Cognitive Behavioral Therapy (CBT) therapists in Seattle, WA

We know that feeling understood matters just as much as clinical skill. We take care in matching clients with therapists who not only have strong training, but who also bring lived experience that helps them truly “get” what you’re going through. Our therapists work in a way that is both clinical and deeply human—offering evidence-based support while honoring identity, context, and real-life experience. We focus on creating a relationship where you feel safe, respected, and supported, so therapy feels meaningful, not mechanical.  

I work especially well with thoughtful, capable people who may understand themselves intellectually yet continue to feel caught in patterns they cannot resolve through insight or effort alone. Many of my patients are accustomed to functioning well, carrying responsibility, and caring for others while privately struggling with anxiety, depletion, shame, emotional overwhelm, or disconnection from themselves. What distinguishes my practice is the depth and individuality of the work. I do not reduce people to diagnoses or apply the same treatment formula to everyone. I seek to understand how your history, relationships, identities, strengths, and protective strategies have shaped your inner world. I am attentive not only to what you tell me, but also to what may be difficult to articulate, what repeatedly gets enacted in relationships, and what unfolds between us in therapy. My style is thoughtful, engaged, and collaborative. I respect complexity and do not impose artificial urgency, but I am not passive. I will help us notice when fear, avoidance, or familiar patterns begin to limit what feels possible. My goal is to offer a relationship in which you can become more fully known, develop a different relationship with your internal experience, and gain greater freedom to choose how you want to live.  

I believe therapy should be a space where you feel comfortable, understood, and supported as you navigate life’s challenges. My approach is compassionate and empowering—I work collaboratively with you to uncover patterns in your thoughts, emotions, and behaviors that may be holding you back. Together, we’ll identify these cycles and develop tools to help you break free from them, build healthier ways of thinking, and create lasting change. My goal is to help you strengthen self-awareness, increase emotional resilience, and move toward a more balanced and fulfilling life.  

Living with chronic pain or illness can affect far more than your physical health—it can change your identity, your relationships, your sense of safety, and your hopes for the future. With a strong medical background and years of training and experience treating chronic pain and chronic illness, I offer a compassionate, nonjudgmental space for making sense of these experiences and finding actionable ways to move forward. My approach is collaborative and individualized, combining evidence-based psychological treatment with an understanding of the complex relationship between the brain, body, nervous system, emotions, behavior, and symptoms. Whether you are struggling with chronic pain, symptoms that persist despite medical treatment, illness-related anxiety, medical trauma, PTSD, sleep problems, or trying to adjust to a life that has changed, therapy can help you feel more capable, hopeful, and empowered to build the life you want.  

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!  

Clients often share that they feel at ease working with me because I bring warmth, authenticity, and genuine care into each session. I value real connection and strive to create a space where clients can show up exactly as they are—without pretense or pressure. While I maintain a professional approach, I also believe that being human together matters; I’m genuine in my communication, often imperfect, and always deeply invested in helping clients feel understood and supported as they move toward healing and growth.  

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.  

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.  

I can help you move through your anxiety and trauma in a way that permanently changes your relationship with it. Whether it's your relationships, work, or some other overwhelming stress, I will help you create a second start for yourself. Let's work together to make lasting change for you! I am also an approved supervisor, and can help you become an integrated and evidenced-based therapist. My PhD is in Counselor Education & Supervision and I have 7 years experience training counselors on psychodiagnostics, integrated theory, & trauma-informed care. I started my career in 2008 as a floor staff technician in group homes and mental health hospitals, gaining hands-on experience while working my way through college. I eventually became a college professor, clinical supervisor, and subject matter expert for the Department of Defense We will use a cognitive and internal systems approach to help you find a second start. Hope and change are waiting for you!. Don't suffer alone. Please reach out to me to get help now  

In a world that can feel isolating and overwhelming, you might be struggling with connection, stuck in old patterns, or feeling like something is missing. You don't have to figure it out alone. I specialize in working with men who are struggling with old unproductive habits, isolation, and the challenges of intimacy in relationships.  

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).  

