Personal Online Anxiety Therapy for Adults: Tacoma to Spokane, Washington
Appointments Available This Week. Insurance accepted, Private Pay welcome. Read MoreSchedule Now
Talk to a Therapist in Washington
You’re used to handling a lot. On the outside, things may look steady, even successful, but internally, it can feel like constant pressure, overthinking, or never fully being able to slow down.
Anxiety, overwhelm, and high expectations can quietly build over time. At some point, pushing through stops working. That’s where therapy begins.

Ready to Start Therapy?
Our work is thoughtful, personalized, and focused on understanding the patterns underneath what you’re experiencing. From there, we develop practical, tailored strategies that help you navigate stress, reduce overwhelm, and move through your life with more clarity and control.
To get scheduled, click ‘Book Now’.

How Therapy Works
First, schedule your session. Then complete your forms, and your therapist will meet with you by video on your phone, tablet, or computer.
It’s really that simple!
Calm in the Chaos: Mindfulness for Anxiety Reduction
New 8 week online class, ongoing so join now! Who couldn’t use a little more calm in today’s world? Join us for our 8 week online class where you’ll learn practical skills to manage anxiety. Led by one of our skilled & compassionate mindfulness therapists. You’ll gain tools you can use to find more peace in your daily life and reduce stress. Take care of you nervous system for anxiety, burnout, overwhelm, stress reduction, and more! Starts: Wednesdays in 2026 at 12pm (noon) PT
8 weekly sessions | $15 per class (paid as $120 upfront) | Private pay only
Ready to reclaim your calm?
Expert Online Therapy for Adults at Lakewood
Online Therapy in Tacoma to Spokane WA

Bronwyn Lamell, MA, LMHC
Licensed Mental Health Counselor - Online Therapist Vancouver & WA

Matthew Cruvant, MA, LMHC
Licensed Mental Health Counselor - Online Anxiety Therapist Tacoma & WA

Sofie Brodsky MA, LMHC
Licensed Mental Health Counselor - Trauma Therapist Spokane & Across WA

Tina Clay, MA, LMHC
Licensed Mental Health Counselor - Mindfulness & Somatic Therapist Olympia & WA

