Our therapists offer cognitive behavioral therapy (CBT) in Seattle, WA

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience in mental health care. I specialize in supporting individuals facing challenges such as anxiety, depression, trauma, mood disorders, and life transitions. I combine evidence-based medication management with supportive therapy to promote healing and long-term well-being. I am dedicated to creating a compassionate, client-centered environment where individuals feel heard, understood, and empowered in their journey toward mental health.

I earned my Master’s in Nursing from Walden University, where I developed a strong commitment to evidence-based care and holistic treatment. My approach blends medication management with supportive therapy to address each client’s unique needs, build coping strategies, and foster resilience and stability.

Taking the first step toward mental health care can feel overwhelming, but it is also an important act of strength. My goal is to provide thoughtful, personalized support that empowers you to move forward with confidence. If you’re ready to begin your path toward greater stability and well-being, I encourage you to schedule an appointment.

Cydney Horton is a Licensed Professional Counselor (LPC) and Certified Addiction Psychotherapist with 6 years of experience in the mental health field. Cydney is passionate about working with teens, adults, and families to address individual and systemic challenges. She specializes in depression, trauma, relationship issues, mood disorders, self-harm, addiction, transitions, domestic violence, and anxiety.

Cydney completed her Master of Counseling at Idaho State University. She is a former D1 athlete with experience in navigating the stressors and pleasantries of change and shifting narratives. Life experiences paired with her professional experience aid Cydney in providing understanding and support that her clients are seeking. She utilizes a variety of treatment modalities including person-centered, narrative, cognitive behavioral therapy (CBT) and Gestalt.

We all go through things in life. Cydney is confident that she would be able to support you on your journey to gain new perspectives and techniques that will support you with coping skills to address life issues. If you are ready to join therapy, schedule an appointment with her today!

Lee Scott is a Licensed Clinical Social Worker with 11 years of field experience helping clients cope with feelings of stress, anxiety, grief and loss, low motivation, poor self-esteem, low confidence, depression, and emotional fatigue. He has worked with the homeless population, individuals struggling with mental health conditions, and elderly victims of abuse, neglect, and exploitation. Lee believes in treating everyone with respect, sensitivity, and compassion. He establishes a healthy and constructive therapist-client relationship by understanding how people’s experiences and beliefs shape how they think about themselves and the world.

Lee received his Master of Social Work from Aurora University. He tailors care to individual needs and uses cognitive behavioral therapy, compassion-focused therapy, dialectical behavior therapy, acceptance and commitment therapy, motivational interviewing, and mindfulness techniques.

Taking the first step to seeking a more fulfilling and happier life takes courage, and Lee is here to support you. He believes that truly supporting a person's growth includes occasionally challenging their viewpoints. Lee is ready to start the journey with you and encourages you to schedule an appointment today!

Therapy is a collaborative space where we can begin to unpack big feelings, navigate difficult emotions, and work through life's challenging experiences. If you're feeling stuck, numb, overwhelmed, or weighed down by pain, you're not alone. I am a licensed clinical social worker with a master's degree from the University of Michigan and over 12 years of experience. I take a holistic approach to supporting individuals through life transitions, grief, depression, anxiety, trauma, and emotional distress. I believe deeply that your voice matters—and that you matter. 

In our first session, my focus is on getting to know you and creating space for you to share your story. I'm intentional about fostering warmth, support, accountability, and partnership. My approach is integrative and evidence-based, incorporating CBT, DBT, solution-focused techniques, and somatic interventions. 

Our work together will be collaborative and tailored to your evolving needs—because growth is not linear, and it's okay for plans to change as you do. Your story matters. I'm here to listen, support, and gently challenge you along the way.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience providing comprehensive mental health care across the lifespan. I specialize in psychiatric evaluation, medication management, and psychotherapy for conditions such as anxiety, depression, bipolar disorder, mood disorders, schizophrenia, conduct disorders, and insomnia. I focus on evidence-based treatment designed to reduce symptoms, improve functioning, and promote lasting emotional well-being in outpatient and telehealth settings.

