Therapists in Seattle, WA
I wholeheartedly believe the greatest and most freeing gifts you can give yourself are self-exploration and compassion. Together, we can work collaboratively to further develop these qualities and foster your innate resilience. My goal is for you to feel safe, challenged, and empowered during our time together. The sheer fact that you are seeking support demonstrates immense strength. As a psychotherapist, I aim to create a non-judgmental, open-minded, and secure environment for clients to explore their feelings candidly and honestly. I utilize a variety of techniques and tailor treatment to the unique needs of the client.
I wholeheartedly believe the greatest and most freeing gifts you can give yourself are self-exploration and compassion. Together, we can work collaboratively to further develop these qualities and foster your innate resilience. My goal is for you to feel safe, challenged, and empowered during our time together. The sheer fact that you are seeking support demonstrates immense strength. As a psychotherapist, I aim to create a non-judgmental, open-minded, and secure environment for clients to explore their feelings candidly and honestly. I utilize a variety of techniques and tailor treatment to the unique needs of the client.
You might feel anxious, overwhelmed, or unsure how to connect—with your child, partner, friends, or even yourself. Maybe you’re worried about your teen’s mood or gender or sexuality, or you feel stuck repeating old patterns despite podcasts and good intentions. You’re exhausted by second-guessing, people-pleasing, and the fear that you’re “too much” or “not enough.” You want steadier relationships, fewer blowups, and a sense of self you can trust. Therapy offers a compassionate space to untangle what’s happening, heal from what hurts, and build calmer, more authentic connection—so you can show up with clarity, confidence, and care.
You might feel anxious, overwhelmed, or unsure how to connect—with your child, partner, friends, or even yourself. Maybe you’re worried about your teen’s mood or gender or sexuality, or you feel stuck repeating old patterns despite podcasts and good intentions. You’re exhausted by second-guessing, people-pleasing, and the fear that you’re “too much” or “not enough.” You want steadier relationships, fewer blowups, and a sense of self you can trust. Therapy offers a compassionate space to untangle what’s happening, heal from what hurts, and build calmer, more authentic connection—so you can show up with clarity, confidence, and care.
Appearing like you "have it all together” can look so easy on the outside, when really you’re struggling inside but feel you can’t break down because others are counting on you and you’ve set high expectations for yourself. If this is you, I get it. I’ve been there and sometimes it can feel impossible to get off the hamster wheel that has been set in motion. Or maybe you're a couple who is needing help in your relationship. I help individuals and couples navigate issues related to anxiety, burnout, perfectionism, obsessive thinking patterns, stressful work environments, difficult life transitions, trauma, and relational challenges.
Appearing like you "have it all together” can look so easy on the outside, when really you’re struggling inside but feel you can’t break down because others are counting on you and you’ve set high expectations for yourself. If this is you, I get it. I’ve been there and sometimes it can feel impossible to get off the hamster wheel that has been set in motion. Or maybe you're a couple who is needing help in your relationship. I help individuals and couples navigate issues related to anxiety, burnout, perfectionism, obsessive thinking patterns, stressful work environments, difficult life transitions, trauma, and relational challenges.
I'm Dr. Rosamond Smith, a Licensed Psychologist based in WA, offering teletherapy to adults in 43 states through PSYPACT. I also take Aetna, Carelon, Providence, Quest, & select BC/BS insurance in WA. I have over a decade of training & experience in the treatment of depression, anxiety, trauma, grief, & insomnia - and I enjoy working with anyone who feels "stuck" in some way. I use Evidence-Based Practice to integrate the best available research with my clinical expertise in the context of my clients' characteristics, culture, & preferences. More than "healing mental illness," I strive to support clients' holistic wellness.
I'm Dr. Rosamond Smith, a Licensed Psychologist based in WA, offering teletherapy to adults in 43 states through PSYPACT. I also take Aetna, Carelon, Providence, Quest, & select BC/BS insurance in WA. I have over a decade of training & experience in the treatment of depression, anxiety, trauma, grief, & insomnia - and I enjoy working with anyone who feels "stuck" in some way. I use Evidence-Based Practice to integrate the best available research with my clinical expertise in the context of my clients' characteristics, culture, & preferences. More than "healing mental illness," I strive to support clients' holistic wellness.
