Therapist & Clinical Social Worker specializing in trauma, grief, RELATIONSHIPS & MULTICULTURAL therapy
Canh Tran, MSW, LICSW
Heal Your Past To Make Peace With Your Present
ONLINE THERAPY IN WASHINGTON STATE & CALIFORNIA
For adults (21 years old+) and couples/dyads
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Hi, I’m Canh (he/him).
You’ve tried traditional talk therapy before and want something different.
Healing is possible, especially when we engage not just our mind, but body.
Unresolved wounds impact our body and mind distorting our identity, feeling of safety, ability to trust, and ability to form and sustain healthy relationships.
I utilize my relational, somatic and experiential therapy training to help you and your organization find solutions to problems rooted in trauma, loss & grief.
I offer:
Individual and couples/dyadic therapy for clients in Washington & California
Workshops/training for organizations virtually nationwide or in person in Seattle, Washington
Consultation for licensed therapists nationwide
Supervision for associate therapists in Washington State
I love my job and find deep meaning and value in what I do, serving others, always learning, and helping them navigate life’s challenges.
I intentionally have a small practice and caseload of clients so I can provide you thoughtful, responsive, and quality care.
I believe individual healing is political, creating ripple effects into our immediate relationships, family, community, and the world, which is the first step toward collective liberation.
One of the best gifts I can give my clients is my continued engagement in my own healing work, facing my own fears, worries, anxieties, and past wounds, so I can hold space for you.
Even if I’m not the right fit therapist for you, I want you to know where is hope and there is someone or something that can help you.
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You’re seeking a direct therapist who will challenge and interrupt you, so you don’t vent the entire session.
You’re seeking an active therapist who will talk with you in session like a real human being. I curse and laugh.
You’re seeking somatic therapy to embody the changes you want because you’ve been living in your head.
While talk therapy helps most people, for some clients, they found it ineffective and unhelpful.
Many clients have told me:
Their therapists were warm and gentle, listening to them without consistent feedback, guidance, support, and/or challenge
Their therapists were more passive in the therapy room and they wanted a more relational, casual, back and forth relationship in session
Their therapists focused too much on therapy talk/speak and intellectualizing, and they wanted to understand things in a practical manner
Taught them practical skills like mindfulness & deep breathing, but they wanted to learn how to actually implement or integrate their learnings outside of session
Their therapists sympathized with them, but weren’t able to fully empathize with them and their experiences (e.g. notice micro changes in tone or inflection, notice when sensations/emotions emerge)
Their therapists were good at summarizing, reflecting or repeating words back to them, but weren’t able to connect the dots or patterns to their long term issues
While talk therapy, active listening, and supportive therapy is helpful for most clients, I believe there are some clients who require more than listening and support.
These clients usually need help with:
Attachment, complex, and/or developmental trauma and/or neglect
Anxiety & depression
Low self esteem
Guilt & toxic shame
Self criticism and judgement
Chronic, ongoing, repetitive relational patterns/dynamics
Codependency & anxiety
Rigidity, control & perfectionism
People pleasers and approval seekers
Fear of intimacy & pushing others away
Fear of conflict & fawning/appeasing
Fear of abandonment
Seeking out unavailable/unhealthy partners and friendships
Pushing down emotions/emotional suppression
Intellectualizing
Projection
Rationalizing
Dissociation
Shutting down and going numb
Staying busy and distracting
Personality restructuring/reorganizing
Disorganized attachment (push and pull; wanting to be in relationship, but simultaneously terrified of connecting in relationship)
Psychological defenses, survival mechanisms, tactics, mechanisms and protectors
False self vs. true Self (code switching, being a chameleon, masking)
Limited emotional capacity to feel and sense
Lower self-concept and self -efficacy (insecurity)
Nervous system regulation (fight, flight, freeze, fright, fawn/fold)
Dissociation and detachment (shutting down)
Avoidance, protectors, and/resistance
Self reliance to a fault (hyper independence)
Hypervigilance, fear & terror
Secondary gains (mental blocks that can slow down changing and healing)
Fear of changing, healing and growing
Over working
Over exercising
Over eating
Problematic behaviors, substance misuse, and addictions
There are other approaches to therapy that are effective for where talk therapy has not been helpful, specifically:
Intensive Short-Term Dynamic Psychotherapy (ISTDP)
Mentalization Based Treatment
Ego States Therapy
Internal Family Systems (IFS)
Eye Movement Desensitization Reprocessing (EMDR), and
Somatic Experiencing
Psychodynamic Therapy
These modalities are generally more 1) Directive, active, and intensive, or 2) Slower, embodied, and emotional, requiring client vulnerability, motivation, effort, collaboration, honesty, and outside practice.
This is not the sort of therapy where you can show up to and expect the therapist to do all the work.
I require your effort, participation, motivation, and engagement each and every session.
We will intensely practice and have a different experience with your thoughts and feelings in session together, working as together as a team to achieve your goals.
You will feel emotional pain and discomfort in and outside of session.
Think of this like going to the gym for your brain. We will push you, but not too much
I believe the best therapy for you is the one we create together, taking into account your preferences, personality, culture, as well as my skill, experience, and variety of therapeutic techniques.
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Click here to read more about personality types/traits/organization.
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You’re looking for long term solutions to long term issues.
While there are no quick fixes or solutions for long standing issues, there is hope.
I work best with clients who have tried talk therapy before for months/years, and want something more active, engaged, practical, and dives deeper into your issues.
I blend talk therapy, somatic therapy, spirituality, Buddhist psychology, mindfulness, relationships & emotions, nature, and cultural wisdom/ways of being and knowing into my practice.
One therapy modality will not be effective for every issue and every person.
Complex issues require complex solutions.
As a therapist, I also incorporate roles such as teacher, guide, facilitator, coach, and cheerleader when necessary.
At my core, my eclectic approach blends:
Trauma informed and trauma specific therapy
Understanding of impacts of stress and trauma on human development and functioning using EMDR, IFS, SE, Ego States, ACT, AEDP & EFT
Parts/IFS/Ego States work/Structural Dissociation theory
To help integrate fractured/disconnected aspects of ourselves
Relational Psychoanalytic Theory, Psychodynamic Therapy & Object Relations Theory
Impacts of early childhood and cultural upbringing and environment, enactments, splitting, attachment, mentalizing, projective identification & the unconscious
Somatic/Mind-Body Connection
Relational Therapy
Attunement, relational patterns/dynamics, family roles, corrective experiences, self disclosure, repairing after ruptures/conflicts, and
Experiential techniques
Mindfulness, gestalt, psychodrama, guided imagery, self reflection, nature
You can learn more about my approach by clicking here.
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I use both trauma informed care/therapy and trauma specific therapy.
All therapists should be trauma-informed, whether or not a client is seeking therapy for trauma recovery.
Trauma informed care/therapy means I follow a set of beliefs including:
Shift from “What is wrong with you?" to "What happened to you?"
