Therapy can help you learn coping skills to overcome your unique challenges. If you’re interested in seeking therapy in Washington state, consider online treatment. While providers may be available in Washington cities like Seattle, Spokane, or Tacoma, a lack of available appointments and transportation challenges can make it difficult to find an in-person appointment. With an online platform like BetterHelp, you can meet with your therapist from home at a time that works for you.
BetterHelp therapists can help you with a variety of challenges, including managing the psychological effects of domestic violence or learning to manage the symptoms of mental health conditions like mood disorders, anxiety, and depression.
BetterHelp does not currently provide group therapy or treatment modalities aimed at children and adolescents, like play therapy, but the professionals on the platform have extensive experience with a range of human services and solution-focused treatments, like commitment therapy, art therapy, of behavioral therapy.
If you’re looking for an online therapist, WA has many options available for telehealth services. The Washington therapists listed below are licensed to provide online mental health care across the Evergreen State. Connect with one of the following mental health providers to learn more about online therapy and take a step toward improving your overall well-being.

Michael Rhine
I am a licensed Mental Health Counselor in Washington with over 25 years of experience working as a counselor. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, and trauma. I am also trained extensively in working with ACEs (Adverse Childhood Experiences) and addictions. My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity and compassion. I do not believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, and trauma informed practice. We will work together to develop a treatment plan to meet your unique and specific needs. It is a sign of strength to take the step you have taken to seek a counselor. If you are ready to take that step I am here to support and empower you. I look forward to working with you!

Shardae Collins
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in WA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide. I provide a non-judgmental safe space for you to freely express yourself. My approach is one that is direct, culturally relevant, sensitive, trauma informed, and non-shaming. I specialize in anxiety, depression, life transitions, and trauma and PTSD. I offer individual therapy rooted in mindfulness. Therapy can be hard and sometimes scary. I get it, I am here to support you on this journey. I look forward to supporting you on your journey to healing and self-discovery. I have availability Monday-Thursday from 7AM-2PM PST and Fridays from 7am-11am PST.

