Therapists in Roxhill, Seattle, WA

I enjoy helping others find meaningful, authentic ways of connecting in their relationships and communities. Those I work with tend to feel a lack of connection or authenticity in their life. I believe that therapy is a collaborative process in which we get to recontextualize our experiences through truthful and empowering reframes. This includes curiosity in how your identity and lived experience has shaped your worldview. I am professionally and personally passionate about geek and gaming culture and am comfortable weaving this into therapy when appropriate. Additionally, I work with a lot of young adults in the tech industry.
I enjoy helping others find meaningful, authentic ways of connecting in their relationships and communities. Those I work with tend to feel a lack of connection or authenticity in their life. I believe that therapy is a collaborative process in which we get to recontextualize our experiences through truthful and empowering reframes. This includes curiosity in how your identity and lived experience has shaped your worldview. I am professionally and personally passionate about geek and gaming culture and am comfortable weaving this into therapy when appropriate. Additionally, I work with a lot of young adults in the tech industry.

As a queer, neurodivergent counselor, I believe that an individual's identity is integral to the therapy process. I understand that each person has a unique perspective, shaped by their experiences and intersecting identities. My goal is to empower emerging adults by collaborating to share knowledge, reframe negative internalizations, and foster self-congruence. My theoretical orientation is primarily trauma-informed and person-centered, influenced by feminist and civil rights leaders. My approach is integrative, holistic, and process-focused, in service of identifying pragmatic, achievable solutions.
As a queer, neurodivergent counselor, I believe that an individual's identity is integral to the therapy process. I understand that each person has a unique perspective, shaped by their experiences and intersecting identities. My goal is to empower emerging adults by collaborating to share knowledge, reframe negative internalizations, and foster self-congruence. My theoretical orientation is primarily trauma-informed and person-centered, influenced by feminist and civil rights leaders. My approach is integrative, holistic, and process-focused, in service of identifying pragmatic, achievable solutions.

Engaging in an individualized space can be supportive in processing what may come up in life changes and challenges, this space can be available to you to address what you might need in the moment. This can include working with you in regards to anxiety, depression, stress, relationships, patterns, identifying values and goals, and LGBTQIA+ matters. Curiosity and willingness to explore can be key to creating a meaningful and present life. Sessions are collaborative and will include skill building. Identifying your strengths and how to build into and balance the spheres of wellness, an intentional investment in you and your goals.
Engaging in an individualized space can be supportive in processing what may come up in life changes and challenges, this space can be available to you to address what you might need in the moment. This can include working with you in regards to anxiety, depression, stress, relationships, patterns, identifying values and goals, and LGBTQIA+ matters. Curiosity and willingness to explore can be key to creating a meaningful and present life. Sessions are collaborative and will include skill building. Identifying your strengths and how to build into and balance the spheres of wellness, an intentional investment in you and your goals.

Contrary to what movies show you about therapy, I won’t give you unwanted advice or simply nod solemnly the whole session. I bring curiosity, compassion, humor, free expression, and movement to join with my clients and help them explore what healing means to them. I hope to empower clients to access their natural abilities and to gently disrupt the unhealthy patterns we humans often get stuck in using more than traditional “talk therapy” approach. My goal is to facilitate somatic healing, so your whole body begins to feel better as you gain new awareness and get “unstuck” from the patterns you’re ready to release.
Contrary to what movies show you about therapy, I won’t give you unwanted advice or simply nod solemnly the whole session. I bring curiosity, compassion, humor, free expression, and movement to join with my clients and help them explore what healing means to them. I hope to empower clients to access their natural abilities and to gently disrupt the unhealthy patterns we humans often get stuck in using more than traditional “talk therapy” approach. My goal is to facilitate somatic healing, so your whole body begins to feel better as you gain new awareness and get “unstuck” from the patterns you’re ready to release.

Many of us have known heartache, loss, confusion, and persistent worry. It's my life's work to join people who have struggled with these experiences and help them find clarity, fulfillment, and joy. I'm excited to work with individuals as they dig deeper into understanding the "why" behind their choices and motivations, to feel alive and vibrant no matter what they face. Though I approach therapeutic work in an eclectic way, I primarily utilize evidence-based practices in conjunction with other modalities to create a tailored approach to each person.
Many of us have known heartache, loss, confusion, and persistent worry. It's my life's work to join people who have struggled with these experiences and help them find clarity, fulfillment, and joy. I'm excited to work with individuals as they dig deeper into understanding the "why" behind their choices and motivations, to feel alive and vibrant no matter what they face. Though I approach therapeutic work in an eclectic way, I primarily utilize evidence-based practices in conjunction with other modalities to create a tailored approach to each person.