Recognizes trauma is widespread and occurs often
Focuses on physical, emotional and psychological safety, trusting relationships (safety on a continuum and complex, pacing, gradual process, flexible boundaries)
Patient empowerment (collaboration, asking for feedback, asking for permission)
To avoid active intentional re-traumatization
Not all therapists have trauma specific training.
Trauma specific therapy means I have specific training, education, and skill in working with particular types of traumas including: sexual abuse and assault, childhood emotional neglect, childhood abuse, domestic violence/intimate partner violence, racial trauma/race based discrimination, etc.
These are some of the types of traumas:
Single incident/event trauma or PTSD
Attachment, development, or childhood injuries or traumas
Historical or intergenerational traumas
Identity-based traumas such as racism, homophobia & sexism
This also means I am trained in a wide range of modalities and approaches including: CPT, CBT, EMDR, IFS, Psychodynamic therapy, etc.
I also have in depth training, knowledge, and experience with the following:
Dissociation
Grief and loss
Toxic shame
Emotions like fear, anger, guilt, and sadness
Adult attachment styles
The importance of early childhood experiences
The importance of culture and difference
Defenses/survival strategies/resistance/protectors
Nervous system regulation
How trauma alters the brain
Mind-body connection/soma
Counter transference and transference
Projective identification
Enactments
Secondary or vicarious trauma
Burn out
Compassion fatigue or compassion/empathetic distress fatigue
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True safety is not possible as safety is on a continuum and is complex.
I engage in the following for all clients so therapy can be safer.
Therapeutic Frame & Boundaries
Letting you know up front what to expect in therapy (e.g. risks and benefits to therapy, money, cancellation policy, office location, etc.)
Having flexible and firm boundaries to protect us both
Pacing & Phase Based Approach
Taking a gradual, slow approach to therapy vs. diving right in
Following Judith Herman’s 3 phased/phased based approach to therapy. Click here to learn more.
Asking for Permission & Invitation
Everything I ask you to do in therapy is an invitation or encouragement, but not mandatory
I consistently ask for permission in session to see if you want to explore a particular topic, go deeper into a more sensitive topic, etc. instead of assuming
Ongoing Feedback
I solicit regular verbal and written feedback because I can’t read clients’ minds/assume that therapy is going well
Feedback has been shown to deepen and make therapy more effective
Grounding, Resourcing & Regulation
Teaching you practical skills/tools to manage distress and overwhelm
Teaching you the importance of having a strong foundation in learning to self-regulate/self-soothe
Confidentiality & Its Limits
Letting you know everything is confidential in therapy with the exception of certain areas such as: knowledge of child abuse, knowledge of elder abuse, and imminent harm to self or others
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Clients often come to me after going to a generalist (a therapist that treats a variety/breadth of issues rather than specific, targeted issues).
I work with six types of clients:
Couples/dyads who want to resolve conflicts, establish boundaries, increase intimacy, communicate more effectively, fight more fairly, and work toward secure attachment.
This also includes non-romantic configurations (e.g. family members like two siblings or parent/adult child, roommates, business partners).
Those who want to heal from childhood trauma, abuse, grief, loss and neglect.
I blend Attachment-Focused Eye Movement Desensitization Therapy (EMDR), Somatic Experiencing (SE), Internal Family Systems (IFS) & Intensive Short-Term Dynamic Psychotherapy (ISTDP) to heal from attachment trauma, developmental trauma, and complex trauma.
Those exposed to trauma and loss as a result of their jobs.
Such as caregivers, healthcare workers, therapists, social workers, clinicians, and first responders who want to process compassion fatigue, secondary & vicarious trauma, grief & loss, and burn out.
Those who have healed and are healing from trauma and loss and want to focus on vicarious post-traumatic growth & post-traumatic growth issues
Such as finding meaning and purpose in life, living more honestly and authentically, facing your fears and anxieties versus avoiding them, and all that it means to be a complex human being (e.g. freedom, responsibility, death, choice). I also work with those seeking depth-oriented therapy and personal growth such as self esteem, identity, and unconditional self love.
Those with insecure attachment styles (anxious, fearful & dismissive avoidant, disorganized) with persistent relationship patterns/dynamics that want to move toward earned secure attachment.
Secure attachment is possible and includes greater ability to set healthy boundaries, trust yourself and others, higher self esteem, be emotionally vulnerable, and greater tolerance of change and ambiguity with more ease.
Adult children of immigrants and refugees that struggle
With bicultural identity, cultural double bind, guilt and responsibility, academic and career pressure, anxiety, depression, shame, anger, intersectional identity related issues, code switching, and want to break/interrupt unhelpful intergenerational patterns related to the impacts of war, assimilation, discrimination, violence, and migration.
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Examples
Couples/dyads who want to learn assertive communication skills, fight more effectively, and rebuild more intimacy and trust in their relationship
Chronic over thinkers who intellectualize their problems, are self-aware to a fault, and find it hard to connect to their feelings
Those in the midst of a major life transition (becoming a parent, empty nest syndrome, divorce, separation, starting school, changing jobs, new diagnosis, recent loss, etc.)
Men who want to become more aware of their emotional world, increase comfort with vulnerability, and learn to ask for what they want in healthier ways
Those who want to explore their own mortality, discuss the practicality and emotionality around their own death, anxiety/fear of death, and continually mourn their losses and grief
Healthcare professionals, therapists, and social workers who are wounded healers
Those who are exhausted, overwhelmed, burnt out, experiencing compassion fatigue, and want to take better care of themselves
Adults abused as children, emotional neglect, sexual violence/assault, attachment/developmental trauma, and those who grew up in dysfunctional families
Survivors of trauma who are parents who want to parent healthier children and break the cycle of trauma
Immigrants and children of immigrants who want to break unhelpful generational patterns, and break free from guilt
Queer/gay people who want to learn to love themselves unconditionally, feel more at home in their bodies, and unlearn harmful messaging from family, society, and our larger culture
Those seeking exploration of their intersectional identities, processing existential issues, and finding more meaning and value in life
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I love learning.
I regularly attend trainings in the areas of: grief, anxiety, somatic/mind-body therapy, trauma recovery, multicultural therapy, attachment, and relationship issues.
My entire career of 8 years has been spent deepening skills and knowledge in trauma recovery, PTSD, CPTSD, complex trauma, developmental trauma, childhood abuse, emotional neglect, and attachment issues.
As of 2024, I am deepening my knowledge in facing our own mortality, death, grief, and loss.
As of 2025, I am reading texts on Psychodynamic Therapy & Relational & Intersubjective Psychoanalysis, particularly as it relates to trauma & attachment related issues (e.g. dissociation, enactments, projective identification, object relations, transference, counter transference) to deepen my work with long-term clients experiencing deeply embedded personality functioning/organizing issues.
