Therapists in Seattle, WA

I am a Washington mental health and substance use professional that works with adult individuals seeking support for their mental health and/or issues related to substance use and addiction. I believe in approaching clients from a holistic perspective to connect mind, body, and spirit by collaborating and acting as a member of their team. I hope to work with individuals to understand the potential and authenticity we all innately hold and be a supportive ally. I work from a social justice and anti-oppression framework because I believe that providing compassion and understanding is not based on linear imperialist belief systems.
I am a Washington mental health and substance use professional that works with adult individuals seeking support for their mental health and/or issues related to substance use and addiction. I believe in approaching clients from a holistic perspective to connect mind, body, and spirit by collaborating and acting as a member of their team. I hope to work with individuals to understand the potential and authenticity we all innately hold and be a supportive ally. I work from a social justice and anti-oppression framework because I believe that providing compassion and understanding is not based on linear imperialist belief systems.

Therapy dissects life occurrences and issues and identifies the obstacles that may be limiting personal performance. Once the obstacles are identified, emotional growth can occur through a process of learning to adapt or removing negative thinking. My job, as a therapist, is to support my clients' feelings and thoughts, while at the same time to encourage the transformation of those emotions and thoughts toward the pursuit of a fuller, more satisfying life.
Therapy dissects life occurrences and issues and identifies the obstacles that may be limiting personal performance. Once the obstacles are identified, emotional growth can occur through a process of learning to adapt or removing negative thinking. My job, as a therapist, is to support my clients' feelings and thoughts, while at the same time to encourage the transformation of those emotions and thoughts toward the pursuit of a fuller, more satisfying life.

I am a clinical psychologist licensed in Washington and California. I provide targeted assessments and personalized therapy for individuals with mental health and performance issues, especially those struggling with work and interpersonal stressors, anxiety, or depression. My treatment approach focuses on rapid symptom relief and making changes to improve thinking, mood, behavior, and well-being. I utilize positive psychology strategies to identify and maximize personal strengths. Appointments (telehealth/video) can be made online at lwsmith.com.
I am a clinical psychologist licensed in Washington and California. I provide targeted assessments and personalized therapy for individuals with mental health and performance issues, especially those struggling with work and interpersonal stressors, anxiety, or depression. My treatment approach focuses on rapid symptom relief and making changes to improve thinking, mood, behavior, and well-being. I utilize positive psychology strategies to identify and maximize personal strengths. Appointments (telehealth/video) can be made online at lwsmith.com.

I like to think of the journey to healing as a path back to one’s self. It’s incredibly easy to lose bits and pieces of ourselves when trying to recalibrate after traumatic experiences or just trying to function every day waking up to the current state of the world. Perhaps you’ve pushed your needs aside in this process, or just haven’t had the time or understanding of what those needs are. In therapy I offer a safe space to slow down and assist you in identifying your needs and learning how to tend to yourself. Common therapeutic goals can include trauma and emotional processing, confidence building, communication and self-care.
I like to think of the journey to healing as a path back to one’s self. It’s incredibly easy to lose bits and pieces of ourselves when trying to recalibrate after traumatic experiences or just trying to function every day waking up to the current state of the world. Perhaps you’ve pushed your needs aside in this process, or just haven’t had the time or understanding of what those needs are. In therapy I offer a safe space to slow down and assist you in identifying your needs and learning how to tend to yourself. Common therapeutic goals can include trauma and emotional processing, confidence building, communication and self-care.

Wow, it is really hard to be a human these days. For you, has it felt particularly exasperating for a while? I imagine you feel the world really, really deeply and you're finding it really hard to manage this. Maybe you're moving through your days with a body-full-of-anchors like fatigue, or that self-critical voice has been even louder than ever. Maybe you're at the point where you're really questioning why you feel so depressed, anxious, or shameful. Or, maybe you know the 'why' already but don't know what to do about it. Maybe you have trust issues and you're not sure you could really trust any therapist with your 'stuff' again.
Wow, it is really hard to be a human these days. For you, has it felt particularly exasperating for a while? I imagine you feel the world really, really deeply and you're finding it really hard to manage this. Maybe you're moving through your days with a body-full-of-anchors like fatigue, or that self-critical voice has been even louder than ever. Maybe you're at the point where you're really questioning why you feel so depressed, anxious, or shameful. Or, maybe you know the 'why' already but don't know what to do about it. Maybe you have trust issues and you're not sure you could really trust any therapist with your 'stuff' again.

