Therapists in Vancouver, WA

My passion is helping people achieve personal growth. Life throws at us a series of curveballs. At times we feel stuck and unsure how to make it to the other side of these challenges whether they are due to a life change such as marriage, divorce, new career, trauma, grief and loss or a host of other difficulties. With over 25 years in the counseling field, I have learned that people are individuals who do not fit into one mold. I employee a variety of techniques and approaches to fit your individual needs. Change starts within the therapeutic relationship. Compassion, humor and warmth assist in creating this relationship.
My passion is helping people achieve personal growth. Life throws at us a series of curveballs. At times we feel stuck and unsure how to make it to the other side of these challenges whether they are due to a life change such as marriage, divorce, new career, trauma, grief and loss or a host of other difficulties. With over 25 years in the counseling field, I have learned that people are individuals who do not fit into one mold. I employee a variety of techniques and approaches to fit your individual needs. Change starts within the therapeutic relationship. Compassion, humor and warmth assist in creating this relationship.

Please visit my website for more information to determine if I might be a good fit.
Life can be difficult and painful for us all. If you're struggling with anxiety or depression, or you're simply feeling run down by the complexities of life, I can help you. My therapeutic approach is very direct. Therapy with me can feel intense but my clients often tell me that they needed the push I gave them. Too often, people go to counselors who are very nice, but who don't have the courage to challenge people in a compassionate but direct way. If you are ready for a wonderful life change, please contact me.
Please visit my website for more information to determine if I might be a good fit.
Life can be difficult and painful for us all. If you're struggling with anxiety or depression, or you're simply feeling run down by the complexities of life, I can help you. My therapeutic approach is very direct. Therapy with me can feel intense but my clients often tell me that they needed the push I gave them. Too often, people go to counselors who are very nice, but who don't have the courage to challenge people in a compassionate but direct way. If you are ready for a wonderful life change, please contact me.

Wayne Allen Smith
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98660
Are you experiencing persistent anxiety, fear, or nervousness? Do you frequently feel down, depressed, or hopeless, as if life is consistently challenging? Are you experiencing difficulty concentrating or maintaining focus, and do you feel constantly on the move? Do you believe that the current political climate is negatively impacting your personal and professional life? As a therapist, I specialize in assisting individuals facing a wide range of challenges, including anxiety, depression, work-related stress, relationship conflicts, discrimination, and significant life transitions.
Are you experiencing persistent anxiety, fear, or nervousness? Do you frequently feel down, depressed, or hopeless, as if life is consistently challenging? Are you experiencing difficulty concentrating or maintaining focus, and do you feel constantly on the move? Do you believe that the current political climate is negatively impacting your personal and professional life? As a therapist, I specialize in assisting individuals facing a wide range of challenges, including anxiety, depression, work-related stress, relationship conflicts, discrimination, and significant life transitions.

Hello! I believe that everyone should have the opportunity to be supported through everyday life events that impact us all uniquely. My approach is relational based and is guided by the therapeutic relationship between client and counselor. This approach allows for the counselor to come alongside the client to provide support and interventions such as Cognitive Behavioral Therapy and Narrative Therapy.
Hello! I believe that everyone should have the opportunity to be supported through everyday life events that impact us all uniquely. My approach is relational based and is guided by the therapeutic relationship between client and counselor. This approach allows for the counselor to come alongside the client to provide support and interventions such as Cognitive Behavioral Therapy and Narrative Therapy.

Are you struggling to form deep connections or find fulfillment in your relationships? Whether trauma has impacted your ability to connect or you're facing challenges in dating, I offer a supportive and empathetic approach to guide you on your journey. My work is deeply rooted in trauma-informed care, with a special emphasis on using EMDR to address underlying issues that may be affecting your relationships. I also have a keen interest in helping individuals navigate parenting challenges, relationship difficulties, and the emotional toll of infertility.
Are you struggling to form deep connections or find fulfillment in your relationships? Whether trauma has impacted your ability to connect or you're facing challenges in dating, I offer a supportive and empathetic approach to guide you on your journey. My work is deeply rooted in trauma-informed care, with a special emphasis on using EMDR to address underlying issues that may be affecting your relationships. I also have a keen interest in helping individuals navigate parenting challenges, relationship difficulties, and the emotional toll of infertility.

Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.

