Therapy, Counseling & Psychiatric Care in Seattle · Statewide WA Telehealth
Help that fits. Care that starts this week.
For adults, teens and families across the Seattle metro and statewide by telehealth. We accept most major insurance, and most clients are able to schedule their first appointment within 72 hours.
Therapy, counseling and psychiatry in Seattle, under one roof.
Most Seattle practices do one or the other. We do both, and coordinate the care between them so you are not the one carrying messages between two offices.
Talk therapy with clinicians matched to you
Individual, couples and family work with clinicians trained in EMDR, DBT, CBT, Gottman, EFT, IFS and somatic approaches. We match you with the therapist whose approach actually fits.
Psychiatric care that has time for your full story
Psychiatric Mental Health Nurse Practitioners offering thorough evaluations, medication management and ADHD care for kids, teens and adults. The medication conversation comes after the evaluation, not in place of it.
When both is the right answer.
Same intake. Same team. Same chart. Your therapist and your psychiatric provider coordinate together, so you are not the one carrying messages between two offices.
Most major insurance plans accepted
We recommend confirming your specific benefits with your insurer before your first visit, so you know what to expect rather than guessing.
Specialized care for whatever you are facing.
Whatever you are working through, our team is trained to meet it. Therapy, psychiatry or both, in person or by secure video anywhere in Washington.
Anxiety
We treat generalized, social and panic anxiety, with therapists trained in CBT and somatic approaches.
Learn more →Depression
Care for adult, perinatal and treatment-resistant depression, with therapy and medication coordinated under one roof.
Learn more →Bipolar & Mood
Diagnosis, mood stabilization and ongoing therapy for bipolar disorder and other mood conditions.
Learn more →Substance Use
Psychiatry-led care for substance use, with coordinated therapy where it supports the recovery work.
Learn more →Trauma & PTSD
Trauma and PTSD work using EMDR, somatic, IFS and TF-CBT, with EMDR available statewide by secure video.
Learn more →ADHD
ADHD evaluation, medication management and therapy for adults, teens and children.
Learn more →Eating Disorders
Eating disorder care for adults and adolescents, led by our clinical director with extra compliance care.
Learn more →OCD
OCD care including exposure and response prevention (ERP) from clinicians trained in the approach.
Learn more →Stress & Burnout
Therapy for stress and burnout from career load, caregiving demands and the weight of everyday life.
Learn more →Life Transitions
Support for life transitions: a move, a new baby, a loss, a career shift, or any chapter change.
Learn more →Anger Management
Anger management for adults and adolescents, focused on changing the underlying pattern, not just the next blow-up.
Learn more →Relationships
Help with the interpersonal and family patterns that keep showing up in your relationships.
Learn more →Also treating grief & loss, perinatal & postpartum, and more.
Care for adults, children & adolescents, and couples
Therapy, counseling and psychiatry for every stage of life, with clinicians whose training matches who is walking in.
Children & Adolescents
Play-aware therapy for kids and adolescent-focused work for teens. Child & adolescent psychiatry available when medication is part of the picture.
Adults
Individual therapy and psychiatric medication management for anxiety, depression, trauma, ADHD, life transitions and more.
Couples
Gottman Method couples therapy from clinicians trained in it, plus emotionally focused therapy (EFT) where it fits. Stop having the same fight.
Care that gets who you are.
Clinicians with real training in the lived experiences of the communities they serve. Not therapists who tolerate identity, therapists who center it.
LGBTQ+ affirming
For same-sex couples, trans and non-binary clients, polyamorous and ethically non-monogamous relationships. Therapists who get it, not therapists who tolerate it.
Learn moreCulturally responsive
For BIPOC clients working through the things therapists outside the community sometimes miss. Race, identity and intergenerational context all welcome in the room.
Learn moreNeurodivergent affirming
For autistic, ADHD and otherwise neurodivergent clients. Therapy that adapts to how your brain works, not therapy that pushes you to mask harder.