You deserve to feel grounded, and at home in yourself. If you’re feeling stuck, anxious, disconnected from your body, or simply going through the motions of life, you’re not alone. You may be caring for everyone else while feeling lost in the process—numb, overwhelmed, or unsure of who you really are anymore. I help people reconnect with themselves, their bodies, and their inner wisdom so they can move through life with more confidence, clarity, and vitality.
You deserve to feel grounded, and at home in yourself. If you’re feeling stuck, anxious, disconnected from your body, or simply going through the motions of life, you’re not alone. You may be caring for everyone else while feeling lost in the process—numb, overwhelmed, or unsure of who you really are anymore. I help people reconnect with themselves, their bodies, and their inner wisdom so they can move through life with more confidence, clarity, and vitality.

Are you navigating the tension between cultural expectations and your own needs? Struggling with perfectionism, burnout, intergenerational trauma, or racial identity? I work with Asian American, BIPOC, and other high-achieving, thoughtful individuals who may be used to carrying heavy emotional loads alone. Whether you're dealing with complex trauma, family conflict, or identity questions, I offer a space where we can explore and heal at your pace.
Are you navigating the tension between cultural expectations and your own needs? Struggling with perfectionism, burnout, intergenerational trauma, or racial identity? I work with Asian American, BIPOC, and other high-achieving, thoughtful individuals who may be used to carrying heavy emotional loads alone. Whether you're dealing with complex trauma, family conflict, or identity questions, I offer a space where we can explore and heal at your pace.

Autumn Ruscigno, LMHC. I’m a licensed mental health counselor with 12+ years of mental health and healthcare experience. I am a mental health counselor and have been independently licensed since 2016 and have worked in mental health since 2012 I have extensive knowledge of mental illnesses and knowledge and understanding of psychopharmacology. My areas of focus include mood disorders, anxiety, and trauma. In addition, I have experience with couples, adjustment issues, and grief & loss. I believe in the power of collaboration and client empowerment.
Autumn Ruscigno, LMHC. I’m a licensed mental health counselor with 12+ years of mental health and healthcare experience. I am a mental health counselor and have been independently licensed since 2016 and have worked in mental health since 2012 I have extensive knowledge of mental illnesses and knowledge and understanding of psychopharmacology. My areas of focus include mood disorders, anxiety, and trauma. In addition, I have experience with couples, adjustment issues, and grief & loss. I believe in the power of collaboration and client empowerment.

There are so many reasons why you might be seeking therapy. Feeling overwhelmed and unable to manage your internal experience? Maybe you feel like your pain is controlling you or you're feeling isolated and stuck. No matter where you are in your journey, I am ready to join you. Starting this process can be overwhelming, and I'm grateful for your courage to pursue this work. Your voice, pain, and experience matter. Through the therapeutic process, we can build a safe space that enables you to believe in your voice, clarify your individual values, improve your self-worth and empower you to build the life you want and deserve.
There are so many reasons why you might be seeking therapy. Feeling overwhelmed and unable to manage your internal experience? Maybe you feel like your pain is controlling you or you're feeling isolated and stuck. No matter where you are in your journey, I am ready to join you. Starting this process can be overwhelming, and I'm grateful for your courage to pursue this work. Your voice, pain, and experience matter. Through the therapeutic process, we can build a safe space that enables you to believe in your voice, clarify your individual values, improve your self-worth and empower you to build the life you want and deserve.

At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.

You feel overwhelmed, burned out, unfulfilled, or empty. You stay on top of things but wonder if that can last. Your achievement-oriented focus leaves you without space for what’s meaningful and not just what's required. You wish you had more time (including for yourself) and could dismiss thoughts about what else you “should” be doing. Simultaneously, when you're not trying to numb out or ignore headlines, you look at the mess (climate & politics) around you and don't know how to respond. Maybe you wish you could be optimistic, but you feel cynical or helpless. You're seeking hope and energy to spend where, when, and as you wish.
You feel overwhelmed, burned out, unfulfilled, or empty. You stay on top of things but wonder if that can last. Your achievement-oriented focus leaves you without space for what’s meaningful and not just what's required. You wish you had more time (including for yourself) and could dismiss thoughts about what else you “should” be doing. Simultaneously, when you're not trying to numb out or ignore headlines, you look at the mess (climate & politics) around you and don't know how to respond. Maybe you wish you could be optimistic, but you feel cynical or helpless. You're seeking hope and energy to spend where, when, and as you wish.

