Online therapy for Washington residents
Seattle, Tacoma, Spokane and Olympia are hours apart, and small towns across the Cascades and the Olympic Peninsula are farther still. Online sessions bring a Washington-licensed clinician to wherever you are, no ferry or mountain pass required.
Origins Counseling & Wellness offers secure video therapy with a clinician who is licensed to practice in Washington. Our care is trauma-informed and affirming of LGBTQIA+ and neurodivergent clients and of people whose lives do not fit a template.
What you can work on with a Washington clinician
Our Washington clinician lists these focus areas. Their profile explains their approach in their own words, so you can tell whether they sound like a fit.
- Anxiety Disorders
- Boundary Setting and People-Pleasing
- Identity Exploration
- Kink-Affirming Care
- LGBTQIA+ Affirming Care
- Life Transitions Support
- Neurodivergent Support
- Perfectionism & High Achievement
- Polyamory & Consensual Non-Monogamy
- Relationship Issues
Sessions are available for teens and adults, in the form of individual and couples therapy. Not sure what to look for? Our guide to finding a therapist walks through it, and Is it a good time to start therapy? can help you decide when.
How online therapy with Origins works
- Choose a clinician. Read the profile of our Washington clinician below, or browse the full therapist directory.
- Book a free 15-minute consultation. It is a low-pressure conversation to see whether you click. Here is how booking works, or call 252-220-0420 or text us.
- Meet by secure video. Join from a private space in Washington on your phone, tablet or computer. Washington is on Pacific time, so tell us your time zone when you book to make sure appointment times line up.
- Adjust as you go. If the fit is not right, tell us. Finding the right person is part of the process.
Clinicians licensed in Washington
Therapists can only provide therapy to people who are physically located in a state where they hold a license. The clinician listed on this page is licensed in Washington, so you need to be in Washington during your session. If you are traveling or planning a move, tell your therapist early so you can plan for continuity of care.
Our in-person offices are all in North Carolina, so care for Washington clients happens online.
Cost, insurance and payment for Washington clients
Insurance participation varies by clinician, by plan and by state, so a plan we work with in North Carolina does not automatically apply in Washington. Ask us before you book and we will tell you what is available for your plan. Many Washington clients use self-pay, a sliding-scale spot when one is open, or out-of-network benefits with a superbill. Our guide to using insurance for counseling explains the basics.
If you need help right now
Online therapy is not an emergency service. If you or someone you know is in crisis in Washington, call or text 988 to reach the Suicide & Crisis Lifeline, or call 911 or go to the nearest emergency room.

