Counseling services in Washington—get help in-person or online

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience providing comprehensive mental health care across the lifespan. I specialize in psychiatric evaluation, medication management, and psychotherapy for conditions such as anxiety, depression, bipolar disorder, mood disorders, schizophrenia, conduct disorders, and insomnia. I focus on evidence-based treatment designed to reduce symptoms, improve functioning, and promote lasting emotional well-being in outpatient and telehealth settings.

I earned my Doctorate in Nursing from Arkansas State University. My approach combines clinical expertise with empathy to support individuals as they navigate life’s challenges. I tailor each treatment plan through careful evaluation, medication management, and therapy to help clients build resilience, balance, and overall well-being.

I understand the challenges of living with mental health conditions and strive to create a safe, judgment-free space where clients feel heard and supported. My goal is to provide compassionate, personalized care that encourages healing and growth, helping each person take meaningful steps toward recovery and emotional stability.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience in mental health care. I specialize in supporting individuals facing challenges such as anxiety, depression, trauma, mood disorders, and life transitions. I combine evidence-based medication management with supportive therapy to promote healing and long-term well-being. I am dedicated to creating a compassionate, client-centered environment where individuals feel heard, understood, and empowered in their journey toward mental health.

I earned my Master’s in Nursing from Walden University, where I developed a strong commitment to evidence-based care and holistic treatment. My approach blends medication management with supportive therapy to address each client’s unique needs, build coping strategies, and foster resilience and stability.

Taking the first step toward mental health care can feel overwhelming, but it is also an important act of strength. My goal is to provide thoughtful, personalized support that empowers you to move forward with confidence. If you’re ready to begin your path toward greater stability and well-being, I encourage you to schedule an appointment.

Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 26 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic and Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade, working independently in Comfort Counseling. She also has experience serving individuals from six years old to 65 years old from her time at the Renton Counseling Center. She is a clinical member of The American Association of Marriage and Family Therapy.

Mary Lou received a Bachelor of Social Work from Eastern Washington University and a Master of Arts in Marriage and Family Therapy from Pacific Lutheran University. She utilizes multiple treatment approaches including, but not limited to, solution-focused therapy, narrative therapy, cognitive behavioral therapy, and structural family therapy. Mary Lou's dominant practicing theories are those of structural family therapy, which focuses on the ways in which families function and the changes that need to be made in the family structure to help them function more effectively, and solution-focused theory, which looks at the solutions that the client brings to therapy for coping with problems and builds on the client’s successes. She also likes to use some narrative therapy, which is focused on changing the way that you look at your life or problems.

Mary Lou is a trauma survivor and comes from an immigrant family, both of which influence the work that she does on a day-to-day basis. This, along with her clinical experience, allows her to support and understand her clients in unique ways.

I am a licensed mental health counselor (LMHC) with 7 years of experience supporting teens, adults, parents, and families. I specialize in helping clients navigate academic stress, peer pressure, anxiety, self-harm, and suicidal ideation. I take a holistic approach to care, recognizing the connection between the mind and body and how multiple factors influence a person’s overall well-being.

I earned my master’s in psychology from Seattle University. My clinical approach integrates cognitive behavioral therapy, mindfulness-based practices, and person-centered therapy, with influences from existential-phenomenological theory. I tailor treatment to each client’s lived experience and unique needs.

I believe therapy is a collaborative, two-way relationship built on trust and accountability. I provide a nonjudgmental, open space where you can feel heard and supported. If you’re ready to create meaningful change, I invite you to begin this journey with me—we’ll navigate it together.

I am a licensed independent clinical social worker (LICSW) with 33 years of experience in the mental health field. I specialize in working with individuals navigating complex and long-term challenges, including trauma, mood disorders, anxiety, and life transitions. My work often supports clients who are seeking deeper insight, sustained change, and recovery through a thoughtful and collaborative therapeutic process.

I earned my master’s degree in social work from New York University. My clinical approach is grounded in psychodynamic psychotherapy and incorporates motivational interviewing, stages of change, recovery-oriented care, and Beckian cognitive behavior therapy techniques that are tailored to each client’s unique needs.

You can expect me to be deeply curious about your experiences, goals, and personal story. Together, we will build a clear understanding of what has shaped you and develop strategies that support meaningful progress and hope. Change takes time and practice, and you do not have to navigate it alone. I am here to support you every step of the way.

I offer counseling and talk therapy services; however, I do not currently offer psychological testing. I am Sam Bearer, a licensed professional counselor with 9 years of experience working with individuals and couples from diverse cultural, ethnic, and religious backgrounds. I specialize in helping clients work through emotional, relational, and interpersonal issues, including anxiety, depression, trauma, grief and loss, anger, sexual issues, family and relationship dynamics, self-image and identity, communication, and mood and personality disorders.

I hold a master's in counseling from Covenant Theological Seminary. My approach draws on multiple therapeutic modes, including cognitive behavioral therapy, dialectical behavior therapy, internal family systems, and eye movement desensitization and reprocessing, so I can stay flexible as each client explores their unique internal experience.

