Female Therapists in Roxhill, Seattle, WA

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 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.

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’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.

Anxiety, intrusive thoughts, or compulsive behaviors can feel overwhelming—like they’ve taken over and won’t let go. Maybe you’ve tried to manage it on your own, or even received supportive care from a therapist, but nothing seems to stick. It’s frustrating and exhausting. What you really want is clarity, relief, and tools that actually work. A way to understand what’s happening in your mind and feel more in control. Therapy should be effective and tailored to you—with an expert provider who is warm, collaborative, and truly invested in your care.
Anxiety, intrusive thoughts, or compulsive behaviors can feel overwhelming—like they’ve taken over and won’t let go. Maybe you’ve tried to manage it on your own, or even received supportive care from a therapist, but nothing seems to stick. It’s frustrating and exhausting. What you really want is clarity, relief, and tools that actually work. A way to understand what’s happening in your mind and feel more in control. Therapy should be effective and tailored to you—with an expert provider who is warm, collaborative, and truly invested in your care.

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.

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.

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.

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.

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?

Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
Welcome to Creative Guidance, PLLC. I believe that our ability to stay in the moment, especially when things are difficult, can be tough. Wanting to escape the present moment is a normal human response. When we are able to remain present, that is where healing, wisdom and change truly lies. When we can stay with what we are feeling and experiencing, both good and challenging, we are then awake and empowered to change our lives. I am here to help you become present and unfold the YOU that has always been there from the start.
Meet Our Female Therapists

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.

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 work with adults struggling with depression & anxiety, as well as sexual health and recovery issues. You will experience shifting from stuck patterns, behaviors & beliefs to an expanded sense of your true essence of joy, pleasure, and belonging.
I work with adults struggling with depression & anxiety, as well as sexual health and recovery issues. You will experience shifting from stuck patterns, behaviors & beliefs to an expanded sense of your true essence of joy, pleasure, and belonging.

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.

Welcome! I provide individual evidence-based therapy, as well as psychodiagnostic and ADHD 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), attentional/executive function (e.g., difficulties with organization, task initiation/completion, time management). Additional areas of expertise include stress management, medical conditions (e.g., cancer, neurologic disorders), grief/loss, sleep problems, life transitions, and experiences of bias.
Welcome! I provide individual evidence-based therapy, as well as psychodiagnostic and ADHD 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), attentional/executive function (e.g., difficulties with organization, task initiation/completion, time management). Additional areas of expertise include stress management, medical conditions (e.g., cancer, neurologic disorders), grief/loss, sleep problems, life transitions, and experiences of bias.

If you are an adult with ADHD, things like staying organized, sticking to a plan, finishing tasks, meeting deadlines, and remembering where you left your keys can feel difficult. The anxiety of falling short and feeling behind can eat away at your time and confidence, leading to frustration, discouragement, and overwhelm. But you’ve come this far, and in spite of the challenges (and sometimes loneliness) of having a brain that works differently, so much more is possible, at work, at home, and in your relationships.
If you are an adult with ADHD, things like staying organized, sticking to a plan, finishing tasks, meeting deadlines, and remembering where you left your keys can feel difficult. The anxiety of falling short and feeling behind can eat away at your time and confidence, leading to frustration, discouragement, and overwhelm. But you’ve come this far, and in spite of the challenges (and sometimes loneliness) of having a brain that works differently, so much more is possible, at work, at home, and in your relationships.

I offer counseling in a warm, supportive and interactive environment. I am a licensed mental health therapist in Washington and Oregon, with over fifteen years of clinical experience. I work with individual adults experiencing a variety of concerns, including but not limited to: anxiety, depression, work and/or school stress, self-esteem, feeling stuck, life transitions, communication and relationship difficulties, loss, and stress management.
I offer counseling in a warm, supportive and interactive environment. I am a licensed mental health therapist in Washington and Oregon, with over fifteen years of clinical experience. I work with individual adults experiencing a variety of concerns, including but not limited to: anxiety, depression, work and/or school stress, self-esteem, feeling stuck, life transitions, communication and relationship difficulties, loss, and stress management.

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.

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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Does it matter what gender my therapist is?
In general, there is no relationship between a therapist’s gender and their efficacy. Some clients, however, prefer to see therapists of a particular gender, whether due to their own past experiences with men and women, or because they feel more comfortable with a therapist of their own gender due to shared life experiences or perspectives. Considering what one wants to address in therapy can help someone determine whether their therapist’s gender may matter or improve their therapeutic experience. The most important consideration is that a client is able to build a trusting relationship with their therapist.
Should I see a female therapist?
Many people—not just women—prefer to see a female therapist. For women, this could be because they believe that they will be able to better connect with a woman, and that a female therapist will be able to relate to their specific challenges and personal issues. It may be particularly beneficial for women to see a female therapist, for example, for gender-specific issues, such as sexism in the workplace, relationship issues, and gender roles. The most important factor in therapy is the client-therapist connection, and a therapist's gender as well as many other factors may play an important role in this.
Do therapists get specific training to help with women’s concerns?
Therapists are trained to provide care to clients of any gender. However, some therapists may pursue additional training in feminist therapy, gender-specific issues, or women’s mental health. Female clients may wish to ask prospective therapists whether they have received specific training in the client’s primary area(s) of concern, or whether they have worked extensively with women on issues similar to their own.
How can I inquire about a therapist’s experience in treating women?
It’s OK—even encouraged!—to ask a therapist directly whether and how often they have treated women in the past, or whether they have treated women dealing with the client’s most prominent concern(s). Competent therapists will be happy to share their educational background, preferred treatment modalities, and prior client experience to help an individual find the therapist best suited to their needs.