Photo of Abcde L. K. Matias, Counselor in Anacortes, WA
Abcde L. K. Matias
Counselor, MS
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
Each person is unique, so I use a variety of techniques to find which one best suits your thinking and lifestyle - CBT, T-CBT, DBT, Gottman, and a Person-centered approach.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
Each person is unique, so I use a variety of techniques to find which one best suits your thinking and lifestyle - CBT, T-CBT, DBT, Gottman, and a Person-centered approach.
Hi all, I'm accepting new clients as of March 1st, 2024. I believe everyone has a voice that matters, and I want to hear your story. Therapy can be challenging and enjoyable however the process unfolds, I will be there for the journey. I’m here to help guide you on what you think is important and provide useful tools along the way. Specializing in adolescents, adult counseling, and couples counseling through telehealth, other counseling specializations are available as well. Also, I'm currently facilitating an ongoing open Women's Support Group via telehealth.
(360) 504-4825 View (360) 504-4825
Photo of Amy Heidecker, Counselor in Anacortes, WA
Amy Heidecker
Counselor, MA, LCPC, LMHC
Verified Verified
3 Endorsed
Anacortes, WA 98221
Now accepting online clients in WA & MT. This journey called life is full of ups & downs, joy & pain, being known and feeling alone. This is most prominent during transition times like adolescence, graduating, getting married or divorced, or losing part of your identity through a change in roles or job. In my practice I honor the whole person and treat mind, body, & spirit, as well as the connections with others in relationships. You are welcome & encouraged to bring your whole story and whole self to the therapy process.
Now accepting online clients in WA & MT. This journey called life is full of ups & downs, joy & pain, being known and feeling alone. This is most prominent during transition times like adolescence, graduating, getting married or divorced, or losing part of your identity through a change in roles or job. In my practice I honor the whole person and treat mind, body, & spirit, as well as the connections with others in relationships. You are welcome & encouraged to bring your whole story and whole self to the therapy process.
(406) 612-1414 View (406) 612-1414
Photo of CradleStone, LLC , Counselor in Anacortes, WA
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Anacortes, WA 98221
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Mary Susan Schwartz, Clinical Social Work/Therapist in Anacortes, WA
Mary Susan Schwartz
Clinical Social Work/Therapist, LICSW
Verified Verified
Anacortes, WA 98221  (Online Only)
Not accepting new clients
My practice is grounded in evidence-based theory, I use an integrative approach, drawing from Acceptance and Commitment Therapy, Internal Family Systems, Cognitive Behavioral Theory, Dialectical Behavior Theory, Gottman Method for Couples, and mindfulness-based interventions.
Perhaps you're hoping to improve your mood, increase your self-compassion, or enhance your romantic relationship. Maybe you're seeking a non-judgmental and supportive relationship with your therapist, within which you can learn strategies you can use right away. If so, I look forward to hearing from you!
My practice is grounded in evidence-based theory, I use an integrative approach, drawing from Acceptance and Commitment Therapy, Internal Family Systems, Cognitive Behavioral Theory, Dialectical Behavior Theory, Gottman Method for Couples, and mindfulness-based interventions.
Perhaps you're hoping to improve your mood, increase your self-compassion, or enhance your romantic relationship. Maybe you're seeking a non-judgmental and supportive relationship with your therapist, within which you can learn strategies you can use right away. If so, I look forward to hearing from you!
(206) 455-8671 View (206) 455-8671

