Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
Email Me
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Joshua Koch

Pre-Licensed Professional (he, him)

Verified by Psychology Today Verified by Psychology Today
13 Endorsed
Call Me
Let's Connect (206) 456-1251
Photo of Joshua Koch, Pre-Licensed Professional
Available online only
Seattle, WA 98103
Hi I'm Josh, and I believe that life has its seasons - moments of joy, and times of struggle. It's full of ups and downs, transitions, and unexpected challenges. Sometimes, we find ourselves weighed down by the pressures to “hold it all together” while quietly carrying burdens no one else sees. Reaching out for help can feel difficult, and even vulnerable, but it can also be the first brave step toward growth, clarity, and healing. I believe that every person holds the strengths they need to overcome life’s obstacles - sometimes, they just need a safe space and the right support to unlock that strength.
Therapy isn’t about being “broken,” it’s about discovering the power, resilience, and direction that already exists within you. I served in the Army for 24-years, retiring as an E-8, and have learned first hand the value of perseverance, inner strength, and personal connection. I bring that same grounded perspective into my work as a therapist.
My approach is compassionate, non-judgmental, and collaborative -whether you’re navigation relationship issues, personal struggles, trauma, or life transitions. Wherever you are on your journey, I want you to know that you’re not alone. I look forward to connecting with you and exploring what brought you here, and where you’d like to go next.
Take the first step to help. Call or Joshua Koch now - (206) 456-1251

My Practice at a Glance

Available online only

No Stress No Stigma

Seattle, WA 98103

(206) 456-1251
My website
I offer therapy session online. I'm available most weekdays and evenings.
I specialize in Relationship Issues, LGBTQ+ and Self-discovery and Differentiation 
$155 Per Session, I accept insurance 
I see individuals, couples and families  
Let's begin exploring your story and goals together, and work toward meaningful, lasting change.
Joshua Koch
Let's Connect (206) 456-1251
Photo of Joshua Koch, Pre-Licensed Professional

My Practice at a Glance

Available online only

No Stress No Stigma

Seattle, WA 98103

(206) 456-1251
My website
I offer therapy session online. I'm available most weekdays and evenings.
I specialize in Relationship Issues, LGBTQ+ and Self-discovery and Differentiation 
$155 Per Session, I accept insurance 
I see individuals, couples and families  
Let's begin exploring your story and goals together, and work toward meaningful, lasting change.
Joshua Koch

Finances

Fees

  • Individual Sessions $155
  • Couple Sessions $165
  • Sliding scale: apply if you may be eligible

Payment Methods

ACH Bank transfer, American Express, Apple Cash, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Aetna
  • Anthem
  • Asuris Northwest Health
  • BHS | Behavioral Health Systems
  • Blue Cross
  • Blue Shield
  • BlueCross and BlueShield
  • Carelon Behavioral Health
  • Cigna and Evernorth
  • ComPsych
  • Coordinated Care
  • First Choice Health | FCH
  • First Health
  • Government Employees Health Association (GEHA)
  • Health Net
  • Healthcare Management Administrators
  • Humana
  • Kaiser (Out-of-Network)
  • LifeWise
  • Managed Health Network (MHN)
  • Moda Health
  • MultiPlan
  • MultiPlan Private Healthcare Systems (PHCS)
  • Optum
  • PacificSource
  • Premera Blue Cross
  • Providence
  • Regence
  • Uniform | UMP
  • United Medical Resources (UMR)
  • UnitedHealthcare UHC | UBH
  • Wellpoint | Amerigroup
  • Out of Network
"
I accept clients using Out-of-Network benefits. The insurances listed are ones that clients have successfully used within our practice, but it depends on your plan and deductible. Our billing department can work with you to determine your benefits. For more info please visit our website.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251
"
I accept clients using Out-of-Network benefits. The insurances listed are ones that clients have successfully used within our practice, but it depends on your plan and deductible. Our billing department can work with you to determine your benefits. For more info please visit our website.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251

Qualifications

  • Verified by Psychology Today Supervised by Cory Wilson (Washington / LF60682772) Joshua Koch
  • Education and Years In Practice

  • Attended California State University , B.A. Psychology, Graduated 2008
"
I am working under supervision, bringing a systems-focused approach to therapy. As a retired military professional and member of the LGBTQ community, I offer a grounded, inclusive perspective shaped by lived experience and service.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251
"
I am working under supervision, bringing a systems-focused approach to therapy. As a retired military professional and member of the LGBTQ community, I offer a grounded, inclusive perspective shaped by lived experience and service.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251

Specialties and Expertise

Top Specialties

  • Relationship Issues
  • LGBTQ+
  • Self-discovery and Differentiation

Expertise

  • Adoption
  • Anger Management
  • Antisocial Personality
  • Anxiety
  • Career Counseling
  • Codependency
  • Coping Skills
  • Depression
  • Divorce
  • Drug Abuse
  • Emotional Disturbance
  • Family Conflict
  • Grief
  • Life Transitions
  • Marital and Premarital
  • Men's Issues
  • Peer Relationships
  • Polyamory & ENM
  • Self Esteem
  • Stress
  • Testing and Evaluation
  • Veterans
"
I work with individuals, couples, and families facing communication issues, life transitions, stress, grief, and relational strain. Using a systemic and strengths-bases lens, I help clients explore patterns, improve connection, and build resilience within themselves and their relationships.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251
"
I work with individuals, couples, and families facing communication issues, life transitions, stress, grief, and relational strain. Using a systemic and strengths-bases lens, I help clients explore patterns, improve connection, and build resilience within themselves and their relationships.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251