**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!
**Waitlist** Living authentically can be scary, rather intimidating. With support of a therapist, individuals can learn to accept, even embrace, the vulnerability that the process towards authenticity requires. Within a supportive therapeutic relationship, clients can explore personal beliefs and develop their identity. Many individuals struggle with processing life events but it doesn't have to be done alone or involve constant suffering. Life events can be difficult, even "positive" ones such as the birth of a child; postpartum depression and postpartum anxiety are real and it doesn't have to ruin your experience as a parent!

Rachel Louise Osborne
Counselor, LMHC, MA, MHP
Verified Verified
Vancouver, WA 98686
Not accepting new clients
I work hard to help my clients identify strengths of their own and help them improve their wellbeing and relationships. I am honest but kind in feedback and work to help you identify what you want and need out of therapy and life. I am intentional about keeping up on research and improving methods of therapy practice. I know it can be hard to be kind to yourself and the world can be difficult, but I strive to work with clients to be able to live the kind of life they want.
I work hard to help my clients identify strengths of their own and help them improve their wellbeing and relationships. I am honest but kind in feedback and work to help you identify what you want and need out of therapy and life. I am intentional about keeping up on research and improving methods of therapy practice. I know it can be hard to be kind to yourself and the world can be difficult, but I strive to work with clients to be able to live the kind of life they want.

Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.
Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.

Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.

I believe that clients and counselors partner together to work towards optimum mental health for each client. I believe in client involvement in setting and working towards those goals through a variety of clinical interventions with a focus on Cognitive Behavioral Therapy, EMDR and DBT.
I believe that clients and counselors partner together to work towards optimum mental health for each client. I believe in client involvement in setting and working towards those goals through a variety of clinical interventions with a focus on Cognitive Behavioral Therapy, EMDR and DBT.
Meet Our Therapists

My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical
My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical

Michelle Tobin
Mental Health Counselor, MA, LMHC, PMP
Verified Verified
3 Endorsed
Vancouver, WA 98685
If you're unsatisfied with the status quo, then let's find your sublime. Adults looking for a creative outlet, a place to vent, or support for hard times are my ideal clients. I specialize in anxiety and depression, work stress and career goals, identity or relationship issues, life changes or traumatic events. Unusual tales and winding paths are welcome—there is no judgment for any stories you bring. You are accepted wholeheartedly with caring curiosity. We'll talk, feel, brainstorm, problem solve, or use a creative process if you can't find the words. Together, we'll help you find freedom of expression and the potential to grow.
If you're unsatisfied with the status quo, then let's find your sublime. Adults looking for a creative outlet, a place to vent, or support for hard times are my ideal clients. I specialize in anxiety and depression, work stress and career goals, identity or relationship issues, life changes or traumatic events. Unusual tales and winding paths are welcome—there is no judgment for any stories you bring. You are accepted wholeheartedly with caring curiosity. We'll talk, feel, brainstorm, problem solve, or use a creative process if you can't find the words. Together, we'll help you find freedom of expression and the potential to grow.

Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.

I enjoy working with individuals (older children, adolescents, young adults) who are interested in addressing topics surrounding anxiety and self-esteem as well as those who are working through major life transitions. I recognize that the client is the expert on themselves and their life and I intend to honor that as we navigate this process together. I incorporate an integrative approach to counseling and prefer to pull from a variety of popular counseling theories to tailor each session to meet the needs of the client. I approach counseling primarily from a humanistic, person-centered approach.
I enjoy working with individuals (older children, adolescents, young adults) who are interested in addressing topics surrounding anxiety and self-esteem as well as those who are working through major life transitions. I recognize that the client is the expert on themselves and their life and I intend to honor that as we navigate this process together. I incorporate an integrative approach to counseling and prefer to pull from a variety of popular counseling theories to tailor each session to meet the needs of the client. I approach counseling primarily from a humanistic, person-centered approach.

I am currently welcoming couples and families who are committed to nurturing their relationships. They may be navigating communication barriers, emotional disconnects, or transitional life stages. These clients seek a collaborative space to fortify their bonds, develop understanding, and foster a healthy family dynamic. Their objective is to achieve harmony and a deeper connection, ultimately enhancing their collective well-being.
I am currently welcoming couples and families who are committed to nurturing their relationships. They may be navigating communication barriers, emotional disconnects, or transitional life stages. These clients seek a collaborative space to fortify their bonds, develop understanding, and foster a healthy family dynamic. Their objective is to achieve harmony and a deeper connection, ultimately enhancing their collective well-being.

