Reality Therapy / Choice Theory Therapists in Seattle, WA

With over two decades of experience working in diverse therapeutic environments—ranging from outpatient clinics to psychiatric hospitals, adventure programs, residential treatment facilities, schools, juvenile corrections, and a military hospital—I bring a wide-ranging perspective to problem-solving and overcoming life's obstacles. As the Founder & President of two award-winning mental health centers with a staff 150, I've gained a holistic and interdisciplinary approach to care.

Everyone at times needs some support or coaching on their life journey. I'd be happy to sit down with you or talk on the phone and compassionately listen to your story and lend some hope and encouragement. I view "problems" as opportunities to work on and overcome the 'threats' within and around us and to open up our lives to new levels of growth.

At On Mental Health Matters, I believe that exceptional mental health care is built on trust, compassion, and individualized treatment. My goal is to create a welcoming, judgment-free environment where you feel heard, understood, and empowered to take meaningful steps toward lasting emotional wellness. I'm passionate about caring for the whole person, and I understand how daunting seeking mental healthcare can be. With more than 25 years of healthcare experience and advanced training as a board-certified Psychiatric Mental Health Nurse Practitioner, I provide evidence-based medication management and supportive psychotherapy tailored to your unique needs. Rather than offering a one-size-fits-all approach, I take the time to understand your story, identify the root causes of your symptoms, and develop a treatment plan that aligns with your goals, values, and lifestyle.

As an autistic psychologist in Colorado, I personally understand many of the personal challenges my neurodivergent (ASD/autism, ADHD, learning abilities) clients are facing. I excel by helping you get clarity about your current challenges through psychological testing and what next steps and recommendations may be helpful after testing is completed. Through therapy, I often help clients come to terms with a new diagnosis, unmask, understand differences between neurotypical and neurodivergent approaches, and come to accept your identity as a neurodivergent person.

I have been working with children and adolescents for over twenty years. In addition to raising three children, I have been an evaluator, counselor and therapist within the public school and private practice settings for many years.

Seattle's tech economy — driven by Amazon, Microsoft, and a dense startup ecosystem — has made burnout, imposter syndrome, and the social costs of rapid wealth inequality prominent themes in local therapy. The "Seattle Freeze" — a widely noted phenomenon of difficulty forming close friendships — means therapists here frequently address loneliness, social anxiety, and the challenge of building genuine community in an outwardly welcoming but emotionally reserved city. Seattle's progressive culture sustains strong demand for LGBTQ+-affirming therapists, neurodiversity specialists, and practitioners working with race, identity, and social justice themes. UW Medicine and Swedish Medical Center provide institutional mental health resources alongside one of the most therapist-dense cities in the Pacific Northwest.

Gender ID

	67%	Male
	33%	Female

Session Type

	56%	In Person and Online
	44%	Online Only

Top Specialties

100%	ADHD
78%	Depression
67%	Anxiety or Fears
67%	Stress
67%	Life Coaching
56%	Trauma and PTSD
56%	Bipolar Disorder

Ages Served

89%	Adult
78%	Senior
78%	Teen
67%	Young Adult
44%	Children

Client Focus

67%	Christian
67%	Men
56%	Military / Veterans
56%	Persons with Disabilities
56%	Women

Reality Therapy / Choice Theory therapists in Seattle, Washington WA

Andrew D. Sapp

Larry Nussbaum, LIFE JOURNEY CENTEER

Ashika Dickerson

David Houston Murphy

Alberto Gamarra