Online Therapists

Photo of Nicole Myers, Marriage & Family Therapist in Anacortes, WA
Nicole Myers
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98103
I am a neurodiversity affirming therapist and I specialize working with neurodivergent clients (Autism/ADHD) and related difficulties. I have a special interest in relationship and social difficulties and how masking and rejection sensitivity impacts mental health. Issues I work with are: anxiety, depression, social anxiety, perfectionism, relationship issues and trauma, problems at school or work (motivation, attention, and interpersonal problems). I use an individualized approach based on my client's needs, using evidence based approaches: CBT, Mindfulness, ACT, family systems, self-compassion, Social Support, and DBT-informed.
I am a neurodiversity affirming therapist and I specialize working with neurodivergent clients (Autism/ADHD) and related difficulties. I have a special interest in relationship and social difficulties and how masking and rejection sensitivity impacts mental health. Issues I work with are: anxiety, depression, social anxiety, perfectionism, relationship issues and trauma, problems at school or work (motivation, attention, and interpersonal problems). I use an individualized approach based on my client's needs, using evidence based approaches: CBT, Mindfulness, ACT, family systems, self-compassion, Social Support, and DBT-informed.
(206) 701-0266 View (206) 701-0266
Photo of Daniel Gross, LICSW, Clinical Social Work/Therapist in Anacortes, WA
Daniel Gross, LICSW
Clinical Social Work/Therapist, LICSW, PLLC
Verified Verified
2 Endorsed
Seattle, WA 98126
I am familiar with and use various therapies, including cognitive behavioral therapy, present centered therapy, dialectical behavioral therapy, mindfulness, and psychodynamic perspectives.
I specialize in the treatment of post traumatic stress disorder, depression, anxiety, relationship problems and life transitions. I have extensive experience working with Veterans, adolescents, adults, and older adults, as well as members of the LGBTQ community. I am a provider with Lyra Health and Wellspring EAP. My practice hours include evenings and Saturdays. This fall I will be offering telehealth present-centered group therapy for PTSD. Please contact me to learn more about this effective group approach to trauma.
I am familiar with and use various therapies, including cognitive behavioral therapy, present centered therapy, dialectical behavioral therapy, mindfulness, and psychodynamic perspectives.
I specialize in the treatment of post traumatic stress disorder, depression, anxiety, relationship problems and life transitions. I have extensive experience working with Veterans, adolescents, adults, and older adults, as well as members of the LGBTQ community. I am a provider with Lyra Health and Wellspring EAP. My practice hours include evenings and Saturdays. This fall I will be offering telehealth present-centered group therapy for PTSD. Please contact me to learn more about this effective group approach to trauma.
(206) 347-8089 View (206) 347-8089
Photo of Margee Quinn, Clinical Social Work/Therapist in Anacortes, WA
Margee Quinn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115
I may draw from IFS, CPT, ERP, ACT, or DBT in our work together.
Current openings! I'm queer and I specialize in supporting LGBTQ+ and nonmonogamous adults around trauma, family of origin issues, gender affirming care, and anxiety, including OCD. Before therapy, many of my clients think: Being in my head is stressful- there are things I'm fearful of talking about, or even thinking about. My past is still affecting me. Setting boundaries can be really hard. Sometimes I have nightmares or flashbacks of things I've been through. If that sounds like you, I can help. Therapy can be a safe, non-judgmental space to make sense of your experiences and create meaningful change in your life.
I may draw from IFS, CPT, ERP, ACT, or DBT in our work together.
Current openings! I'm queer and I specialize in supporting LGBTQ+ and nonmonogamous adults around trauma, family of origin issues, gender affirming care, and anxiety, including OCD. Before therapy, many of my clients think: Being in my head is stressful- there are things I'm fearful of talking about, or even thinking about. My past is still affecting me. Setting boundaries can be really hard. Sometimes I have nightmares or flashbacks of things I've been through. If that sounds like you, I can help. Therapy can be a safe, non-judgmental space to make sense of your experiences and create meaningful change in your life.
(206) 408-1676 View (206) 408-1676
Photo of Beth Ann Mercer, Counselor in Anacortes, WA
Beth Ann Mercer
Counselor, LMCA, MA, NCC, ESA
Verified Verified
1 Endorsed
Puyallup, WA 98373  (Online Only)
I also use aspects of CBT and DBT as tools to retrain faulty thinking and negative self-talk.