For many years I struggled with shame and doubt about who I was, often feeling lost and hopeless. I would exercise my feelings through control or passivity in relations with others. It wasn't until I received help from a counselor that I started my journey of healing that lead to my discovery of an authentic self who could practice healthy relationships, acceptance, love, and feel worthy from the inside out. At that point I chose to become a Counselor so as to assist others in their journeys of self discovery.
For many years I struggled with shame and doubt about who I was, often feeling lost and hopeless. I would exercise my feelings through control or passivity in relations with others. It wasn't until I received help from a counselor that I started my journey of healing that lead to my discovery of an authentic self who could practice healthy relationships, acceptance, love, and feel worthy from the inside out. At that point I chose to become a Counselor so as to assist others in their journeys of self discovery.

A traumatic experience is like an injury and can have a long-lasting effect and impact on the way you perceive and interact with the world. Individuals experiencing trauma may have difficulty regulating emotions such as anger, anxiety, and sadness and easily feel overwhelmed, numb, and shut down. Trauma not only affects our relationship with ourselves but also impacts our relationship with others. I am also a TFMR Mom who had a Stillbirth. I am passionate about serving other parents who have experienced TFMR, Stillbirth, and Child loss at any point. The grief that accompanies this loss is tremendous and isolating. I am here to help.
A traumatic experience is like an injury and can have a long-lasting effect and impact on the way you perceive and interact with the world. Individuals experiencing trauma may have difficulty regulating emotions such as anger, anxiety, and sadness and easily feel overwhelmed, numb, and shut down. Trauma not only affects our relationship with ourselves but also impacts our relationship with others. I am also a TFMR Mom who had a Stillbirth. I am passionate about serving other parents who have experienced TFMR, Stillbirth, and Child loss at any point. The grief that accompanies this loss is tremendous and isolating. I am here to help.

Navigating the complexities of family dynamics, marriage challenges, or the lasting effects of trauma can feel overwhelming. Whether you're struggling to connect with loved ones or grappling with PTSD's lingering impact, these challenges can affect every aspect of your life. For children, play therapy offers a safe way to express emotions and foster healing. My focus is on creating a nurturing and collaborative space for individuals, couples, and families to explore and address these challenges, empowering you to rebuild connections and find lasting solutions.
Navigating the complexities of family dynamics, marriage challenges, or the lasting effects of trauma can feel overwhelming. Whether you're struggling to connect with loved ones or grappling with PTSD's lingering impact, these challenges can affect every aspect of your life. For children, play therapy offers a safe way to express emotions and foster healing. My focus is on creating a nurturing and collaborative space for individuals, couples, and families to explore and address these challenges, empowering you to rebuild connections and find lasting solutions.

My practice focuses on providing high quality comprehensive psychological testing that is impactful and life-enhancing for ages 16+. ADHD and autism presentations in women, BIPOC, and in previously undiagnosed mid-life adults are my specialty. I conduct neurodiversity-affirming and culturally-sensitive evaluations that are used for 1) educational and work accommodations 2) access to disability and vocational supports, and 3) making sense of difficult differential diagnoses to enhance your self-understanding. I also offer psychotherapy to address anxiety and trauma using effective and gentle exposure methods tailored to your needs.
My practice focuses on providing high quality comprehensive psychological testing that is impactful and life-enhancing for ages 16+. ADHD and autism presentations in women, BIPOC, and in previously undiagnosed mid-life adults are my specialty. I conduct neurodiversity-affirming and culturally-sensitive evaluations that are used for 1) educational and work accommodations 2) access to disability and vocational supports, and 3) making sense of difficult differential diagnoses to enhance your self-understanding. I also offer psychotherapy to address anxiety and trauma using effective and gentle exposure methods tailored to your needs.
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Number of Therapists in Vancouver, WA
1,000+
Average cost per session
$150
Therapists in Vancouver, WA who prioritize treating:
92% | Anxiety |
86% | Depression |
75% | Trauma and PTSD |
70% | Relationship Issues |
69% | Self Esteem |
68% | Stress |
64% | Coping Skills |
Average years in practice
10 Years
Top 3 insurances accepted
76% | Aetna |
65% | Regence |
58% | Cigna and Evernorth |
How Therapists in Vancouver, WA see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Vancouver?
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.