Natalie V Roche
Mental Health Counselor, MA, LMHC (she, her)
Verified by Psychology Today Verified by Psychology Today
3 Endorsed
Let's Connect (206) 260-3313

Available online only
Seattle, WA 98188
Let's be real, very few people are doing ok right now. Instability in our country and world greatly impacts emotional, mental, and physical well-being. This instability makes work stress & unexpected life events feel unbearable. It's ok to need extra support right now.
I often work with clients navigating multiple identities—BIPOC women & teens, LGBTQ+ folks, college students & professionals facing increased stress & burnout. Many wrestle with duty, autonomy & identity; often caught between people-pleasing, over-functioning & self-doubt.
As a culturally responsive, trauma-informed therapist I bring an anti-oppressive lens to our work. I use evidence-based therapy like inner child work, EMDR & strengths-based methods. Together, we’ll unpack internalized beliefs, heal emotional wounds & hold space for all of your identities-so you can move toward a life that feels authentic, empowered & whole.
I hold space for complexity and nuance. I understand that mental health isn’t one-size-fits-all, especially when culture, gender, race, and intergenerational dynamics are in the mix. Whether you’re struggling with anxiety, identity issues, or relationship challenges, you don’t have to alone. If you're ready to explore new possibilities, please reach out!
Call or Email Natalie V Roche now for a free 15 minute consultation - (206) 260-3313
Let's Connect (206) 260-3313

Finances
Fees
- Individual Sessions $175
- Sliding scale: apply if you may be eligible
Payment Methods
American Express, Discover, Health Savings Account, Mastercard, Venmo, VisaInsurance
- Anthem
- Blue Cross
- First Choice Health | FCH
- Kaiser (Out-of-Network)
- Kaiser-PPO
- LifeWise
- Premera Blue Cross
- Out of Network
Natalie V Roche
Mental Health Counselor, MA, LMHC
Call or Email me for a free 15 minute consultation now - (206) 260-3313
Qualifications
- Verified by Psychology Today Licensed by State of Washington / LH60938379 Natalie V Roche
- In Practice for 10 years
- Attended Seattle University, MA, Graduated 2016
Education and Years In Practice
Natalie V Roche
Mental Health Counselor, MA, LMHC
Feel free to ask about qualifications and training experience. Email or (206) 260-3313
Specialties and Expertise
Top Specialties
- Anxiety
- ADHD
- Codependency
Expertise
- Behavioral Issues
- Body Image
- Chronic Illness
- Coping Skills
- Depression
- Domestic Abuse
- Domestic Violence
- Family Conflict
- Grief
- Mood Disorders
- Racial Identity
- Relationship Issues
- School Issues
- Self Esteem
- Self-Harming
- Sexual Abuse
- Sleep or Insomnia
- Spirituality
- Suicidal Ideation
- Trauma and PTSD
- Veterans
- Women's Issues
Natalie V Roche
Mental Health Counselor, MA, LMHC
Do these issues align with your needs? Email or (206) 260-3313
3 Endorsements
Client Focus
Age
Teen ,
Adults
Participants
Individuals ,
Family
Communities
Bisexual Allied ,
Blind 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
Ethnicity
Hispanic and Latino
Religion
Other Spiritual or Religious Affiliations
Age
Teen ,
Adults
Participants
Individuals ,
Family
Communities
Bisexual Allied ,
Blind 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
Ethnicity
Hispanic and Latino
Religion
Other Spiritual or Religious Affiliations
Treatment Approach
Types of Therapy
- Attachment-based
- Christian Counseling
- Cognitive Behavioral (CBT)
- Culturally competent therapy
- Culturally Sensitive
- EMDR
- Feminist
- Mindfulness-Based (MBCT)
- Multicultural
- Person-Centered
- Play Therapy
- Psychoanalytic
- Strength-Based
- Trauma Focused
Natalie V Roche
Mental Health Counselor, MA, LMHC
Ask about what different forms of therapy will be like. Email or (206) 260-3313