Do you spiral down rabbit holes of anxious thoughts? Do you feel like an impostor and fear everyone will discover who you “really” are? Do you beat yourself up for things you “should” have done differently? Life is hard and full of stressors. The way our minds are hardwired often results in painful emotions, such as anxiety, depression, anger, or guilt. Like quicksand, the more we fight these thoughts and emotions, the worse it gets. But there’s hope. We can change our relationship with painful thoughts and emotions so they don’t prevent us from living our lives to the fullest.
Do you spiral down rabbit holes of anxious thoughts? Do you feel like an impostor and fear everyone will discover who you “really” are? Do you beat yourself up for things you “should” have done differently? Life is hard and full of stressors. The way our minds are hardwired often results in painful emotions, such as anxiety, depression, anger, or guilt. Like quicksand, the more we fight these thoughts and emotions, the worse it gets. But there’s hope. We can change our relationship with painful thoughts and emotions so they don’t prevent us from living our lives to the fullest.

I have 28 years experience specializing in LGBTQ therapy, trauma treatment, and working with seniors and their caregivers. I work well with a wide variety of clients, best with those who are curious about themselves and are ready to consider changing things in their lives for the better. I support your well-being as you define it. I am interested in learning what is most important to you, what has heart and meaning for you. I help you apply your strengths wherever needed. I offer warm, compassionate conversation which focuses on connecting with you.
I have 28 years experience specializing in LGBTQ therapy, trauma treatment, and working with seniors and their caregivers. I work well with a wide variety of clients, best with those who are curious about themselves and are ready to consider changing things in their lives for the better. I support your well-being as you define it. I am interested in learning what is most important to you, what has heart and meaning for you. I help you apply your strengths wherever needed. I offer warm, compassionate conversation which focuses on connecting with you.

Because the world can often feel like a scary, unforgiving, and chaotic place, promoting a sense of safety and purpose is my top priority as a therapist. I view therapy as brainstorming sessions during which we engage in respectful curiosity about your life, affirm that you have worth just as you are (because you exist!), enhance your sense of safety with yourself, heal trauma and relational wounds, develop your strengths, and explore more sustainable and authentic ways of thinking, feeling, and behaving so that you can build the life you want.
Because the world can often feel like a scary, unforgiving, and chaotic place, promoting a sense of safety and purpose is my top priority as a therapist. I view therapy as brainstorming sessions during which we engage in respectful curiosity about your life, affirm that you have worth just as you are (because you exist!), enhance your sense of safety with yourself, heal trauma and relational wounds, develop your strengths, and explore more sustainable and authentic ways of thinking, feeling, and behaving so that you can build the life you want.

Welcome! I provide individual evidence-based therapy, as well as psychodiagnostic and psychoeducational assessment for adults (ages 18+). Areas of expertise include the spectrum of psychological challenges, such as mood (e.g., depression), trauma (e.g., PTSD), and anxiety (e.g., social anxiety, generalized anxiety). Additional areas of expertise include managing problems in life, including stress management, medical conditions (e.g., cancer, transplant, neurologic disorders), grief/loss, sleep problems, life transitions, and experiences of bias, harassment, and discrimination.
Welcome! I provide individual evidence-based therapy, as well as psychodiagnostic and psychoeducational assessment for adults (ages 18+). Areas of expertise include the spectrum of psychological challenges, such as mood (e.g., depression), trauma (e.g., PTSD), and anxiety (e.g., social anxiety, generalized anxiety). Additional areas of expertise include managing problems in life, including stress management, medical conditions (e.g., cancer, transplant, neurologic disorders), grief/loss, sleep problems, life transitions, and experiences of bias, harassment, and discrimination.