Alexis Odle-Aaberg, MS, LMHCA
Licensed Mental Health Counselor Associate - Online Therapist Yakima & Across WA
Online Therapy for Adults in Washington State: What We Help With
At Lakewood Child and Family Counseling (LCFC), we believe seeking therapy isn’t a sign that something is “wrong” with you, it’s a sign that you are prioritizing your well-being. You aren’t broken or damaged; you are human. Just as you would see a doctor for physical health, online adult counseling is essential maintenance for your emotional and mental health.
Our Washington-based online therapists provide a safe, supportive, and confidential space where you can explore your feelings, navigate life’s challenges, and foster self-compassion. Whether you are looking for anxiety treatment, trauma-informed care, or support for life transitions, we are here to help you grow, heal, and thrive.
Why Choose LCFC for Online Adult Therapy?
Choosing to see a therapist means you are taking your happiness seriously. We walk alongside you to provide professional guidance for a variety of concerns, including:
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Managing Stress & Burnout: Finding balance in a high-pressure world.
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Healing from Trauma: Utilizing somatic and nervous system-informed care to find peace.
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Navigating Transitions: Support for career changes, divorce recovery, or new parenthood.
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Improving Relationships: Breaking old patterns to build healthier connections.
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Personal Growth: Building the confidence and self-awareness you deserve.
You deserve support. By starting online therapy in WA, you’re saying, “My well-being matters.” We’re here to help you move from simply “getting by” to truly thriving.
You belong here!
What Issues Do We Help Adults With in Online Therapy WA?
Online Therapy in Washington State
We offer somatic therapy and nervous system care for anxiety, burnout, and trauma. All sessions are held online, serving adults throughout Washington State.
Therapy for Anxiety
If worry, overthinking, or stress are running your life, anxiety therapy helps you understand what is driving it and build practical skills to feel like yourself again.
Trauma Therapy
Trauma therapy helps you work through what happened at your own pace in a safe, supportive environment. We use trauma informed care to help you heal from the inside out.
Therapy for Depression
Whether your depression shows up as persistent sadness, emotional flatness, or a quiet loss of joy, therapy helps you understand what is underneath it and find a path forward.
PTSD Therapy
We offer therapy for PTSD and complex PTSD, including trauma related distress, intrusive memories, flashbacks, and hypervigilance. Sessions go at your pace in a safe, confidential space.
ADHD Therapy
Adults with ADHD often spend years managing attention challenges, impulsivity, and overwhelm without support. Therapy helps you understand how your brain works and build strategies that actually fit your life.
Neurodivergent Therapy
Think, feel, or process differently than the people around you? We work with adults across the neurodivergent spectrum, including those with ADHD, AuDHD, and other forms of neurodivergence. You are not broken. You are different, and that is something we can work with.
Grief Counseling
Grief takes many forms. Whether you are processing the loss of a person, a relationship, a life stage, or an identity, therapy offers a space to grieve fully and find your footing again.
Stress Management
Chronic stress wears on your body, your relationships, and your ability to think clearly. Therapy helps you identify what is driving the stress, reduce what can be reduced, and build real tools for managing what cannot.
Specialized and Focused Clinical Support
Somatic Therapy
Somatic therapy works with the body as well as the mind. For adults experiencing chronic pain, GI issues, or physical symptoms linked to stress or trauma, somatic approaches help you address the physical signs of distress alongside the emotional ones.
Behavioral Therapy
Behavioral therapy helps adults identify and change patterns that are causing problems in work, relationships, or daily life. If you know what you are doing is not working but cannot seem to stop, behavioral approaches help you interrupt the cycle.
Emotional Regulation and Dysregulation
Many adults struggle with emotions that feel too big, too frequent, or impossible to manage. Emotional regulation therapy helps you understand what is triggering intense emotions and build practical skills to respond rather than react.
Super Feelers
If you feel things more deeply and more intensely than most people around you, you are not broken or dramatic. You are a highly sensitive, deeply empathetic adult, and there are real tools for living more comfortably in a world that was not built for people who feel as much as you do.
Mood Disorders
Mood disorders include conditions that affect emotional stability, energy, and daily functioning. Therapy supports adults in understanding their mood patterns, reducing their impact on daily life, and building a sustainable path forward.
Bipolar Disorder
Bipolar disorder involves shifts in mood, energy, and activity that can affect relationships, work, and daily life. Therapy supports adults in understanding their patterns, building stabilizing tools, and living more consistently.
Thinking Disorders
Thinking disorders involve patterns of thought that cause distress, including intrusive thoughts, negative self-talk, cognitive distortions, and thought patterns that feel stuck or out of control. Therapy helps you recognize these patterns and begin to shift them.
Impulsive Behaviors
Impulsive behaviors often have deeper emotional roots. Whether you are acting before thinking, making decisions you later regret, or struggling with impulse control in relationships or at work, therapy helps you understand what is driving the behavior and build healthier responses.
Suicidal Thoughts and Ideation
If you are experiencing thoughts of suicide or self-harm, you do not have to carry that alone. Our therapists provide a safe, non-judgmental space for adults navigating suicidal ideation. If you are in immediate crisis, please call or text 988 to reach the Suicide and Crisis Lifeline.
Mindfulness Skills and DBT Informed Training
Dialectical Behavior Therapy (DBT) combines mindfulness with practical tools for emotional regulation, distress tolerance, and interpersonal effectiveness. We offer mindfulness skills training informed by DBT principles, designed for adults ready to build real tools for managing overwhelming emotions and stress.
Sleep and Insomnia
Poor sleep affects mood, focus, physical health, and relationships. If anxiety, stress, or rumination is keeping you awake, therapy helps you address the underlying causes and build a sleep routine that actually works.
Therapy for Military Spouses and Military Stress
