Photo of Maria Barinova, Counselor
Maria Barinova
Counselor
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
If you are struggling with a relationship, familial issues, a difficult life transition, or just struggling to get through the day-to-day then it is a good time to ask for help.I believe that it is never too late to start counseling and that counseling is a unique experience for everyone.Some people might go to counseling weekly for years, some might go to sessions weekly for 6 months and then transition to biweekly, some might be going to counseling for the first time, and some might be looking for a new counselor.All these experiences are valid, and my goal is to help you figure out what works for you and what you want to achieve.
If you are struggling with a relationship, familial issues, a difficult life transition, or just struggling to get through the day-to-day then it is a good time to ask for help.I believe that it is never too late to start counseling and that counseling is a unique experience for everyone.Some people might go to counseling weekly for years, some might go to sessions weekly for 6 months and then transition to biweekly, some might be going to counseling for the first time, and some might be looking for a new counselor.All these experiences are valid, and my goal is to help you figure out what works for you and what you want to achieve.
(206) 457-2752 x1 View (206) 457-2752 x1
Photo of Kay Zeiss, MSW, LICSW, Clinical Social Work/Therapist
Kay Zeiss
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98104
As a body-focused therapist with ten years of experience, I am here to help you uncover your intuition, identify and heal parts of us that feel stuck or hurt, while finding new paths toward wholeness, joy, and authenticity. I offer a therapeutic container built on trust to explore and release that which no longer serves you. Your inner strengths that we identify together will ultimately support and guide you toward balance and integrity, leading you into a more integrated and Self-led life. I am someone who's experienced chronic illness (POTS, Long-COVID), am in 12-step recovery, and identify as queer and non-binary.
As a body-focused therapist with ten years of experience, I am here to help you uncover your intuition, identify and heal parts of us that feel stuck or hurt, while finding new paths toward wholeness, joy, and authenticity. I offer a therapeutic container built on trust to explore and release that which no longer serves you. Your inner strengths that we identify together will ultimately support and guide you toward balance and integrity, leading you into a more integrated and Self-led life. I am someone who's experienced chronic illness (POTS, Long-COVID), am in 12-step recovery, and identify as queer and non-binary.
(253) 525-1252 View (253) 525-1252
Photo of Cecily G Fernandez - High Vibes Therapy Circle , MA, MFTI, Marriage & Family Therapist Intern
High Vibes Therapy Circle
Marriage & Family Therapist Intern, MA, MFTI
Verified Verified
Seattle, WA 98104  (Online Only)
Growing up, therapy was a foreign concept in my world. It wasn't something embraced by the culture around me, and I had no idea that techniques existed to positively shape one's thought process. Everything changed when I started working as a tech at the Betty Ford Center. I found myself surrounded by compassionate therapists who took me under their wing. Though I wasn't their client, they kindly listened to my struggles and helped me process the trauma I had endured. Their guidance was life-altering - it taught me that I didn't have to spend my life suffering from the pains of the past. A new path forward was possible.
Growing up, therapy was a foreign concept in my world. It wasn't something embraced by the culture around me, and I had no idea that techniques existed to positively shape one's thought process. Everything changed when I started working as a tech at the Betty Ford Center. I found myself surrounded by compassionate therapists who took me under their wing. Though I wasn't their client, they kindly listened to my struggles and helped me process the trauma I had endured. Their guidance was life-altering - it taught me that I didn't have to spend my life suffering from the pains of the past. A new path forward was possible.
(206) 895-7417 View (206) 895-7417
Photo of Marie A Goines, LICSW, Clinical Social Work/Therapist
Marie A Goines
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98104  (Online Only)
Welcome, I am Marie A Goines, LICSW, (she/her)! I am a Licensed Independent Clinical Social Worker in Seattle, Washington. I provide individualized, culturally-appropriate trauma-focused services to adults and teens. I help clients to accept themselves while reframing and understanding their experiences, learning coping skills and discovering new ways of interacting with their worlds.
Welcome, I am Marie A Goines, LICSW, (she/her)! I am a Licensed Independent Clinical Social Worker in Seattle, Washington. I provide individualized, culturally-appropriate trauma-focused services to adults and teens. I help clients to accept themselves while reframing and understanding their experiences, learning coping skills and discovering new ways of interacting with their worlds.
(206) 558-9490 View (206) 558-9490
Photo of Svetlana Shjerven, MSW, LSWAIC, Clinical Social Work/Therapist
Svetlana Shjerven
