Therapists in Seattle, WA

Feeling lost can be one of the most disorienting and uncomfortable experiences in life. It’s a profoundly human feeling, and yet, it often leaves us feeling isolated, uncertain, and unsure of where to turn. Therapy, in my view, is a form of companionship for this journey—someone to walk beside you as you navigate the complexities of your emotions, identities, narratives, relationships, and experiences.
Feeling lost can be one of the most disorienting and uncomfortable experiences in life. It’s a profoundly human feeling, and yet, it often leaves us feeling isolated, uncertain, and unsure of where to turn. Therapy, in my view, is a form of companionship for this journey—someone to walk beside you as you navigate the complexities of your emotions, identities, narratives, relationships, and experiences.

My name is Alison Bailey and I am a Licensed Independent Clinical Social Worker (LICSW) with over 10 years of experience helping improve the lives of individuals overcoming a variety of life challenges. I am based in Bellingham, Washington, and work with clients statewide by providing therapeutic services via telehealth. I work with individuals and young adults to help with the treatment of common mental health disorders. I specialize in Cognitive Behavior Therapy, Behavioral Activation, Informed Trauma Therapy, and Grief Therapy. I also utilize a variety of other therapeutic strategies that align with my specialties.
My name is Alison Bailey and I am a Licensed Independent Clinical Social Worker (LICSW) with over 10 years of experience helping improve the lives of individuals overcoming a variety of life challenges. I am based in Bellingham, Washington, and work with clients statewide by providing therapeutic services via telehealth. I work with individuals and young adults to help with the treatment of common mental health disorders. I specialize in Cognitive Behavior Therapy, Behavioral Activation, Informed Trauma Therapy, and Grief Therapy. I also utilize a variety of other therapeutic strategies that align with my specialties.

I specialize in working with people who have found the way in which they're living their life is painful, even intolerable, and want to find a path of less resistance. I am experienced in helping with difficulty regulating emotions, interpersonal conflict, tolerating the present moment, and figuring out effective coping skills during times of distress. If you find yourself struggling with depression, anxiety disorders, intense emotional states, trauma, attachment and other mood disorders I believe I may be helpful.
I specialize in working with people who have found the way in which they're living their life is painful, even intolerable, and want to find a path of less resistance. I am experienced in helping with difficulty regulating emotions, interpersonal conflict, tolerating the present moment, and figuring out effective coping skills during times of distress. If you find yourself struggling with depression, anxiety disorders, intense emotional states, trauma, attachment and other mood disorders I believe I may be helpful.

I offer virtual therapy for adults healing from trauma, including complex PTSD, domestic and sexual violence, anxiety, and depression. My trauma-focused approach blends EMDR, CBT, DBT, somatic practices, mindfulness, and spiritual exploration. I create a supportive space to process the impact of trauma, regulate the nervous system, and reconnect with your strength, identity, and sense of safety.
Healing from trauma is not about "fixing" yourself — it's about returning to who you've always been underneath the pain. You're not alone, and you're not broken. I'm here to walk beside you.
I offer virtual therapy for adults healing from trauma, including complex PTSD, domestic and sexual violence, anxiety, and depression. My trauma-focused approach blends EMDR, CBT, DBT, somatic practices, mindfulness, and spiritual exploration. I create a supportive space to process the impact of trauma, regulate the nervous system, and reconnect with your strength, identity, and sense of safety.
Healing from trauma is not about "fixing" yourself — it's about returning to who you've always been underneath the pain. You're not alone, and you're not broken. I'm here to walk beside you.

Dr. Trinh is a clinical child psychologist who specializes in psychoeducational, developmental, and neuropsychological evaluations for children and adolescents to address learning, developmental, social-emotional, and behavioral challenges. She also provides evidence-based behavioral interventions for young children with autism spectrum disorder, developmental delays, anxiety, and behavioral challenges.
Dr. Trinh is a clinical child psychologist who specializes in psychoeducational, developmental, and neuropsychological evaluations for children and adolescents to address learning, developmental, social-emotional, and behavioral challenges. She also provides evidence-based behavioral interventions for young children with autism spectrum disorder, developmental delays, anxiety, and behavioral challenges.

