Couples therapists in Spokane, WA

Hello, I’m Charles, a Licensed Independent Clinical Social Worker (LICSW) dedicated to helping adults build healthier, more fulfilling lives. I work with individuals and couples facing anxiety, depression, trauma, PTSD, grief, relationship difficulties, self-esteem concerns, and major life transitions. My approach is compassionate, collaborative, and grounded in trauma-informed care. I strive to create a safe, nonjudgmental environment where you can openly explore your experiences, gain insight into patterns that may be holding you back, and develop the tools needed to heal, grow, and move forward with confidence.

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.

Hello, and welcome! My name is Theresa McDowell, PhD and I’m a dedicated School Psychologist and licensed clinical social worker (LICSW) with over 20 years of experience in mental health and education. I specialize in supporting individuals across various stages of life, offering evidence-based interventions to address challenges such as anxiety, depression, ADHD, trauma, and grief.

I'm a Licensed Marriage and Family Therapist with over 10 years of experience helping children, families and adults navigate life's challenges. My approach is warm, collaborative, and solution-focused, and I tailor therapy to each client's unique strengths and goals. I also have experience supporting individuals coping with anxiety, depression, life transitions, relationship concerns and complex medical challenges, helping them build practical skills and create meaningful, lasting change. I especially enjoy working with adults, including women who are pregnant, postpartum or adjusting to motherhood.

You may be here because something in your life feels heavy, overwhelming, or out of balance. You deserve a space where you feel safe, supported, and truly seen. My holistic approach looks at the whole person—mind, body, emotions, and spirit—so we can understand what’s happening beneath the surface and help you move forward with more clarity and ease. In our work together, I’ll give you practical tools to navigate stress, anxiety, grief, or major life transitions. We’ll focus on reframing self-defeating thoughts, building self-esteem, and practicing mindful compassion so you can feel more grounded and empowered in your daily life.

With over 30 years as a Transformational Therapist, I draw from Breathwork, Guided Imagery, Stress-Release techniques, Centering practices, Energy Work, Therapeutic Movement, and Pattern Interrupts. For those open to it, I also offer Medicine Wheel work and Sacred Card readings for deeper insight.

Clients often say they feel comforted by my warm, intuitive style—maybe helped by the calm, steady presence I’ve learned from my beloved cats. If you’re ready for gentle, supportive, whole-person healing, I’d love to work with you. You can book time with my directly through my profile on Headway or give me a call.

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

My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)

I am a transmasc, queer therapist. My ongoing, personal journey of exploration definitely informs my work as a psychotherapist.

I’ve been working as a mental health professional for over two decades,I have been helping people navigate systems and life changes throughout my career. My goal is to ensure that everyone feels valued and supported in my practice – gay, lesbian, bi, queer, exploring, neurodivergent, polyamorous, kinky, ASE, intersex gender expansive, genderqueer, transgender, nonbinary, and those who are exploring – I want everyone to feel safe, seen and heard in my office.

The focus of my work over the past 25 years has been on fostering a welcoming and inclusive space for individuals across the LGBTQIA+ spectrum – especially those who are questioning or wanting to explore their queer and trans identities in a safe, inclusive space.

I provide individual therapy and work with older teens, young adults to elder audlts who are exploring their gender identities.

I offer a warm, supportive space where you can feel heard, understood and respected. My approach is down to earth, compassionate, and focused on helping you feel safer, calmer and more confident in your life. Together, we'll work at your pace to explore what's getting in the way and build practical tools that truly help. You don't have to do this alone.

As a board certified psychotherapist, I believe prioritizing mental health is key to happiness and stability in life. Seeking help can be one of the hardest parts, so congratulations on taking that step! I’ve been practicing for 10 years, I work with a plethora of inter-generational clients aged 21-90 who are struggling with anxiety and depression and trauma.

As a chaplain, I take a psycho-spiritual approach and work with clients assisting with intercultural issues, blended family dynamics, religiosity challenges and grief & loss.

I’m a licensed therapist with over nine years of experience working in mental health, including inpatient, crisis, and community-based settings. I have a strong background in supporting individuals who are experiencing depression, anxiety, trauma, mood disorders, psychosis, and substance use challenges.

I work with individuals, couples, and families of all ages. I have a Masters in Clinical Health Psychology and a Masters in Nutrition/Dietetics, which helps lend to a holistic approach to my work with clients. I commonly work with health behavioral change, anxiety, depression, eating disorders, ADHD, OCD, and relationship change. My treatment approach utilizes a biopsychosocial lense in long-term therapy based in psychodynamic, strengths-based, and integrative work in overall health. I utilize coping skills from CBT, DBT, ACT, and Mindfulness. I incorporated life-skills such a assertiveness, boundaries, and career.

I love the work that I do and the healing relationships I have been able to foster with my clients. I believe that therapy is a form of self-care and I want to be an advocate of that for my clients. I welcome anyone who thinks they may want some support, whether long-term or short-term to reach out to me and set up a brief phone consultation.