We all face difficult times in life and sometimes cannot even pinpoint the source of the pain. Therapy is an incredible way to face what hurts but also an amazing opportunity to grow into our best selves. I work with adolescents and adults who are struggling with anxiety/depression, past-trauma, divorce/separation, toxic relationships and negative seIf-talk/faulty thinking. You may not feel like yourself lately, or are struggling to even know who you are or what you want out of life. Allow me to listen, walk beside you, and help you set and achieve your personal goals. Note: I am a telehealth only therapist with Northwest Counsel.
I also use aspects of CBT and DBT as tools to retrain faulty thinking and negative self-talk.
We all face difficult times in life and sometimes cannot even pinpoint the source of the pain. Therapy is an incredible way to face what hurts but also an amazing opportunity to grow into our best selves. I work with adolescents and adults who are struggling with anxiety/depression, past-trauma, divorce/separation, toxic relationships and negative seIf-talk/faulty thinking. You may not feel like yourself lately, or are struggling to even know who you are or what you want out of life. Allow me to listen, walk beside you, and help you set and achieve your personal goals. Note: I am a telehealth only therapist with Northwest Counsel.
(253) 785-4616 View (253) 785-4616
Photo of Katie Musso, Mental Health Counselor in Anacortes, WA
Katie Musso
Mental Health Counselor, MA, LMHC, SUDPT
Verified Verified
Edmonds, WA 98020
My person-centered worldview allows me to draw from several evidenced-based modalities, such as attachment theory, DBT, mindfulness and CBT, and is tailor-fit to you.
I am accepting new clients! My name is Katie Musso, and I specialize in Trauma-Informed Care, intimate partner violence (IPV) and substance use issues. You and I will collaborate, show up authentically and walk together towards your goals, healing and growth! I believe the therapeutic alliance to be a great source of healing that honors where you have been, where you are, and where you are going. I'm anti-racist, and the LGBTQIA+ community is deeply important to me, personally and professionally, and is a large part of who I serve. I embody love, care, and inclusivity and can't wait to share it with you and learn together!
My person-centered worldview allows me to draw from several evidenced-based modalities, such as attachment theory, DBT, mindfulness and CBT, and is tailor-fit to you.
I am accepting new clients! My name is Katie Musso, and I specialize in Trauma-Informed Care, intimate partner violence (IPV) and substance use issues. You and I will collaborate, show up authentically and walk together towards your goals, healing and growth! I believe the therapeutic alliance to be a great source of healing that honors where you have been, where you are, and where you are going. I'm anti-racist, and the LGBTQIA+ community is deeply important to me, personally and professionally, and is a large part of who I serve. I embody love, care, and inclusivity and can't wait to share it with you and learn together!
(425) 390-8896 View (425) 390-8896
Photo of Ivko Pejovic, Counselor in Anacortes, WA
Ivko Pejovic
Counselor, LMHC
Verified Verified
Edmonds, WA 98026
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
(206) 207-8707 View (206) 207-8707
Photo of Claire Hipkens, Clinical Social Work/Therapist in Anacortes, WA
Claire Hipkens
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
I am trained in Dialectical Behavior Therapy, an evidence-based practice that focuses on Mindfulness, Emotion Regulation, Distress Tolerance and Interpersonal Effectiveness.
I'm open to a broad client base but my predominant experience is with first gen college students, pro athletes & their family members. I ran the mental health services for UW athletics and am currently the consulting clinician for the Seattle Mariners and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy the way you thought it might. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
I am trained in Dialectical Behavior Therapy, an evidence-based practice that focuses on Mindfulness, Emotion Regulation, Distress Tolerance and Interpersonal Effectiveness.
I'm open to a broad client base but my predominant experience is with first gen college students, pro athletes & their family members. I ran the mental health services for UW athletics and am currently the consulting clinician for the Seattle Mariners and the NHL. I work best with driven people experiencing a big change. Perhaps, despite your best efforts, things aren’t working out as you’d hoped. Or perhaps you’ve gotten all you wanted and it doesn’t satisfy the way you thought it might. Though I often work with athletes I am not a Sports Psych. In fact, I don’t even follow sports! I’m here for the rest of your life and identity.
(206) 752-2461 View (206) 752-2461
Photo of Mandy Hewitson, Counselor in Anacortes, WA
Mandy Hewitson
Counselor, LMHC
Verified Verified
Kirkland, WA 98034  (Online Only)
I am currently offering Telehealth appointments specializing in building self-compassion, DBT/mindfulness and trauma informed recovery practices.
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