Mary Jo Alejo
As a WA State Licensed Mental Health Counselor (LMHC), I have a Master of Arts in Psychology from Antioch University Seattle (Dual majors in Mental Health and Couples/Family Counseling) and a B.A. in Comparative Literature with a focus on Education from Seattle University, as well as Alcohol/Drug Studies from both Seattle and Bellevue Colleges. My clinical mental health experience consists of 20 years of Mental Health and Social Work experience, of which 12 years is working at: WA State Men’s Psychiatric Prison (as a Correctional Mental Health Counselor-2) and remaining years with other multiculturally diverse adolescents, adults, and elderlies in a variety of settings: state & city government agencies (court-ordered protection of children/families), correctional institutions (rehabilitation for juveniles), in-home private settings (crisis evaluation/investigation), other psychiatric hospitals (with children, adolescents, and adults), and non-profit organizations. As seasoned therapist/counselor (LMHC), my role in the therapeutic relationship is to create a safe environment that is non-judgmental, respectful, compassionate, and multiculturally sensitive & competent for a diversity of clients (from adolescents to the elderly). My style is welcoming, approachable, responsive, and engaging with a blending of my clinical approaches in a supportive and optimistic atmosphere resulting in a collaborative treatment plan signed/customized to meet your unique and specific needs. Recipient of the Employee Sea Mar STAR Card due to Excellent Service by the following: “She was extremely compassionate and patient with me, and she went above and beyond her daily activities to understand my unique situation, while making me feel comfortable the entire time…” “Hero,” “Accurate,” “Patient,” “Complete,” “Mentor,” “Role Model,” “Discreet,” “Understanding,” and “Prompt.” As an LMHC, I work collaboratively with others to help enhance their own personal well-being, decrease stressors, and manage & resolve crisis. I focus on an individual’s life functioning (from adolescents to the elderly) both personally and in their relationships with others, as part of a family, group, and organization. Specifically, I counsel individuals (from adolescents to the elderly) with emotional/behavioral problems affecting life’s functioning, such as: school/work, educational/career concerns or substance abuse issues, family/relational transition issues, legal issues, or overcoming disabilities/chronic medical issues, and facing retirement. Therapy involves addressing both the typical, as well as more severe psychological symptoms, in the mental health spectrum which that occurs at varying stages/transitions of the lifecycle. Subsequently, therapy requires an assessment of the specific and unique needs of the client(s), diagnosis, and a collaborate on a treatment plan. When necessary, clients are referred to other professionals, such as psychologists, psychiatrists, or an Advance Registered Nurse Practitioner. My clinical approaches are (but not limited to): Strength-Based Perspective, Personal-Centered or Rogerian, Brief Solution-Focused Therapies (Cognitive Behavioral, Narrative & Rational Emotive), Dialectical Behavioral (i.e., Mindfulness), Motivational Interviewing, Multicultural Sensitivity & Competency, Adlerian Therapy (Disabilities/Chronic Illnesses), Addiction/Chemical Dependency Counseling, Couples/Family Relational Dynamics, Family Life Cycle & Transitions, Grief/Loss: Existentialism & Spirituality. In addition, the specific approaches I use with individuals relating to families and their social group are a blend of the following: Bowen, Experiential, Psychoanalytic, Structural, Cognitive-Behavioral Family Systems, and Gottman’s Choice Therapy. The procedures and techniques used within counseling include, but are not limited to: Individual, family and group counseling mental health assessment and diagnosis and treatment formulation/outcome, Crisis intervention and trauma management, and referral to a psychologist, psychiatrist, or ARNP for medication evaluation, Blend of psychotherapies which are tailored to the client’s unique needs, and Continuing education & Clinical consultation I recognize your courage and wisdom in seeking counseling, but most importantly, I acknowledge your individual strengths, achievements, and motivation to help work on creating positive changes in your life! Ultimately, I look forward to the privilege and honor in collaboratively working with you towards achieving your goals! Years of Experience: 20 Services Offered: Messaging, Phone, & Video Licensing: Licensed Mental Health Counselor (LH 00011376) and Counselor Agency Affiliated Registration (CG 60163533) Special Interests/Hobbies (not limited to): Active in a Catholic multicultural/ethic church community and a native Seattleite raised as an American Asian Filipina and involved in other various ethnic communities, such as: Chinese/Japanese, Native American, Spanish/Mexican, Judaism, etc. Enjoys attending theater: operas, musicals, plays, and church instrumental/vocal performances. Plays classical & jazz piano and engages in creative therapies (i.e., Psychodrama, Art, Music, & Dance Therapies) and practices Martial Arts & Meditative Deep Breathing (Chinese Chi Gong) and endorses Asian/Native American healing remedies (i.e., Yoga, Sweat Lodge, and acupuncture, herbs, massage, etc.).

Crystal Cash
I am a mental health counselor (she/her) licensed in Florida and Washington State with over 14 years of experience working as an assessor and a mental health specialist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, Mood Disorders and ADHD. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, motivational interviewing, solution-focused and rational-emotive counseling. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek for a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step, I am here to support and empower you. I look forward to working with you!

Sarah Knight
My name is Sarah Knight, and I am looking forward to walking with you on your journey of healing. I am a Licensed Mental Health Counselor with 10+ years of experience working with children, teenagers, adults and families. I graduated from Whitworth University, with my Master of Arts in Marriage and Family Therapy, in 2014. I use a combination of Trauma Focused-Cognitive Behavioral Therapy, Solution Focused Therapy, Person Centered Therapy and Positive Psychology in order to help clients set goals, improve mood, reduce unwanted symptoms and break negative thought patterns. I am a very empathetic and genuine therapist that focuses on providing unconditional positive regard towards everyone. It is important for me to build a therapeutic relationship with my clients that is based on trust and to provide a safe space where we can work together towards a brighter future. I have worked with many clients struggling with anxiety, depression and trauma who have been able to achieve positive and lasting changes, leading to a more fulfilling and joyful life.

