Care without the wait

17 licensed therapists & providers in Washington—13 in Seattle. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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589 people sought child therapy help in Washington in the last year

Discover how starting child therapy can support your own journey toward a happier, more fulfilling life.

Meet with a child/teen therapist as soon as this week

Seattle, WA

Having experienced personal trauma and life's challenges, I am passionate about creating a safe and compassionate space where clie...

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Seattle, WA

I believe my role as a therapist is to provide a safe place for people to explore their true feelings without fear of judgment and...

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Seattle, WA

I was inspired by my own challenges navigating high functioning depression. I was still performing, still excelling in my career, ...

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Seattle, WA

Because of my own personal experience with tragic loss and early childhood trauma, I have confidence in my ability to create a saf...

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Seattle, WA

As a queer-identified woman, I am passionate about helping LGBTQ+ folks to feel more grounded, self-assured, and at peace in their...

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Seattle, WA

I provide inclusive, evidence-based mental health care grounded in empathy, respect, and collaboration....

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Seattle, WA

When faced with trying to find a therapist of my own, I was met with the reality that it is not "one size fits all" and have done ...

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Seattle, WA

I make every effort to provide a warm and encouraging environment while offering the professional tools and guidance to assist cli...

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Seattle, WA

I have a firm belief that none of us are perfect and as such we should continually strive to learn from our experiences and be bet...

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Seattle, WA

As an ally of the LGBTQ community and a proud member of a multiracial family with African American, Korean, and Mexican heritage, ...

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Seattle, WA

I am continually learning how Queerness permeates not just our intimate relationships, but the entirety of how we move through the...

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Seattle, WA

As a child of immigrant parents (both from different countries), I understand some of the challenges that families face as they ad...

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Seattle, WA

You are amazing, and it is absolutely okay to need help! With 25 years of specializing in trauma, I offer empathic support to help...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Mary Lou Macarius

Hear from Mary Lou Macarius, Licensed Marriage & Family Therapist (LMFT)

View Mary Lou Macarius's profile

What is your go-to approach for child therapy?

My go-to approach to helping kids in child therapy is narrative therapy. I find the best benefit in using narrative therapy because it helps children tell and retell their new evolving story of competency, which is empowering and can create possibilities. It is important to take into account children's strengths and resources, as well as the parents’ availability and capability to facilitate the child’s maturational process.

What tools do you teach in child therapy?

I teach the following tools in child therapy: I feel statements/communication, strategies for dealing with conflict, ways to calm down/cope with anxiety-including situations (i.e., breathing exercises), friendship skills, etc.

How do you know when a client is making meaningful progress in child therapy?

I know a client is making meaningful progress in child therapy when I am able to hear about the changes in the way that they view their experiences.

What can clients do in their personal time to supplement child therapy?

Clients can supplement their time in child therapy by practicing the tools that they learn each week.

What should someone do to prepare for starting child therapy?

To prepare for their first child therapy session, a child can work with their parent to talk about what it is they want out of therapy/what problems they want to work on.

Child therapy FAQs

What is child therapy?

Child therapy, also known as counseling for kids, helps young individuals better understand and manage the challenges that affect their mental health. Common challenges amongst kids include behavioral issues, trauma, bullying, depression, and anxiety. All ages of children can attend and benefit from child therapy at Thriveworks Seattle.

How does child therapy work?

Child therapy works by using multiple techniques tailored to fit the child’s needs based on their age group, their challenges, and the severity of their challenges. It might involve play therapy for younger kids or cognitive behavioral therapy, dialectical behavioral therapy, art therapy, and others for varying ages. In any case, Thriveworks child therapists in Seattle, WA have the expertise and experience to help kids at their level.

Play therapy vs. child therapy

Child therapy is a type of therapy meant for clients within a specific age group, while play therapy is an approach to therapy that helps children with self-expression and stress relief, among others. Play therapy is a technique that is often used in child therapy to help children express what’s running through their minds when they do not have the words to express their thoughts and emotions. It can get children to express what’s wrong, what might be causing unwanted behaviors, or what they might need in a way that is accessible to them so that therapists can then work to treat the issue.

How to tell if my child needs counseling

It’s not always obvious when a child should see a therapist for their behavior, though in the midst of challenges like divorce, loss, bullying, and other mental health conditions, it’s often a good idea to seek it out. Common behaviors that can indicate a need for child therapy include separation anxiety, bedwetting (at inappropriate ages), and agitation/excessive irritability — especially if it reaches a point of physical violence.

What type of therapy is best for children?

Cognitive behavioral therapy at Thriveworks in Seattle, WA is one of the best types of therapy for children. However, it can be administered in child therapy sessions in a variety of ways that are more accessible to young minds, such as play therapy.

Is child therapy conducted in person or online?

Child therapy at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long does child therapy last?

The length of child therapy depends on your child’s needs as well as the goals that you and their therapist might have for them. Generally, child therapy sessions will last for several months.

How much does child therapy cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Seattle accept 31 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Ambetter from Coordinated Care | Commercial

  • Carelon

  • Cigna | Evernorth

  • Compsych

  • Devoted Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

  • HealthSpring | Medicare Advantage

  • Humana Medicare Advantage

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Self-pay costs at Seattle
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Claudia is an excellent listener!
Ella Aug 2026Thriveworks.com verified review
★★★★★
I am getting better care than I could have ever imagined, my provider is very professional and goes above and beyond, the compassion shown help my grief well.
Claudia Aug 2026Thriveworks.com verified review
★★★★★
Cindy is an amazing listener gives me a lot of advice on how to handle different things gives me things to really think about I really appreciate the time that we get to spend together. She is helping me understand a lot of things about myself.
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Emilia Aug 2026Thriveworks.com verified review
★★★★★
Cindy is really good at encouraging me to share what is going on in my life. She feels very safe to share with She reminds me that my needs are as important as other's needs are. She has really helped me grow, and discover more awarenesses about myself that I needed to have, but that I didn't. I feel very blessed to be working with Cindy.
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Addison Aug 2026Thriveworks.com verified review
★★★★★
Sydney is fantastic at what she does. She understands all the things I’m going through and she genuinely cares about me taking the necessary steps to get better.
Andres Jul 2026Thriveworks.com verified review
★★★★★
Just getting to talk.
Kennedy Jul 2026Thriveworks.com verified review
★★★★★
She is a excellent provider... I always look forward to talking with her
Haven Sep 2025Thriveworks.com verified review
★★★★★
Dr Brown is always trying to find a solution, even if it means changing things up a bit. She seems genuinely concerned for my wellbeing.
Lukas Sep 2025Thriveworks.com verified review
8 of 22 reviews

Where to find us

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Address

10303 Meridian Ave N Suite 200
Seattle, WA 98133

Getting here

Thriveworks Counseling & Psychiatry Seattle is located near the intersection of Meridian Ave N and N 103rd St, off I-5. It is close to Northwest Hospital, North Seattle College, and right next to Barton Woods. The office is in Meridian Center, a modern multi-story glass and stone office complex; enter through the main entrance to access Suite 200 on the second floor.

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Phone number

(206) 203-9770
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Languages spoken by WA providers

  • Italian
  • English
  • Spanish
  • French
  • Tagalog
  • Mandarin
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Hours

Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

Shown in PT

Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm

Shown in PT

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