Therapists in Vancouver, WA

My ideal client is ready to work through their experienced trauma, struggles with anxiety/depression, or faces a significant life transition. They feel overwhelmed, stuck, and unsure of how to move forward. Despite these challenges, they possess the courage to seek help and the motivation to create positive change in their life.
My ideal client is ready to work through their experienced trauma, struggles with anxiety/depression, or faces a significant life transition. They feel overwhelmed, stuck, and unsure of how to move forward. Despite these challenges, they possess the courage to seek help and the motivation to create positive change in their life.

Your past is invading your present. Your emotions overwhelm you at times. Many of your relationships are unfulfilling - or outright painful. Your self-esteem is low to non-existent, and you often feel you aren’t good enough. Celebrating your successes is hard for you because you feel like you don’t deserve them. Your inner critic is your constant companion. And the worst part is: overcoming these obstacles seems like a huge mountain to climb. You don’t know where or who to go to for help. We all need connection more than ever right now. I’d love to help!
Your past is invading your present. Your emotions overwhelm you at times. Many of your relationships are unfulfilling - or outright painful. Your self-esteem is low to non-existent, and you often feel you aren’t good enough. Celebrating your successes is hard for you because you feel like you don’t deserve them. Your inner critic is your constant companion. And the worst part is: overcoming these obstacles seems like a huge mountain to climb. You don’t know where or who to go to for help. We all need connection more than ever right now. I’d love to help!

Therapy can seem daunting; you have to become vulnerable before you will start seeing benefits. For many, this is more anxiety producing than not. You might not know what to expect. You might have had a bad experience with a prior therapist. You might feel hopeless, like no amount of therapy can help you. You can be helped. It’s likely that you have an issue in your life that is causing you ambivalence, or else you wouldn’t be seeking therapy. To have ambivalence means you are uncertain about your life in the now, and choices you must make to manifest the future you want are causing you depression, fear, and/or anxiety.
Therapy can seem daunting; you have to become vulnerable before you will start seeing benefits. For many, this is more anxiety producing than not. You might not know what to expect. You might have had a bad experience with a prior therapist. You might feel hopeless, like no amount of therapy can help you. You can be helped. It’s likely that you have an issue in your life that is causing you ambivalence, or else you wouldn’t be seeking therapy. To have ambivalence means you are uncertain about your life in the now, and choices you must make to manifest the future you want are causing you depression, fear, and/or anxiety.

Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.
Are you looking for a safe space to discuss your mental health? My counseling style is calm and interactive. I believe in treating everyone with respect, sensitivity, individuality, and compassion. I believe the therapeutic relationship can be a rewarding and remarkable experience. I take great care in the work I do to understand your needs and am honored to witness and walk with you on your journey.

I specialize in assisting clients who are struggling with depression, anxiety, low self-esteem, grief, and establishing healthy boundaries. I enjoy helping clients come to understand their worth and how their past effects their present.
I specialize in assisting clients who are struggling with depression, anxiety, low self-esteem, grief, and establishing healthy boundaries. I enjoy helping clients come to understand their worth and how their past effects their present.

My passion has always been helping people who feel the need for change in their lives. I have extensive experience assisting clients with trauma, anxiety, depression, relationship distress, legal challenges, substance abuse & recovery issues, transition difficulties, and other life challenges. My approach is direct, yet compassionate and non-judgmental. I utilize an eclectic approach to therapy, and partner with clients to reach mutually agreed upon goals. I believe that you are an expert in your own life, and I am simply there to guide you and challenge you toward a happier, healthier version of yourself.
My passion has always been helping people who feel the need for change in their lives. I have extensive experience assisting clients with trauma, anxiety, depression, relationship distress, legal challenges, substance abuse & recovery issues, transition difficulties, and other life challenges. My approach is direct, yet compassionate and non-judgmental. I utilize an eclectic approach to therapy, and partner with clients to reach mutually agreed upon goals. I believe that you are an expert in your own life, and I am simply there to guide you and challenge you toward a happier, healthier version of yourself.

Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.
Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.

Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,

Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.
Life can give us painful challenges. Sometimes we may need to ask for help. We can feel stuck and confused in our thoughts and feelings, and know we're not living the life we really want. We may have problems with relationships, divorce, loss, health, aging, loneliness, social or work issues. I aim to form a warm, interactive connection that is safe and supportive with a focus more on the present than the past. I support you in having more awareness and understanding to solve problems, learn to cope, and to discover the person you want to be. The primary goal is for lasting change that enriches and gives meaning to your life.

My approach to psychotherapy is psychoanalytically informed, drawing from Attachment and Relational Theories. This method offers a profound journey into understanding yourself and your relationships by delving into the unconscious mind to uncover the underlying causes of emotional and psychological distress. Whether you're struggling with anxiety, depression, relationship issues, trauma, or simply seeking personal growth, this approach can provide the insight and tools you need to lead a more fulfilling life.
My approach to psychotherapy is psychoanalytically informed, drawing from Attachment and Relational Theories. This method offers a profound journey into understanding yourself and your relationships by delving into the unconscious mind to uncover the underlying causes of emotional and psychological distress. Whether you're struggling with anxiety, depression, relationship issues, trauma, or simply seeking personal growth, this approach can provide the insight and tools you need to lead a more fulfilling life.