I love helping clients find self-acceptance as they explore their inner world and chart their own path forward. I'd love to get to know you and help you live in alignment with your values. When you need a partner to help you process life's difficulties with expertise and compassion, reach out to schedule an appointment.

I am a licensed mental health counselor (LMHC) with 7 years of experience supporting teens, adults, parents, and families. I specialize in helping clients navigate academic stress, peer pressure, anxiety, self-harm, and suicidal ideation. I take a holistic approach to care, recognizing the connection between the mind and body and how multiple factors influence a person’s overall well-being.

I earned my master’s in psychology from Seattle University. My clinical approach integrates cognitive behavioral therapy, mindfulness-based practices, and person-centered therapy, with influences from existential-phenomenological theory. I tailor treatment to each client’s lived experience and unique needs.

I believe therapy is a collaborative, two-way relationship built on trust and accountability. I provide a nonjudgmental, open space where you can feel heard and supported. If you’re ready to create meaningful change, I invite you to begin this journey with me—we’ll navigate it together.

I am a Licensed Independent Clinical Social Worker with 2 years of experience helping clients manage anxiety, depression, stress, and relationship challenges. I specialize in supporting individuals who want to build stronger boundaries, improve self-esteem, and create meaningful connections. I guide clients toward healing and personal growth with empathy and insight, offering a safe, supportive environment for lasting change.

I earned a Master’s in Social Work from the University of Washington. I integrate cognitive behavioral, solution-focused, and trauma-informed approaches to help clients develop confidence, manage emotions, and feel more empowered. My goal is to support self-discovery and emotional well-being.

Every client is capable of growth and healing. I offer a compassionate, judgment-free space where clients can explore who they are and where they want to go. If you’re feeling overwhelmed or ready for change, you don’t have to go through it alone, and healing can begin with one conversation. Reach out today!

I am a licensed independent clinical social worker (LICSW) with 34 years of experience. I have spent my career serving vulnerable individuals, providing therapy for adults navigating depression, anxiety, post-traumatic stress disorder, and bipolar disorder. My background includes extensive work within community mental health systems, emergency departments, and community healthcare centers. I am passionate about supporting individuals experiencing serious mental health and crisis concerns.

I hold a master’s in social work from Michigan State University. My approach to care is holistic and strength-based, integrating cognitive behavioral therapy, mindfulness, motivational interviewing, and solution-focused therapy. I tailor treatment to meet each person’s goals, empowering them to build resilience and achieve lasting wellness.

I find my work deeply fulfilling and am honored to witness the dedication clients put into their healing. I value collaboration, compassion, and authenticity in the therapeutic relationship and enjoy walking beside individuals as they rediscover balance, purpose, and hope on their journey to recovery.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience providing comprehensive mental health care across the lifespan. I specialize in psychiatric evaluation, medication management, and psychotherapy for conditions such as anxiety, depression, bipolar disorder, mood disorders, schizophrenia, conduct disorders, and insomnia. I focus on evidence-based treatment designed to reduce symptoms, improve functioning, and promote lasting emotional well-being in outpatient and telehealth settings.

I earned my Doctorate in Nursing from Arkansas State University. My approach combines clinical expertise with empathy to support individuals as they navigate life’s challenges. I tailor each treatment plan through careful evaluation, medication management, and therapy to help clients build resilience, balance, and overall well-being.

I understand the challenges of living with mental health conditions and strive to create a safe, judgment-free space where clients feel heard and supported. My goal is to provide compassionate, personalized care that encourages healing and growth, helping each person take meaningful steps toward recovery and emotional stability.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience in mental health care. I specialize in supporting individuals facing challenges such as anxiety, depression, trauma, mood disorders, and life transitions. I combine evidence-based medication management with supportive therapy to promote healing and long-term well-being. I am dedicated to creating a compassionate, client-centered environment where individuals feel heard, understood, and empowered in their journey toward mental health.

I earned my Master’s in Nursing from Walden University, where I developed a strong commitment to evidence-based care and holistic treatment. My approach blends medication management with supportive therapy to address each client’s unique needs, build coping strategies, and foster resilience and stability.

Taking the first step toward mental health care can feel overwhelming, but it is also an important act of strength. My goal is to provide thoughtful, personalized support that empowers you to move forward with confidence. If you’re ready to begin your path toward greater stability and well-being, I encourage you to schedule an appointment.

I am a licensed professional counselor (LPC) currently seeing clients in Virginia and Washington. I started my career in 2020 and have experience working with adolescents and adults seeking help with anxiety, depression, trauma, grief, loss, mood disorders, stress management, and substance use. I earned my Bachelor’s degree from Missouri Western State University in my hometown of Saint Joseph, Missouri, and my Master’s degree in Counselor Education from Radford University in Radford, Virginia.

In my practice, I use person-centered, strengths-based, and solution-focused approaches, with the understanding that each person’s experiences are unique. I strive to work collaboratively with my clients, creating a personalized environment that feels comfortable and supportive.

Building trusting relationships is central to my practice. I work to provide a safe, open, and collaborative space where clients can set and achieve meaningful goals.