Our therapists provide cognitive behavioral therapy (CBT) services in Washington.

I am a psychiatric mental health nurse practitioner (PMHNP) with 6 years of experience supporting adults facing depression, anxiety, bipolar disorder, trauma, and other mood and thought-related challenges. I provide a warm, grounded space for clients who want to better understand themselves, build emotional balance, and create sustainable change. My goal is to meet each person with clarity, compassion, and evidence-based care.

I earned my Doctor of Nursing Practice from Walden University. My approach blends clinical expertise with a whole-person lens, using evidence-based treatments tailored to individual needs. I work collaboratively with clients to explore symptoms, strengthen insight, and develop practical strategies that support long-term stability and well-being.

I am here to help you feel understood, supported, and empowered as you navigate what comes next. Together, we will identify your goals and create a plan that meets you where you are. You do not have to face your challenges alone. I would be honored to partner with you in building the healthier, more grounded life you deserve.

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.

"The goal is to become the unique, awesome, never to be repeated human being that we were called to be" - Patricia Deegan

I am a licensed mental health counselor (LMHC) with 17 years of experience in the mental health field. I work with adults navigating trauma, grief, life transitions, anxiety, and relationship concerns. My clinical background includes leadership, advocacy, and crisis support, which informs my collaborative and compassionate approach to care. I value building a strong therapeutic relationship rooted in trust, curiosity, and emotional safety.

I earned my master’s in psychology from Brandman University. My approach integrates cognitive behavioral therapy, narrative therapy, eye movement desensitization and reprocessing, mindfulness-based practices, and expressive techniques such as visual art. I tailor treatment to each client’s goals while supporting meaning-making and skill development.

Therapy is both an art and a science, and finding the right fit matters. I strive to create a welcoming space where difficult conversations are honored, and healing feels possible. If you are seeking support in moving forward with clarity and intention, I would be honored to work alongside you.

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 am a licensed mental health counselor associate (LMHCA) with 3 years of experience supporting individuals navigating anxiety, self-esteem, identity exploration, and life stressors. I specialize in working with LGBTQ+ individuals and those living with chronic illness, providing affirming, person-centered care that honors each client’s lived experience and individuality.

I earned my master’s degree in clinical mental health counseling from Antioch University. My work is informed by attachment-based and narrative approaches, with an emphasis on helping clients build self-advocacy skills, increase self-compassion, and develop a deeper understanding of their personal stories and relationships.

Therapy with me begins with your story. Together, we will explore what brings you stress, where you find meaning, and what may be standing in your way. My goal is to help you take up space in your own life, release guilt and shame, and move toward a sense of confidence, balance, and peace.

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 psychiatric mental health nurse practitioner (PMHNP) with 19 years of experience in the mental health field. I work with adolescents and adults, and I value partnering with families to support long-term emotional wellness. I specialize in treating anxiety, depression, bipolar disorder, trauma, mood disorders, schizophrenia, and schizoaffective disorder, with a focus on helping clients build stability and improved daily functioning.

I hold a master’s degree in nursing from Gonzaga University. My approach integrates psychiatric evaluation, medication management, and supportive care to help clients develop effective treatment plans. I emphasize education, empowerment, and practical strategies that support sustainable mental health progress.

I believe meaningful change is possible, even when things feel overwhelming. I strive to create a supportive space that encourages growth, gratitude, and resilience. If you are seeking guidance and medication support to move toward your wellness goals, I invite you to schedule an appointment so we can begin this journey together.

Feven Seyoum, Licensed Clinical Social Worker, has 8 years of experience walking alongside adults, couples, and families through life’s most difficult seasons, including trauma, grief, relationship struggles, parenting challenges, and systemic barriers. She helps clients break patterns, heal from the past, and build healthier futures. Her ideal clients may feel stuck, overwhelmed, or unsure how to move forward, but are ready for change. She believes therapy should be a safe, judgment-free space where clients can show up as they are and begin creating the life they want.

Feven earned her Master’s in Social Work from the University of Washington. She offers trauma-informed, culturally attuned care that empowers clients to heal, grow, and thrive. Collaborating to uncover strengths, break cycles, and develop tools for resilience, she creates a supportive environment for lasting emotional well-being.

Feven believes clients deserve a space where their stories are heard and struggles met with compassion—not judgment. She works at their pace, honoring resilience while helping them find new ways forward. If you’re ready to take the next step toward healing and growth, she would be honored to support your journey.

