Therapy in Washington State

“When you reach out and touch other human beings,
it doesn't matter whether you call it therapy or teaching or poetry.”
― Audre Lorde

You might be a good fit for therapy with me if any of the following resonates. Many of the people I work with are:

* folks of all genders considering family building, navigating pregnancy or postpartum, adding a child to their family, and/or parenting.

* LGBTQIA+ individuals and most are AFAB, nonbinary, trans or cis women.

* fat, plus-size, or are in larger bodies and looking for weight neutral and/or fat accepting care.

* folks who’ve experienced anxiety, depression, intrusive thoughts, mood episodes, obsessions and compulsions, attention and sensory differences, trauma, and other mental health complications.

* wondering about, discovering, and better understanding their own neurotype or neurodivergence.

* wrestling with their identity at different life stages and the evolution of their roles within work, family, peer, and community spheres.

* folks with immigration histories or experiences living outside of the United States that are important narratives in their lives.

If you’re interested in therapy with me, the best next step is to schedule a time for us to talk on the phone or zoom. This lets us determine if I might be a good match for what you’re looking for, and if my openings and style will work for you.
You can also keep reading below for more details about my therapy practice.

Details

  • I offer therapy on a sliding scale fee structure with ranges of $200-$250, $150-$200, $100-$150, and $50-$100. You’ll be asked to consider your personal financial experience and privilege to identify which range you fall into and then to pick an amount within that range.

    I accept HSA/FSA cards and debit/credit cards. Payment is due on the day of the session and is charged automatically to the card you have on file.

  • I am not contracted with insurance companies. The benefit of not relying on insurance is we can prioritize your needs and goals versus the requirements of the mental health insurance system—which is a broken system that can harm folks.

    However I also recognize that for many, utilizing insurance is a financial necessity. You may have "out-of-network" benefits as part of your insurance plan, which may reimburse you for part of my fee.

    Learn more about the out-of-network insurance process.

  • The therapy hour is about 50 minutes of face to face time, with the remaining 10 minutes allotted for note-taking, for me to follow up on any resource requests, deal with any billing issues and transition to the next client. I am also able to schedule a longer 80 minute session (1.5 x your session rate), which can be helpful for first sessions, EMDR appointments, or if there’s an acute crisis.

    I see clients Tuesdays, Wednesdays, and Thursdays between 9am and 4pm. I have two 4pm appointments a week, which are currently full. Fridays are typically reserved for rescheduling appointments and groups. I do not see clients on Mondays.

  • I understand that schedules change, kids get sick, and things come up so there may be times you simply cannot make it to your session. I ask for 24 hours’ notice to cancel or reschedule. And I have a Limited Cancellations policy.

    • If you’re able to give me at least 24 hours’ notice and we can reschedule the appointment for the same calendar week, there are no fees beyond the session fee.

    • If you’re able to give me at least 24 hours’ notice to cancel (and you cannot or don’t want to reschedule for the same week), there is no cancellation fee up to 4 times in the calendar year.

    • If you cancel a session (without rescheduling in the same week) beyond those 4 for any reason (including vacations, school breaks, etc), you will be responsible for your full fee.

    • If you cancel with less than 24 hours or no show for an appointment, you will be responsible for the full fee. (These would not count toward your 4 free cancellations.)

    If I am not able to attend a session, you will NOT be charged the fee.

  • I am always working on unlearning and recognizing the limitations of traditional therapy practices, particularly for historically marginalized groups. Learning from anti-racism, decolonization, disability justice and fat liberation leaders, scholars, and practitioners has been important in how I approach therapy, supervision and consultation.

    And, I do bring my training in relational psychodynamic therapy, attachment, behavioral therapies, mindfulness, EMDR, and somatic interventions into my work.

    I see my role as being with you, seeking to understand and witness you; as bringing curiousity and questions; and as someone with information, resources, and experience to draw from.

    I'm a warm, calm presence in the therapy room, but I admit I have no poker face. I hold space for the ways in which larger systems affect us and seek to understand your experiences, strengths, values and challenges knowing that you are the expert on your life. I believe that we find healing, strength and resilience in connection with others — therapy might be one part of that, and healing also often happens in formal and informal groups, in our families, and in our communities.

    There’s also often laughter, tea or hot chocolate, tissues, fidgets, and fun, textured pillows. You’re welcome to take your shoes off in my office and make yourself comfortable on the couch or the floor. If you’re at home, I’m happy to be introduced to your houseplants and pets!

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

    Under the “No Surprises” law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    • Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-877-696-6775.

    The Fiddlehead Therapy Good Faith Estimate can also be downloaded.

Areas of focus for therapy

  • Healing from trauma.

    “The body, not the thinking brain, is where we experience most of our pain, pleasure, and joy, and where we process most of what happens to us. It is also where we do most of our healing, including our emotional and psychological healing. And it is where we experience resilience and a sense of flow.”