I consider myself a generalist clinician. I have experience addressing recovery/addiction, sexual problems, gender/identity, behavior problems, trauma, ADHD, interpersonal conflict, depression, anxiety, chronic stress, and more. My interest is to empower and support my clients - to work together and personalize their therapy to suit them individually. I work to provide a safe and productive space for clients to overcome adversity, and care deeply about understanding each person's diversity in identity and presence. I strive to remain open to and aware of my biases - including my privilege, identities, and beliefs.
I consider myself a generalist clinician. I have experience addressing recovery/addiction, sexual problems, gender/identity, behavior problems, trauma, ADHD, interpersonal conflict, depression, anxiety, chronic stress, and more. My interest is to empower and support my clients - to work together and personalize their therapy to suit them individually. I work to provide a safe and productive space for clients to overcome adversity, and care deeply about understanding each person's diversity in identity and presence. I strive to remain open to and aware of my biases - including my privilege, identities, and beliefs.

I enjoy helping people all over the country find answers and their strengths! I’m an openly AuDHD, geeky psychologist, and I'd love to help you live the kind of life you find fulfilling. If you suspect you might have an ADHD or autism diagnosis, I might be the person to work with. If you're a geek or gamer who is having a hard time finding a mental health professional who understands the nuances of your hobbies, passions, and maybe even your current or future career, I spent nearly 10 years working on mental health in the video game industry, and I might also be the person to work with.
I enjoy helping people all over the country find answers and their strengths! I’m an openly AuDHD, geeky psychologist, and I'd love to help you live the kind of life you find fulfilling. If you suspect you might have an ADHD or autism diagnosis, I might be the person to work with. If you're a geek or gamer who is having a hard time finding a mental health professional who understands the nuances of your hobbies, passions, and maybe even your current or future career, I spent nearly 10 years working on mental health in the video game industry, and I might also be the person to work with.
Meet Our Therapists

Perfectly Queer Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
We are queer therapists committed to helping adults and adolescents on their mental health journey using compassion, humility, and humor. Our work focuses on trauma-informed, sex-positive, and intersectional identity development.
We are queer therapists committed to helping adults and adolescents on their mental health journey using compassion, humility, and humor. Our work focuses on trauma-informed, sex-positive, and intersectional identity development.

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.

My therapy practice is committed to helping people live happier, healthier, more joy filled lives. Every single moment of our lives can unfold in infinitely creative ways, yet sometimes our problems seem overwhelming, or we find ourselves repeating negative patterns and we can't see the solution. Are you suffering from anxiety or depression? Are you longing for emotional connection with those nearest to you? Does your life lack a sense of direction, meaning or purpose? Are you suffering a loss, going through a job or life transition?
My therapy practice is committed to helping people live happier, healthier, more joy filled lives. Every single moment of our lives can unfold in infinitely creative ways, yet sometimes our problems seem overwhelming, or we find ourselves repeating negative patterns and we can't see the solution. Are you suffering from anxiety or depression? Are you longing for emotional connection with those nearest to you? Does your life lack a sense of direction, meaning or purpose? Are you suffering a loss, going through a job or life transition?

I deeply value the chance to speak candidly with others, to see and be seen. In a context of trust, where both parties are free of fear of the other’s reaction, genuine communication is a powerful and aligning force. I strive to maintain transparency in our work together to create a collaborative environment that enables the free exchange of thoughts and feelings. As we work together to meet your goals, you can expect my compassion, flexibility, and commitment. I am personally and professionally familiar with the value of geek and gaming culture and am competent to incorporate it into therapy when appropriate.
I deeply value the chance to speak candidly with others, to see and be seen. In a context of trust, where both parties are free of fear of the other’s reaction, genuine communication is a powerful and aligning force. I strive to maintain transparency in our work together to create a collaborative environment that enables the free exchange of thoughts and feelings. As we work together to meet your goals, you can expect my compassion, flexibility, and commitment. I am personally and professionally familiar with the value of geek and gaming culture and am competent to incorporate it into therapy when appropriate.

You’ve spent most of your life looking out for others—now it’s your turn. You pride yourself on being resourceful and independent, both professionally and personally, but lately, you’re feeling burnt out and overwhelmed. Maybe past experiences are resurfacing, making it even harder to move forward. More than anything, you just want to feel less stressed and more like yourself again.
You’ve spent most of your life looking out for others—now it’s your turn. You pride yourself on being resourceful and independent, both professionally and personally, but lately, you’re feeling burnt out and overwhelmed. Maybe past experiences are resurfacing, making it even harder to move forward. More than anything, you just want to feel less stressed and more like yourself again.