I also regularly attend my own personal therapy (with pauses/breaks as needed to integrate), engage in peer and professional clinical consultation, and take time off so clients can receive the best care possible and for me to sustain my work long term due to the occupational hazards of being a therapist.
EDUCATION
University of California, Post-Master’s Fellowship (Counseling & Psychological Services & Social Services)
University of Washington, Master of Social Work (Mental Health Concentration)
University of Washington, Behavioral Health Fellowship
University of Texas, Bachelor of Arts
ADVANCED TRAININGS & EDUCATION
Internal Family Systems (IFS) Levels 1 & 2 & IFIO Basic Trained For Couples/Dyads
Accelerated Experiential Dynamic Psychotherapy (AEDP) Levels 1 & 2
Emotionally Focused Therapy (EFT) Externship For Couples/Dyads & Emotionally Focused Individually Therapy (EFIT) Levels 1 & 2
Psychobiological Approach to Couple Therapy (PACT) Couples/Dyad Therapy Levels 1 & 2
Gottman Couples/Dyad Therapy Level 1
PRATI Ketamine Assisted Psychotherapy (KAP)
MAPS (now Lykos) MDMA Therapy for PTSD Training Program
Eye Movement Desensitization and Reprocessing (EMDR) Basic Trained
Somatic Psychedelic Facilitator Certificate - The Embody Lab
Somatic Experiencing (SE) For Trauma Resolution (Completed up to Advanced Level 1; Anticipated Completion of 3-Year SEP Credential Winter 2027)
Trauma-Informed Care Training Certificate: Working with Female Survivors of Violence
Cognitive Behavior Therapy (CBT)
Cognitive Processing Therapy (CPT)
Acceptance & Commitment Therapy (ACT)
Mindfulness Based Cognitive Therapy (MBCT)
Mindfulness Based Stress Reduction (MBSR)
Psychodynamic Therapy & Object Relations Theory
Fundamentals of Clinical Hypnosis (Level 1)
Level I: The Complexities of Complex Trauma - International Society for the Study of Trauma and Dissociation (ISSTD)
Death Doula/End of Life Education and Planning Training
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Anticipated 2027 Trainings
Somatic Experiencing for Trauma Resolution - Advanced Level 2 (36 hrs)
Post Traumatic Growth for Mental Health Professionals (3 hrs)
In Depth Self Care, Secondary Trauma & Burn Out Training
Compassion Fatigue: Running on Empty
Rooted in Compassion: Harm Reduction in Action
The Ethical Mandate for Provider Self Care
Holding Space While Staying Grounded: In-Session Support for Clinician Self-Regulation
Strong Developmental Networks and Mentorship: Early and Mid Career Considerations
Building a Resilient Clinician
Honoring the Dignity of Risk: How Autonomy Drives Growth and Healing in Clinical Care
Ethically Creating and Nurturing Clinician Wellness
Fuel Your Fire: Empowering Self-Care for Mental Health Professionals to Prevent Burnout and Compassion Fatigue
Beyond Bubble Baths: Self-Care in Modern Times
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2026 Trainings
WBCP Psychoanalytic Fellowship Program (24 hrs)
Somatic Experiencing for Trauma Resolution - Advanced Level 1 (36 hrs)
Introduction to NARM® Webinar: The NeuroAffective Relational Model® (NARM®) for Healing Attachment, Relational & Developmental Trauma (1 hr)
Working with the Earliest Forms of Developmental and Complex Trauma: Understanding the NARM® (NeuroAffective Relational Model®) Connection Survival Style (1.5 hrs)
Janina Fisher's Embracing Our Fragmented Selves: A Trauma-Informed Approach to Healing Through Parts Work (7 hrs)
Level I: The Complexities of Complex Trauma - International Society for the Study of Trauma and Dissociation (ISSTD) (30 hrs)
7-Day Mindfulness and Liberation Meditation Retreat – Foundations of Mindfulness-Based Approaches (21.5 CEU hrs)
Eye Movement Desensitization and Reprocessing (EMDR) (50 hrs)
Transforming Resistance - 6-Month Seminar in Intensive Short Term Dynamic Psychotherapy (ISTDP) (18 hrs)
The Psychotherapy Institute - An Intensive Short Term Dynamic Psychotherapy (ISTDP) Weekly Study Circe (25 hrs)
In Depth Trauma Training (40 hrs)
Delivering Death Notification with Compassion and Professionalism
All Eyes on DV: Developing a Multi-Disciplinary Perspective of Domestic Violence
Am I Crazy? The Ramifications of Gaslighting and Its Impact of Survivors
Immigration: Trauma and Grief
Anger and the Nervous System: Residual of the Fight/Flight System - The Work and Role of the Therapist
Through the Looking Glass: A Fresh Perspective on Cultural Competency and Working with Survivors from Diverse Communities
Trauma and Our Nervous System
Therapeutic Yoga for Overcoming Trauma
Highlighting Online Romance Scam Victimization in the United States: Insights and Implications
Healthy Sexuality After Abuse: Inviting Your Body to Something Different
Examining BDSM, Consent, and Non-Consensual Sexual Sadism
But Isn't He Still a Good Dad? DV Offender Manipulation Tactics During Post-Separation
Building Abuse & Trauma-Informed Faith Communities
Navigating Grief and Building Resilience for Families
From Harm to Healing: Trauma Informed Care for Religious Wounds
Healing-Centered Safety Planning with Immigrant Survivors
Understanding Complex Trauma and Repeated Sexual Victimization
Reclaiming the Holidays: Coping with Grief and Trauma
Trauma Informed Care
Bad to the Bone: The Interconnectedness of Pet Abuse, Partner Abuse, and Child Abuse
Confidence in Court
Post-Separation & Post-Divorce Abuse: When Getting Out Isn't the End of Abuse
The Link Between Serial Killers and Violence Against Women
Sexual Assault Prevention, Support, and Resources in Higher Education
DARCC’s Approach to Enhance Trauma Informed Care for Survivors of Sexual Violence
Empowering Communities through Education: A Comprehensive Approach to Preventing Sexual Violence
2025
Death Doula/End of Life Education and Planning Training (40 hrs)
Fundamentals of Clinical Hypnosis (Level 1) (25 hrs)
Somatic Experiencing for Trauma Resolution - Intermediate Levels 1, 2 & 3 (72 hrs)
Grief /End of Life Training
Exploring the Complexities of Grief (2 hrs)
Intro to Perinatal Loss: The Presence of an Absence (2 hrs)
Perinatal Loss and Prolonged Grief Treatment (1 hr)
Immigration: Trauma & Grief (1 hr)
Loss, Grief, and Domestic Violence: The Power of Transformation (2.5 hrs)
Loss of Autonomy: Working With Differently-Abled Individuals (1.5 hrs)
Nutrition and Hydration Near the End of Life (1 hr)
Advanced Cancer and End of Life (1 hr)
