Photo of Tess Flaherty, Counselor in 98104, WA
Tess Flaherty
Counselor, MA, LMHCA, MHP
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I specialize in working with individuals recovering from anxiety, depression, trauma, relationship conflicts, substance use, and eating disorders.
Welcome! Reaching out for help can feel difficult. The stress of everyday life- work, school, family, finances, relationships, etc. can feel difficult to manage. I find it is important to build a strong therapeutic relationship built upon trust, empathy, and compassion. I am here to offer an inclusive, non-judgmental, safe space where you feel comfortable to explore areas of your life that feel complex or troubling.
I specialize in working with individuals recovering from anxiety, depression, trauma, relationship conflicts, substance use, and eating disorders.
Welcome! Reaching out for help can feel difficult. The stress of everyday life- work, school, family, finances, relationships, etc. can feel difficult to manage. I find it is important to build a strong therapeutic relationship built upon trust, empathy, and compassion. I am here to offer an inclusive, non-judgmental, safe space where you feel comfortable to explore areas of your life that feel complex or troubling.
(206) 752-4154 View (206) 752-4154
Photo of Nicholas S. Sciarrone, Counselor in 98104, WA
Nicholas S. Sciarrone
Counselor, LMHC, MHP, MA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I specialize in treating trauma, anxiety, self esteem, SUD, and struggles related to life transitions. I help clients find the solid ground they need to support forward movement and a more positive trajectory. I begin by working with clients in developing a deeper understanding of themselves to arm them with the knowledge necessary to address their problems and make changes necessary to develop more adaptive coping strategies and improve the quality of their lives. I am non-judgmental and work to create a space in which clients can freely explore, uncover, and accept themselves more fully to live fuller, more meaningful lives.
I specialize in treating trauma, anxiety, self esteem, SUD, and struggles related to life transitions. I help clients find the solid ground they need to support forward movement and a more positive trajectory. I begin by working with clients in developing a deeper understanding of themselves to arm them with the knowledge necessary to address their problems and make changes necessary to develop more adaptive coping strategies and improve the quality of their lives. I am non-judgmental and work to create a space in which clients can freely explore, uncover, and accept themselves more fully to live fuller, more meaningful lives.
(206) 502-0894 View (206) 502-0894
Photo of Bex Lipps, Clinical Social Work/Therapist in 98104, WA
Bex Lipps
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98104
Let’s face it: it’s hard to be a human in these times! Creating a brave and supportive space where you can explore your authentic self and access your own inherent wisdom is at the heart of my practice. As a queer & nonbinary therapist, I’m particularly passionate about fostering healing within LGBTQ+, non-monogamous, and kink communities, because I know how important it is to work with someone who understands and affirms your identities and lifestyle. Whatever challenges you are facing, together we can learn how to hold space for it all: the trauma, joy, pain, beauty, grief, strength, uncertainty, and everything in between.
Let’s face it: it’s hard to be a human in these times! Creating a brave and supportive space where you can explore your authentic self and access your own inherent wisdom is at the heart of my practice. As a queer & nonbinary therapist, I’m particularly passionate about fostering healing within LGBTQ+, non-monogamous, and kink communities, because I know how important it is to work with someone who understands and affirms your identities and lifestyle. Whatever challenges you are facing, together we can learn how to hold space for it all: the trauma, joy, pain, beauty, grief, strength, uncertainty, and everything in between.
(206) 309-5409 View (206) 309-5409
Photo of Elizabeth Speranza, Mental Health Counselor in 98104, WA
Elizabeth Speranza
Mental Health Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Creating change in your life can be exciting, scary, hopeful, and challenging. Whether you are experiencing relational distress, going through a crisis or significant life change, or simply feel that you are not living the life you would like to be living, my goal is to create a supportive, non-judgmental and collaborative client/therapist relationship in which you can begin to effect real change. My hope is that you will find more peace, joy, and balance in life — and greater fulfillment and connection in your relationships.