The decision to pursue therapy is a courageous one, and finding the right therapist can feel daunting or exhausting - but it is possible. I'm a Licensed Marriage & Family Therapist with 15+ years helping clients navigate significant life changes, improve well-being, & manage ongoing stress while still pursuing bold dreams & individual purpose. I love helping clients find their most fulfilling & integrated life possible, even if it means taking big risks & making hard changes. Creating long term growth & healing is not easy, but it also picks up momentum & joy once we identify and navigate around the main obstacles in your way.
The decision to pursue therapy is a courageous one, and finding the right therapist can feel daunting or exhausting - but it is possible. I'm a Licensed Marriage & Family Therapist with 15+ years helping clients navigate significant life changes, improve well-being, & manage ongoing stress while still pursuing bold dreams & individual purpose. I love helping clients find their most fulfilling & integrated life possible, even if it means taking big risks & making hard changes. Creating long term growth & healing is not easy, but it also picks up momentum & joy once we identify and navigate around the main obstacles in your way.

If you're reading this you're struggling in some way and could benefit from real, concrete and evidence-based support. I'd be happy to help! I use a person-centered approach that leverages an individual's natural resilience. But you don't have to suffer alone - it's helpful to find a supportive relationship in which to sort out thoughts, feelings, and behaviors that are overwhelming or no longer serve us. I've had the great honor of seeing clients heal from trauma, sexual abuse, relationship struggles and life uncertainty. Whether it's trouble sleeping, life overwhelm or general discontent, I'd love to help make meaningful change!
If you're reading this you're struggling in some way and could benefit from real, concrete and evidence-based support. I'd be happy to help! I use a person-centered approach that leverages an individual's natural resilience. But you don't have to suffer alone - it's helpful to find a supportive relationship in which to sort out thoughts, feelings, and behaviors that are overwhelming or no longer serve us. I've had the great honor of seeing clients heal from trauma, sexual abuse, relationship struggles and life uncertainty. Whether it's trouble sleeping, life overwhelm or general discontent, I'd love to help make meaningful change!

You deserve to feel empowered during your journey of self discovery. My experience integrating a social justice lens into my practice allows me to recognize your identities and how they may impact your experiences. I strive to take the mystery out of therapy and encourage openness and honesty during our work together.
You deserve to feel empowered during your journey of self discovery. My experience integrating a social justice lens into my practice allows me to recognize your identities and how they may impact your experiences. I strive to take the mystery out of therapy and encourage openness and honesty during our work together.

Lara Schuster Effland
Clinical Social Work/Therapist, LICSW, CEDS
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Are you feeling a sense of increased anxiety and obsessive thinking? Are you struggling with self-doubt and inner conflict? Does your anxiety and panic show up in a sense of disorganization, disordered eating, or social anxiety? These are all common symptoms of anxiety, stress, and obsessive thinking. When we face these challenges there are proven solutions such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, mindfulness based therapies, and values based behavior changes. How we get there is through connection to your provider, courage to assess what is not working, and committing and engaging in a new plan.
Are you feeling a sense of increased anxiety and obsessive thinking? Are you struggling with self-doubt and inner conflict? Does your anxiety and panic show up in a sense of disorganization, disordered eating, or social anxiety? These are all common symptoms of anxiety, stress, and obsessive thinking. When we face these challenges there are proven solutions such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, mindfulness based therapies, and values based behavior changes. How we get there is through connection to your provider, courage to assess what is not working, and committing and engaging in a new plan.
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Number of Therapists in Roxhill, Seattle, WA
20+
Average cost per session
$192
Therapists in Roxhill, Seattle, WA who prioritize treating:
96% | Depression |
96% | Anxiety |
85% | Self Esteem |
85% | Stress |
85% | Life Transitions |
81% | Relationship Issues |
77% | Trauma and PTSD |
Average years in practice
12 Years
Top 3 insurances accepted
87% | Premera Blue Cross |
47% | BlueCross and BlueShield |
40% | Aetna |
How Therapists in Roxhill, Seattle, WA see their clients
92% | Online Only | |
8% | In Person and Online |
Gender breakdown
74% | Female | |
15% | Male | |
11% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Roxhill, 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.