Perspectives on Cultural Considerations in Goals-of-Care Conversations (2 hrs)
Embrace, Engage, Empower: Cultural Awareness in End-of-Life (1 hr)
Advanced Lung Disease: Prognostication and Role of Hospice (1 hr)
Veterans Nearing the End of Life: Distinct Needs, Specialized Care (1 hr)
Trauma and Dissociation/CPTSD Informed Internal Family Systems (IFS) - A 5-Day IFS Retreat With Joanne Twombly (32 hrs)
Cognitive Behavior Therapy for Suicide Prevention (CBT-SP) (14 hrs)
Narrative Therapy Training (12 hrs)
Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (6 hrs)
2024
Internal Family Systems (IFS) Level 2, Deepening & Expanding (42 hrs)
Intimacy from the Inside Out (IFIO) Basic Training For Couples/Dyad Therapy (72 hrs)
Somatic Experiencing for Trauma Resolution - Beginner Levels 1, 2 & 3 (72 hrs)
Internal Family Systems (IFS) Workshop - Shame & Guilt (2 hrs)
Internal Family Systems (IFS) Workshop - Chronic Pain (2 hrs)
Somatic Psychedelic Facilitator Certificate - The Embody Lab (32 hrs)
Psychedelic Education Certificate (MDMA, Psilocybin, Ketamine, and 5-MeO-DMT) - Psychedelic Support (20 hrs)
Trauma-Informed Care Training Certificate: Working with Female Survivors of Violence (40 hrs)
7-Day Silent Retreat: Befriending Mortality: Living An Awakened Life Through Mindfulness of Death
Cultivating Focused Attention: An Intensive 7- Day Mindfulness Retreat for Mental Health Professionals
7- Day Silent Meditation Mettā Retreat: Teachings and Practices to Cultivate a Wise, Compassionate, and Responsive Heart
Mentalizing and Mentalization-Based Treatment with Adults (MBT Adult): An Introduction (6 hrs)
General Psychiatric Management (GPM) for Borderline Personality Disorder (BPD) (6 hrs)
Clinical Supervision Training: (Almost) Everything You Need to Know (18 hrs)
2023
Internal Family Systems (IFS) Level 1 (72 hrs)
PRATI Foundational Ketamine Assisted Psychotherapy (KAP) Training (30 hrs)
MAPS (Now Lykos) MDMA Assisted Therapy Training (30 hrs)
Cognitive Processing Therapy (CPT) for Posttraumatic Stress Disorder (PTSD) (14 hrs)
Introduction to Military Culture, Families and Deployment (6 hrs)
Overview of Military Service-Related Behavioral Health Challenges (7 hrs)
2022
Psychobiological Approach to Couples/Dyad Therapy (PACT) Level 1 (30 hrs)
Psychobiological Approach to Couples/Dyad Therapy (PACT) Level 2 (30 hrs)
Transforming Resistance - Yearlong Seminar in Intensive Short Term Dynamic Psychotherapy (ISTDP) (18 hrs)
Mental Health Suicide in 2022: An Update for Professionals (6 hrs)
Socratic Dialogue: A 4-Stage Model of Discovery (1 hr)
2-Day Certified Clinical Trauma Professional Training - PESI (12.5 hrs)
In Depth Trauma Training (27.5 hrs)
Healing from Childhood Trauma (3 hrs)
Trauma and Couples Therapy: Treading through Contentious Waters (3.5 hrs)
Trauma Informed Care (3 hrs)
The Neurobiology of Trauma (1.5 hrs)
How Deep Does Pain Go?: The Impact of Violence Across
One's Lifespan (4 hrs)
The Elephant in the Room: Interventions to Treat Trauma (3 hrs)
Joy and Sorrow in the Same Cup: Addressing Grief, Loss & Trauma in Adoption (1.5 hrs)
Trauma Informed Responses to Sexual Violence (1.5 hrs)
Life After Death: Overcoming Childhood Trauma (1.5 hrs)
The Impact of Childhood Trauma Across the Lifespan (3 hrs)
Exploring the Complexities of Grief (2 hrs)
2021
Accelerated Experiential Dynamic Psychotherapy (AEDP) Level 2, Essential Skills (80 hrs)
Emotionally Focused Individual Therapy (EFIT) Levels 1 & 2 (24 hrs)
Mindfulness-Based Cognitive Therapy (MBCT) (12 hrs)
Seeking Safety Training (Substance Use & PTSD) (6 hrs)
Dialectical Behavior Therapy Skills: Introduction (12 hrs)
Community Resiliency Model (CRM) (6 hrs)
Attachment Injury Resolution Model (AIRM) (12 hrs)
NICABM - The Treating Trauma Master Series: A 5-Module Series on the Treatment of Trauma (10 hrs)
2020
Emotionally Focused Therapy (EFT) Externship (28 hrs)
Mindfulness Based Stress Reduction (27 hrs)
All Patients Safe: Suicide Prevention for Medical Providers (6 hrs)
2019
Accelerated Experiential Dynamic Psychotherapy (AEDP) Level 1 Immersion (30 hrs)
Trauma Informed Care & Practical Approaches To Managing Trauma Responses In Eating Disorder Treatment (12 hrs)
Mindful Self-Compassion Core Skills Training (22 hrs)
Acceptance & Commitment Therapy (ACT) Boot Camp/Immersion (32 hrs)
2018
Motivational Interviewing Skills (MI) Training (12 hrs)
Gottman Couples/Dyad Therapy Level 1 (12 hrs)
Common Elements Treatment Approach (CETA) (14 hrs)
Assessing and Managing Suicide Risk: Core Competencies for Mental Health Professionals (6 hrs)
Essentials of Cognitive Behavior Therapy (CBT) (5 hrs)
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I work with clients who are committed to therapy, come to sessions consistently, and are ready to do the hard work of healing in and outside of session.
These clients are often seeking a trauma, anxiety, relationship, and/or grief specialist who is highly trained and skilled with years of experience.
Clients often know after 1 full session with me if this type of therapy I offer is a good fit for what they are seeking.
One of the most important things for prospective clients to know is regarding vacation/time off, especially if they plan on working with me longer term.
I regularly take 6-8 weeks off annually for professional development, training, workshops, and self care to prevent burnout and compassion fatigue due to the intensity of my work.
While I cannot plan in advance, I usually take one week off every 3 months. I will let you know at least 1-2 sessions prior to my time off so you can plan accordingly.
Every few years, I take extended time off/sabbatical (anywhere from 2-4 months off).
In these cases, I will offer you 2-3 backup therapists for short-term support, or you are welcome to continue seeing them even after my return if they are a better fit. I will let you know at least 2-3 months prior to taking extended leave.
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WE MIGHT BE A GOOD FIT IF YOU VALUE:
01. Being Challenged & Interrupted At TImes
Rather than venting every session and have me nod in silence
I believe there is a limit to how much endless validation can help you grow
Most of the clients I see provide me feedback that their previous therapist did not provide them structure and education on therapy, and instead just allowed them to vent without guidance.