Chances are you feel like your relationship lacks trust and intimacy. You might feel like the arguments you have with your loved one always end up in "band-aid" type solutions, and that your partner doesn't quite understand what you're needing or feeling when you express what's important to you. But you're ready to make a change. You're ready to feel like your partner is on your team and would love to build an even deeper connection with him/her/them. You don't want your past to define your future and want to break from old patterns to reach new levels in your relationship where it feels more real and honest.
Chances are you feel like your relationship lacks trust and intimacy. You might feel like the arguments you have with your loved one always end up in "band-aid" type solutions, and that your partner doesn't quite understand what you're needing or feeling when you express what's important to you. But you're ready to make a change. You're ready to feel like your partner is on your team and would love to build an even deeper connection with him/her/them. You don't want your past to define your future and want to break from old patterns to reach new levels in your relationship where it feels more real and honest.

Welcome! People seek out psychotherapy for many reasons. Sometimes, people just need help through challenging life transitions. Others want to understand and work through deeper concerns such as persistent relationship struggles, low self-esteem or other emotional or behavioral patterns that get in the way of living a fulfilling life. Therapy is a way of exploring these and many other issues. My background is in the Arts and Anthropology as well as counseling. With a broad range of education and experience to draw from, I am equipped to establish meaningful and productive relationships with clients from all walks of life.
Welcome! People seek out psychotherapy for many reasons. Sometimes, people just need help through challenging life transitions. Others want to understand and work through deeper concerns such as persistent relationship struggles, low self-esteem or other emotional or behavioral patterns that get in the way of living a fulfilling life. Therapy is a way of exploring these and many other issues. My background is in the Arts and Anthropology as well as counseling. With a broad range of education and experience to draw from, I am equipped to establish meaningful and productive relationships with clients from all walks of life.

Kristin Cherry Jackson
Marriage & Family Therapist Associate, MA, LMFTA
1 Endorsed
Seattle, WA 98109
Life is too short for bad sex! Are you having struggles with intimacy, or feeling shame around sex stemming from religious messages or “purity culture”? Are you frustrated by sexual dysfunction like vaginismus, premature ejaculation, or lack of libido, arousal, or orgasm? Are you considering ethical non-monogamy (ENM/CNM), or having issues within polyamory or an open relationship? Do you feel conflicted about how to be true to yourself, assert boundaries, and get your needs met in your life & relationships?
As a sex and relationship therapist, I’m your partner in healing and change. I'd love to help you find harmony and ease.
Life is too short for bad sex! Are you having struggles with intimacy, or feeling shame around sex stemming from religious messages or “purity culture”? Are you frustrated by sexual dysfunction like vaginismus, premature ejaculation, or lack of libido, arousal, or orgasm? Are you considering ethical non-monogamy (ENM/CNM), or having issues within polyamory or an open relationship? Do you feel conflicted about how to be true to yourself, assert boundaries, and get your needs met in your life & relationships?
As a sex and relationship therapist, I’m your partner in healing and change. I'd love to help you find harmony and ease.

Healing is an intimate journey towards ever greater wholeness (acceptance, compassion, and integration of all parts of ourselves). I value the sacred opportunity to join alongside you. Therapy is a unique endeavor; one in which you the client and me as therapist collaborate to create a space for the unburdening of life’s stressors, of pain, grief, sorrow, and confusion as well as space to seek answers to existential questions about what gives life meaning; being witness to your growth as you unfurl, soften, and ultimately discover deeper compassion for self and others.
Healing is an intimate journey towards ever greater wholeness (acceptance, compassion, and integration of all parts of ourselves). I value the sacred opportunity to join alongside you. Therapy is a unique endeavor; one in which you the client and me as therapist collaborate to create a space for the unburdening of life’s stressors, of pain, grief, sorrow, and confusion as well as space to seek answers to existential questions about what gives life meaning; being witness to your growth as you unfurl, soften, and ultimately discover deeper compassion for self and others.

