Optum Therapists in Burien, WA
During periods of anxiety and depression we frequently feel a sensation like being paralyzed, of being stuck. At other times the world around us can feel like it is changing too quickly. This can be due to transitional periods, such as a graduation, new marriage, new baby, divorce or retirement; or due to national and global transitional periods, such as politics, the economy, or climate change. Brief periods of anxiety and depression are normal reactions when they are brief, but the feeling of being stuck or being overwhelmed can become the foundation of our existence, impacting our minds, our bodies and our relationships
During periods of anxiety and depression we frequently feel a sensation like being paralyzed, of being stuck. At other times the world around us can feel like it is changing too quickly. This can be due to transitional periods, such as a graduation, new marriage, new baby, divorce or retirement; or due to national and global transitional periods, such as politics, the economy, or climate change. Brief periods of anxiety and depression are normal reactions when they are brief, but the feeling of being stuck or being overwhelmed can become the foundation of our existence, impacting our minds, our bodies and our relationships
As a systemic therapist, I believe in the exploration of all cultural and societal messages, norms, and values that have shaped my clients into who they are today. Making the brave decision to begin therapy is often preceded by many obstacles and challenges, and it is important to me to take the necessary time to walk through clients' stories and reflect on their experiences. I work to create a safe, trusting, and open environment where my clients and I can exchange constructive feedback. I believe that the therapy room is a space for emotional vulnerability, reflection, and growth.
As a systemic therapist, I believe in the exploration of all cultural and societal messages, norms, and values that have shaped my clients into who they are today. Making the brave decision to begin therapy is often preceded by many obstacles and challenges, and it is important to me to take the necessary time to walk through clients' stories and reflect on their experiences. I work to create a safe, trusting, and open environment where my clients and I can exchange constructive feedback. I believe that the therapy room is a space for emotional vulnerability, reflection, and growth.
Hi there, I'm Mandy! As an Empath, I utilize my radiant energy and insight to connect with those cultivating their authentic self. I enjoy being a gentle guide and empathic witness for people on their journey of being more expansive, awakened, and connected to their whole being. I often incorporate Cognitive Behavioral Therapeutic Approach to gently rewiring patterns - shifting perception through the lens of neuroplasticity. Then I begin gently weaving in Somatic Mindfulness combined with a trauma-informed lens to heal from the inside out.
Hi there, I'm Mandy! As an Empath, I utilize my radiant energy and insight to connect with those cultivating their authentic self. I enjoy being a gentle guide and empathic witness for people on their journey of being more expansive, awakened, and connected to their whole being. I often incorporate Cognitive Behavioral Therapeutic Approach to gently rewiring patterns - shifting perception through the lens of neuroplasticity. Then I begin gently weaving in Somatic Mindfulness combined with a trauma-informed lens to heal from the inside out.
Life can feel overwhelming when emotions run deep and relationships become strained. Anxiety, depression, and past wounds can make it hard to connect with others and find peace within yourself. I believe in the healing that happens when we share our stories and experiences with one another in order to grieve the past, accept the present, and voice hope for the future. We will explore how your past impacts your relationships and current life circumstances. I will work with you, your children, or your family to develop coping skills and self-compassion, approaching our work with empathy and care.
Life can feel overwhelming when emotions run deep and relationships become strained. Anxiety, depression, and past wounds can make it hard to connect with others and find peace within yourself. I believe in the healing that happens when we share our stories and experiences with one another in order to grieve the past, accept the present, and voice hope for the future. We will explore how your past impacts your relationships and current life circumstances. I will work with you, your children, or your family to develop coping skills and self-compassion, approaching our work with empathy and care.
I believe in tailoring the therapy to meet each client's individual needs. I primarily use psychodynamic therapy which helps the client gain self-insight but also use a variety of therapeutic techniques including mindfulness and cognitive-behavioral methods. Being able to stand back from one's self and gain perspective about one's personality, choices and actions are important in helping an individual work through issues. I help the client explore what issues from the past or present may be contributing to depression or anxiety.
I believe in tailoring the therapy to meet each client's individual needs. I primarily use psychodynamic therapy which helps the client gain self-insight but also use a variety of therapeutic techniques including mindfulness and cognitive-behavioral methods. Being able to stand back from one's self and gain perspective about one's personality, choices and actions are important in helping an individual work through issues. I help the client explore what issues from the past or present may be contributing to depression or anxiety.
Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
Anxiety is awful. Most people just do not understand how difficult it is to live with chronic worry, panic attacks, or obsessive thoughts and unwanted behavior. Gladly, most people will never have to know how horrible it is to have nagging obsessive thoughts, or fear panicking in public places. The variety of Cognitive-Behavioral Therapies (CBT) like Exposure & Response Prevention (ERP) and Acceptance & Commitment Therapy (ACT) are quite effective in increasing distress tolerance, reducing anxiety, and eliminating the dysfunctional behaviors that accompany it.