Therapy with me is a deliberate process where we will address what you’ve been avoiding gradually. I will provide you ample education and rationale for why we are doing what we are doing, so you don’t feel lost.
02. Are Active In Therapy
Come in with things to talk about, practice skills/tools outside session, open to trying new things.
Therapy works best if the client is motivated, open, and engaged to used the session to confront their challenges so they can grow.
Change is rarely comfortable and pleasant. It is my job to support you with compassion, empathy, and professionalism.
Research shows about 40% of the change from therapy occurs outside of session, is due to client related factors (e.g. personality, motivation), and other systemic and contextual factors (e.g. time, money, home life, support).
Forcing yourself or being forced to attend therapy rarely yields positive results. It’s your decision to decide if therapy will be a helpful tool for you.
03. Direct Communication & Soliciting Feedback
Therapy is most helpful when you communicate with me your disagreements, your requests/wants, and when you give me feedback on what is and isn’t helpful. I’ll do the same.
This is why many clients “ghost” their therapist when there is a disagreement, rupture, or conflict and they end up feeling misunderstood, hurt, or invalidated.
Or at worst, this is why sometimes clients stay in therapy that is ineffective for them longer than they need to due to fear, anxiety, or worries of some sort and wish their therapist could read their mind and address the implicit issues in the room haunting the therapy session.
If you struggle with assertive communication and want to learn this, I can help you.
04. Dialectic or Balance
I try to balance things in therapy:
Balancing validation with challenge
Balancing insight with learning skills
Balancing listening with interrupting
Balancing acceptance with change
Life is a dialectic. Both things and multiple things can be true at the same time.
05. Other Methods Outside of Talk Therapy
Such as mindfulness, experiential therapy, psychodrama, somatic therapy
There is a limit to how beneficial talk therapy can be, especially you are an intellectualizer who values logic, data, theories, and cognizing over emotions, sensations, and experiences
As Steven Hayes states, “Get out of your head and into your body”.
05. The Healing Power of Relationships
We will use our therapeutic relationship as a template for learning new healthy experiences and opportunities for repair and growth
The relationship patterns you struggle with outside of therapy will inevitably show up in our sessions, between me and you.
These challenges give us insight into why you struggle as well as what you need to change and grow into the sort of person you want to be toward meeting your therapeutic goals. We will interrupt these patterns with new experiences and patterns.
Example: If you are a people pleaser, you will most likely use people pleasing strategies in therapy which will get in the way of therapeutic progress. Intervention: People please less and have the option to utilizing assertive communication (vs. passive, passive aggressive, or aggressive communication styles) so you can ask for what you want without guilt.
Example: If you fear conflict, you will most likely try to avoid conflict in therapy, which is impossible because conflicts are a normal part of any relationship. Intervention: Understand the root of why you fear and avoid conflict. Normalize conflict by learning healthy communication, healthy relationships, communication skills, and accessing your emotions and sensations.
Example: If you struggle with feeling, naming, and being aware of your emotions, you will most likely struggle with accessing your emotions in therapy. Emotions are important and provide us data, like thoughts. Intervention: Understand the strategies for why you struggle with accessing your emotions. Slowly build the capacity to feel, name, and express your emotions so you can have a more meaningful life based on connection vs. disconnection.
06. Want to Learn How to Become Your Own Therapist Long Term
My goal is for you to gain insight and understanding into why you do what you do, interrupt unhelpful cycles of sabotage, and learn skills/tools to manage future conflicts
WE MIGHT NOT BE A GOOD FIT IF YOU:
01. Expect Perfection
I’m not perfect, will make mistakes, and will communicate directly when this occurs toward resolution
02. Expect Me To Do All The Work
Examples: Solve your problems, tell you what to do, consistently have to ask you what you want to work on in session, am more curious about you than you are of yourself
03. Cancel Sessions Often
Therapy works best with consistency
04. Don’t Take Accountability
Confronting our shadows require honesty about our humanity and limitations
05. Don’t Liked Being Challenged
Of course, I will be gentle and compassionate, but in my experienee, endless validation is not going to be helpful long term
06. Demand Instant Change Within 3-4 Sessions
While relief can come in a few sessions, long term change requires compassion, practice, patience, and repetition
07. Want to Get Rid of All Your Feelings & Thoughts
Pain is inevitable in life
My goal is for you to learn to accept and manage life stressors, pain, and grief with more compassion, nuance, and acceptance.
If we get rid of painful feelings and thoughts, we also then will have a difficult time accessing joy, love, and peace. What we resist persists.
Moreover, there are things in life that cannot be forgotten, forgiven, or rid of such as the loss of a loved one or traumatic experiences
08. Aren’t Interested in Exploring Your Past, Childhood, or Upbringing
There are other therapists who focus only on the present moment with an emphasis on skill building and generating quick solutions that may be a better fit (CBT, DBT, ACT)
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I want to…
Decrease psychosomatic symptoms caused by emotional stress (e.g. headaches, fatigue, exhaustion, migraines).
Interrupt patterns of self sabotage and self-defeating behaviors (things I do that I know aren’t good for me, yet I keep doing them).
Understand why I do what I do.
Heal from the impacts of trauma, grief, and loss.
Learn how to manage my traumatic triggers and flashbacks.
Learn how to manage stress, anxiety, panic, and overwhelm.
Learn how to be kinder to myself and practice self compassion.
Become more aware, name, express, and feel my emotions.
Learn how to manage overwhelming thoughts and emotions.
Have a more intimate, strong, and robust relationship with myself and others.
Have a space for myself because I usually internalize my thoughts and feelings.
Become more comfortable with vulnerability.
Learn to ask for what I need and when I need help.
Learn direct and assertive communication.
Learn healthy and flexible boundaries.
Work through feelings of shame and guilt.
Increase my sense of Self (confidence, esteem, acceptance, love, compassion).
Find more meaning and value in my life.
Have an outside perspective to my issues.
Integrate psychedelic experiences (Ketamine) to maintain gains and insights.
WHY PEOPLE LIKE WORKING WITH ME
01. Authentic & Honest
Healing requires being real and direct. I’m not a robotic, neutral therapist who sits in silence.
I bring my personality, genuineness, and sense of humor into sessions. Sometimes, I laugh and curse.
Expect me to be professional, straightforward, kind, and compassionate.
02. Challenging & Supportive
You want someone who will ask you the hard questions, challenges you, and offers feedback.
Change often happens at the intersection of discomfort, patience, and repetition.
Please be open to feedback and change if you want your life to be different.
I’ll also be open to learning, flexible, and adaptive.
03.Focus On Long Term Change
You can learn why you do what you do.
We’ll get to the root of your issues so you can feel relief, freedom, and peace, not just stay on the surface level.
You’ll increase self-understanding, acquire practical skills, and reconnect to your true self so you can stop self sabotaging patterns.
