountable. Maybe you have lost your identity in a new role ( motherhood, teenage changes, career shifts etc) and your footing isn’t as steady as it once was. Maybe life doesn’t seem worth living. Let’s find the calm, the steady, and the joy together.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
Many of my clients have spent years doing what was necessary to get through life. On the outside they often appear capable and successful, yet inside they may feel anxious, overwhelmed, disconnected from themselves, or unsure of who they truly are. Whether you're navigating trauma, people-pleasing, perfectionism, grief, anxiety, or a life transition, therapy can help you reconnect with yourself. I believe you are not broken. Your mind and nervous system adapted to help you survive. Together, we'll approach those patterns with curiosity and compassion, exploring what no longer serves, while helping you reconnect with YOU!
Many of my clients have spent years doing what was necessary to get through life. On the outside they often appear capable and successful, yet inside they may feel anxious, overwhelmed, disconnected from themselves, or unsure of who they truly are. Whether you're navigating trauma, people-pleasing, perfectionism, grief, anxiety, or a life transition, therapy can help you reconnect with yourself. I believe you are not broken. Your mind and nervous system adapted to help you survive. Together, we'll approach those patterns with curiosity and compassion, exploring what no longer serves, while helping you reconnect with YOU!
I love working with people who are willing to work with me to explore their thoughts, feelings, and behaviors and to discover more about themselves and learn how those may or may not be helping achieve the life they want. Maybe you have an idea of what is going on and what you want to work on, or maybe all you know is you are feeling stuck and things just don’t “feel right”. Even if you do not come in with a specific goal, you are willing to take a step back and explore with me to see what else we can learn and what the client might be searching for that can help them.
I love working with people who are willing to work with me to explore their thoughts, feelings, and behaviors and to discover more about themselves and learn how those may or may not be helping achieve the life they want. Maybe you have an idea of what is going on and what you want to work on, or maybe all you know is you are feeling stuck and things just don’t “feel right”. Even if you do not come in with a specific goal, you are willing to take a step back and explore with me to see what else we can learn and what the client might be searching for that can help them.
Whether navigating anxiety, grief, identity, family expectations, cultural pressures, or life transitions, I offer a space where you feel understood and empowered. We move at the pace of safety, honoring the wisdom you carry while building insight and self-trust. As a Filipino-American woman, I understand the complexity of growing up between cultures and discovering who we are. I welcome highly sensitive, intuitive, and empathic individuals, including those exploring experiences that may fall outside conventional understanding. You do not have to make sense of things alone.
Whether navigating anxiety, grief, identity, family expectations, cultural pressures, or life transitions, I offer a space where you feel understood and empowered. We move at the pace of safety, honoring the wisdom you carry while building insight and self-trust. As a Filipino-American woman, I understand the complexity of growing up between cultures and discovering who we are. I welcome highly sensitive, intuitive, and empathic individuals, including those exploring experiences that may fall outside conventional understanding. You do not have to make sense of things alone.
Parenting is hard sometimes. Maybe your child struggles getting out the door for school or argues when you ask them to help out. Maybe they follow you around the house (hi, anxiety!) or have a hard time making and keeping friends. Whatever it is, you are tired and can no longer take this on alone. As a clinician and mother to a neurodivergent child, I understand the journey well. That's why I use a developmentally appropriate, evidence-based approach that helps children build new skills while equipping parents with practical strategies that fit real life.
Parenting is hard sometimes. Maybe your child struggles getting out the door for school or argues when you ask them to help out. Maybe they follow you around the house (hi, anxiety!) or have a hard time making and keeping friends. Whatever it is, you are tired and can no longer take this on alone. As a clinician and mother to a neurodivergent child, I understand the journey well. That's why I use a developmentally appropriate, evidence-based approach that helps children build new skills while equipping parents with practical strategies that fit real life.
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
I am a Clinical Mental Health Counselor Intern, a world traveler, a wife, a mother of five, and a lover of the earth with a deep appreciation for all outdoor hobbies. My path to counseling has been shaped by personal experience and a commitment to living authentically and courageously. My journey has been grounded in growth, compassion, and self-awareness. I bring empathy, resourcefulness, and a light-hearted presence to my work, creating a supportive and grounded space for the people I serve.
I am a Clinical Mental Health Counselor Intern, a world traveler, a wife, a mother of five, and a lover of the earth with a deep appreciation for all outdoor hobbies. My path to counseling has been shaped by personal experience and a commitment to living authentically and courageously. My journey has been grounded in growth, compassion, and self-awareness. I bring empathy, resourcefulness, and a light-hearted presence to my work, creating a supportive and grounded space for the people I serve.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
You don't have to wait for a crisis to seek therapy. Often it's the small things that add up to feel overwhelming. Many of my clients have amazing coping skills that just aren't working anymore. Whether it's pressure at work or home, navigating trauma, processing grief, or working through depression and anxiety, I can help. Even if you can't quite name what you need yet, I'd be honored to step into that journey with you.
You don't have to wait for a crisis to seek therapy. Often it's the small things that add up to feel overwhelming. Many of my clients have amazing coping skills that just aren't working anymore. Whether it's pressure at work or home, navigating trauma, processing grief, or working through depression and anxiety, I can help. Even if you can't quite name what you need yet, I'd be honored to step into that journey with you.
See more therapy options for 98045
How does your Therapist compare?
Number of Therapists in 98045
40+
Average cost per session
$160
Therapists in 98045 who prioritize treating:
| 90% | Anxiety |
| 90% | Social Anxiety |
| 90% | Health Anxiety |
| 90% | Driving Anxiety |
| 83% | Depression |
| 81% | Relationship Issues |
| 75% | Relationship Anxiety |
Average years in practice
9 Years
Top 3 insurances accepted
| 85% | Regence |
| 85% | Premera Blue Cross |
| 77% | BlueCross and BlueShield |
How Therapists in 98045 see their clients
| 79% | In Person and Online | |
| 21% | Online Only |
Gender breakdown
| 89% | Female | |
| 11% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 98045?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.