I'm Justin Talkish, a therapist with 7 years of experience, including the last 4 years in private practice. I'm deeply devoted to helping clients rebuild their lives after trauma, grief, or loss. My therapeutic approach draws extensively from my own lived experiences, fostering a safe, supportive space where vulnerability, resilience, and healing are shared and nurtured together. I’m especially committed to serving those often overlooked in therapy, including Black Americans, LGBTQ individuals, and those impacted by religious trauma. Overcoming personal challenges, I offer unique support to those who might otherwise feel unseen.
I'm Justin Talkish, a therapist with 7 years of experience, including the last 4 years in private practice. I'm deeply devoted to helping clients rebuild their lives after trauma, grief, or loss. My therapeutic approach draws extensively from my own lived experiences, fostering a safe, supportive space where vulnerability, resilience, and healing are shared and nurtured together. I’m especially committed to serving those often overlooked in therapy, including Black Americans, LGBTQ individuals, and those impacted by religious trauma. Overcoming personal challenges, I offer unique support to those who might otherwise feel unseen.
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
You’ve done therapy, read the books, and understand yourself—but in the moments that matter, you still react the same way. You’re doing all the “right” things, but it’s not working the way it should.
You already know yourself well. Insight is valuable—but it doesn’t always change what happens in the moment.
You’ve done therapy, read the books, and understand yourself—but in the moments that matter, you still react the same way. You’re doing all the “right” things, but it’s not working the way it should.
You already know yourself well. Insight is valuable—but it doesn’t always change what happens in the moment.
Together, we’ll create a compassionate, supportive environment built on a foundation of trust. I help clients navigate life’s complexities, overcome barriers, heal from past wounds, and build a life that feels authentic, empowering, and fulfilling. My ideal clients are individuals who feel stuck, overwhelmed, or dissatisfied with where they are in life. They have a sense that something needs to change but aren't sure where to begin or how to move forward. I work best with people who are open to exploring their inner world and are ready to take steps—however small—toward creating a more aligned, fulfilling life.
Together, we’ll create a compassionate, supportive environment built on a foundation of trust. I help clients navigate life’s complexities, overcome barriers, heal from past wounds, and build a life that feels authentic, empowering, and fulfilling. My ideal clients are individuals who feel stuck, overwhelmed, or dissatisfied with where they are in life. They have a sense that something needs to change but aren't sure where to begin or how to move forward. I work best with people who are open to exploring their inner world and are ready to take steps—however small—toward creating a more aligned, fulfilling life.
Hi there, I'm Melissa! We can all find ourselves stuck in undesirable feelings, situations, or relationships. Through our work together, I hope to help create space for healing through self exploration, uncovering a deeper understanding of past and present selves. Ultimately, I hope to support my clients toward building a life that feels meaningful and fulfilled. My therapy style is based on genuine interaction, and I utilize a variety of techniques and modalities depending on your unique needs. My approach is person-centered, with interventions from me that support your goals.
Hi there, I'm Melissa! We can all find ourselves stuck in undesirable feelings, situations, or relationships. Through our work together, I hope to help create space for healing through self exploration, uncovering a deeper understanding of past and present selves. Ultimately, I hope to support my clients toward building a life that feels meaningful and fulfilled. My therapy style is based on genuine interaction, and I utilize a variety of techniques and modalities depending on your unique needs. My approach is person-centered, with interventions from me that support your goals.
Do discussions with your partner often lead to yelling or angry silence? Do you find yourselves arguing about the same issues year after year with no resolution? Learn to restore harmony in your home with communication skills that create guardrails for safety (I sometime call them training wheels or bumper pads). When couples feel like they’re walking on eggshells, life feels exhausting. When the best of intentions devolve into disappointment, misunderstanding, and hurt feelings, it might seem like there is no way back to the romantic bond you once enjoyed. It can be done, and together we will plot that course!
Do discussions with your partner often lead to yelling or angry silence? Do you find yourselves arguing about the same issues year after year with no resolution? Learn to restore harmony in your home with communication skills that create guardrails for safety (I sometime call them training wheels or bumper pads). When couples feel like they’re walking on eggshells, life feels exhausting. When the best of intentions devolve into disappointment, misunderstanding, and hurt feelings, it might seem like there is no way back to the romantic bond you once enjoyed. It can be done, and together we will plot that course!
If you have been waiting too long to feel better, you do not have to keep waiting. Reach out today, you can be seen right away.