Military life brings unique stressors, from deployments and frequent relocations to the emotional weight of service and the challenges of transition. We work with active duty service members, veterans, and military spouses in Tacoma, JBLM, and across Washington State.
Identity, Relationships, and Life Transitions
Therapy for Life Transitions
Major life changes, whether expected or not, can shake your sense of identity and direction. Therapy for life transitions helps you process the change, find your footing, and move into the next chapter with more clarity and intention.
Adjustment Counseling
When a significant change hits harder than expected, adjustment counseling offers focused support to help you adapt, stabilize, and regain a sense of control without feeling like you are starting from zero.
Relationship Patterns
If you keep ending up in relationships that feel familiar but painful, the pattern is worth looking at. Therapy helps you understand what draws you to certain dynamics, break the cycle, and build the kind of connections you actually want.
Help to be a Better Partner
Sometimes your partner brings it up first. Sometimes you know it yourself. Either way, wanting to show up better in a relationship is a great reason to start therapy. We will figure out together what that looks like for you.
Therapy to be a Better Parent
Parenting is genuinely hard, and most of us are doing it without a manual. Whether you are struggling with your child’s behavior, repeating patterns from your own upbringing, or simply wanting to show up differently, therapy gives you the tools and the space to do that.
LGBTQIA+ Support
We offer a safe, affirming, and judgment free space for LGBTQIA+ adults navigating identity, coming out, gender transition, relationship concerns, family acceptance, or any area of life where your full self deserves support.
Therapy for Women’s and Men’s Wellness
Some experiences are shaped by gender in ways that matter. We offer support for women and men navigating gender specific wellness concerns, life pressures, relationship dynamics, and identity related challenges.
Pregnancy, Postpartum, and New Parent Support
The transition to parenthood is one of the biggest identity shifts a person can go through. Whether you are experiencing postpartum anxiety, depression, or simply struggling to find yourself in a completely new role, support is available and it makes a real difference.
Religious Trauma
Leaving a faith community, questioning deeply held beliefs, or recovering from religious harm can leave you feeling unmoored, ashamed, or deeply confused. Therapy for religious trauma gives you a safe space to sort through what happened, grieve what you have lost, and find solid ground on your own terms.
Transgenerational and Generational Trauma Therapy
Some of the patterns we carry were never ours to begin with. Transgenerational trauma therapy helps you identify inherited wounds, beliefs, and behaviors passed down through your family, separate them from who you actually are, and begin to heal at the root.
Divorce Recovery
Divorce changes almost everything. If you are on the other side of it and ready to understand what happened, rebuild your sense of self, and approach the future with more clarity, therapy supports that full recovery process.
Employment Distress and Career Transitions
Job loss, toxic workplaces, burnout, career changes, and economic uncertainty can create profound stress and identity disruption. Therapy helps you process the emotional weight, make clearer decisions, and find a path that actually aligns with who you are.
Therapy for Political Anxiety
The current political climate is genuinely distressing for many adults. If news cycles, policy changes, or fear about the future are affecting your sleep, your relationships, or your daily functioning, that is a real and valid reason to seek support. You do not have to white knuckle your way through it alone.
Pet Loss and Grief
Losing a pet is a real grief, and it often gets minimized by people who have not experienced it. The loss of an animal companion can be as profound as any other loss. Therapy gives you space to grieve fully, without having to justify your pain to anyone.
Online Therapy for Adults in Washington: Tacoma to Spokane!
No Judgment. No Stigma. Just Support & Growth.
Welcome! Starting therapy is a brave step, and finding the right therapist can feel overwhelming. The endless profiles, waitlists, and uncertainty about fit often adds more stress. That’s exactly why we’re here. At Lakewood Child and Family Counseling (Online therapy for adults), we offer immediate availability and a supportive, straightforward process to help you get started with telehealth therapy. Many people looking for ‘therapy near me’ prefer online sessions and we are experts at that!
Therapy is your dedicated space to focus on you, your life, your challenges, your goals, and your relationships. Therapy is more than crisis management or a diagnosis. It’s a relationship! Whether you’re navigating a life transition, anxiety, depression, ADHD, trauma, or simply seeking support for personal growth, you deserve to be seen, heard, and supported.
So, if you’re searching for a therapist near you in Washington from Tacoma, Lakewood, Yakima, or the Tri-Cities… Look no more! Our licensed counselors specialize in online therapy for individual adults that is inclusive, compassionate, & connected therapy all across WA State. We’re proud to welcome all adults into therapy. We also offer neurodivergent-affirming care, LGBTQIA+ affirming therapy, and BIPOC therapists who celebrate diverse identities, cultures, and backgrounds across Washington.
Servine Washington since 2008- 18 years of experience in mental health therapy services, we understand the needs of Washington residents. If you live in Seattle or Spokane, Yakima, Bremerton, Redmond or beyond, our therapists understand and provide professional care you can trust.
Learn more about us on our Psychology Today profile or if you’re ready to get started click schedule now.
Find a therapist who accepts insurance in Tacoma:
Many of our clients prefer to pay out of pocket for services here. We work with a few insurance providers to make therapy more accessible. If your plan isn’t listed, please call our office to confirm coverage. We’re happy to help you navigate the process. Our Fees and Insurance page also offers more details.
Insurance List
While most clients prefer to pay privately for services some of our therapists do accept the following insurance in Washington State:
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Lifewise
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First Choice Health Network (FCHN)
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HMA
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Molina Marketplace
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VA Insurance
- Tricare
- More!
Start Today
Therapy isn’t just for crisis moments.
It’s for getting support before things get harder.
Online Therapy for adults in Washington
Online Anxiety Class offered, sign up via ‘contact us’!

