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Couples therapists in Washington


Top couples therapists in Washington
Work through relationship challenges with a couples therapist who understands your unique dynamic. Headway connects you with experienced providers across Washington, offering affordable sessions with an average savings of 75% through insurance—many patients pay as low as $0 per session.
With 30 years of experience as a therapist, I earned my Ph.D. in Counseling Psychology from Stanford University, specializing in school and community-based counseling. I'm dedicated to guiding clients through challenges like trauma, anxiety, and depression, fostering self-awareness and providing practical strategies for greater clarity and fulfillment. My practice is built on a compassionate approach, crafting personalized, evidence-based therapy to help you thrive. I also bring a unique perspective from my work as a university professor and international consultant, promoting mental health equity and inclusivity worldwide.
Hello! I'm Lauren Salerno (she/her), a licensed mental health therapist in Washington! I am also trained in art therapy, and love to incorporate creativity into my work with people. My typical client is neurodivergent, creative, and looking for healthy coping skills to learn when to adapt and when to advocate for themselves. I work with adults 18+ and sometimes with groups. Nice to meet you!
I am a dedicated Licensed Independent Clinical Social Worker (LICSW)
with a wealth of experience providing direct therapeutic services to diverse populations.
With advanced degrees in Social Work and Child Development, I am skilled in
conducting complex bio-psychosocial and diagnostic assessments for children,
adolescents, and adults. I provide individualized, evidence-based treatment
for individuals, couples, and groups, addressing a broad range of behavioral health
challenges including post-traumatic stress disorder (PTSD), depression, anxiety,
adjustment disorder and grief. My clinical practice is grounded in a variety of proven
modalities such as Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy
(CPT), and Dialectical Behavioral Therapy (DBT).
Throughout my career, I have demonstrated a profound commitment to
patient care within demanding environments, including military and outpatient settings.
I have served as a primary therapist in the Army Embedded Behavioral Health clinics,
supported the Army Family Behavioral health Clinic, and provided on-call crisis support for
hospital emergency rooms. A core component of my work involves developing and
monitoring individualized treatment plans to ensure measurable progress and positive
outcomes for my clients. By providing specialized, person-centered counseling and
intervention, I empower my clients to achieve recovery and wellness.
Florida + Washington residents
Midlife got you spinning? Not feeling yourself? Empty nest blues?
Midlife brings an undercurrent of change that few are completely prepared for. For decades, your time, energy, and identity may have been anchored by familiar roles—running a busy household, climbing a career ladder, or maintaining long-standing family dynamics. When those roles shift by way of an empty nest, career evolution, relationship changes, or retirement, the silence left behind can feel surprisingly heavy.
Many expect to feel a sense of relief or simple pride during this season. Instead, it’s incredibly common to find yourself wrestling with grief, anxiety, or a persistent question: Who am I now?
If you are feeling disconnected from your purpose, uncertain about the future, or struggling to adjust to a new pace of life, you are not alone. You haven’t lost yourself; you are simply navigating the space between who you once were and who you are becoming.
Areas of Focus
- Midlife Transitions & Role Shifts
- Self-Discovery & Identity Reconstruction
- Empty Nest Adjustment
- Grief, Loss, and Navigating Change
- Anxiety, Stress, and Uncertainty About the Future
My goal is to help you reconnect with your core self—not just through the roles you play for others, but as a whole person with your own distinct needs, interests, and dreams. Remember when you had needs? This isn't about starting over from scratch; it’s about reconstructing your life so that it feels deeply meaningful, aligned, and fulfilling for the years ahead.
Service for residents of Florida + Washington state
Hi there, my name is Lee. I am a bi-racial, first-generation Vietnamese-American, and I believe the best therapy happens when we bring our full, authentic selves into the room. I am a Licensed Marriage and Family Therapist and an AASECT Certified Sex Therapist. I have a passion for working with couples and diverse populations. My goal is to truly understand and connect, offering a space filled with warmth, radical acceptance, clear accountability, and—fair warning—the occasional painful dad joke.
I provide online individual, couples, and family therapy using a relational and narrative approach through Pinehurst Relationships Seattle. Based out of the Pinehurst neighborhood (98125) of North Seattle—right next door to Shoreline and Northgate—my telehealth services are available to clients throughout all of Washington State.
My approach to therapy is rooted in the belief that our lives and relationships are deeply connected to the world around us. When a family dynamic feels tense, a couple loses their shared intimacy, or a child or teen gets stuck in a repetitive, draining loop, modern macro-stressors, grief, and overwhelm are usually magnifying the strain. I work to help you break the cyclical patterns that leave your relationships running on empty. If your primary bonds feel overwhelmed right now, you don't have to navigate it alone.
Education and experience: I hold a BA from the University of Washington (1985) and an MA in Marriage and Family Therapy from Antioch Seattle (2022). My clinical roots include a dedicated internship in community mental health in Edmonds and an associate residency at a Seattle group practice. Outside the office, I recharge by gardening, walking with my partner, and heading out on PNW trail adventures with our hiking cat, Jasper.
I'm a holistic practitioner who considers a whole person perspective. I originally graduated from Aspen University in 2019 with my Masters in Psychology and Addiction studies. Then I pursued my Doctorate degree in Metaphysical Humanism with a specialization in Kvantum Energy Healing ftom the International Church of Metaphysical Humanism as well as became a clinical Hypnotherapist from the Hypnosis Motivation Institute.
Hi! I’m Vanessa! I’m a wife, Mom and entrepreneur. I’m also a psychiatric nurse practitioner specializing in integrative psychiatry and women’s mental health. I run a niche mental health clinic called Kavah Wellness Psychiatry. I hold a bachelors degree, two masters degree and a doctor of nursing practice degree. I have almost a decade of experience in the mental health sector. I love everything mental health!
As your therapist, I bring several years of experience supporting individuals and families through crisis, healing, and transformation. My background spans emergency departments, inpatient care, child welfare, hospice, and community mental health—each setting has shaped my trauma-informed, solution-focused, and client-centered approach.
Frequently asked questions


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