I am currently offering Telehealth appointments specializing in building self-compassion, DBT/mindfulness and trauma informed recovery practices.
Something profound happens when your most authentic self is met with unconditional acceptance and validation. I believe Brene Brown says it best, 'Courage starts with showing up and letting ourselves be seen.' To bravely give ourselves permission to show up when we're depressed, overwhelmed, hungover, irritable, enraged, lost or simply disappointed. Or when we feel we are 'too much' for some and 'not enough' for others. It can be deeply meaningful to have a space where you can fill it with all of who you are, without apology or shame, and feel truly seen and accepted.
(425) 307-4597 View (425) 307-4597
Photo of Cory Applegate, Marriage & Family Therapist in Anacortes, WA
Cory Applegate
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98116
I with individuals, couples/polycules, and families, and have experience treating a wide spectrum of issues, such as depression, anxiety, substance use/abuse, sexual health concerns, and trauma. I specialize in providing evidence-based treatments- meaning the modalities I use have been shown by research to be effective. Some of those modalities include DBT, CBT, Emotion-Focused Therapy, and Gottman Couples Therapy. I offer "Gold-Standard" DBT, including individual therapy, DBT skills group, and between-session phone coaching.
I with individuals, couples/polycules, and families, and have experience treating a wide spectrum of issues, such as depression, anxiety, substance use/abuse, sexual health concerns, and trauma. I specialize in providing evidence-based treatments- meaning the modalities I use have been shown by research to be effective. Some of those modalities include DBT, CBT, Emotion-Focused Therapy, and Gottman Couples Therapy. I offer "Gold-Standard" DBT, including individual therapy, DBT skills group, and between-session phone coaching.
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Photo of Scott Vranicar, Counselor in Anacortes, WA
Scott Vranicar
Counselor, LMHC, MHP
Verified Verified
Bellevue, WA 98007
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
My therapeutic approach is informed by Relational Focused Psychodynamic Therapy, DBT, CBT, Solution Focused Therapy, Attachment Therapy, Client-Centered Therapy, Object Relations and Play Therapy.
Healing, growth, change and/or integration are possible for you. Using a non-judgmental and collaborative therapeutic approach we will honor and work with your unique story (past, present and future). My therapeutic lens is framed predominantly by relational and attachment theories therefore providing opportunities to engage your inner world through the context of our therapeutic relationship. Periodically you and I may be gifted real time relational interactions that mirror or reflect core issues that bring you to to therapy. In working with and through these dynamics we will have an opportunity to heal, grow and integrate.
(206) 208-7340 View (206) 208-7340
Photo of LightHeart Psychological Associates, Psychologist in Anacortes, WA
LightHeart Psychological Associates
Psychologist, PsyD
Verified Verified
Redmond, WA 98052
We are experienced with CBT, mindfulness-based therapy, narrative therapy, family systems therapy, as well as inter-subjective psychodynamic theory, DBT, and self psychology.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
We are experienced with CBT, mindfulness-based therapy, narrative therapy, family systems therapy, as well as inter-subjective psychodynamic theory, DBT, and self psychology.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
(206) 752-5362 View (206) 752-5362
Photo of Nadya Kosanovskaya, Marriage & Family Therapist in Anacortes, WA
Nadya Kosanovskaya
Marriage & Family Therapist, MA LMFT, SUDP, CMHS
Verified Verified
4 Endorsed
Bellevue, WA 98008
I am certified in Evidence-Based Therapy: DBT, TF-CBT+, MI, Trauma Work, DV, PTSD and Children's Therapy.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
I am certified in Evidence-Based Therapy: DBT, TF-CBT+, MI, Trauma Work, DV, PTSD and Children's Therapy.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
(253) 300-2889 View (253) 300-2889
Photo of Kerry Billingham, Counselor in Anacortes, WA
Kerry Billingham
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98115  (Online Only)
I am a therapist in north Seattle. I specialize in adults and couples with depression, anxiety, trauma and relationship problems. I am certified in Dialectical Behavior Therapy. I help people who have unstable emotions, relationships, and are frequently in crisis. I teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills. I offer groups. DBT helps identify extreme ends of the spectrum and to find the middle path on the way towards a life worth living. DBT encourages individuals to find a mindfulness practice in their own lives and teaches skills for living successfully in the world.