Learn moreYou shouldn't have to wait weeks just to be seen by someone who actually gets it.
Three steps to a first appointment
Most clients are seen the same week of their first call.
Tell us what you need
Call us or send a short request. Share your insurance and what you are looking for. No long form.
Get matched
We pair you with a clinician whose training and approach actually fit what you are bringing in.
Meet this week
First appointments are typically available within the same week. In person at one of three offices, or by secure video.
Whole-person care, all in one place.
Co-founded by our clinical director Issy Kleiman, LMFT, on the idea that mental health care should be thorough. Therapy and psychiatry live under one roof, so you can address what you are feeling from more than one angle without coordinating across separate practices. Senior clinical supervision is built in across the team.
Learn more about our approach
Therapy + psychiatry under one roof
Talk therapy and medication management in the same practice, by clinicians who can coordinate care directly when both are part of the work.
Same-week access
First appointments typically available the same week of your first call. In person or by secure video.
Insurance we know
We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. We recommend confirming your specific benefits with your insurer before your first visit.
Matched to a real fit
We pair you with a clinician whose training and approach actually fit what you are bringing in.
"My approach has always been rooted in warmth, collaboration, and curiosity."
For over 27 years, I have worked in mental health, helping individuals, couples and families work through their journeys toward healing and self-discovery. I no longer practice as a therapist directly. Today I serve as Clinical Director here, providing clinical supervision, mentorship and guidance to a team of trained associate-level therapists.
I believe in a holistic, integrative model of care that honors each person's story and supports their growth across emotional, physical and spiritual domains. My mission as Clinical Director is to ensure every client who comes through our doors feels seen, supported and empowered. I want you to feel confident and assured that you are in excellent hands with our team.
Sample of our therapists and psychiatric providers
A selection of the therapists and psychiatric providers on our team. We will match you with a clinician whose focus and approach fits what you're looking for.
What clients say about being seen here.
The providers are flexible and able to work with my challenging schedule, and I know my mental health is being prioritized. A challenging and helpful experience.
Kelsey C., Google review
Madeline is the best provider I have found in a long time. She is very present while we are speaking and considerate of what I have to say. I could not ask for better help in my life.
Felicia C., Google review
An excellent communicator, easy to talk to, with convenient and confidential video sessions. The office staff is extremely helpful with billing and scheduling.
Leona H., Google review
Three Seattle-area offices, plus statewide telehealth
In person at any of three offices, or by secure video anywhere in Washington.
Seattle · Green Lake
6869 Woodlawn Ave NE #110Seattle, WA 98115
Burien
15811 Ambaum Blvd SW, Suite 110Burien, WA 98166
Smokey Point · Arlington
3402 173rd Pl NE, Suite 201Arlington, WA 98223
Anywhere in Washington, by secure video
If an office is too far, we see you statewide by HIPAA-compliant video. Same team, same therapist each session.
A few common questions
Do you take my insurance?
We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. Before your first appointment we recommend confirming your specific plan and out-of-pocket cost with your insurer, so there are no surprises. If your plan is not one of ours, we will help you find a good fit.
How soon can I be seen?
First appointments are typically available the same week of your initial call. If you have a strong preference for a specific clinician or office, it can take a little longer. Telehealth slots often open first.
Do you see clients online or only in person?
Both. You can meet in person at any of our three offices (Green Lake, Burien or Smokey Point / Arlington) or by secure HIPAA-compliant video anywhere in Washington. Many clients mix the two depending on the week.
Do you see children, teens and couples?
Yes. We have therapists who work specifically with kids, adolescent-focused clinicians for teens, Gottman Method couples therapists and family-systems clinicians. We will match you to a clinician whose training fits what you are bringing in.
Do you offer psychiatry and medication management?
Yes. Our psychiatric providers offer evaluation and ongoing medication management, with appointment lengths that allow time for your full story. Therapy is available alongside medication when that fits the work.
Ready to start? We can meet this week.
Call us or send a request and we will match you to a clinician and offer a first appointment, usually within the same week.
