I work with adults, range from age from their early 30s to their 60s.  Most of my clients struggle with anxiety, depression, PTSD, issues with their family of origin, job transitions, relationship issues, un-expected events that come up and are having a hard time adjusting. 

I earned my Master’s degree in Counseling from West Virginia University in 2009. I began my career as a crisis counselor, answering suicide hotline calls and providing individual and group therapy for people in crisis or going through detox. Later, I worked at a Youth Center, offering therapy to young children, adolescents, and their families. I did this for two years—it was heartbreaking to witness the abuse many children were experiencing, especially knowing I didn’t have the power to change their environments or the system around them. Eventually, I transitioned to working with adults, this time as a chemical dependency counselor. I provided outpatient individual therapy as well as therapy for individuals in a 28-day treatment program and a follow-up 3-month program.

From 2016 to 2020, I worked with adults and older adults experiencing anxiety, depression, agoraphobia, PTSD, complex PTSD, and chronic medical conditions. I also gained extensive experience supporting people navigating dementia, end-of-life concerns, death with dignity, and the emotional challenges of hiring caregivers or transitioning into adult family homes or assisted living facilities.

In 2020, I started my private practice, focusing on working with adults who are struggling with anxiety, depression, trauma, CPTSD, and issues with their original family.  Since then, I noticed my clients doing better by being able to heal their inner child, increase their capacity to cope with difficult emotions, be able to view their trauma from the distance, and able to cope and communicate their needs better.  I use EMDR therapy, IFS therapy, and Somatic Experiencing as my main modalities to help my clients. 

I use a variety of assessments tools, as well as asking you directly.  

Yes, I have been in therapy myself and still am. I value the experience and always strive for self-growth.

Please let me know so I can make necessary changes.  If after two or three sessions, you still feel it’s not a good match.  It’s perfectly ok.  I am happy to refer you to better fitted therapists.  And I understand that these things happen.  description

I deeply value each person’s unique lived experience and cultural identity. I strive to approach every client with curiosity, humility, and respect. Rather than relying on generalizations, I listen closely and honor the specific ways culture, identity, and community shape a client’s story.

I’ve taken courses in cultural competence and LGBTQ+ mental health, and I continue to read, reflect, and learn so that I can provide affirming, responsive care. For me, this is lifelong work—staying present, open, and committed to creating a safe space where all parts of you are welcome.

For individual therapy, please contact me 24 hours ahead of time to let me know.  Right now, I do not charge a cancellation fee.

Because EMDR intensives require me to block out significant time in advance, I ask for at least two weeks' notice for any cancellations or rescheduling. Cancellations made with less than two weeks’ notice are non-refundable, and you will be responsible for the full cost of the intensive.

To start, I meet with most of my clients every week.  I also have some clients need to meet every other week and some only meet once a month when they are doing better.  

For EMDR + IFS intensive, the structure is different. Please contact me directly to learn more.

Emails are the best way to contact me: karekounseling@gmail.com.  However, if you are in an emergency, please call 911 or the crisis line.  

Let reassess.  We might be focusing on the wrong target.  We might need to give it more time and different approaches before changes happen.  We might need to talk about seeing another specialist.  This will be a collaborative relationship, and we can figure it out together.

EMDR intensives are priced differently based on length and format. Please visit the EMDR Intensive page for full details.

My fee is

• $200 per 60-minute session.

• $300 for 90-minute extended EMDR session.

  I specialize in depth work with clients navigating trauma, inner child healing, and attachment wounds. I integrate EMDR, Internal Family Systems (IFS), and Somatic Experiencing to support lasting healing. I’ve found that showing up fully—both for my clients and for myself—requires that I maintain a sustainable, grounded practice.
  
  I am currently in-network with Premera, First Choice, and LifeWise, BUT will end contract with them on 01/21/2026.

  I am in the process of phasing out of Regence, and contract will end with them in March 2026.

If I’m not in-network with your insurance, I can provide a superbill (a detailed receipt) for possible reimbursement through your out-of-network benefits. Every plan is different, so I recommend contacting your insurance provider to ask:

• Do I have out-of-network mental health coverage?

• What is my deductible, and has it been met?

• How much will I be reimbursed per session with a licensed therapist?

Good Faith Estimate (for Private Pay Clients)

In accordance with the No Surprises Act, you have the right to receive a Good Faith Estimate outlining the expected cost of therapy services. This will be provided at the start of treatment.

Yes. I have an office in Lynnwood WA that we can meet.

I only see adults and only provide individual therapy sessions right now. I will be offering IFIO couple therapy and family therapy in 2026.

I would love to hear from, and knowing how I can best support you!