Care without the wait

14 licensed therapists & providers in Washington—12 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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686,000 people sought help with Thriveworks in the last year

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

Meet with a therapist as soon as this week

Seattle, WA

I believe that everyone’s journey is unique and I try to meet clients where they are emotionally....

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Seattle, WA

My mission is to help you live your best life by bringing empathy and respect to the therapeutic process of exploring where you’ve...

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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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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 teen counseling?

My go-to approach for helping people in teen counseling is solution-focused therapy. I prefer solution-focused therapy because it focuses on expanding solution possibilities.

What tools do you teach in teen counseling?

I teach the following tools in teen counseling: I feel statements/communication, strategies for dealing with conflict, and ways to calm down/cope with anxiety-including breathing exercises, thought stopping, etc.

How do you know when a client is making meaningful progress in teen counseling?

I know a client is making meaningful progress in teen counseling when they report being able to talk more openly with family and friends, experience less conflict with peers or family members, make friends with people who are a positive influence, etc.

What can clients do in their personal time to supplement teen counseling?

Clients can supplement their time in teen counseling by practicing skills such as breathing exercises, thought stopping, or practicing using I feel statements. Clients may also be emailed handouts to use to practice skills.

What should someone do to prepare for starting teen counseling?

To prepare for their first teen counseling session, a teen can make a list of items that they want to talk about or that are bothering them to bring to the first session.

Teen counseling FAQs

What is teen counseling?

Teen counseling helps young individuals better understand and manage the challenges that affect their mental health. Common challenges amongst teens include anxiety, depression, ADHD, and problematic relationships with food.

How does teen counseling work?

Teen counseling works by using multiple techniques, tailored to fit the teen’s unique needs — based on their age group, their challenges, and the severity of their challenges. It might involve cognitive behavioral therapy, dialectical behavior therapy, art therapy, and others for varying ages. In any case, Thriveworks teen therapists in Seattle have the expertise and experience to help young individuals at their level.

Does my teen need therapy?

Signs that teens might need Teen counseling can be very subjective, as they are experiencing many changes and can have intense reactions to them. As parents, you know your child best and are best equipped to judge whether certain reactions are standard behaviors for your teen or whether they might be hinting at a larger problem. Even so, there are a few common signs and events that often point to a need for therapy, such as experiencing divorce or loss, grief, consistent low moods, teens distancing themselves and becoming isolated, losing interest in hobbies, excessive anger or irritability, substance use issues, and suicidal ideation, among others.

Is teen counseling conducted in person or online?

Teen counseling providers at Thriveworks in Seattle, WA offer both in person and online therapy by video. We encourage you to choose the option that works best for you.

How long does teen counseling last?

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

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

4.9 Learn about verified reviews
★★★★★
Claudia is an excellent listener!
Ella Aug 2026Thriveworks.com verified review
★★★★★
I have learned so much about myself! My therapist has given me so many tools to help manage my anxiety and depression. The daily heaviness of life has been replaced with confidence, energy, and a smile. None of which would have been possible before therapy began with Ann Archer. Thriveworks offered me the ability to afford Therapy and I would recommend both my therapist and Thriveworks to anyone looking for Therapy.
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Gabriela Aug 2026Thriveworks.com verified review
★★★★★
I appreciate the expertise and structure Ann established with our first session. I feel really hopeful and optimistic in the work we will do together.
Evelyn Aug 2026Thriveworks.com verified review
★★★★★
I have had only one session at this time
Sunita Aug 2026Thriveworks.com verified review
★★★★★
I feel really comfortable talking to my provider
Scarlett Aug 2026Thriveworks.com verified review
★★★★☆
I appreciated how compassionate and understandable the counselor was.
Xavier Aug 2026Thriveworks.com verified review
★★★★★
The knowledge and understanding of my struggles. Also knowing how I think and operate from the very beginning.
Emily 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
8 of 59 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

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

Shown in PT

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

Shown in PT

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