Satnam Gfeller
I am licensed in Washington with 5 years of professional work experience. I have experience in helping clients with coping with life changes. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Gregg von Fempe
I am licensed in Washington and California with 25 years of professional work experience. I have experience in helping clients with stress and anxiety, anger management, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Shad St. Paul
I am thrilled to extend a warm and heartfelt greeting to you as a Licensed Independent Clinical Social Worker (LICSW) and Substance Use Disorder Professional (SUDP) providing therapy services in the beautiful state of Washington. As a therapist, I am deeply committed to creating a safe, nurturing, and nonjudgmental space where you can explore your thoughts, feelings, and experiences openly and authentically. My goal is to walk alongside you on your journey toward healing, growth, and empowerment, offering support, guidance, and compassion every step of the way. With extensive training and experience in mental health counseling and substance use disorder treatment, I bring a unique blend of expertise to counseling sessions. Whether you are seeking support for managing anxiety, navigating life transitions, overcoming addiction, or improving your overall well-being, I am here to provide personalized, evidence-based therapy tailored to your individual needs and goals. In our work together, you can expect to be met with empathy, respect, and understanding as we explore the challenges you are facing and identify strategies for creating positive change in your life. My approach to therapy is collaborative, strengths-based, and holistic, honoring your unique strengths, values, and cultural background. I believe that therapy is a transformative and empowering process that has the potential to profoundly impact your life in meaningful ways. It is an honor and privilege to accompany you on your journey toward greater self-discovery, resilience, and fulfillment. Thank you for considering me as your therapist. I am here to support you every step of the way, and I look forward to the opportunity to work together toward a brighter, more hopeful future. Warm regards, Shad St. Paul Licensed Independent Clinical Social Worker (LICSW) and Substance Use Disorder Professional (SUDP)

Brandi Sewell
Hello, My name is Brandi Sewell and I am Licensed Professional Counselor in the State of Texas. It takes a lot of courage to decide to go to therapy, so I commend you for showing up for yourself! I believe that a lot of my client’s success is attributed to their willingness to process through and confront uncomfortable habits/situations. One of my greatest priorities and passion is to ensure that your mental and emotional health needs are met. I look forward to working with you, Brandi Sewell, M.A. LPC