I specialize in providing evidence-based treatment for anxiety disorders and obsessive compulsive disorder (OCD). The science is clear on what works best for these issues, yet often clients who need it most never access the right type of care. Cognitive-Behavioral Therapy (CBT) treatment is considered the gold standard, and while many therapists use various CBT tools and techniques, they are not incorporated in a structured way as the research indicates. With over a decade of experience and thousands of hours delivering CBT treatments, I have cultivated a profound understanding on how to help folks with these issues.
I specialize in providing evidence-based treatment for anxiety disorders and obsessive compulsive disorder (OCD). The science is clear on what works best for these issues, yet often clients who need it most never access the right type of care. Cognitive-Behavioral Therapy (CBT) treatment is considered the gold standard, and while many therapists use various CBT tools and techniques, they are not incorporated in a structured way as the research indicates. With over a decade of experience and thousands of hours delivering CBT treatments, I have cultivated a profound understanding on how to help folks with these issues.
Most of my clients have spent a long time feeling like too much; too sensitive, too intense, too hard to explain. Many are gifted or twice-exceptional: they process deeply, feel things in full, and have rarely had a therapist who could actually keep up with them.
They come in untangling patterns that started in their family of origin. The ones that keep showing up in their adult relationships no matter how much they already understand themselves. Some just know something needs to change and can't name it yet.
What they share: they think carefully, they feel deeply, and they're done being partially understood.
Most of my clients have spent a long time feeling like too much; too sensitive, too intense, too hard to explain. Many are gifted or twice-exceptional: they process deeply, feel things in full, and have rarely had a therapist who could actually keep up with them.
They come in untangling patterns that started in their family of origin. The ones that keep showing up in their adult relationships no matter how much they already understand themselves. Some just know something needs to change and can't name it yet.
What they share: they think carefully, they feel deeply, and they're done being partially understood.
I view therapy as a space to show up honestly, without needing to filter yourself or perform. Sessions are collaborative and focused on making sense of difficult feelings, strengthening boundaries, and offering thoughtful, mutual feedback along the way. As a Latina counselor, I value identity, intersectionality, and autonomy as fundamental to the therapeutic process, understanding concerns through the lens of cultural context and lived experience. Rather than focusing on fixing or pathologizing, we focus on slowing things down, noticing patterns, and building clarity around values and boundaries.
I view therapy as a space to show up honestly, without needing to filter yourself or perform. Sessions are collaborative and focused on making sense of difficult feelings, strengthening boundaries, and offering thoughtful, mutual feedback along the way. As a Latina counselor, I value identity, intersectionality, and autonomy as fundamental to the therapeutic process, understanding concerns through the lens of cultural context and lived experience. Rather than focusing on fixing or pathologizing, we focus on slowing things down, noticing patterns, and building clarity around values and boundaries.
My ideal clients are individuals and couples seeking a safe, affirming space to explore identity, relationships, and life transitions. While I primarily work with LGBTQIA+ individuals, anyone is welcome into my practice I help individuals that may be facing challenges with self-acceptance, trauma, or stress, and long for deeper connection, clarity, and balance. Their goal is not only to make changes but to create lasting transformation, resilience, and authenticity. They seek therapy because they want to be seen, supported, and guided in moving beyond change toward a fuller, more empowered life.
My ideal clients are individuals and couples seeking a safe, affirming space to explore identity, relationships, and life transitions. While I primarily work with LGBTQIA+ individuals, anyone is welcome into my practice I help individuals that may be facing challenges with self-acceptance, trauma, or stress, and long for deeper connection, clarity, and balance. Their goal is not only to make changes but to create lasting transformation, resilience, and authenticity. They seek therapy because they want to be seen, supported, and guided in moving beyond change toward a fuller, more empowered life.
Hi, I'm Dr. Trent. I am a licensed clinical psychologist specializing in child, teen, and adult therapy for anxiety, obsessive compulsive disorder, and a variety of other mental health concerns. I value providing personalized, specialized, and action-oriented care for my clients. My style is characterized by compassion, fun, humor, and a down-to-earth attitude.
Hi, I'm Dr. Trent. I am a licensed clinical psychologist specializing in child, teen, and adult therapy for anxiety, obsessive compulsive disorder, and a variety of other mental health concerns. I value providing personalized, specialized, and action-oriented care for my clients. My style is characterized by compassion, fun, humor, and a down-to-earth attitude.
