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 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 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 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.

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 25 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.

Therapy is a collaborative space where we can begin to unpack big feelings, navigate difficult emotions, and work through life's challenging experiences. If you're feeling stuck, numb, overwhelmed, or weighed down by pain, you're not alone. I am a licensed clinical social worker with a master's degree from the University of Michigan and over 12 years of experience. I take a holistic approach to supporting individuals through life transitions, grief, depression, anxiety, trauma, and emotional distress. I believe deeply that your voice matters—and that you matter. 

In our first session, my focus is on getting to know you and creating space for you to share your story. I'm intentional about fostering warmth, support, accountability, and partnership. My approach is integrative and evidence-based, incorporating CBT, DBT, solution-focused techniques, and somatic interventions. 

Our work together will be collaborative and tailored to your evolving needs—because growth is not linear, and it's okay for plans to change as you do. Your story matters. I'm here to listen, support, and gently challenge you along the way.

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 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.

Lee Scott is a Licensed Clinical Social Worker with 11 years of field experience helping clients cope with feelings of stress, anxiety, grief and loss, low motivation, poor self-esteem, low confidence, depression, and emotional fatigue. He has worked with the homeless population, individuals struggling with mental health conditions, and elderly victims of abuse, neglect, and exploitation. Lee believes in treating everyone with respect, sensitivity, and compassion. He establishes a healthy and constructive therapist-client relationship by understanding how people’s experiences and beliefs shape how they think about themselves and the world.

Lee received his Master of Social Work from Aurora University. He tailors care to individual needs and uses cognitive behavioral therapy, compassion-focused therapy, dialectical behavior therapy, acceptance and commitment therapy, motivational interviewing, and mindfulness techniques.

Taking the first step to seeking a more fulfilling and happier life takes courage, and Lee is here to support you. He believes that truly supporting a person's growth includes occasionally challenging their viewpoints. Lee is ready to start the journey with you and encourages you to schedule an appointment today!

Therapy is a collaborative space where we can begin to unpack big feelings, navigate difficult emotions, and work through life's challenging experiences. If you're feeling stuck, numb, overwhelmed, or weighed down by pain, you're not alone. I am a licensed clinical social worker with a master's degree from the University of Michigan and over 12 years of experience. I take a holistic approach to supporting individuals through life transitions, grief, depression, anxiety, trauma, and emotional distress. I believe deeply that your voice matters—and that you matter. 

In our first session, my focus is on getting to know you and creating space for you to share your story. I'm intentional about fostering warmth, support, accountability, and partnership. My approach is integrative and evidence-based, incorporating CBT, DBT, solution-focused techniques, and somatic interventions. 

Our work together will be collaborative and tailored to your evolving needs—because growth is not linear, and it's okay for plans to change as you do. Your story matters. I'm here to listen, support, and gently challenge you along the way.

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 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.