Doreen Gaffney
I am licensed in Washington with 11 years of professional work experience. I have experience in helping clients with stress, anxiety, relationship issues, trauma, abuse, motivation, self esteem, & confidence. I also have experience working with depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
How can a counselor support you?
Therapists can practice many types of counseling, from marriage and family therapy to cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). They may also assist you with symptoms of depression, stress, or anxiety.
Therapists may help you set and achieve career goals, work on current issues you may be facing, or address your past. Over 4,747,127 people live in WA, and one out of five Americans has a mental health condition. Searching for local licensed professionals may help you find mental health support for personal growth, anxiety disorders, post-traumatic stress disorder (PTSD), and other mental health concerns. You do not need a mental health diagnosis to seek support from one of BetterHelp's licensed providers above.
The mental health field can include psychiatric medication management, online therapy, marriage counseling, couples therapy, clinical social work, licensed counseling, and other mental health services in person and online. Seeing a licensed provider can help you navigate mental health conditions and life circumstances through mindfulness and other specialized techniques.
Please note that a BetterHelp therapist does not offer diagnostic or medication management services.
Why do people choose to work with a licensed counselor?
People reach out for mental health support for a variety of reasons. Many individuals work with a counselor for general life advice, while others may attend therapy for a specific concern. Whether you live in a large city or a smaller county, BetterHelp can match you with a licensed professional tailored to your preferences noted when you sign up.
The mental health therapists in Washington support clients with varying issues through therapy, such as:
- Challenging situations or life stressors
- Eating disorders
- Anxiety disorders
- Depression or depressive conditions
- Adjustment issues
- Emotional support for a terminal illness
- Chronic pain emotional support
- Grief
- Personality disorders
- Trauma
- Relationship conflicts and concerns
Finding a therapist that takes new clients in online therapy can be the first step in finding a treatment plan that works for you. Your therapist can provide a safe space for you to focus on self-care and well-being.
If you're interested in speaking to one of the therapists above or being matched with a counselor in 24 to 48 hours, consider signing up for BetterHelp. BetterHelp has over 35,000 providers, including those listed above.
Emergency services to contact in a crisis
If you are experiencing a crisis or emergency, don't use the BetterHelp site. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:
- National Domestic Violence Hotline: 1-800-799-SAFE (7233)
- National Suicide Prevention Lifeline:1-800-273-TALK (8255)
- Crisis Text Line:Text HOME to 741741
- Veterans Crisis Line<:Call 1-800-273-8255 (and press 1) or text 838255. For support for the deaf and hard of hearing community, please use your preferred relay service or dial 711 then 1-800-273-8255.
- Trevor Lifeline(LGBTQ Lifeline): (866)488-7386
- SAMHSA National Helpline: (Substance Use): (800)662-4357
- National Eating Disorder Association Helpline:1-800-931-2237 (M-Th: 9 AM-9 PM EST, Fri 9 AM - 5 PM EST
- Child Help Hotline Call 1-800-422-4453 or use the online chat feature
- National Anti-Hazing Hotline: 1-888-NOT-HAZE (1-888-668-4293)
- Physician Crisis Support Line: Call 1-888-409-0141 if you are a first responder or medical provider experiencing crises related to Covid-1
- Sexual Assault Hotline: Call RAINN at 1-800-656-4673
Frequently asked questions (FAQs)
Some of the most commonly asked questions about therapy can be found in the section below.
How much does a therapist cost?
Mental health professionals can differ in price. Forbes found that the average cost of in-person therapy in the US is around $100 to $200 per hour. Pricing can also vary based on your location.
BetterHelp offers payment plans of $60 to $90 per session, charged monthly in a lump sum. You can also take advantage of this pricing on one of BetterHelp's sister platforms, like ReGain for couples or TeenCounseling for teens aged 13 to 19.
Many therapists may be upfront about their pricing and whether or not they take health insurance from the beginning. Additionally, some in your area may offer a sliding scale plan to allow those with lower incomes to pay less for therapy. However, services online can often save individuals a few hundred dollars per month.
When should I get a therapist in Washington?
Mental health services and mental health providers may help you navigate various concerns. You do not need a diagnosis or condition to attend therapy; You can discuss grief, relationship concerns, stress, or life changes and ask for general advice. A counselor may help you gain power over your life and emotions while you navigate day-to-day experiences.
Mental health issues don't always present as a crisis. Many professionals provide talk therapy and support for life transitions, skills learning, relationship problems, or life coaching. Online therapy sessions can allow clients seeking therapy to experience professional help through video, phone, or live chat sessions without commuting to an office.
Does insurance cover the cost of therapy?
Different counseling services can vary in cost. Therapists must apply to accept insurance through insurance companies, which may take time and money, so not every therapist offers services through insurance. If you cannot find a therapist that accepts your plan, BetterHelp may be cheaper than visiting an in-person therapist.
Is online therapy the safe option?
Online therapy through BetterHelp and its sister platforms is safe. Therapists are licensed, experienced, and vetted before being contracted with the platform. If you experience any concerns with your therapist, you change your counselor through the platform or app at any time.
Popular cities in Washington
- Seattle, WA
- Spokane, WA
- Tacoma, WA
- Vancouver, WA
- Bellevue, WA
- Kent, WA
- Everett, WA
- Renton, WA
- Federal Way, WA
- Spokane Valley, WA
- Yakima, WA
- Kirkland, WA
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