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98104  (Online Only)
I believe in the importance of feeling connected in relationships, to our environment, and to ourselves. Addressing the “here and now” that arises during therapy allows our sessions to adapt and work with the difficult emotions or thoughts that come up, in an environment that is judgment free and safe. I specialize in working with those who are experiencing anxiety, depression, agoraphobia, trauma, life transitions, self-esteem issues, grief and chronic pain, among other issues. I am LGBTQIA+, gender-affirming, and enjoy working with clients along the spectrum of neurodiversity and disability.
I believe in the importance of feeling connected in relationships, to our environment, and to ourselves. Addressing the “here and now” that arises during therapy allows our sessions to adapt and work with the difficult emotions or thoughts that come up, in an environment that is judgment free and safe. I specialize in working with those who are experiencing anxiety, depression, agoraphobia, trauma, life transitions, self-esteem issues, grief and chronic pain, among other issues. I am LGBTQIA+, gender-affirming, and enjoy working with clients along the spectrum of neurodiversity and disability.
(206) 347-8488 View (206) 347-8488
Photo of Heather Diaz, LMHCA, MA, Counselor
Heather Diaz
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
(425) 584-5179 View (425) 584-5179
Photo of Jeffery Goff - Pacific Mental Health, Counselor
Pacific Mental Health
Counselor
Verified Verified
Seattle, WA 98104
Pacific Mental Health is dedicated to serving the mental health needs of the Greater Seattle area. If you're looking for a new counselor or a fresh perspective in life, our team of psychotherapist can help you achieve the goals you're looking for.
Pacific Mental Health is dedicated to serving the mental health needs of the Greater Seattle area. If you're looking for a new counselor or a fresh perspective in life, our team of psychotherapist can help you achieve the goals you're looking for.
(206) 488-1706 View (206) 488-1706
Photo of Mary Baja, BA, Pre-Licensed Professional
Mary Baja
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Life is challenging when you feel like you don't fit in. Navigating your identity in a world that doesn't always understand is tough. Whether you're part of the LGBTQ+ community, neurodivergent, or from a marginalized background—society's expectations might feel overwhelming and exhausting. Seeking a safe space to explore these feelings and embrace your unique qualities without judgment is important. Life should be more than just surviving day to day.
Life is challenging when you feel like you don't fit in. Navigating your identity in a world that doesn't always understand is tough. Whether you're part of the LGBTQ+ community, neurodivergent, or from a marginalized background—society's expectations might feel overwhelming and exhausting. Seeking a safe space to explore these feelings and embrace your unique qualities without judgment is important. Life should be more than just surviving day to day.
(425) 842-7051 View (425) 842-7051
Photo of Elva Flannery, MA, LMFT, Marriage & Family Therapist
Elva Flannery
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98104  (Online Only)
Waitlist for new clients
My work with my clients is based on respect and trust, while promoting growth. As a therapist it is my goal to aid my clients by teaching positive communication skills, conflict resolution, and tools to learn how to identify and change problematic interaction, patterns or behaviors. My therapeutic style is encouraging and engaging. I work with couples, families, individuals, children, and teens. I strive to support my clients in meeting their goals and find solutions to achieve successful happy results. I will maintain a honest, open, and safe therapeutic space for my clients, while building upon their strengths!
My work with my clients is based on respect and trust, while promoting growth. As a therapist it is my goal to aid my clients by teaching positive communication skills, conflict resolution, and tools to learn how to identify and change problematic interaction, patterns or behaviors. My therapeutic style is encouraging and engaging. I work with couples, families, individuals, children, and teens. I strive to support my clients in meeting their goals and find solutions to achieve successful happy results. I will maintain a honest, open, and safe therapeutic space for my clients, while building upon their strengths!
(360) 295-4606 View (360) 295-4606
Hoarding Therapists

What is the most effective treatment for hoarding?

Cognitive behavior therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception.

How long does therapy for hoarding take?

Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need “maintenance” sessions over the years if the problem arises repeatedly.

Are there medications for hoarding?

The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.

Can hoarding come back after treatment?

Hoarding is a chronic disorder and it can last throughout an individual’s lifetime. Regularly checking in with a psychotherapist can help manage symptoms long-term. A good therapist will help the person learn needed skills including decision-making, organization, and stress reduction. The patient will gain a better perspective and the need to cling to useless items will lessen.