We serve families, children, teens, and adults struggling with anxiety, depression, ADHD, mood disorders, PTSD, OCD, eating disorders, and more. We welcome patients of all ages and can often get you seen within 72 hours, in person or online.
If you have been waiting too long to feel better, you do not have to keep waiting. Reach out today, you can be seen right away.
We serve families, children, teens, and adults struggling with anxiety, depression, ADHD, mood disorders, PTSD, OCD, eating disorders, and more. We welcome patients of all ages and can often get you seen within 72 hours, in person or online.
My approach involves meeting each individual person where they are when they start therapy and forming a warn collaborative relationship. I provide a safe and comfortable environment in which people can explore the concerns that brought them into psychotherapy. Relationships are complex and people often want to understand more about how they interact with others and evolve in a way that promotes having better relationships.
My approach involves meeting each individual person where they are when they start therapy and forming a warn collaborative relationship. I provide a safe and comfortable environment in which people can explore the concerns that brought them into psychotherapy. Relationships are complex and people often want to understand more about how they interact with others and evolve in a way that promotes having better relationships.
I love to work with individuals who are ready to move beyond the cycles that leave them feeling stuck, used, hurt, and disconnected from their true selves. Change is hard—especially when we’re taught to minimize pain and doubt our own strength. That’s why meaningful transformation can feel both impossible and lonely. These patterns often show up as: unhealthy coping mechanisms or habits, anxiety, low-motivation, poor concentration, difficulty forming or maintaining connections, self-sabotage, self-harm, or suicidal thoughts, low self-esteem and dissatisfaction in relationships or family life.
I love to work with individuals who are ready to move beyond the cycles that leave them feeling stuck, used, hurt, and disconnected from their true selves. Change is hard—especially when we’re taught to minimize pain and doubt our own strength. That’s why meaningful transformation can feel both impossible and lonely. These patterns often show up as: unhealthy coping mechanisms or habits, anxiety, low-motivation, poor concentration, difficulty forming or maintaining connections, self-sabotage, self-harm, or suicidal thoughts, low self-esteem and dissatisfaction in relationships or family life.
It has been said, that change only occurs when the pain of remaining the same becomes greater than the pain of change. A healthy fulfilling life is full of transformative growth, which can be emotionally difficult, and threatening to established thinking and behavior. My work focuses on moving you toward your stated goals, guiding you through the discomfort toward a new normal. I will work collaboratively with you to explore your particular issue, examine your options, and give you the tools you need to face difficulties and bring about positive change.
It has been said, that change only occurs when the pain of remaining the same becomes greater than the pain of change. A healthy fulfilling life is full of transformative growth, which can be emotionally difficult, and threatening to established thinking and behavior. My work focuses on moving you toward your stated goals, guiding you through the discomfort toward a new normal. I will work collaboratively with you to explore your particular issue, examine your options, and give you the tools you need to face difficulties and bring about positive change.
People come to counseling when they have problems that cause them unhappiness and pain, and do not know how to manage on their own. I have over 27 years of experience helping people cope with the challenges of their ever changing lives. I believe my role as a therapist is to teach my clients what I know, and to guide them through thinking and behavior changes that will bring them to a place of peace and contentment. I strive to help my clients improve their level of self-awareness, to increase their understanding of and empathy for themselves and others, and to increase their ability to communicate affectively.
People come to counseling when they have problems that cause them unhappiness and pain, and do not know how to manage on their own. I have over 27 years of experience helping people cope with the challenges of their ever changing lives. I believe my role as a therapist is to teach my clients what I know, and to guide them through thinking and behavior changes that will bring them to a place of peace and contentment. I strive to help my clients improve their level of self-awareness, to increase their understanding of and empathy for themselves and others, and to increase their ability to communicate affectively.
I provide a strength-based, trauma informed approach to healing the mind, body and soul. My name is Jonathan Montoya, LICSW. I work hand in hand with my clients to set tangible goals specific to the client’s needs to better their situation. These skills can then be transferred to everyday life situations that can be practiced. Life is difficult and we all need help at some point. Working through it with someone trustworthy is just the first step in creating a better you. If you have any questions about care and availabilities, feel free to email me.
I provide a strength-based, trauma informed approach to healing the mind, body and soul. My name is Jonathan Montoya, LICSW. I work hand in hand with my clients to set tangible goals specific to the client’s needs to better their situation. These skills can then be transferred to everyday life situations that can be practiced. Life is difficult and we all need help at some point. Working through it with someone trustworthy is just the first step in creating a better you. If you have any questions about care and availabilities, feel free to email me.