I’m a Licensed Clinical Social Worker with 11 years of experience providing compassionate care across diverse behavioral health settings. My background includes hospice and grief counseling, supporting adults and families through life’s most vulnerable transitions. I bring a culturally sensitive, intersectional approach to therapy, especially for those navigating identity, loss, or major life changes. My goal is to help clients gain clarity, emotional relief, and confidence as they work toward healing and transformation.

I earned my Master’s in Clinical Social Work from the University of Central Florida, where I also completed minors in Gerontology and Sociology. I integrate cognitive behavioral therapy, dialectical behavior therapy, trauma-focused cognitive behavioral therapy, and mindfulness-based therapy to create individualized, evidence-based care.

I meet clients where they are with compassion, curiosity, and collaboration. Whether coping with anxiety, depression, chronic illness, or self-esteem challenges, my approach is restorative and empowering. Therapy doesn’t have to feel intimidating; it can be transformative, helping you reconnect with your purpose and inner resilience.

Nanette Guild is a Licensed Independent Clinical Social Worker with 25 years of experience supporting individuals navigating depression, anxiety, trauma, grief, relationship transitions, identity concerns, and chronic illness. She brings warmth, humor, and a collaborative spirit to her work, helping clients feel empowered and understood. Nanette creates a safe space that honors each person’s story, promoting healing through trust and emotional connection.

Nanette earned a Master’s in Social Work from the University of Kansas. Her approach integrates cognitive behavioral therapy, behavioral activation, mindfulness, distress tolerance, and solution-focused techniques to support emotional regulation, resilience, and well-being.

Nanette values diversity, equity, and justice and believes in the deep connection between mind, body, and spirit. She uses a strength-based, interactive, and often humorous style to support long-term growth. Clients often appreciate her humility, open-mindedness, and deep respect for their lived experiences. Reach out to Nanette today!

I am a licensed mental health counselor associate (LMHCA) with 6 years of experience supporting clients through addiction concerns, trauma, anxiety, depression, chronic stress, and life transitions. My background includes extensive work with individuals navigating substance use challenges, homelessness, criminal justice involvement, and significant emotional barriers. I strive to create a safe, grounding space where you can process openly, gain clarity, and move toward long-term healing.

I earned my Master of Behavioral Health from Eastern Washington University, where I specialized in addiction studies and trauma-informed care. I am trained in and have experience providing eye movement desensitization and reprocessing therapy. My work integrates structured support, goal-focused treatment, and a person-centered approach.

I believe therapy should move at a pace that feels safe and meaningful for you. Together, we’ll explore your patterns, build coping skills, and work toward lasting relief. I offer honest feedback, collaborative planning, and a space where you feel respected. You don’t have to face these challenges alone.

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!

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 20 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.

The path to healing may feel isolating and daunting; but by reaching out you have taken the most important first step. Nicole looks forward to being a part of your journey working towards your empowerment and peace!

Nicole Ford is a Licensed Mental Health Counselor (LMHC) in Washington state with over 6 years of experience within the mental health field. Nicole provides individual counseling to help guide in establishing a healthy relationship with body and mind and specializes in anxiety, mood disorders, eating disorders, life transitions, and trauma.

Nicole works to be conscious of cultural, spiritual, and intersectional values to adapt therapy to best fit each unique individual. Nicole pulls from a variety of practices in her method such as solution-focused therapy, acceptance and commitment therapy (ACT), and cognitive behavioral therapy (CBT).

I am a licensed mental health counselor associate (LMHCA) with 4 years of experience supporting adults and young adults through anxiety, depression, trauma, and life transitions. I take a warm, collaborative, and person-centered approach to help clients build self-awareness, strengthen relationships, and find balance. My goal is to create a safe, compassionate space where you can explore what’s holding you back and move toward lasting emotional wellness and growth.

I earned my master’s in clinical mental health counseling from the University of Wisconsin. I use an integrative approach combining cognitive-behavioral, mindfulness, and solution-focused techniques to help clients gain insight, develop coping skills, and create meaningful change.

You don’t have to face life’s challenges alone. Together, we can uncover your strengths, navigate what feels overwhelming, and create a path toward peace and fulfillment. I’d be honored to walk alongside you as you take this important step toward healing and growth.