Creating change in your life can be exciting, scary, hopeful, and challenging. Whether you are experiencing relational distress, going through a crisis or significant life change, or simply feel that you are not living the life you would like to be living, my goal is to create a supportive, non-judgmental and collaborative client/therapist relationship in which you can begin to effect real change. My hope is that you will find more peace, joy, and balance in life — and greater fulfillment and connection in your relationships.
(425) 440-3179 View (425) 440-3179
Photo of Jen Marino, Counselor in 98104, WA
Jen Marino
Counselor, LMHC, CCC
Verified Verified
Seattle, WA 98104
As a therapist, and human in general, I am passionate about creating space for the stories and emotions that are so often pushed away, hidden from view, and disavowed. I believe that to be seen, heard, and accepted in these tender places can be a profoundly healing experience, even (and especially) when there is "nothing to do about it," other than bear witness and grieve. An important piece of this process is moving towards a way of being that centers less around achieving, perfecting and “doing” and much more around “being.” Being present, being messy, being perfectly imperfect and ok with slow processes and uncertainties.
As a therapist, and human in general, I am passionate about creating space for the stories and emotions that are so often pushed away, hidden from view, and disavowed. I believe that to be seen, heard, and accepted in these tender places can be a profoundly healing experience, even (and especially) when there is "nothing to do about it," other than bear witness and grieve. An important piece of this process is moving towards a way of being that centers less around achieving, perfecting and “doing” and much more around “being.” Being present, being messy, being perfectly imperfect and ok with slow processes and uncertainties.
(206) 317-5727 View (206) 317-5727
Photo of Lynn Buell, Clinical Social Work/Therapist in 98104, WA
Lynn Buell
Clinical Social Work/Therapist, LICSW, FABP, MSSW
Verified Verified
Seattle, WA 98104
We will work together to help you manage feelings stirred up by isolation, loneliness, anger, unfair self-criticism, and poor self-esteem. I use knowledge of human development and the mind to teach you to manage anxiety, anger, and depression. It is not unusual for my clients to discover creativity from childhood that had become dormant in adult life through our work together, and I can help clients progress quickly with fewer sessions. Why pay psychiatrist fees when you can see a certified psychoanalyst for less and progress better and more quickly?
We will work together to help you manage feelings stirred up by isolation, loneliness, anger, unfair self-criticism, and poor self-esteem. I use knowledge of human development and the mind to teach you to manage anxiety, anger, and depression. It is not unusual for my clients to discover creativity from childhood that had become dormant in adult life through our work together, and I can help clients progress quickly with fewer sessions. Why pay psychiatrist fees when you can see a certified psychoanalyst for less and progress better and more quickly?
(253) 200-9303 View (253) 200-9303
Photo of Chris Curia, Counselor in 98104, WA
Chris Curia
Counselor, MA, LMHCA
Verified Verified
6 Endorsed
Seattle, WA 98104
First, I want to thank you for taking a brave, loving next step toward growth and healing. I’m a queer therapist working with individuals and couples, wanting to meet you where you are, knowing that therapy is an investment and not always for everyone. Too many of us can get stuck depending on the provisions of an individualized and unjust mental healthcare system that often leaves us needing more care, paying more money, and lacking trust to meet our needs and forge supportive relationships. I take it seriously that you're here, in the middle of whatever you are going through, looking for support, so let's start there.
First, I want to thank you for taking a brave, loving next step toward growth and healing. I’m a queer therapist working with individuals and couples, wanting to meet you where you are, knowing that therapy is an investment and not always for everyone. Too many of us can get stuck depending on the provisions of an individualized and unjust mental healthcare system that often leaves us needing more care, paying more money, and lacking trust to meet our needs and forge supportive relationships. I take it seriously that you're here, in the middle of whatever you are going through, looking for support, so let's start there.
(425) 215-0389 View (425) 215-0389
Photo of Gabriel Wisswaesser, Pre-Licensed Professional in 98104, WA
Gabriel Wisswaesser
Pre-Licensed Professional, MS
Verified Verified
Seattle, WA 98104  (Online Only)
Abrupt life changes, relationship stress, and traumas can leave us feeling disconnected and overwhelmed. It’s a brave move to reach out for help and I am here to offer compassion, collaboration, and empowerment. I am LGBTQIA+ and ENM affirming and pull from feminist theory and its framing of oppression as a contributor to personal struggle. My expertise includes adjustment to life transitions, family trauma, complex PTSD, and addiction issues.