Hi there! My name's David Flack. I’m a Licensed Mental Health Counselor (LMHC) and Substance Use Disorders Professional (SUDP). Since 2002, I’ve provided counseling to teens and emerging adults. Most of my clients are cisgender guys, but I regularly meet with individuals of all genders, with a focus on trauma, depression, substance related issues, problematic pornography use, oppositional behaviors, and/or LGBTQ+ topics. Over the years, I've developed a few deep dive specialities include addressing sexual trauma in adolescent males, managing intrusive thoughts, and ending behavioral addictions.
Hi there! My name's David Flack. I’m a Licensed Mental Health Counselor (LMHC) and Substance Use Disorders Professional (SUDP). Since 2002, I’ve provided counseling to teens and emerging adults. Most of my clients are cisgender guys, but I regularly meet with individuals of all genders, with a focus on trauma, depression, substance related issues, problematic pornography use, oppositional behaviors, and/or LGBTQ+ topics. Over the years, I've developed a few deep dive specialities include addressing sexual trauma in adolescent males, managing intrusive thoughts, and ending behavioral addictions.
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
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Does insurance cover therapy, prescriptions and other behavioral health services?
In general, yes. Laws in the U.S. require insurers to cover essential behavioral health care at the same level as other health care services. Most health plans require a medical diagnosis and treatments that are evidence based and medically essential. This means that life coaching and alternative therapies are not covered, nor is therapy without a diagnosis. Call the number on the back or your insurance card or visit your insurance company's website to review your Summary of Benefits. If you have insurance through your employer, your Human Resources department may also be able to answer questions.
How much does therapy cost with insurance?
The cost of therapy depends on your region, how much training and experience your therapist has, and the type of treatment. The rate for talk therapy generally falls between $100 and $250. For a client seeing an in-network provider, the cost of therapy is often similar to the cost of other health care services. Clients pay co-pays and may need to satisfy a plan’s deductible before benefits kick in.
What is the difference between In-Network and Out-of-Network insurance coverage?
An in-network provider has contracted with an insurer to get paid directly for services, and to accept the insurer’s rate of compensation. Clients are responsible for deductibles and copays. If a therapist is out of network, that means that the client pays the therapist directly for services at the therapist’s regular fee. Out-of-Network providers often give clients a receipt so that they can file for partial reimbursement with their insurance company.
Is it difficult to find an In-Network therapist?
It is not unusual for therapists to limit the number of insurance patients in their practice, so it’s important to check in-network availability when you schedule your first appointment. In regions and times where therapy is in high demand it may take longer to get scheduled with an in-network therapist.
What is the difference between HMO and PPO insurance plans?
HMO health plans only cover in-network services, there is no reimbursement for out-of-network providers. PPO plans often cover both in- and out-of-network services, though the client may pay more for out-of-network services.
What is a Superbill?
A superbill is a receipt for therapy services. It provides all the information required by insurance companies to reimburse you for out-of-network services, including the diagnostic codes for your care, the amount paid, and the dates and duration of care.
Does insurance cover Online therapy?
Many therapists who shifted their practice to online therapy during the pandemic have kept that arrangement. And most insurers continue to cover telehealth services, with a few exceptions. Preventive care (such as an annual depression screening) is often required to be in-person to be covered, and some states require prescribers of controlled substances to see those patients in person.
Does insurance cover Group therapy?
Many insurance plans provide coverage for group therapy provided there is a medical diagnosis for group members, but there are some noteworthy exceptions. For example, Medicare does not always cover group therapy. Group therapy tends to cost less than individual therapy.
Does insurance cover Couples therapy?
Most insurance companies do not cover the cost of couples therapy because there is no medical diagnosis or medically necessary treatment. However, a few plans will offer a limited benefit, so it is still worth checking with your insurance company. Sometimes therapy is covered for a couple when one person has a diagnosis and another family member joins them for joint therapy, but it is considered therapy for the medical condition that includes a family member as a listener or helper, not couples counseling. Without insurance, most clients pay between $100-300 per 60-90 min session for couples therapy. Often clients can find classes or workshops that make it more affordable to work on their relationship. And some employers offer Employee Assistance Plans that help defray the cost of couples therapy.
What is an Employee Assistance Plan (EAP)?
Employee Assistance Plans are purchased by employers for the benefit of their employees. EAPs typically assist employees with referrals and may also provide the first few sessions of therapy free of charge, with the patient's regular health insurance kicking in after those initial sessions. EAP benefits often apply to all types of therapy without the need for a medical diagnosis, making it easier to access couples therapy, therapy for life transitions, and other non-medical counseling. Just as with standard health insurance, clients should always check that a provider accepts their EAP benefits before scheduling. Learn more about Insurance Coverage and Finding Affordable Therapy