Low self-esteem can quietly cost you years of missed career opportunities, financial losses, unfulfilling relationships, and unrealized potential. Whether you find yourself holding back from opportunities you are fully capable of achieving, settling for less in relationships, not getting the recognition you deserve for your contributions, or constantly second-guessing yourself, therapy can help you develop a more secure and confident sense of self.
Low self-esteem can quietly cost you years of missed career opportunities, financial losses, unfulfilling relationships, and unrealized potential. Whether you find yourself holding back from opportunities you are fully capable of achieving, settling for less in relationships, not getting the recognition you deserve for your contributions, or constantly second-guessing yourself, therapy can help you develop a more secure and confident sense of self.
If you're struggling with tense arguments, feeling disconnected, or unsure how to fix what’s not working in your relationship, it's time to get support. I help couples navigate conflict, recover from infidelity, and address sex and intimacy challenges so they can rediscover one another and build a secure, meaningful relationship. Together, we’ll uncover the patterns keeping you stuck in painful cycles and work to shift them, helping you communicate more openly, listen with understanding, rebuild trust, and create a stronger partnership. With the right support, your relationship can become a safe place for deeper fulfillment.
If you're struggling with tense arguments, feeling disconnected, or unsure how to fix what’s not working in your relationship, it's time to get support. I help couples navigate conflict, recover from infidelity, and address sex and intimacy challenges so they can rediscover one another and build a secure, meaningful relationship. Together, we’ll uncover the patterns keeping you stuck in painful cycles and work to shift them, helping you communicate more openly, listen with understanding, rebuild trust, and create a stronger partnership. With the right support, your relationship can become a safe place for deeper fulfillment.
Being neurodivergent, especially when you have gone much of your life not knowing it, can leave you feeling broken, confused, and lonely. For many this means struggling with anxiety, depression, trauma, disordered eating, and other symptoms as a result of masking and living in a world not designed for you. You’re sensitive and curious and you are looking for increased understanding of yourself and your experiences in order to move through the world more confidently, authentically, and regulated. Together we will explore your unique needs, hopes, and struggles, and work to get you closer to the life you want.
Being neurodivergent, especially when you have gone much of your life not knowing it, can leave you feeling broken, confused, and lonely. For many this means struggling with anxiety, depression, trauma, disordered eating, and other symptoms as a result of masking and living in a world not designed for you. You’re sensitive and curious and you are looking for increased understanding of yourself and your experiences in order to move through the world more confidently, authentically, and regulated. Together we will explore your unique needs, hopes, and struggles, and work to get you closer to the life you want.
I work with thoughtful, high-functioning adults who feel stuck in repeating emotional or relational patterns despite insight and self-reflection. My approach integrates mindfulness, somatic awareness, relational work, and evidence-based behavioral strategies to help clients develop a new relationship with their inner experience and create meaningful change. Therapy with me is active, experiential, and collaborative.
I work with thoughtful, high-functioning adults who feel stuck in repeating emotional or relational patterns despite insight and self-reflection. My approach integrates mindfulness, somatic awareness, relational work, and evidence-based behavioral strategies to help clients develop a new relationship with their inner experience and create meaningful change. Therapy with me is active, experiential, and collaborative.
I specialize in work with AuDHD relationships and individuals; neurodivergent identity affirming support; psychedelic preparation, navigation skills, integration; non-normative relationships and families; outlaw lifestyles; and neuroqueers who use drugs.
I specialize in work with AuDHD relationships and individuals; neurodivergent identity affirming support; psychedelic preparation, navigation skills, integration; non-normative relationships and families; outlaw lifestyles; and neuroqueers who use drugs.
Dealing with major changes, life or work stress, anxiety, depression, medical challenges, or grief? I'm here to support you. I work with folks via telehealth who are in Washington and Oregon. I also have an on-campus office in Queen Anne. Individuals, Couples, Families on Tuesday and Wednesday mornings and some Saturdays. I accept private pay and am also an in-network provider with Washington's Premera Blue Cross and Lifewise.
Dealing with major changes, life or work stress, anxiety, depression, medical challenges, or grief? I'm here to support you. I work with folks via telehealth who are in Washington and Oregon. I also have an on-campus office in Queen Anne. Individuals, Couples, Families on Tuesday and Wednesday mornings and some Saturdays. I accept private pay and am also an in-network provider with Washington's Premera Blue Cross and Lifewise.