I work with adults primarily on issues related to trauma. Trauma often involves lack of control over a situation, so as part of the work, I help my clients regain their sense of power and choice in our sessions. Safety, non-judgement, and kindness are valued in my practice as the foundations of the therapeutic work, and I encourage open communication about the client’s experience with therapy. I offer a flexible approach to counseling because I believe that what works for some of my clients may not work for others, and we learn what that looks like as we work together.
I work with adults primarily on issues related to trauma. Trauma often involves lack of control over a situation, so as part of the work, I help my clients regain their sense of power and choice in our sessions. Safety, non-judgement, and kindness are valued in my practice as the foundations of the therapeutic work, and I encourage open communication about the client’s experience with therapy. I offer a flexible approach to counseling because I believe that what works for some of my clients may not work for others, and we learn what that looks like as we work together.

I appreciate how challenging it can be to find a therapist who is a “good fit.” Availability, insurance, expertise, and experience are all important factors. Once those hurdles are cleared, the task of choosing a therapist you feel safe with begins. I am a therapist who strives to see your strengths as clearly as your struggles, who will hold steadfast faith in your ability to learn, adapt, heal, and thrive, who considers challenges you face in context to your unique life experience.
I appreciate how challenging it can be to find a therapist who is a “good fit.” Availability, insurance, expertise, and experience are all important factors. Once those hurdles are cleared, the task of choosing a therapist you feel safe with begins. I am a therapist who strives to see your strengths as clearly as your struggles, who will hold steadfast faith in your ability to learn, adapt, heal, and thrive, who considers challenges you face in context to your unique life experience.

I am a Licensed Mental Health Counselor in Washington State. I see clients in-person and virtually at Envision Counseling. I have 13 years of experience, and have worked in many settings, with many different populations. The majority of my experience has been working with children, adolescents, and teens who are struggling with issues such as anxiety, depression, ADHD, adjustment, poor self-esteem, and trauma and abuse. I use primarily cognitive behavioral techniques, but I am also skilled in dialectical behavioral and solution-focused therapy, as well as play and activity therapy. I am open to seeing all ages.
I am a Licensed Mental Health Counselor in Washington State. I see clients in-person and virtually at Envision Counseling. I have 13 years of experience, and have worked in many settings, with many different populations. The majority of my experience has been working with children, adolescents, and teens who are struggling with issues such as anxiety, depression, ADHD, adjustment, poor self-esteem, and trauma and abuse. I use primarily cognitive behavioral techniques, but I am also skilled in dialectical behavioral and solution-focused therapy, as well as play and activity therapy. I am open to seeing all ages.

I work with individuals & couples navigating challenges related to ADHD, identity, relationships, and career. Whether you're a young adult figuring out next steps, a parent supporting a struggling child, or someone in a helping profession feeling the weight of burnout—I provide a grounded, compassionate space to explore what’s next. With a background as both a professional artist and educator, I understand the pressures of creative and caregiving roles, and how these can shape (and strain) your sense of self. I also help couples strengthen communication and intimacy, building relationships that feel more connected and collaborative.
I work with individuals & couples navigating challenges related to ADHD, identity, relationships, and career. Whether you're a young adult figuring out next steps, a parent supporting a struggling child, or someone in a helping profession feeling the weight of burnout—I provide a grounded, compassionate space to explore what’s next. With a background as both a professional artist and educator, I understand the pressures of creative and caregiving roles, and how these can shape (and strain) your sense of self. I also help couples strengthen communication and intimacy, building relationships that feel more connected and collaborative.

If you’re someone coming to me of your own choosing and are at the point where “okay” isn't good enough anymore, this will contribute a lot to your success in therapy. You may be experiencing problems with your moods, have physical pain, or maybe feel confused about decisions you need to make; maybe you feel disconnected from your self or your world. You may be looking for clarity of purpose, inspiration, and courage. Your need for feeling safe and having love and a sense of belonging in your life is often at the center of many issues, and our work is to forge a pathway to experience these things as you work toward fully healing.
If you’re someone coming to me of your own choosing and are at the point where “okay” isn't good enough anymore, this will contribute a lot to your success in therapy. You may be experiencing problems with your moods, have physical pain, or maybe feel confused about decisions you need to make; maybe you feel disconnected from your self or your world. You may be looking for clarity of purpose, inspiration, and courage. Your need for feeling safe and having love and a sense of belonging in your life is often at the center of many issues, and our work is to forge a pathway to experience these things as you work toward fully healing.

