If you’re looking for therapy in Kirkland, WA or online counseling in Washington State, you may have questions about how the process works. Below are answers to common questions about getting started, insurance (including Premera), and what to expect in therapy.
Do you offer in-person and online counseling?
Yes. We offer both in-person counseling in Kirkland, WA and secure online therapy (telehealth) across Washington State, including Seattle, Bellevue, Redmond, and surrounding areas.
Online therapy provides flexibility and convenience, while in-person sessions offer a more traditional face-to-face experience.
What to expect at the first appointment?
Your first session is focused on getting to know you and understanding your goals. You can expect:
A safe, supportive, and confidential space
Questions about your current challenges and history
Collaboration on therapy goals
A plan for moving forward
You don’t need to prepare anything—just come as you are.
What forms of payment are accepted?
Cash, Check, Debit/Credit card and HSA accounts. Payment is due at your appointment.
Telehealth appointments are Credit/Debit/HSA only
Do you accept insurance?
Most of our clinicians are out-of-network providers. However, some of our therapists now accept Premera Blue Cross.
For out-of-network services, your counselor can provide a superbill that you may submit to your insurance for possible reimbursement. Depending on your plan, many insurance companies reimburse a portion of mental health session costs.
Important notes:
We are a private pay practice
Superbills are provided as a courtesy and do not guarantee reimbursement
We are not responsible for insurance requirements or communication with your provider
We recommend contacting your insurance company and asking:
Does my plan cover mental health visits?
Do I have out-of-network benefits?
How long does therapy usually take?
The length of therapy varies depending on your goals and concerns.
Some clients benefit from short-term therapy (6–12 sessions)
Others prefer ongoing support over several months or longer
Specialized therapies like EMDR and Lifespan Integration can help accelerate healing for trauma-related concerns.
What types of therapy do you offer?
We provide a wide range of mental health counseling services tailored to your needs, including:
Anxiety and depression counseling
Trauma therapy, including EMDR and Lifespan Integration
Grief and bereavement counseling
ADHD and executive functioning coaching
Postpartum and Perinatal mental health support
First Responder counseling
Childrens Therapy
Our therapists use evidence-based approaches to support healing, growth, and long-term change.
Do you offer counseling for teens?
Yes. We provide therapy for teens, college students, and young adults, including support for:
Anxiety and depression
School stress and transitions
ADHD and focus challenges
Family changes, including divorce
Our therapists tailor their approach to meet each client’s developmental needs.
Can I use therapy if I’m not sure what’s wrong?
Absolutely. You don’t need a diagnosis or a clear problem to start therapy. Many clients come in feeling:
Overwhelmed or stuck
Uncertain about life direction
Emotionally exhausted
Disconnected from themselves or others
Therapy can help you gain clarity, process emotions, and move forward with confidence.
Both counseling and coaching support mental health, but they serve different purposes:
Counseling (therapy):
Focuses on healing past trauma, emotional pain, and mental health concerns
Provided by licensed therapists
Often explores the “why” behind thoughts and emotions
Mental health coaching:
Focuses on the present and future
Helps with goal-setting, routines, and accountability
Emphasizes practical strategies for daily life
Many people benefit from a combination of both, depending on their needs.