I am a client-focused counselor and want to help you with any life challenges you may be facing. There are a variety of challenges I can help with such as anxiety, depression, stress, family issues, parenting, prenatal and postpartum issues, and many others. If you have a challenge and are unsure if I can be of assistance in helping you obtain your goals, please reach out and we can talk about what challenges you are facing and if I will be the best fit for you.
I am a client-focused counselor and want to help you with any life challenges you may be facing. There are a variety of challenges I can help with such as anxiety, depression, stress, family issues, parenting, prenatal and postpartum issues, and many others. If you have a challenge and are unsure if I can be of assistance in helping you obtain your goals, please reach out and we can talk about what challenges you are facing and if I will be the best fit for you.

Do you sometimes feel that you aren't good enough? Are you frustrated that things in your life aren't working out and you don't know why? Maybe you have felt sad, anxious or overwhelmed. Your relationship(s) isn't what you want. Do you feel isolated or want a deeper connection with those in your life. Have you experienced trauma? Struggling with guilt or shame? Plagued by all of the ways that you feel or believe you aren't enough? What would it be like to wake up and love the life that you are in? What would need to change? I am dedicated to helping people rediscover a true connection to themselves to find love, peaceand belonging.
Do you sometimes feel that you aren't good enough? Are you frustrated that things in your life aren't working out and you don't know why? Maybe you have felt sad, anxious or overwhelmed. Your relationship(s) isn't what you want. Do you feel isolated or want a deeper connection with those in your life. Have you experienced trauma? Struggling with guilt or shame? Plagued by all of the ways that you feel or believe you aren't enough? What would it be like to wake up and love the life that you are in? What would need to change? I am dedicated to helping people rediscover a true connection to themselves to find love, peaceand belonging.

Do you have difficulty trusting your experiences and navigating how the world perceives and treats you? Are you struggling to feel comfortable in your body? Many of us learn to think and behave in unsustainable ways in order to stay safe in an unaccepting and marginalizing world. If you are struggling to break free from patterns that helped you survive in the past but are keeping you from thriving in the now, you're in the right place. I help LGBTQ+ individuals, couples and women build self-compassion and body-awareness to better understand how trauma is holding them back.
Do you have difficulty trusting your experiences and navigating how the world perceives and treats you? Are you struggling to feel comfortable in your body? Many of us learn to think and behave in unsustainable ways in order to stay safe in an unaccepting and marginalizing world. If you are struggling to break free from patterns that helped you survive in the past but are keeping you from thriving in the now, you're in the right place. I help LGBTQ+ individuals, couples and women build self-compassion and body-awareness to better understand how trauma is holding them back.

Hello and Greetings, I am Thomas! My name is Thomas Phillips, and I am a Licensed Mental Health Counselor (LMHC) and a master’s prepared Registered Nurse (MSN, RN). I live and am based out of Tacoma, WA, and work with clients from all over the state remotely in my practice. I enjoy combining the aspects of mental health treatment with physical health to have a dynamic and positive impact on client outcomes. I primarily use empirically based techniques such as Cognitive Behavior Therapy and Solution-Focused modalities combined with modalities that are reflective of the inner work that is not able to be measured.
Hello and Greetings, I am Thomas! My name is Thomas Phillips, and I am a Licensed Mental Health Counselor (LMHC) and a master’s prepared Registered Nurse (MSN, RN). I live and am based out of Tacoma, WA, and work with clients from all over the state remotely in my practice. I enjoy combining the aspects of mental health treatment with physical health to have a dynamic and positive impact on client outcomes. I primarily use empirically based techniques such as Cognitive Behavior Therapy and Solution-Focused modalities combined with modalities that are reflective of the inner work that is not able to be measured.

I am accepting new clients. I provide LGBTQIA+ affirming care for individuals and couples dealing with depression, anxiety, self-esteem, burn-out, transition, or relationship challenges. I am especially passionate about helping Gen Z and Millennials navigate life in their 20s and 30s. I believe therapy works best when you have a safe space to discuss your history, realize your strengths, and learn helpful tools.
I am accepting new clients. I provide LGBTQIA+ affirming care for individuals and couples dealing with depression, anxiety, self-esteem, burn-out, transition, or relationship challenges. I am especially passionate about helping Gen Z and Millennials navigate life in their 20s and 30s. I believe therapy works best when you have a safe space to discuss your history, realize your strengths, and learn helpful tools.
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 |
72% | Trauma and PTSD |
71% | Stress |
69% | Life Transitions |
Average years in practice
9 Years
Top 3 insurances accepted
69% | 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.