Supervision towards LMHC Licensure
If you are an Associate Therapist LMHCA looking for a Washington state approved Supervisor, by all means, click below to see if we could be a good fit for each other. Perhaps we can help you navigate private practice life and how to accept insurances for clients as well. In fact, we're pretty skilled at that here!

Private Practice Business Consulting
Are you looking for a thoughtful and dynamic therapy case consultation or private practice business consulting? We bring 18 Years of counseling experience, coupled with practice management, we can certainly help you if you live in WA. Especially if you are learning the basics of being a therapist who accepts insurance in WA state.
Common Questions About Online Therapy in Washington
These are the questions adults across Washington most often ask when looking for online therapy. Lakewood Child and Family Counseling provides secure, virtual mental health counseling for adults in Bellevue, Mercer Island, Sammamish, Seattle, Tacoma, Olympia, Spokane, and surrounding communities. We accept select insurance plans and offer private pay sessions for clients who prefer added privacy and scheduling flexibility.
Are your therapists currently accepting new clients in Tacoma, Bellevue, Mercer Island, Spokane, and across Washington?
Yes. Lakewood Child and Family Counseling is accepting new adult clients across Washington State in 2026. We provide online therapy for adults in Tacoma, Lakewood, Yakima, Spokane, Bellevue, Mercer Island, Sammamish, Seattle, Olympia, Bellingham, and surrounding communities. Both private pay and insurance-based sessions are available. To get started, click Book Now to schedule your first online therapy appointment.
Does Lakewood Child and Family Counseling offer therapy for children or teenagers?
Despite our name, Lakewood Child and Family Counseling specializes exclusively in online therapy for adults ages 18 and older. We do not currently offer counseling services for children, teens, or adolescents.
Our adult therapy services focus on anxiety, stress, burnout, and overwhelm delivered via secure telehealth across Washington State, including Vancouver, Spokane, and surrounding areas.
If you are searching for a child or adolescent therapist in Washington State, we encourage you to visit Psychology Today’s therapist directory to find a provider who specializes in younger clients.
What does the first online therapy session look like?
Your first online therapy session is a private, 53-minute conversation with your therapist held over a secure, HIPAA-compliant video platform. After you complete your intake paperwork through our electronic portal, you will receive a confidential link by text or email and join your session with one click. The first session focuses on understanding what brought you to therapy, your goals, and how we will work together. Clients across Mercer Island, Bellevue, Seattle, Tacoma, and all of Washington State attend sessions comfortably from home, the office, or any private space.
Do you work with neurodivergent adults, including those with ADHD or AuDHD?
Absolutely, Yes. We welcome all types of human brains here! If you feel like you’re neurodivergent or even just a little neuro-spicy, You will feel at home with us! We work with neurodivergent adults across Washington state, including Seattle, Tacoma and all of Pierce County area, via secure online therapy.
Do your therapists accept insurance, and is private pay an option?
Yes to both. Lakewood Child and Family Counseling is in-network with select insurance plans for online therapy across Washington State, including Regence, Premera, Lifewise, First Choice Health Network, HMA, VA, and Tricare. Insurance coverage for telehealth has expanded significantly, and most major plans now cover virtual sessions at the same rate as in-person therapy. Reach out to confirm whether your specific plan is accepted.
Many of our clients choose private pay for added privacy, more scheduling flexibility, and the freedom to work with the therapist of their choice without insurance limitations. Private pay also keeps mental health care off your Explanation of Benefits, which is often a consideration for executives, professionals, and clients on employer or family plans. We accept HSA and FSA cards for private pay sessions.
Will my employer or anyone else be able to see that I am in therapy through my insurance?
This is a common and completely understandable concern. When insurance is billed, an Explanation of Benefits (EOB) is typically sent to the policyholder. If you are on a family or employer plan, the primary account holder may see that a mental health claim was processed though not the details of what was discussed. In other words they may see that you attend therapy but will not have access to what you discuss unless you give written permission. If privacy is a concern, paying privately avoids insurance records entirely. We are happy to talk through your options so you can still receive the support you’re searching for.
Can I use my FSA or HSA to pay for therapy?
Yes! Online Therapy sessions are an eligible expense under most Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) in WA. This is a great way to use pre-tax dollars to cover your copay, deductible, or private pay sessions. Check with your plan administrator to confirm your specific account’s rules.
How can I reduce anxiety naturally without medication?
Many people look for natural ways to reduce anxiety, especially for symptoms like overthinking, stress, and panic. One of the most effective approaches is mindfulness, which helps you step out of anxious thoughts and focus on the present moment.
If you’re looking for a practical, natural way to manage anxiety, we offer online mindfulness classes for anxiety and more!
These classes are open to anyone even beyond Washington. Experience virtual anxiety support with our online group course. You can sign up today for our 8 week mindfulness course anxiety online via the ‘Contact Us’ tab at the top of the page.
Get Started Today
Help is Here! Your Mental Health is Important! Complete to get started…
Connect
We provide professional online counseling for Washington State residents, including Therapy Tacoma, Spokane, Olympia, Yakima and surrounding communities. Appointments available via telehealth only.
Our team of licensed Mental Health Therapist accepts Premera, Regence, First Choice Health Network, VA, Tricare, Lifewise, HMA Insurance and many more! If your plan is not listed here, the office can help. Just give us a call to connect. We’re here to help!
253-617-3559 ext. 1
Phone Hours:
Monday-Friday
Please leave voicemail if we miss your call while helping others.
Days and times for scheduled therapy sessions vary widely by Therapist availability and calendar.