Hello! I have a PhD from Columbia University and over 13 years of clinical experience. I specialize in therapy for pre-teens, adolescents and college students. My clinical focus includes the treatment of anxiety, depression, OCD, and ADHD, and integrates evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). I strive to create a therapy environment that is warm, collaborative, supportive, and challenging. I am deeply committed to providing LGBTQIA+ folks with a safe space where they will feel respected and affirmed!
Hello! I have a PhD from Columbia University and over 13 years of clinical experience. I specialize in therapy for pre-teens, adolescents and college students. My clinical focus includes the treatment of anxiety, depression, OCD, and ADHD, and integrates evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). I strive to create a therapy environment that is warm, collaborative, supportive, and challenging. I am deeply committed to providing LGBTQIA+ folks with a safe space where they will feel respected and affirmed!
I believe that for therapy to be effective, a space must be created in which the client feels safe to become their full authentic self. When the individual is seen and heard without judgement, acceptance and growth can begin to unfold.
I believe that for therapy to be effective, a space must be created in which the client feels safe to become their full authentic self. When the individual is seen and heard without judgement, acceptance and growth can begin to unfold.
My goal is to offer a space where you can show up exactly as you are and feel genuinely heard, respected, and supported. I approach therapy with compassion and curiosity, working alongside you rather than judging or directing you. Together, we explore your experiences, build meaningful skills, and create room for healing and growth at a pace that feels right for you. My commitment is to help you feel safe, empowered, and understood as you move toward the life you want to build.
My goal is to offer a space where you can show up exactly as you are and feel genuinely heard, respected, and supported. I approach therapy with compassion and curiosity, working alongside you rather than judging or directing you. Together, we explore your experiences, build meaningful skills, and create room for healing and growth at a pace that feels right for you. My commitment is to help you feel safe, empowered, and understood as you move toward the life you want to build.
I am psychodynamically oriented and interpersonally trained in working with individuals and couples. My approach is empathic, collaborative and straightforward, while offering you space to expand self awareness and discover new ways of being in the world. I have experience in working with women's issues, anxiety, depression, forms of self-harm, relational issues, and self-acceptance and self-worth. In our work together, we will focus on repairing past wounds and establishing new styles of relating both to yourself and others.
I am psychodynamically oriented and interpersonally trained in working with individuals and couples. My approach is empathic, collaborative and straightforward, while offering you space to expand self awareness and discover new ways of being in the world. I have experience in working with women's issues, anxiety, depression, forms of self-harm, relational issues, and self-acceptance and self-worth. In our work together, we will focus on repairing past wounds and establishing new styles of relating both to yourself and others.
You might feel like you're falling behind—like no matter how hard you try, it’s never enough. Maybe you're carrying pain from the past, stuck in anxiety, or caught in a cycle of self-pressure and doubt. You're not alone—and you don’t have to navigate it alone. Therapy can be a safe place to let down the weight you've been carrying. The people I see are often navigating trauma, anxiety, and self-doubt. They tend to be thoughtful people who value connection and introspection, but struggle with a harsh inner critic. They’re eager to look inward, break old patterns, and move toward a life that feels freer and more self-compassionate.
You might feel like you're falling behind—like no matter how hard you try, it’s never enough. Maybe you're carrying pain from the past, stuck in anxiety, or caught in a cycle of self-pressure and doubt. You're not alone—and you don’t have to navigate it alone. Therapy can be a safe place to let down the weight you've been carrying. The people I see are often navigating trauma, anxiety, and self-doubt. They tend to be thoughtful people who value connection and introspection, but struggle with a harsh inner critic. They’re eager to look inward, break old patterns, and move toward a life that feels freer and more self-compassionate.
See more therapy options for Seattle
How does your Therapist compare?
Number of Therapists in Seattle, WA
3,000+
Average cost per session
$161
Therapists in Seattle, WA who prioritize treating:
| 94% | Anxiety |
| 94% | Social Anxiety |
| 94% | Health Anxiety |
| 94% | Driving Anxiety |
| 86% | Depression |
| 78% | Relationship Issues |
| 75% | Self Esteem |
Average years in practice
9 Years
Top 3 insurances accepted
| 70% | Premera Blue Cross |
| 68% | Aetna |
| 63% | Regence |
How Therapists in Seattle, WA see their clients
| 52% | Online Only | |
| 48% | In Person and Online |
Gender breakdown
| 75% | Female | |
| 20% | Male | |
| 5% | 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.