Elizabeth Dammarell
Counselor, LMHC, CDP, NCC, MA
4 Endorsed
Vancouver, WA 98685
Waitlist for new clients
Creating a safe space for individuals to thrive, grow, and find courage to tell their story, is what I believe my role to be as a counselor. Often times we run from our pain and avoid facing what has been hurting us all these years. It is my belief that counseling provides a neutral and compassionate environment to process through this pain, and finally discover the relief we have been looking for. My hope as your counselor is to help you develop a deeper awareness and personal insight so that you may live a more fulfilling and authentic life.
Creating a safe space for individuals to thrive, grow, and find courage to tell their story, is what I believe my role to be as a counselor. Often times we run from our pain and avoid facing what has been hurting us all these years. It is my belief that counseling provides a neutral and compassionate environment to process through this pain, and finally discover the relief we have been looking for. My hope as your counselor is to help you develop a deeper awareness and personal insight so that you may live a more fulfilling and authentic life.

Experiencing trauma, loss, or upheaval is destabilizing and isolating. It can erode the relationships we value the most while making us call into question our sense of identity. Even if we avoid consciously thinking about it, the imprint of our past can wreak havoc on our physical health, our nervous system, and our present experience. The healing process asks us tune into our intuition and our bodies so that we can notice which parts of ourselves most need our attention and care. I can offer tools and support for those seeking to regain a sense of safety and connection with themselves, others, and the world around them.
Experiencing trauma, loss, or upheaval is destabilizing and isolating. It can erode the relationships we value the most while making us call into question our sense of identity. Even if we avoid consciously thinking about it, the imprint of our past can wreak havoc on our physical health, our nervous system, and our present experience. The healing process asks us tune into our intuition and our bodies so that we can notice which parts of ourselves most need our attention and care. I can offer tools and support for those seeking to regain a sense of safety and connection with themselves, others, and the world around them.

I offer a unique blend of talk therapy and sound healing based interventions. Whether you're dealing with anxiety, trauma, chronic pain, or simply seeking greater self-awareness I am here to accompany you on your healing journey. With over 15 years as a Social Worker, working with children and families in the community my approach to therapy is grounded in compassion, authenticity, and collaboration, creating a safe and supportive space for clients to explore their thoughts, emotions, and experiences without judgment.
I offer a unique blend of talk therapy and sound healing based interventions. Whether you're dealing with anxiety, trauma, chronic pain, or simply seeking greater self-awareness I am here to accompany you on your healing journey. With over 15 years as a Social Worker, working with children and families in the community my approach to therapy is grounded in compassion, authenticity, and collaboration, creating a safe and supportive space for clients to explore their thoughts, emotions, and experiences without judgment.

Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.

I believe healing and flourishing in life happens in the context of relationship, with counseling therapy being a means of healing through that relational context. I practice counseling from a biblical worldview, holding the belief that having a relationship with and knowing one’s true identity in Christ is the ultimate source of genuine and lasting healing.
While this is my belief and approach to therapy, I gladly work with those who do not ascribe to the same worldview.
I believe healing and flourishing in life happens in the context of relationship, with counseling therapy being a means of healing through that relational context. I practice counseling from a biblical worldview, holding the belief that having a relationship with and knowing one’s true identity in Christ is the ultimate source of genuine and lasting healing.
While this is my belief and approach to therapy, I gladly work with those who do not ascribe to the same worldview.

I am now twenty years in practice as a licensed mental health professional. Over that time, I have worked with children, adolescents and adults in the capacity of individual, group, couples and family therapy. I worked for eleven years in the Juvenile Drug Court Program in Clackamas County as the family therapist for that program. I have knowledge in substance abuse as well as parenting issues. I self published a book called The Parent Empowerment Program in 2021 and I currently facilitate weekly parent groups in addition to providing individual and family therapy.
I am now twenty years in practice as a licensed mental health professional. Over that time, I have worked with children, adolescents and adults in the capacity of individual, group, couples and family therapy. I worked for eleven years in the Juvenile Drug Court Program in Clackamas County as the family therapist for that program. I have knowledge in substance abuse as well as parenting issues. I self published a book called The Parent Empowerment Program in 2021 and I currently facilitate weekly parent groups in addition to providing individual and family therapy.

Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.
Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.

I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: stress management, mindfulness, anxiety and mood concerns, assertive communication, bicultural issues, performance enhancement, LGBTQ concerns, and adjustment, relationship, and identity concerns.
I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: stress management, mindfulness, anxiety and mood concerns, assertive communication, bicultural issues, performance enhancement, LGBTQ concerns, and adjustment, relationship, and identity concerns.

Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.
Natalie's education includes a Bachelor of Arts degree in Psychology from Chapman University and a Master of Arts degree in Counseling Psychology from Lewis and Clark College. Her major graduate coursework included Individual, Group and Family Counseling, Lifespan Development, Theories in Counseling and Behavior Change in Children, Treatment and Diagnosis of Mental Health Disorders, Clinical Work in Diverse Populations, Ethical and Legal Issues in Mental Health Counseling, Play Therapy, Sand Tray and Assessment. Natalie has worked in Residential, Therapeutic School, Clinic Based, school and client home settings.

I strive to put clients at ease with a warm, casual, down-to-earth style. Clients with panic attacks, worries, and social anxiety will especially feel at peace. I love helping autistic and ADHD clients! My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation.
I strive to put clients at ease with a warm, casual, down-to-earth style. Clients with panic attacks, worries, and social anxiety will especially feel at peace. I love helping autistic and ADHD clients! My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation.
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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 |
85% | Depression |
74% | Trauma and PTSD |
70% | Self Esteem |
69% | Relationship Issues |
69% | Stress |
65% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
78% | Aetna |
68% | Regence |
61% | Cigna and Evernorth |
How Therapists in Vancouver, WA see their clients
56% | In Person and Online | |
44% | Online Only |
Gender breakdown
79% | Female | |
19% | 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.