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 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.

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.

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 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 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!

Rachel Herman is a Licensed Clinical Professional Counselor with 8 years of experience. She has worked with children, adults, and adolescents in various settings including residential, foster care, and private practice. Rachel has experience and interest in working with children, teens, and adults struggling with anxiety, depression, self-esteem issues, PTSD, relationships, communication, anger management, and social skills.

Rachel received her Master’s in Counseling from The Family Institute at Northwestern University. Rachel is trained in psychodynamic theory and incorporates cognitive behavioral therapy, play therapy, mindfulness, internal family systems, and motivational interviewing.

Rachel regards therapy as a partnership between client and therapist and strives to empower clients toward accomplishing their goals. Her counseling style is warm and empathetic, and she tries to meet clients where they are. Rachel believes everyone can change and is ready to help you improve your life.

*Children under the age of 8 must be seen for in-person sessions.*

My name is Lonnie Renteria, and I am a Licensed Professional Counselor (LPC) with 9 years of experience. I provide a safe, judgment-free, supportive space for individuals, couples, and families. I take an experiential approach, helping clients discover truths about their needs, expectations, and hopes. I also specialize in working around trauma and attachment injuries.

I received my Master’s in Clinical Psychology from Argosy University. I am well-versed in emotion-focused therapy, motivational interviewing, eye movement desensitization and reprocessing (EMDR), narrative therapy, & trauma work. I am continuing to enhance my training in internal family systems models, to be a more patient and empathetic therapist. 

I have a genuine interest in your process, and I encourage you to be the best you can be. I believe we all have the capacity to heal and build the life that we want to live. I view therapy as a collaborative partnership and a forum for gaining a better understanding of ourselves, not a place to "get rid of" or "fix" something. Get started today!

I have been in the helping profession for over 25 years and have worked in many different roles during that time. I have worked with children to older adults and all ages in between. I am a Licensed Mental Health Counselor (LMHC), and have worked with those with anxiety, depression, PTSD, trauma, as well as Bipolar disorder. I prefer to use a client centered approach, in which we would work collaboratively to determine the best course to take in addressing your needs and concerns and helping to decrease problem symptoms. 

I tend to lean towards the use of Cognitive Behavior Therapy (CBT) and Dialectical Behavior Therapy (DBT) in recognizing that the mind has a great effect on one's ability to change behaviors and habits. I also utilize Motivational Interviewing (MI) in an effort to direct and inspire you to realize and bring about change in your own life. 

I would be honored to help you work through what you've been carrying and find greater clarity. I bring care and understanding to everyone I work with — and I want you to know that change is possible, including changes you may not have realized you needed yet. Take the next step and schedule a session today to start taking an active role in your healing.

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.