Abrupt life changes, relationship stress, and traumas can leave us feeling disconnected and overwhelmed. It’s a brave move to reach out for help and I am here to offer compassion, collaboration, and empowerment. I am LGBTQIA+ and ENM affirming and pull from feminist theory and its framing of oppression as a contributor to personal struggle. My expertise includes adjustment to life transitions, family trauma, complex PTSD, and addiction issues.
(425) 600-5989 View (425) 600-5989
Photo of Ashlee Knight Therapy Co., Counselor in 98104, WA
Ashlee Knight Therapy Co.
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Navigating the messy, painful, hopeful, and confusing parts of our life is so hard to do on our own. We may feel lost, alone, or like we will never have the kind of life we want to have. What seems to come easily for others may feel crushingly hard for us to get for ourselves. Therapy offers us the space to be witnessed in our pain and struggle while also digger deeper into the honest truths and hopes of our life. I deeply believe that we heal in community, and therapy is the perfect place to begin to allow ourself to be seen, heard, and understood in a totally safe and consistent environment.
Navigating the messy, painful, hopeful, and confusing parts of our life is so hard to do on our own. We may feel lost, alone, or like we will never have the kind of life we want to have. What seems to come easily for others may feel crushingly hard for us to get for ourselves. Therapy offers us the space to be witnessed in our pain and struggle while also digger deeper into the honest truths and hopes of our life. I deeply believe that we heal in community, and therapy is the perfect place to begin to allow ourself to be seen, heard, and understood in a totally safe and consistent environment.
(206) 408-1097 View (206) 408-1097
Photo of Zane Behnke, Clinical Social Work/Therapist in 98104, WA
Zane Behnke
Clinical Social Work/Therapist, LICSW, CDP
Verified Verified
Seattle, WA 98104
Sometimes life feels too big, too complex, and too messy to get your head around. If you're ready to make changes in your life, but aren't sure where to start, I can help you develop a plan to make it happen. I can support you in your desire to stop destructive behaviors and create new, healthier ways of living. We go at a pace that is comfortable for you, taking on problems one-at-a-time. Together we tackle the things that are keeping you from the kind of life you want to live.
Sometimes life feels too big, too complex, and too messy to get your head around. If you're ready to make changes in your life, but aren't sure where to start, I can help you develop a plan to make it happen. I can support you in your desire to stop destructive behaviors and create new, healthier ways of living. We go at a pace that is comfortable for you, taking on problems one-at-a-time. Together we tackle the things that are keeping you from the kind of life you want to live.
(206) 350-9540 View (206) 350-9540
Photo of Ryan Miller, Clinical Social Work/Therapist in 98104, WA
Ryan Miller
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98104
Life is filled with a range of experiences that influence the way we see the world and make meaning of the past. Rooted at the core of every experience is human relationship; relationships reflect pieces of ourselves and shape the complex beings we become. Fragments of our relationships become part of us, influencing and guiding our choices.
Life is filled with a range of experiences that influence the way we see the world and make meaning of the past. Rooted at the core of every experience is human relationship; relationships reflect pieces of ourselves and shape the complex beings we become. Fragments of our relationships become part of us, influencing and guiding our choices.
(206) 752-4173 View (206) 752-4173
Photo of Patrick Huston, Counselor in 98104, WA
Patrick Huston
Counselor, LMHCA
Verified Verified
3 Endorsed
Seattle, WA 98104  (Online Only)
It feels like you’ve lost everything. Morning no longer holds the promise of a new day, only the weight of unspeakable sadness. This is just the way life is now. The mail is piling up. Work deadlines are coming and going. Food has no taste, and everything that once seemed so important feels meaningless. Everyone else has moved on, but you're still stuck in that moment when your whole world ended. You can’t move on because you can’t imagine living without that love. And moving on would mean giving up that last remaining connection to the life you had. But, at the same time, you know you can't go on this way either. You feel trapped.