My goal is for clients to eventually work me out of a job and stop seeing me.
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A therapist’s years of experience, type of therapist (social worker, psychologist, mental health counselor, etc.) and the type of therapy they practice (CBT, DBT, etc.) matters less than the quality of the relationship you have with your therapist.
It does not matter if your therapist is highly trained and experienced, yet the goodness of fit between you two is poor.
Research shows that one of the largest factors for therapeutic success and effectiveness is the relationship between you and your therapist.
Other factors include:
Hope that therapy will work
The client
Motivation
Hope and expectations
Capacity to self reflect, explore, and engage in therapy
Readiness for change
Biology, personality and temperament
Resilience
Strengths & areas of growth
Belief system
The therapist
Personal qualities like communication skills, warmth, acceptance, flexibility, etc.
Empathy
Congruence and authenticity
Personality and temperament
Strengths & areas of growth
Unconditional positive regard/non judgmental stance
Ability to establish trust
Ability to repair ruptures/disagreements
Cultural sensitivity
Treatment type/model/approach
Routine feedback/measurement
Attention to diversity, and
Factors outside of therapy such as having stable housing, employment, finances, support, etc.
Read more here.
You should find a therapist you like, find comfortable talking with, and who also has adequate training for your specific issues.
Therapy is also much more effective if you have your basic needs met (housing, employment, financial stability/income, food, water, safety, etc.).
While therapy is 1-1 and individualistic, the therapist should attend to issues of diversity, difference, oppression, and systemic issues in session and how they impact mental health and distress.
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My biggest teachers have been in relationships and this is where I learned to grieve, stumble, fall, fail, grow, laugh, celebrate, and thrive.
I am grateful for supervisors, teachers, mentors, femtors, authors, speakers, modalities, trainings, and experiences that have guided me on my professional and professional journey, whether or not I have physically met them.
Authors
Maureen Walker
Toni Morrison
James Baldwin
Ocean Vuong
Therapists & Healers
Ignacio Martín-Baró
Alice Miller
Thích Nhất Hạnh
BJ Miller
Francis Weller
Jacob Ham
Esther Perel
Virginia Satir
Travis Heath
Lois Choi-Kain
Clarissa Pinkola Estés
Nancy McWilliams
Karen Maroda
Irvin Yalom
Jeffrey Seinfeld
Supervisors
Kin Ming Chan
Tobirus Newby
Alice Cagampang Ryan
Colleagues
Helen Youngju Kim
Menosh Z.
Georgina Mendoza
Nabilah Khan
Giovanna Torres
Modalities
Dialectical Behavior Therapy (DBT)
Somatic Therapy & The Mind-Body Connection
Buddhist Meditation
Intensive Short Term Dynamic Psychotherapy (ISTDP)
Mentalization Based Therapy (MBT)
Object Relations & Attachment Theory
Relational & Intersubjective Psychoanalytic Theory
Psychodynamic Therapy
I Have More Questions
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Yes, of course!
Therapy is not the only way toward healing and growth. Some people never go to therapy and live full and complete lives.
There are many ways to heal and therapy is only one way, but certainly not the only way. You get to decide if therapy is a part of your journey or not.
While it's possible to work on your own personal healing, therapy offers different benefits that may be difficult to achieve on your own.
Talking to a friend, reading books, journaling, mindfulness, meditation, exercise, lifting weights, yoga, smart phone apps, chat GPT, Claude AI, and scrolling through TikTok and Instagram are all tools.
Therapy is another tool.
Therapists provide:
Accountability
Support, empathy and compassion
A professional perspective
Structure and consistency
Confidentiality and privacy
Expertise, education, skills, and training
Forcing yourself or being forced to attend therapy rarely yields positive results.
Don’t go to therapy if you don’t want to. It will be a waste of time, energy, and money without commitment to the process.
It’s your decision to decide if therapy will be a helpful tool for you.
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I like this post and this post on how to find a therapist and how therapy works (sometimes).
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Of course.
Artificial intelligence can be helpful for most people with mild to moderate symptoms and can assist with:
Providing assistance, feedback, and education anytime of the day (24/7)
Providing psychoeducation (teaching clients about mental health issues like depression, trauma, and anxiety)
Help with skills/tools implementation such as worksheets, strategies, etc.
Provide support and validation with structured conversations and detailed prompts
Generate answers to more basic questions about mental health issues
Generating answers to more specific questions about your mental health issues if you have a long history with the specific AI tool (e.g. using it over the course of months of years)
Using AI in between sessions can also be a useful tool for some clients.
However, for trauma, grief, and relationship issues, these issues can be more complex, nuanced, intricate, and require human connection and in the moment/present experiences.
The type of therapies I practice (experiential, emotion-focused, and attachment/relational focused), rely on:
Noticing subtle, micro movements and changes in your body, posture, breath, and tone of voice when something shifts or changes
Working and thinking with you to discover how unconscious/invisible processes impact your well being and what drives you
Helping you manage your overwhelming thoughts and feelings in real time (co-regulation, attunement when triggered/evoked)
Challenge you in the moment when I notice you utilizing defenses, protective strategies, and other methods of survival that no longer serve you 100% of the time
Building a strong therapeutic relationship with you in real time based on feedback, respect, curiosity, trust, safety, and empowerment
Repairing and having discussions after a disagreement, conflict, and/or misunderstanding in real time instead of avoiding difficult topics/issues and walking on eggshells
Spontaneity, creativity, intuition and interrupting you at times if I notice you are doing something that is getting in the way of your healing and growth
Humor, sass, and authenticity, bringing my whole self to session
Witnessing, holding, and containing your pain, wounds, and grief in real time so you can be more seen and held
Offering you a corrective experience you may not have had before instead of repeating the same patterns/dynamics with previous people, including therapists
The clients I work with experience complex trauma, grief, personality functioning issues, relationship difficulties, and multicultural concerns, which inherently require more of a human focus.
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Will you give me advice?
People often assume therapists give advice but that’s not how therapy works. In the long run, advice is rarely helpful.
Before you came to therapy, you probably got a lot of advice. If it had really helped, you would not be coming to therapy now.
Instead of advice, I will help you to make better choices on your own.
What do I do in therapy?
Talk as openly as you can about whatever is on your mind, without editing or censoring yourself.
This may sound easy, but it can be extremely difficult. Some thoughts will seem unimportant, some may be unpleasant or embarrassing, some may seem impolite or inappropriate (like thoughts about your therapist).
Nevertheless, try to talk as openly as you can about whatever is on your mind. If you become aware something is getting in the way of speaking freely, try to talk about what’s getting in the way.
How will this help me?
It can be hard to see how just talking will help, but talking is the most important thing you can do.
As you talk, you will come to know yourself better and new options and possibilities will emerge.
Research shows that most people benefit from therapy, including those with the most serious problems.