I am a therapist in north Seattle. I specialize in adults and couples with depression, anxiety, trauma and relationship problems. I am certified in Dialectical Behavior Therapy. I help people who have unstable emotions, relationships, and are frequently in crisis. I teach mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills. I offer groups. DBT helps identify extreme ends of the spectrum and to find the middle path on the way towards a life worth living. DBT encourages individuals to find a mindfulness practice in their own lives and teaches skills for living successfully in the world.
(206) 569-5371 View (206) 569-5371
Photo of Bil Kareta, Counselor in Anacortes, WA
Bil Kareta
Counselor, MAPC, LMHC, SD
Verified Verified
Seattle, WA 98117
Therapy with Couples and Families: I use a variety of systemic, strategic, psychodynamic and dialectical approaches.
Life is a difficult and confusing journey for all of us. Occasionally we get "stuck" along the path. Sometimes that growth is blocked because of issues, patterns and behaviors from the past which affect the way we feel, do or react in the present. If you are experiencing issues such as depression, anxiety, stress and relationship concerns. I can offer you: a combination of heart, skill, and understanding to help you find your own solutions to these problems that face you. Through the use of solution-oriented, emotionally focused, and reality based techniques, can help you and your relationships overcome obstacles and achieve your goals.
Therapy with Couples and Families: I use a variety of systemic, strategic, psychodynamic and dialectical approaches.
Life is a difficult and confusing journey for all of us. Occasionally we get "stuck" along the path. Sometimes that growth is blocked because of issues, patterns and behaviors from the past which affect the way we feel, do or react in the present. If you are experiencing issues such as depression, anxiety, stress and relationship concerns. I can offer you: a combination of heart, skill, and understanding to help you find your own solutions to these problems that face you. Through the use of solution-oriented, emotionally focused, and reality based techniques, can help you and your relationships overcome obstacles and achieve your goals.
(206) 557-6792 View (206) 557-6792
Photo of Monique Brown, Psychologist in Anacortes, WA
Monique Brown
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98103
I am also trained in DBT, EMDR, and Lifespan Integration.
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.
I am also trained in DBT, EMDR, and Lifespan Integration.
Sometimes feelings and behaviors become obstacles to accessing your strength. If you don't accept yourself as you are, you can't change--a paradox, but true. Self-acceptance can be difficult, especially with history of abuse, trauma, or opression in which shame/guilt become integral to your sense of self. Destructive behavior, in whatever form, has its own logic, but is understandable given your history. We cope in ways that serve to protect ourselves in childhood--serving a useful purpose back then. But now, they prevent you from having stable, close relationships and feeling an empowered sense of self.
(206) 538-2876 View (206) 538-2876
Photo of Jireh Miller, Counselor in Anacortes, WA
Jireh Miller
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Tacoma, WA 98403  (Online Only)
My modality influences include: Relational, Narrative, Psychodynamic, ACT, DBT, CBT, Multicultural, Person-Centered.
Have you diligently worked to create a life that thrives, but still feel stuck by childhood or continuing harm? Is your past contributing to anxiety or depression in your current life? Often the coping strategies we form in childhood survive past their "effectiveness date," creating an invisible force that holds us back from thriving. In session, we will create a space for you to explore past, present, and hopes for the future. We will hold both harm and healing, as we create a framework for developing skills and a making adjustments that bring a freedom to thrive. Together we will forge a path that accounts for the beauty and harm.
My modality influences include: Relational, Narrative, Psychodynamic, ACT, DBT, CBT, Multicultural, Person-Centered.
Have you diligently worked to create a life that thrives, but still feel stuck by childhood or continuing harm? Is your past contributing to anxiety or depression in your current life? Often the coping strategies we form in childhood survive past their "effectiveness date," creating an invisible force that holds us back from thriving. In session, we will create a space for you to explore past, present, and hopes for the future. We will hold both harm and healing, as we create a framework for developing skills and a making adjustments that bring a freedom to thrive. Together we will forge a path that accounts for the beauty and harm.
(253) 499-5123 View (253) 499-5123
Dialectical Behavior (DBT) Therapists

Who is DBT for?

Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.

Why do people need DBT?

The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.

What happens in DBT?

Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.

How long does DBT last?

Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.