It feels like you’ve lost everything. Morning no longer holds the promise of a new day, only the weight of unspeakable sadness. This is just the way life is now. The mail is piling up. Work deadlines are coming and going. Food has no taste, and everything that once seemed so important feels meaningless. Everyone else has moved on, but you're still stuck in that moment when your whole world ended. You can’t move on because you can’t imagine living without that love. And moving on would mean giving up that last remaining connection to the life you had. But, at the same time, you know you can't go on this way either. You feel trapped.
(206) 237-8038 View (206) 237-8038
Photo of Bobby Martin, Marriage & Family Therapist Associate in 98104, WA
Bobby Martin
Marriage & Family Therapist Associate, MACP, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98104
My therapeutic orientation is psychodynamic in nature, and based on the observation that people are often unaware of unconscious influences that determine their thoughts and actions.  Lack of awareness can often lead to behavior that constrains their ability to fully comprehend or work through the difficulties they are facing.  My hope is to help remove problematic symptoms that prohibit individuals from participating in meaningful relationships with themselves and others, while working toward leading a full and productive life as an active and positive contributor to their community.
My therapeutic orientation is psychodynamic in nature, and based on the observation that people are often unaware of unconscious influences that determine their thoughts and actions.  Lack of awareness can often lead to behavior that constrains their ability to fully comprehend or work through the difficulties they are facing.  My hope is to help remove problematic symptoms that prohibit individuals from participating in meaningful relationships with themselves and others, while working toward leading a full and productive life as an active and positive contributor to their community.
(206) 339-6835 View (206) 339-6835
Photo of Ari Goodman, Clinical Social Work/Therapist in 98104, WA
Ari Goodman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98104
Waitlist for new clients
If you're reading this, chances are you're feeling stuck, anxious, or even overwhelmed by the challenges you are experiencing. You crave connection, understanding, and fulfillment but might be unsure of how to attain it. Your goals are not just about overcoming the feelings of being stuck, anxious, and depressed; they're about finding satisfaction, discovering the root causes of your struggles, and learning effective strategies to cope and thrive. My ideal client is someone like you – brave individuals looking for guidance in navigating the complexities of their emotions and relationships.
If you're reading this, chances are you're feeling stuck, anxious, or even overwhelmed by the challenges you are experiencing. You crave connection, understanding, and fulfillment but might be unsure of how to attain it. Your goals are not just about overcoming the feelings of being stuck, anxious, and depressed; they're about finding satisfaction, discovering the root causes of your struggles, and learning effective strategies to cope and thrive. My ideal client is someone like you – brave individuals looking for guidance in navigating the complexities of their emotions and relationships.
(206) 539-2738 View (206) 539-2738
Photo of Pacific Mental Health, Counselor in 98104, WA
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 Laara Israhel, Marriage & Family Therapist in 98104, WA
Laara Israhel
Marriage & Family Therapist, MEd, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98104
I want to feel better. I want to be closer to my partner. I don't know what I want to do in my life. I keep saying I'm going to start... (fill in the blank) and I get on my phone, I eat, drink or shop too much. I need more balance. I need to be heard and stop being numb. I want to enjoy life and relationships more.
I want to feel better. I want to be closer to my partner. I don't know what I want to do in my life. I keep saying I'm going to start... (fill in the blank) and I get on my phone, I eat, drink or shop too much. I need more balance. I need to be heard and stop being numb. I want to enjoy life and relationships more.
(805) 590-2622 View (805) 590-2622
Photo of Judy Karel MA, LMHC, Counselor in 98104, WA
Judy Karel MA, LMHC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I am client centered in my approach. I work with individuals, late adolescents, and families. The foundation of our work will be that of mutual respect and clear expectations. I view the counseling relationship as a collaborative process and believe the role of a therapist can be likened to that of a "coach," one who challenges old ineffective behaviors and beliefs. I provide a confidential and supportive environment for you to share your concerns, and goals. Through dialogue and deep listening, new choices and next steps will be brought to light.