The benefits are not immediate. At first, there may not be an obvious connection between what you are talking about and how your problems are going to get better. It is like planting a tree. There is no obvious connection between planting seeds and eating apples—but if you plant apple seeds and tend to them, eventually there will be apples.
If you start therapy with the idea that you will try it for a session or two just to see what happens, you will likely be disappointed. That would be like planting seeds, then deciding planting seeds Is useless because there are no apples the next day. Give therapy time to work.
Is therapy like talking to a friend?
It is very different. With friends, you pick and choose what you talk about. In therapy, you try to talk about whatever comes to mind without knowing in advance where your thoughts may lead.
Another difference is that friends take turns sharing information. In therapy, you will do most of the talking. Your therapist will learn a great deal about you, but you will not know nearly as much about them.
Another difference is that your therapist cannot socialize or meet with you outside of therapy appointments. They cannot accept invitations to coffee, meals, or social events. This has nothing to do with whether they would enjoy seeing you socially. It is because a therapist cannot have a social relationship with you and also be an effective therapist.
Are therapists interested in the unconscious?
You may have heard that therapists are interested in the unconscious. This is not something mysterious. It just means we do not always know why we feel and act the way we do. Your therapist’s job is to help you understand.
For example, there may have been a time when you were angry with someone, out of proportion to the situation. This can happen when the person reminds you of someone else, but you don’t realize it.
In this example, understanding unconscious thoughts and feelings could be as simple as remembering why you are angry and recognizing that the two people are different. Why is this important? Why does it matter? Because if you take your anger out on the wrong people, you can ruin important relationships. If, for example, the relationship is with your spouse or your boss, you may be in for a rough time.
Ask questions
This handout explains some things that are helpful to know when you start therapy. You may have many more questions.
Ask your therapist about anything you don’t understand. Sometimes your therapist may want to explore the thoughts and feelings behind your question instead of just answering it, so the two of you can learn more about how your mind works.
But don’t hesitate to ask. Therapy is not something done to you, like a medical procedure. It’s a collaboration and a partnership and it works best when you are an active and knowledgeable participant.
From: What Should I Expect in Psychotherapy? from Jonathan Shelder
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To be engaged in session (be honest, talk freely, self reflect, think out loud and work with me toward achieving your goals)
To be prompt and on time to session
To attend all sessions as scheduled and not sporadically cancel sessions (treatment works best with consistency)
To be open to trying new ways of thinking and being
To take accountability for your part of issues/problems
To come to session with a general idea of things/concerns/issues you want to discuss/explore/dive into, or to talk freely about whatever comes to mind in the moment
To be honest and direct about your needs/wants
To solicit feedback when things aren’t working
To solicit feedback when things are working
To honor the therapeutic boundaries
To do the work outside of session (practice & integrate)
To practice patience and acceptance
To tolerate the hard work of confronting uncomfortable and painful experiences (healing is rarely easy and fun)
To let me know when you think you want to stop or pause therapy, or need another type of therapist/therapy style
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To be a professional (follow ethics, laws, boundaries, confidentiality)
To treat you with respect and kindness
To be direct in my communication
To be open to feedback and suggestions
To respect your choices and preferences
To answer your questions in a thoughtful manner
To be prompt and on time to session
Honest if I can or cannot help you at anytime and provide a referral to another therapist (e.g. if your symptoms don’t get better, if I learn I do not specialize in an area/issue you bring up)
Honest if I notice repeated unhelpful patterns and dynamics occurring and to directly communicate this with you
Predictability and consistency (sessions at scheduled time, notice when I take time off, providing a backup therapist referral should I be gone for longer than a few weeks)
Flexible in my approach (if something doesn’t work for you, I will adjust as needed)
To provide you with a treatment plan or roadmap of what to expect during our work together
To let you know when I think it is best to stop therapy if you have met your goals, plateaued with me, if I’ve lost objectivity, you’re being harmed in our work, or not getting better in our work
Please note I am not a medical prescriber and do not prescribe psychiatric medication.
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Yes, but it depends.
Research shows about 15 to 20 sessions are required for 50 percent of patients to recover as indicated by self-reported symptom measures.
Therapy Is More Helpful When:
There is a good relationship between client and therapist (personality, temperament, style, approach, feeling understood and validated)
Adequate education, training, and skill needed to treat the concerns
Regular feedback/measurement toward progress
A treatment plan/road map provided
Understanding about what therapy is and is not (expectations, boundaries)
Hope the therapist can help
Hope therapy will be useful/effective
Treatment model/approach/style matches what client concerns need (e.g. you want a therapist who is active, direct, and talks with you vs. someone who nods at you in silence)
Respect for diversity and difference are addressed
The client:
Has goals and what they want to work on
Practices skills/learnings outside of sessions
Brings up positive and negative feedback to the therapist
Comes to session consistently on time
Is open to trying new things and ways of relating and thinking
Read more here, here, and here.
For some people, at best, therapy is ineffective.
At worst, therapy is harmful and contributes more to stressors and an increase in negative symptoms.
This is why it’s important to do your own research, learn about different therapy models, try therapy out earnestly for 2-5 sessions, and determine if it’s a good fit for your needs or if you require something else (e.g. coaching, support group, medication, etc.) or a different type of therapy (e.g. equine therapy, expressive arts therapy, sandtray therapy, somatic therapy, etc.).
A list of therapeutic modalities/approaches:
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Because I do not accept insurance, your file/record will be confidential.
You have the right to confidentiality except in certain cases.
These exceptions include:
Imminent harm to self (suicide)
Imminent harm to others (homicide)
Knowledge of child abuse
Knowledge of elder abuse
In these cases, confidentiality can be broken
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You can also see if there are any complaints against your therapist on the websites below.
Washington State
California
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My licenses are below.
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Consider if therapy is the right approach for what you’re seeking vs. other alternatives (coaching, support groups, courses, workshops, retreats, etc.)
Consider if you have the time, money, energy, and effort to invest in and outside of session at this moment in your life
Establish achievable goals and expectations
Consider maximum monthly therapy expenses or if you want to use insurance
Don’t lie or withhold information from your therapist. This is very common amongst clients that people please, deny, avoid, hide things, downplay problems, and/or tell lies.
Solicit feedback: Be honest about what is helpful, isn’t helpful, and tell your therapist.
Talk freely about whatever comes to mind/is in your head
Patience: It may take multiple sessions to feel progress (vs. expecting instant results in 1-2 sessions)
Compassion: Kindness, not shaming and criticism, helps with fostering long-term growth and change
Carve out time before therapy to prepare and after to take care of yourself gently and slowly and to transition to your next activity with more ease
Identify what’s most important to you in a therapist (e.g. style, age, personality, cultural background, values, training, fees, insurance)
Ask questions, for clarification and comprehension if you are unsure what your therapist is discussing or bringing up.
Not every therapist will be a good fit. You can find another type of therapist if you don’t feel it’s good fit.