Welcome to a space designed for clarity, support, and meaningful progress. Navigating personal stress, professional demands, and family responsibilities can often leave you feeling stretched thin. My practice is built on the belief that therapy should be accessible, empowering, and deeply attuned to the reality of your daily life. What sets my practice apart is the integration of specialized expertise with practical, real-world solutions: Specialized Geriatric & Caregiver Support: As a Geriatric Mental Health Specialist (GMHS), I provide dedicated guidance for older adults and the "sandwich generation"—caregivers balancing aging parents, careers, and their own families. I help you navigate ambiguous loss, cognitive shifts, burnout, and complex family dynamics with practical strategies and emotional grace. Workplace & Life Stress Mastery: Drawing on my background as a Certified Employee Assistance Professional (CEAP), I bring a structured, action-oriented approach to workplace stress, life transitions, and work-life harmony, helping you regain focus and maintain healthy boundaries. Affirming & Whole-Person Care: My practice provides an inclusive, identity-affirming environment for individuals navigating LGBTQ+ experiences, chronic health conditions like HIV/AIDS, women’s issues, and pivotal life changes. Clients choose to reach out because they need more than just someone to listen—they want a collaborative partner who brings clinical insight, structured coping tools, and genuine warmth. Whether you are seeking relief from immediate caregiver stress or striving for long-term personal growth, reaching out today is the first step toward reclaiming your well-being.  

My approach to mental health care is collaborative, compassionate, and rooted in the belief that each person’s story matters. I work with teens and adults who are navigating challenges such as anxiety, depression, ADHD, stress, and life transitions. My goal is to create a supportive space where you feel heard, understood, and empowered to move toward meaningful change. In our work together, I combine psychiatric medication management with brief therapeutic support. This allows us to address symptoms while also exploring practical strategies that improve daily functioning, resilience, and overall wellbeing. I believe mental health is influenced by many factors, including stress, sleep, lifestyle, and physical health. I take a whole-person approach when developing treatment plans. Seeking help can be a big step, and my role is to walk alongside you in that process. Together, we focus on identifying what is getting in the way of the life you want to live and creating a path forward that feels realistic and sustainable. My goal is not only to help reduce symptoms but to support you in building a life that feels balanced, fulfilling, and aligned with your values.  

I offer trauma-informed virtual therapy intensives for adults who need more flexibility, depth, or support than traditional weekly therapy can provide. Intensives give us dedicated time to move beyond surface-level coping and work more deeply with trauma, emotional patterns, relationship wounds, or experiences that feel stuck. You’ll leave with greater understanding of your patterns, practical tools for regulation, and a clearer path forward. Intensives are designed around your needs and capacity, with accommodations for chronic illness, fluctuating energy, sensory needs, and other factors that can make conventional therapy difficult. My approach integrates somatic, trauma-focused, and parts-based therapies, with the flexibility to take breaks, move, change positions, or adjust the pace as needed—all from the comfort of your own environment.  

Are you feeling overwhelmed? Are you unsure of how to make changes in your life? Do you want to to take back control of your health? Now is the time to focus on your wellness. I am here to create a wellness plan with you to improve your mood and stress management as well as help you cope with life changes and stress. I take pride in helping my clients become their own therapists, more confident in managing life’s demands. I look forward to helping build your toolbox to improve your quality of life. I treat my clients with respect and empathy, valuing connection in healing.  

At times, we may lose our ability to trust our intuition. We may feel like imposters in our relationships, jobs or within ourselves. Therapy can offer a bridge back to understanding your authentic needs. I work with adults of all genders, races and sexual orientations experiencing anxiety, self-doubt and perfectionism. Symptoms related to these issues can manifest as feeling cut off from emotions, overwhelm, stress and burnout. I also provide services to athletes and performing artists who may be experiencing life transitions, performance anxiety or injury. My own journey as a member of the LGBTQ+ population and professional ballet dancer led me to the field of mental health. My approach is client-centered and strengths-based. I believe everyone has the wisdom to know what is best for their own growth. I am here to guide individuals in uncovering new skills and untangling unhelpful narratives and core beliefs. Together, we will develop an understanding of structures at play in your life that uphold self-doubt by laying the framework to trust your intuition and Self. We will also stretch your mind through self-compassion, curiosity, resilience, creativity, and adaptability. If you are interested in meeting with me, please reach out to see if we are a good fit. I look forward to hearing from you!  

Individual Therapy | Couples Therapy | Family Therapy | Virtual Therapy *Free 15 Minute Consultation*  

I'm a licensed clinical psychologist with over a decade of experience helping clients make sustainable change for the better. With extensive training in motivational interviewing, I help clients explore and understand the impact behaviors like substance use, overeating, and others are having on their well-being, and guide them in making an individualized plan for change. Taking into account your life context and environment, we'll work together to address underlying issues such as stress, anxiety, and depression in order to reduce unwanted behaviors and develop coping strategies that work without causing their own problems.  

The exploration of personal meaning and connection is the foundation of learning and potential throughout all stages of our lives. Facing the obstacles of our lives and meeting their challenges can strengthen us. Unlock your potential and feel better; find your way through loss, and learn self compassion.  

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.