I am client centered in my approach. I work with individuals, late adolescents, and families. The foundation of our work will be that of mutual respect and clear expectations. I view the counseling relationship as a collaborative process and believe the role of a therapist can be likened to that of a "coach," one who challenges old ineffective behaviors and beliefs. I provide a confidential and supportive environment for you to share your concerns, and goals. Through dialogue and deep listening, new choices and next steps will be brought to light.
(206) 535-1631 View (206) 535-1631
Photo of Kristina Cook, Counselor in 98104, WA
Kristina Cook
Counselor, LMHC, CDPT, CHT
Verified Verified
7 Endorsed
Seattle, WA 98104  (Online Only)
Currently Taking New Clients. I understand you are looking for help and this is the first step to healing your life. I specialize in working with couples, as well as adult individuals struggling with addiction. I see you as a whole person and am mindful of the pain you have experienced and get there are many ways to recovery. In my work with substance abuse I understand the feelings that come along with the burden of addiction. Will I be accepted; am I enough to be loved; do I belong? These are normal questions for most people suffering and questioning addiction. I create safety to help explore these questions.
Currently Taking New Clients. I understand you are looking for help and this is the first step to healing your life. I specialize in working with couples, as well as adult individuals struggling with addiction. I see you as a whole person and am mindful of the pain you have experienced and get there are many ways to recovery. In my work with substance abuse I understand the feelings that come along with the burden of addiction. Will I be accepted; am I enough to be loved; do I belong? These are normal questions for most people suffering and questioning addiction. I create safety to help explore these questions.
(206) 965-9148 View (206) 965-9148
Photo of Patrick James Hart, Counselor in 98104, WA
Patrick James Hart
Counselor, PsyD, LMHC, MHP
Verified Verified
Seattle, WA 98104
Mental Health Counseling in Seattle | Psychotherapy Private Practice: Psychotherapist and counselor for problems of depression and anxiety. Therapy for panic disorder, generalized anxiety, post traumatic stress, simple phobia, anger management, stress reduction, social anxiety, phobias and avoidance. I help people by providing skills based therapy to assure you effectively manage your moods, emotions and behavior. I'll help you learn the competencies to resolve unwanted life defeating habits. Cognitive Behavior Therapy: Learn effective personal solutions from anxiety and panic to sex & pornography addiction - lasting behavior change. Thanks for your interest in my practice! I'm just a phone call away!
Mental Health Counseling in Seattle | Psychotherapy Private Practice: Psychotherapist and counselor for problems of depression and anxiety. Therapy for panic disorder, generalized anxiety, post traumatic stress, simple phobia, anger management, stress reduction, social anxiety, phobias and avoidance. I help people by providing skills based therapy to assure you effectively manage your moods, emotions and behavior. I'll help you learn the competencies to resolve unwanted life defeating habits. Cognitive Behavior Therapy: Learn effective personal solutions from anxiety and panic to sex & pornography addiction - lasting behavior change. Thanks for your interest in my practice! I'm just a phone call away!
(253) 642-7941 View (253) 642-7941
Photo of Cascades Wellness Center, Psychologist in 98104, WA
Cascades Wellness Center
Psychologist, PsyD, PhD
Verified Verified
1 Endorsed
Seattle, WA 98104
We are committed to restoring you to your best. Using an individualized, client-centered approach, we work with you to identify strengths and deepen relationships for sustainable and holistic change. At Cascades Wellness Center, our team offers extensive experience as well as a holistic approach to mental health and wellness. Through awareness, compassion, and acceptance, we work with our clients to return you to the life you want and deserve. For us, therapy is not about fixing what is wrong, but about recapturing your capacities to increase your overall health, well-being, and sense of connection in the world.
We are committed to restoring you to your best. Using an individualized, client-centered approach, we work with you to identify strengths and deepen relationships for sustainable and holistic change. At Cascades Wellness Center, our team offers extensive experience as well as a holistic approach to mental health and wellness. Through awareness, compassion, and acceptance, we work with our clients to return you to the life you want and deserve. For us, therapy is not about fixing what is wrong, but about recapturing your capacities to increase your overall health, well-being, and sense of connection in the world.
(206) 258-7498 View (206) 258-7498
Substance Use Therapists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.