There are many types of therapists with different personalities, approaches, cultural backgrounds, etc. Find someone with whom you feel comfortable talking openly.
For example, if you’re seekng a solution-focused type of therapy, you can consider CBT or Brief Solution Focused Therapy.
If you’re seeking trauma-focused therapy, you can consider PE, CPT, EMDR, IFS, etc.
If you want a more passive therapist who will let you talk without interruption, you can consider person-centered therapy, humanistic therapy, psychodynamic therapy, psychoanalytic therapy.
Read more here (How to Make Therapy Rewarding & Successful).
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It’s common to feel nervous and stressed about going to therapy, especially if you’ve never gone before.
Human beings are hardwired to avoid pain, discomfort, and the unknown.
Common reasons clients feel unsure about therapy:
Feelings of embarrassment
Discomfort with vulnerability
Stigma around mental health due to cultural norms
Expenses/fees
Fear of being misunderstood
Fear that treatment will not be helpful
Commitment to treatment long term
Past negative experiences with therapists
And more
I’ll ask you questions about your worries so we can alleviate and address your concerns.
There is no “perfect” time to start therapy. We begin where you are at and we move slowly. The hardest part is usually making the first step and reaching out.
Trust times take time to build. We’ll only continue meeting if we both find it helpful and a good fit.
If I’m not a good fit for your needs, there are a variety of therapies and types of therapies available who can help you.
As a therapist who goes to therapy, I still feel nervous at times going to therapy!
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I do not have adequate specialized training & experience with the following populations and issues:
Children
Adolescents
Teens
Families
Psychosis
Sleep issues/insomnia
Mandated/court ordered therapy
Disability evaluations
Labor & Industries assessments (L&I)
Assessments for work, child custody, or weapon ownership
Emotional support or service animal letters
Forensic evaluations
OCD
Discernment counseling
Sex therapy
Substance use disorder
One-Person Practice
I offer outpatient psychotherapy, consultation, and educational services only for adults (21+) and couples/dyads.
I am a one-person practice meaning I do not have a team of colleagues/co-workers to support me and my clients who have more complex needs, like organizations, hospitals, or agencies do.
At most, we will meet once a week.
No Crisis Services
I can’t take on clients who are actively suicidal and homicidal, active eating disorders, active addiction, and/or problematic substance use due to being a one person practice.
I do not provide continuous crisis intervention, emergency services, after-hours support, care coordination, complex case management services, and 24-hour emergency call coverage.
These issues require a higher level of care where you are provided intensive care (e.g. more than an hour once a week) or a clinician specializing in these areas.
There are other services that can offer you more support and can meet with you more than once a week such as Intensive Outpatient Programs (IOPs) where you attend 5 days a week for 3-4 hours a day or psychoanalytically oriented therapists who see clients up to 3-4 times a week.
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You can read more about how I work with couples by clicking here.
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You might cry. Many people do. And it's completely okay.
Crying is a normal, helpful, and natural way for our bodies to release pent-up emotions.
Crying is a way to let go of the pain, sadness, burden, fatigue, or frustration you may be carrying inside.
By crying, you're actually taking a positive step towards healing.
Or you might not cry. And that’s okay too.
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This is part of the work and is a very normal and appropriate feeling to have.
This can be because of a variety of reasons including:
Misunderstandings or disagreements
Touching on something sensitive or uncomfortable
Rupture or misalignment AKA a breakdown or strain in the relationship between a therapist and a client leading the client to withdraw, changing the subject, appease/people please, shutdown, cancel a future session, isolate, confront, yell, etc.
Misattunement like missing an emotional cue or failing to understand the client emotionally
Boundary enforcement issues like cancellation policies, time off, contact in between session, fee increases, etc.
Feeling unsupported
Feeling judged
Unmet expectations
Mismatch in what you want to talk about vs. what the therapist is talking about
Mismatch in the type of approach/style in therapy vs. what you are seeking
Inappropriate interventions such as the therapist sharing something personal/self disclosing vs. the client wanting space to process without interruption and sharing
Transference AKA the client transferring past relationship beliefs/patterns/trauma/pain onto the therapist and therapeutic relationship
And more
The most important thing is to discuss this openly, so we can work through these feelings together.
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When you start therapy, you should feel you can talk to your therapist and that they are interested in you and able to understand you. If you don’t connect in the beginning, it’s wiser to choose someone else.
As therapy continues, there will be times when you feel upset, disappointed, or angry.
This is normal. When it happens, it’s important to talk about what’s bothering you. This is not the time to skip sessions or quit. It’s the time to talk about it.
If you’ve been working comfortably together and suddenly find yourself feeling angry or wanting to quit, it may mean therapy has touched on something difficult and important. That’s often when the most valuable work happens.
From: Getting Started in Psychotherapy: A Guide for Patients (and Their Therapists)
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Yes, I believe in the value of in person work.
Even if you prefer 100% telehealth, I encourage clients to see me in person at least or twice if you are in the Seattle area.
There is something potent about meeting in person and establishing a relationship this way.
I can also catch more nuance and complexity in person versus on a screen (e.g. noticing how you come in, how you settle and arrive, the bottom half of your body, how you leave/say goodbye, etc.) and it can slightly easier for some people to be co-regulated with another person in the room.
Moreover, some clients enjoy having a space to come to as a ritual (e.g. getting dressed, driving/taking the bus to the office, leaving, etc.).
Of course, for others, telehealth is more convenient, preferable over commuting during rush hour, easier on their nervous system, for those who live in California, etc.
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HOURS
I see clients Mondays - Wednesdays virtually for residents of California & Washington.
I offer in person sessions for Washington State residents on Tuesdays & Wednesdays in the Downtown Ballard neighborhood.
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I do not accept insurance. This is why.
I can provide you a Superbill/monthly statement with all appropriate codes/numbers for you to submit to your insurance company for out-of-network benefits (OON) for partial reimbursement if your plan offers OON benefits.
Click here for referrals for therapists who accept insurance.
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You can review my referrals page for therapists who accept insurance and/or offer a reduced ($100-$150), pro-bono ($0), or significantly lower fees ($20-$90) here.
Click here for referrals to other therapists.
Click here for personal referrals.
Click here for free resources.
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I’ve spent hundreds of hours compiling and creating free resources for those seeking:
Education on therapy for those brand new to therapy,
Eduction on trauma, and attachment/relationships,
Navigating and understanding health insurance,
Referrals to therapists who accept insurance as well as lower/reduced fees ($10 - $100), and
Free resources for associate therapists seeking independent licensure in Washington State.
I am wishing you the best on your healing journey.
May you and your loved ones be safe, healthy, and at ease.
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Review my website and watch my videos to see if we might be a good fit.
Click here to get started and begin therapy with me.
Note: There are no guarantees therapy will solve all problems, or how quickly changes will occur. There are no miracle cures, but it improves the odds, particularly if you start early.