Solution-Focused Brief Therapy (SFBT) therapists in Lake Stevens, WA

My therapeutic roots are in attachment and complex trauma, the relational wounds that shape how we move through the world and who we let close. I work with anyone navigating the layered terrain of identity and connection. For couples, I specialize in ENM and polyamorous relationships, interracial and cross-cultural partnerships, and discernment counseling for couples weighing whether to stay or go. I also work with individuals carrying complex childhood or relational trauma—the kind that doesn’t just affect how you feel, but how you attach, trust, and show up in relationships. My clients often feel caught between worlds, wanting to feel seen and understood without having to explain everything. In our work, we slow down, explore what’s happening underneath the surface, and create room for healing and growth.  

I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.  

If life feels heavy right now, you’re not alone. Many people reach out for support when anxiety, relationship struggles, or major life changes begin to feel overwhelming. When challenges stack up, it can be hard to see a clear path forward. We offer a warm, inclusive environment where individuals and couples can explore challenges and begin moving toward the life they want. Our experienced team uses evidence-based approaches to support people working through anxiety, depression, trauma, major life changes, perfectionism, and feelings of shame. We work with children, teens, and adults, and welcome people from all backgrounds and communities. Visit our website or send us an email to schedule an appointment or a free 15-minute consultation. We’ll help you find the therapist who feels like the right fit for you.  

If you are struggling with ADHD, anxiety, depression, PTSD, bipolar disorder, insomnia, or other mental health challenges, I am here for you. I have more than 6 years of medical experience. I have specialized training in psychiatric mental health, and I have worked in crisis stabilization and outpatient behavioral health settings, supporting individuals with diverse mental health needs.  

Hi, I’m Ryan. I became a therapist because I know how powerful it can be to have someone genuinely in your corner. Someone who sees the good in you when you’re struggling to see it yourself, who stays grounded when life feels overwhelming, and who believes that your current circumstances do not have to define your future. I believe people are capable of meaningful change, even after years of feeling stuck, lonely, anxious, disconnected, or shaped by painful experiences. Sometimes we simply need a relationship in which we feel safe enough to be honest, supported enough to take risks, and gently challenged enough to begin doing things differently. I hope to offer that kind of relationship to my clients. My path to becoming a therapist has not been entirely conventional. I grew up in Bellingham, Washington, earned degrees abroad in Italy and Spain, and previously worked as both a marketer and a psychometrist before entering the counseling profession. Living in different countries and moving through several professional worlds taught me to be curious about people. Their stories, cultures, relationships, contradictions, and the experiences that shape how they see themselves. In therapy, I want to know the person behind the symptoms. I want to understand what you long for, what keeps getting in the way, what you learned about yourself growing up, and who you might become if fear, shame, trauma, or self-doubt were no longer making so many of your decisions. You do not need to arrive with the perfect explanation for what is wrong. You may simply know that you feel lonely, overwhelmed, disconnected from yourself, haunted by the past, or tired of repeating the same relationship patterns. You may be outwardly successful while privately feeling insecure or lost. You may want deeper relationships but find yourself withdrawing, avoiding vulnerability, choosing unavailable partners, or questioning whether anyone could truly understand you. Whatever brings you here, you do not have to perform or pretend with me. I aim to create a space where you can speak honestly. Even about the thoughts, experiences, desires, fears, and parts of yourself that feel difficult to share elsewhere. My style is warm, grounded, direct, and deeply human. I will listen without judgment, but I will not simply nod along with everything you say. When helpful, I will gently challenge the beliefs or patterns that may be keeping you stuck. I believe we can be compassionate toward ourselves while also taking responsibility for creating change. Therapy with me is both insight-oriented and action-oriented. We will explore how early relationships, childhood experiences, unconscious beliefs, and protective behaviors may still influence your life today. I take an Adlerian and psychodynamic approach, meaning I am interested in the deeper story beneath your current struggles. However, I do not believe your past permanently determines who you are. Awareness gives us choices. Once we understand why a pattern developed and what purpose it once served, we can begin deciding whether it still belongs in the life you want today. Insight is important, but I also want therapy to extend beyond the hour we spend together. Depending on your goals, I may suggest small behavioral challenges (what I sometimes call “missions”) to help you practice new ways of relating to yourself and others. That might involve initiating an uncomfortable conversation, setting a boundary, reaching out to someone instead of isolating, tolerating the possibility of rejection, making eye contact, expressing a need, or interrupting a pattern of avoidance. These challenges are collaborative and paced carefully. The goal is not to overwhelm you or push you before you are ready. Instead, we gradually build your capacity to do things that once felt impossible. Little by little, you begin gathering evidence that you can survive discomfort, respond differently, and become more secure in yourself. I also use evidence-based approaches such as Eye Movement Desensitization and Reprocessing therapy, or EMDR, as well as Cognitive Processing Therapy and Cognitive Behavioral Therapy. These approaches can be especially helpful when painful memories, traumatic experiences, intrusive thoughts, or deeply rooted negative beliefs continue to affect your relationships and daily life. We can discuss these options together and determine what feels most appropriate for you. Therapy is not one-size-fits-all, and I want you to understand and feel comfortable with the work we are doing. Many of the people who feel drawn to my practice are young adults, members of Gen Z and the millennial generation, and people who want to build more meaningful relationships. I often work with men experiencing loneliness, insecurity, relationship difficulties, or questions related to sexual identity. I particularly value working with gay and bisexual men and hope to provide a space where you can explore identity, dating, intimacy, coming out, attachment, and relationship dynamics without having to explain or defend who you are. I also enjoy working with women navigating attachment concerns, dating patterns, motherhood, single parenthood, major transitions, and the desire to form healthier, more secure relationships. Across identities, I tend to connect well with people who are introspective, curious about themselves, and ready to move toward a life that feels more authentic, even if they are not yet sure how to get there. My goal is not for therapy to become the only place where you feel known and supported. I want the trust we build together to ripple outward into the rest of your life. Over time, I hope you become more comfortable expressing yourself, navigating conflict, forming close relationships, recovering from setbacks, and allowing others to truly know you. Ultimately, my goal is to help you build a life so full, secure, and meaningful that you no longer need therapy in the same way. Outside of my work, I enjoy spending time with my fiancé, family, and friends. I love being outdoors, walking through neighborhoods and cities, riding my bike, growing food, and working on DIY and home-renovation projects. I also practice Vipassana meditation, although, like many people, not quite as consistently as I would like. These parts of my life help me stay curious, grounded, and connected to the ordinary moments that make life feel meaningful. Choosing a therapist is deeply personal. Training and therapeutic methods matter, but so does the feeling you have when you speak with someone. You deserve a therapist with whom you can gradually lower your guard and feel more like yourself. A free consultation is an opportunity for us to talk, for you to ask questions, and for you to get a sense of my personality and approach without pressure. You do not need to commit before knowing whether the connection feels right. I would be honored to meet you, hear what has been happening in your life, and explore whether I might be the person to walk alongside you as you begin creating something different.  