Porscha Kazmierczak is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2021. She received her MSW from Simmons University in Boston, Massachusetts. Porscha is a dedicated and compassionate social worker with a specialized focus in obstetrics and women’s/maternal health. With a solid background in both medical-surgical and obstetric care, she has worked with patients facing a wide array of challenges, including fetal anomalies, traumatic deliveries, peripartum mental health concerns, and options counseling.
Porscha Kazmierczak is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2021. She received her MSW from Simmons University in Boston, Massachusetts. Porscha is a dedicated and compassionate social worker with a specialized focus in obstetrics and women’s/maternal health. With a solid background in both medical-surgical and obstetric care, she has worked with patients facing a wide array of challenges, including fetal anomalies, traumatic deliveries, peripartum mental health concerns, and options counseling.

I work with people of all ages—child, adolescent, and adult. I have strengths in working with children, with people experiencing depression, anxiety, and trauma reactions, and with people who have been abused in the past. My goals are to help you make the changes you are ready to make, and to help relieve the struggles you are having.
I work with people of all ages—child, adolescent, and adult. I have strengths in working with children, with people experiencing depression, anxiety, and trauma reactions, and with people who have been abused in the past. My goals are to help you make the changes you are ready to make, and to help relieve the struggles you are having.

I offer individual, couple, and family therapy. I am a systemic therapist. I believe your community, your family of origin, and the greater world in which you live all impact your situation. My focus is on promoting your strengths to help you achieve your goals. I use a variety of therapeutic interventions, but the common thread that links them is Mindfulness. In my work with couples, I apply Gottman theories to your preferred family structure. I enjoy exploring gender identity and also enjoy working with people to strengthen their relationships with themselves and others who are important in their lives.
I offer individual, couple, and family therapy. I am a systemic therapist. I believe your community, your family of origin, and the greater world in which you live all impact your situation. My focus is on promoting your strengths to help you achieve your goals. I use a variety of therapeutic interventions, but the common thread that links them is Mindfulness. In my work with couples, I apply Gottman theories to your preferred family structure. I enjoy exploring gender identity and also enjoy working with people to strengthen their relationships with themselves and others who are important in their lives.

Do you have repetitive thoughts, worry or overthink things and can't perform as well as you could? Do you want to enhance your success socially or at work, on tests, public speaking or at sports? You can achieve your goals by learning the skills that Olympic athletes use to be calmer and more focused. You can be coached to be more consistently relaxed, and to more effectively handle stress. Call me to identify how you can be helped effectively and more rapidly. I have integrated Western & Eastern methods that complement and enhance the speed and quality of your results.
Do you have repetitive thoughts, worry or overthink things and can't perform as well as you could? Do you want to enhance your success socially or at work, on tests, public speaking or at sports? You can achieve your goals by learning the skills that Olympic athletes use to be calmer and more focused. You can be coached to be more consistently relaxed, and to more effectively handle stress. Call me to identify how you can be helped effectively and more rapidly. I have integrated Western & Eastern methods that complement and enhance the speed and quality of your results.

Currently accepting new clients - telehealth only! Hi, I’m alex (they/them) and I’m a non-binary, taiwanese-american person located in Seattle, the unceded occupied lands of the Duwamish and Coast Salish people. I’m here to work with queer adults and teens (13+) through different experiences and struggles, whether it might be life transitions, anxiety, depression, gender exploration and transition, or the existential pressure of capitalist society that permeates every aspect of our lives.
Currently accepting new clients - telehealth only! Hi, I’m alex (they/them) and I’m a non-binary, taiwanese-american person located in Seattle, the unceded occupied lands of the Duwamish and Coast Salish people. I’m here to work with queer adults and teens (13+) through different experiences and struggles, whether it might be life transitions, anxiety, depression, gender exploration and transition, or the existential pressure of capitalist society that permeates every aspect of our lives.