I earned my Doctorate in Nursing from Arkansas State University. My approach combines clinical expertise with empathy to support individuals as they navigate life’s challenges. I tailor each treatment plan through careful evaluation, medication management, and therapy to help clients build resilience, balance, and overall well-being.

I understand the challenges of living with mental health conditions and strive to create a safe, judgment-free space where clients feel heard and supported. My goal is to provide compassionate, personalized care that encourages healing and growth, helping each person take meaningful steps toward recovery and emotional stability.

I am a licensed mental health counselor (LMHC) with 6 years of experience supporting individuals navigating trauma, attachment wounds, low self-esteem, and identity exploration. I believe my clients are the experts in their own lives and focus on building meaning, self-awareness, and resilience. I am especially committed to providing affirming, person-centered care to LGBTQ+ clients, including queer and trans individuals.

I earned my Master of Science in counseling and clinical mental health counseling from the University of Phoenix. My approach integrates person-centered, trauma-informed, and strength-based therapy. I combine clinical expertise with lived experience to help clients develop healthy coping strategies and deeper self-understanding.

If you are working through trauma, identity questions, or relationship challenges, I am here to provide a safe, affirming space where you can heal and grow. Together, we will build practical tools and insight to help you move toward a fuller, more authentic life.

I am a psychiatric mental health nurse practitioner (PMHNP) with 6 years of experience supporting adults facing depression, anxiety, bipolar disorder, trauma, and other mood and thought-related challenges. I provide a warm, grounded space for clients who want to better understand themselves, build emotional balance, and create sustainable change. My goal is to meet each person with clarity, compassion, and evidence-based care.

I earned my Doctor of Nursing Practice from Walden University. My approach blends clinical expertise with a whole-person lens, using evidence-based treatments tailored to individual needs. I work collaboratively with clients to explore symptoms, strengthen insight, and develop practical strategies that support long-term stability and well-being.

I am here to help you feel understood, supported, and empowered as you navigate what comes next. Together, we will identify your goals and create a plan that meets you where you are. You do not have to face your challenges alone. I would be honored to partner with you in building the healthier, more grounded life you deserve.

Rachel Herman is a Licensed Clinical Professional Counselor with 8 years of experience. She has worked with children, adults, and adolescents in various settings including residential, foster care, and private practice. Rachel has experience and interest in working with children, teens, and adults struggling with anxiety, depression, self-esteem issues, PTSD, relationships, communication, anger management, and social skills.

Rachel received her Master’s in Counseling from The Family Institute at Northwestern University. Rachel is trained in psychodynamic theory and incorporates cognitive behavioral therapy, play therapy, mindfulness, internal family systems, and motivational interviewing.

Rachel regards therapy as a partnership between client and therapist and strives to empower clients toward accomplishing their goals. Her counseling style is warm and empathetic, and she tries to meet clients where they are. Rachel believes everyone can change and is ready to help you improve your life.

*Children under the age of 8 must be seen for in-person sessions.*

Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 25 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic and Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade, working independently in Comfort Counseling. She also has experience serving individuals from six years old to 65 years old from her time at the Renton Counseling Center. She is a clinical member of The American Association of Marriage and Family Therapy.

Mary Lou received a Bachelor of Social Work from Eastern Washington University and a Master of Arts in Marriage and Family Therapy from Pacific Lutheran University. She utilizes multiple treatment approaches including, but not limited to, solution-focused therapy, narrative therapy, cognitive behavioral therapy, and structural family therapy. Mary Lou's dominant practicing theories are those of structural family therapy, which focuses on the ways in which families function and the changes that need to be made in the family structure to help them function more effectively, and solution-focused theory, which looks at the solutions that the client brings to therapy for coping with problems and builds on the client’s successes. She also likes to use some narrative therapy, which is focused on changing the way that you look at your life or problems.

Mary Lou is a trauma survivor and comes from an immigrant family, both of which influence the work that she does on a day-to-day basis. This, along with her clinical experience, allows her to support and understand her clients in unique ways.