    Resmaa Menakem, My Grandmother's Hands: Racialized Trauma and the Mending of Our Bodies and Hearts

    I draw on compassion and curiosity to understand how you’ve lived with and through trauma and challenges. I have the utmost respect for the ways your brain, your nervous system, your body, your emotions have adapted. Sometimes these adaptations were helpful in the past, but no longer serve you. Sometimes we get pieces of psychological shrapnel stuck in a wound and we need to clear it out so the body can heal cleanly.

    I see the goal of trauma therapy as supporting your healing. You may always have a scar, but hopefully it doesn’t feel like it’s tugging on you internally, prohibiting movement and growth, or causing more distress.

    When we are living through traumatic experiences - whether it’s ongoing violence, abuse, racism, or war, I see my role as supporting you in naming and identifying the trauma, finding as much safety as possible, and recognizing the resilience and ways in which you and your community have survived.

    This healing work is a privilege for me. I continue learning ways to integrate our beliefs, early experiences, emotions, stories, and the body in this process. I use EMDR (Eye Movement Desensitization and Reprocessing therapy), narrative, attachment and psychodynamic theories in therapy and am also pursuing training in Somatic Experiencing (a body-oriented intervention for trauma).

  • Body Liberation.

    “Getting it right” is a body-shame paradigm. Radical self-love is honoring how we are all products of a rigged system designed to keep us stuck in stigma and shame. The only way to beat that system is by giving ourselves something the system never will: compassion.”

    Sonya Renee Taylor, The Body Is Not an Apology: The Power of Radical Self-Love

    I believe we are each inherently worthwhile. And I know that our culture, families, providers, and media can instead connect worth & value with proximity to whiteness, thinness, productivity, activity, and ability. We can end up with deeply internalized beliefs about our (lack of) worth and emotions like shame, disgust, embarrassment. And if we live in a stigmatized body, we also experience discrimination and oppression causing further stress and distress.

    So, what do we do in therapy? I work with folks who might be recognizing that they want to change their current relationships with their body, food, movement, weight, illness, or pain.

    Often this involves identifying those internalized beliefs; understanding how the autonomic nervous system might be reacting to triggers; practicing nonjudgmental awareness (mindfulness), acceptance and compassion; learning if or how disconnection or dissociation from the body shows up; processing themes of grief and loss.

  • Perinatal Mental Health.

    “The cultural narratives we were raised with, we carry with us, and they're going to influence how we see ourselves, how we understand motherhood, how we understand ourselves as mothers, whether we think we are good mothers."

    Divya Kumar, LICSW, ScM, PMH-C, on an episode of Mom & Mind podcast.

    The experiences of family building, pregnancy, birth, loss, postpartum, bonding and parenting are times that come with high expectations in ourselves and others for excitement and joy. And these are also times when can experience incredible judgment.

    I’ve supported folks of all genders—birthing and non-birthing—through these life transitions, through the mental health challenges, through the identity and relationship transitions, and through the bonding and parenting joys and difficulties.

    Perinatal mental health incorporates understanding the genetic and biological vulnerabilities for mental health complications, as well as the challenges and resilience that comes with all of our intersecting identities and narratives about becoming parents.

    In therapy, we identify what the beliefs and themes are that we’ve brought into this experience of parenting, investigate and create new, more balanced or adaptive beliefs. We might focus, especially initially, on concrete ways to support your day to day life and practice skills. And because trauma and relationship with body are such prevalent themes, I’m usually weaving in all of that work as well.

    I’ve continued working in this area over the last 10+ years because I feel so grateful to see folks recover their strength and joy. And the impact on the entire family is meaningful and often represents breaking generational cycles.

Locations

 

In-Person in Mountlake Terrace, WA

at the Terrace View Counseling Collaborative
21907 64th Ave W, Suite 330
Mountlake Terrace, WA 98043

The office is two minutes off of I-5 just over the King / Snohomish county line in Mountlake Terrace. Convenient to Seattle, Shoreline, Edmonds, Lynnwood, Everett, Bothell, Kenmore, Lake Forest Park. Free parking and ADA accessible building. You can read more about the office and accessibility at the Terrace View Counseling Collaborative website.

Online Therapy in Washington State

Connecting with a therapist from your own home can make therapy more accessible.

You will always join the same zoom room: https://zoom.fiddleheadtherapy.com (Meeting ID: 716 460 0652)
You’ll enter the zoom waiting room and I’ll admit you to the meeting at the appointment time.

More information about telehealth with Fiddlehead Therapy.

Image of a person sitting at a computer with plants in the background.

Have questions or ready to begin?

Schedule a time below to connect by phone or on zoom with Laurie Gutierrez Ganberg, LICSW