We specialize in comprehensive assessment and therapeutic intervention for children and families. We often work with children who have learning disorders (e.g., in reading, writing, or math), have ADHD, are gifted/highly capable, or are transitioning into college (e.g., accommodations for standardized testing and in class). Our practice is currently expanding to offer more therapy services for families and children. Please contact us if you would like to discuss therapy options directly with Dr. Casto.
We specialize in comprehensive assessment and therapeutic intervention for children and families. We often work with children who have learning disorders (e.g., in reading, writing, or math), have ADHD, are gifted/highly capable, or are transitioning into college (e.g., accommodations for standardized testing and in class). Our practice is currently expanding to offer more therapy services for families and children. Please contact us if you would like to discuss therapy options directly with Dr. Casto.

You find yourself repeating the same cycles but can’t figure out how to break free. Your relationship is strained, or you struggle to pick the ‘right’ person. Perhaps, you’re in a time of transition and feel unanchored or dysregulated. Whatever the reason, you’re here because something needs to change. You’re ready to create a better, more fulfilling life for yourself.
You find yourself repeating the same cycles but can’t figure out how to break free. Your relationship is strained, or you struggle to pick the ‘right’ person. Perhaps, you’re in a time of transition and feel unanchored or dysregulated. Whatever the reason, you’re here because something needs to change. You’re ready to create a better, more fulfilling life for yourself.

As a specialist in Rehabilitation Psychology, I most often work closely with patients who are managing complex social and medical situations. I build trust and connect with patients about their concerns, fears, and hopes. Most clients are striving to feel more connected to their community and building meaning in their lives. We can all improve in these areas and the science of psychology offers wonderful tools to accomplish these goals. I believe strongly in the power of human resilience in the face of adversity.
As a specialist in Rehabilitation Psychology, I most often work closely with patients who are managing complex social and medical situations. I build trust and connect with patients about their concerns, fears, and hopes. Most clients are striving to feel more connected to their community and building meaning in their lives. We can all improve in these areas and the science of psychology offers wonderful tools to accomplish these goals. I believe strongly in the power of human resilience in the face of adversity.

I am known for my unapologetically fierce and compassionate anti-stigma approach and take pride in my east coast empathy, humor, and drive. I have worked in Washington on the front lines in mental health throughout the pandemic. I’m thrilled to incorporate my west coast love of the great outdoors, inclusivity, mindfulness, and culture into my practice for a well-rounded and empowering client experience. I deeply believe in the power of therapy, vulnerability, and validation. I provide safe space where you may speak your truth without fear, expect to be truly heard and seen, and know that you are valued.
I am known for my unapologetically fierce and compassionate anti-stigma approach and take pride in my east coast empathy, humor, and drive. I have worked in Washington on the front lines in mental health throughout the pandemic. I’m thrilled to incorporate my west coast love of the great outdoors, inclusivity, mindfulness, and culture into my practice for a well-rounded and empowering client experience. I deeply believe in the power of therapy, vulnerability, and validation. I provide safe space where you may speak your truth without fear, expect to be truly heard and seen, and know that you are valued.

I am a psychoanalyst and a social worker. I help individuals work through depression and anxiety, traumas, personality disorders, and general problems in living.
I am a psychoanalyst and a social worker. I help individuals work through depression and anxiety, traumas, personality disorders, and general problems in living.
See more therapy options for Seattle
How does your Therapist compare?
Number of Therapists in Seattle, WA
3,000+
Average cost per session
$160
Therapists in Seattle, WA who prioritize treating:
93% | Anxiety |
86% | Depression |
76% | Relationship Issues |
74% | Self Esteem |
71% | Trauma and PTSD |
71% | Stress |
68% | Life Transitions |
Average years in practice
9 Years
Top 3 insurances accepted
70% | Premera Blue Cross |
66% | Aetna |
59% | Regence |
How Therapists in Seattle, WA see their clients
55% | Online Only | |
45% | In Person and Online |
Gender breakdown
76% | Female | |
20% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Seattle?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.