13 Endorsements

Michelle Guzman
Michelle Guzman
Pre-Licensed ProfessionalStudentMS
Joshua is collaborative, thoughtful, and committed to growth. As a colleague, he offers constant support, empathy, and clinical insight. He approaches clients with warmth and respect, fostering a genuine, holistic therapeutic space.
Dawn Mauck
Dawn Mauck
Marriage & Family Therapist Associate
I find Joshua to be thoughtful, insightful, and generous with his perspective. He brings a grounded presence to conversations and offers meaningful guidance rooted in wisdom. I appreciate his mentorship and the clarity he brings to complex topics.
Jayme Gardener
Jayme Gardener
Marriage & Family Therapist AssociateLMFT-A
Joshua brings a steady presence and thoughtful insight to his work. He meets clients where they are, helping them feel grounded and understood as they sort through difficult emotions and move toward meaningful change.
Ananya Mandyam
Ananya Mandyam
Pre-Licensed Professional
Joshua is very thoughtful and friendly in his approach. I appreciate his down-to-earth personality and his grace through difficult situations!
Jaisy Powery
Jaisy Powery
Licensed Mental Health Counselor AssociateMSLCMHCA
Joshua is exactly the kind of therapist anyone would hope to work with - compassionate, understanding, and genuinely focused on helping people grow. I've watched him create an immediate sense of safety and comfort for his clients the moment they meet him.
Lara McSherry
Lara McSherry
Marriage & Family Therapist AssociateMALMFTA
Josh brings a grounded, compassionate presence to his work. Josh is attentive, professional, and committed to providing supportive, ethical care to clients!
Cindy W Choy
Cindy W Choy
Pre-Licensed Professional
Joshua is a compassionate and collaborative clinician who provides a safe and non-judgmental space for individuals and couples to explore relationship challenges, life transitions, and personal growth.
Sophia Florence Bruce
Sophia Florence Bruce
CounselorLMHCA
Joshua has a calm and deeply caring presence that creates a space to explore the self as well as relationships surrounding clients. He takes time to learn who you are and what your goals are in order to tailor treatment to each individuals specific needs.
Teresa Pham
Teresa Pham
Pre-Licensed Professional
Joshua is approachable and provides clear, while thoughtful, therapy to all clients. His client-centered approach helps clients feel safe and allows them to be their authentic self.
Heidi Mesecke
Heidi Mesecke
Pre-Licensed ProfessionalMFT
Joshua has a presence that is welcoming and warm. He is known for his thoughtful and intentional manner, moving his clients towards insight and transformation in their relationships.
Eleanor Williams
Eleanor Williams
Pre-Licensed Professional
Josh creates an open, non-judgmental safe space where clients can be vulnerable in pursuit of meeting their goals and leading a more fulfilling life. His work with clients is collaborative and tailored to their needs.
Racheal Perez
Racheal Perez
Pre-Licensed Professional
Josh brings warmth, intention, and care into every session. As an Army veteran, he draws from his lived experience, discipline, and deep sense of service to support clients in a way that feels grounded, thoughtful, and genuine.
Sydney Davis
Sydney Davis
CounselorLMHCA
Joshua is a colleague of mine. His ability to help clients feel understood and comfortable makes him an excellent therapist, and his dedication and thoughtfulness show in every aspect of his work.

Client Focus

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Deaf Allied
Gay Allied
HIV / AIDS Allied
Immuno-disorders
Intersex Allied
Lesbian Allied
Little Person Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Single Parent
Transgender Allied

Religion

Christian

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Deaf Allied
Gay Allied
HIV / AIDS Allied
Immuno-disorders
Intersex Allied
Lesbian Allied
Little Person Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Single Parent
Transgender Allied

Religion

Christian

Treatment Approach

Types of Therapy

  • Family / Marital
  • Family Systems
  • Humanistic
  • Intergenerational
  • Narrative
  • Person-Centered
  • Relational
  • Systemic
"
My orientation is grounded in family systems theory, with a systemic and intergenerational approach. I work from the perspective that individual symptoms reflect broader relational dynamics in the family unit and across generations. I draw form Bowen Family Systems Therapy to explore emotional patterns, differentiation, and the impact of multigenerational processes on present functioning.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251
"
My orientation is grounded in family systems theory, with a systemic and intergenerational approach. I work from the perspective that individual symptoms reflect broader relational dynamics in the family unit and across generations. I draw form Bowen Family Systems Therapy to explore emotional patterns, differentiation, and the impact of multigenerational processes on present functioning.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
or call with questions - (206) 456-1251

Location

Primary Location

No Stress No Stigma

Seattle, WA 98103

(206) 456-1251

Nearby Areas

Counties

Zips

Neighborhoods

"
I offer therapy session online. I'm available most weekdays and evenings.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
Take the first step to help. Call now - (206) 456-1251
"
I offer therapy session online. I'm available most weekdays and evenings.
Photo of Joshua Koch, Pre-Licensed Professional
Joshua Koch
Pre-Licensed Professional
Take the first step to help. Call now - (206) 456-1251