ADHD Testing and treatment available: New patients seen the same week. Are you struggling with ADHD, anxiety, depression, PTSD, bipolar disorder, insomnia, or other mental health challenges? You do not have to face them alone. I have over 8 years of medical experience caring for adolescents and adults across a variety of mental health settings. I am a board-certified Psychiatric mental health nurse practitioner and I see patients ages 10-65.  

You deserve a space where you don’t have to explain or shrink who you are. I work from a queer-affirming, trans-affirming, and trauma-informed lens to support individuals navigating identity, transition, relationships, and major life changes. Many of my clients come in feeling overwhelmed, disconnected from their authenticity, or unsure of the next step. Together we create space to slow down, explore, and reconnect with yourself. My approach is warm, collaborative, and grounded in empowerment. Whether you're questioning, in transition, or working through old patterns, I’m here to support you in building a life that feels aligned with your truth. Therapy with me isn’t about “fixing” you. It’s about helping you feel seen, grounded, and understood.  

My counseling philosophy is simple yet profound: to build a genuine therapeutic relationship where you feel understood, supported, and empowered. I am committed to equipping you with the tools and strategies to navigate life’s challenges and create lasting change and renewed purpose."  

Hello! My name is Yukiko. I am a licensed psychotherapist in California and Washington, providing online individual therapy services in English and Japanese. I help adult clients navigate depression, anxiety, relationship challenges, cross-cultural issues, stress management, and career/job-related concerns, with empathy, gentle encouragement, and practical tools. I celebrate diversity and would like to support immigrants, women, and people of color. I have a special interest in inter-racial couple’s dynamics, focusing on cultural differences and their manifestations within the context of intimacy. I incorporate attachment theory into my therapy and explore childhood experiences with family of origin, aiming to understand underlying psychological patterns and relational dynamics. As a therapist, I would like to build trust and cultivate a caring and supportive therapeutic relationship with You!  We will collaboratively develop treatment goals, prioritizing your needs and desired therapeutic outcomes. If you are interested in my therapy, feel free to contact me anytime. I would love to hear from you!  

Dr. Jayson L. Mystkowski received a Ph.D. from UCLA’s Clinical Psychology program in 2003 and a B.A. Summa Cum Laude and Phi Beta Kappa in Psychology, with Departmental Honors, from Northwestern University in 1997. At UCLA, where he has been a Clinical Professor for over 20yrs in their Psychology Clinic, Dr. Mystkowski acquired a strong foundation in applying behavior theories to the understanding and treatment of anxiety disorders while working with Dr. Michelle Craske and has published several papers on this topic. His clinical training is diverse, with time spent on anxiety treatment studies at UCLA, practicum and post-doctoral training at the Greater Los Angeles Veterans Administration Hospital System, and an APA-accredited internship at UCLA Counseling and Psychological Services (CAPS). After 15yrs as a licensed clinical psychologist and the Associate Clinical Director at Cognitive Behavior Associates in Beverly Hills, Dr. Mystkowski founded Cognitive Behavior Health Partners in 2019. Dr. Mystkowski is licensed in CA (#20077), CT (#4416), NY (#027100), WA (#61634860) and British Columbia (#1035249), has been granted the Authority to Practice Interjurisdictional Telepsychology (APIT: E. Passport Mobility #14145) and a Certificate of Professional Qualification (CPQ) by the Association of State and Provincial Psychology Boards (ASPPB).