Find Trauma-Informed Therapists in Washington

Browse therapists serving Washington.

Washington Therapists

Overview of Therapy Availability in Washington State

Washington includes a mix of large cities, smaller towns, and rural communities, and access to therapy can look different depending on where someone lives. Areas like Seattle, Tacoma, Bellevue, Spokane, and Vancouver tend to have higher concentrations of therapists and counseling centers. In more rural parts of the state, options may be fewer, and people sometimes look to online or hybrid support to expand their choices.

Many therapists in Washington describe their work as trauma-informed, meaning they aim to keep the impact of past and present harms in mind and to build care around safety, collaboration, and respect. Some providers focus specifically on experiences of domestic or intimate partner violence, family abuse, stalking, or other forms of interpersonal harm, while others may center related concerns such as anxiety, grief, or relationship stress.

Because Washington is culturally and linguistically diverse, some therapists highlight experience with specific communities, languages, or identities, including immigrant and refugee communities, Indigenous and Native peoples, LGBTQIA+ communities, and people navigating disability or chronic health conditions. Availability can vary by region, so some people explore therapists across the state who offer secure online sessions.

Types of Support Listed

Listings connected to Washington may reflect a wide range of focuses and backgrounds. Depending on each therapist’s training and interests, profiles may mention:

• Trauma- and violence-aware support related to domestic violence, emotional abuse, coercive control, or other difficult relationship dynamics.
• Individual, couple, and family-focused work for people exploring communication, trust, boundaries, separation, or co-parenting after harmful relationships.
• Support for specific communities, such as LGBTQIA+ survivors, people of color, Indigenous and Native community members, immigrants, refugees, and people navigating cultural or religious transitions.
• Identity-affirming care for gender identity, sexual orientation, or kink/BDSM and non-monogamy awareness, where therapists name these as areas of competency.
• Grief, loss, and life transitions support, including breakups, relocation, job changes, or major family shifts.
• Stress, anxiety, and mood-focused support connected to work, school, parenting, caregiving, or ongoing safety and stability concerns.
• Legal and systems-related stress, such as navigating court processes, custody issues, or protective orders, where therapists note familiarity with these contexts.
• Telehealth and online options, which may be especially relevant for people in rural areas or those who prefer connecting from home.

Each therapist chooses how to describe their own approach, experience, and focus areas. Listings are meant to help people get a general sense of whether a therapist’s background might feel like a possible fit to explore.

Considerations for Choosing a Therapist in Washington

People in Washington may weigh several factors when looking at therapist profiles and deciding whom they might want to contact. Some possible considerations include:

• Location and format: Whether the therapist is based in your city or region, offers in-person, online, or hybrid options, and what feels most accessible or comfortable for you.
• Cost, insurance, and financial accessibility: Whether someone accepts your insurance, offers private pay, sliding-scale spots, or other fee structures. These details are usually described in profiles or can be clarified directly with the therapist’s office.
• Licensing and ability to work with Washington residents: Many providers list their professional licenses and the states where they can legally serve clients. People often check that a therapist is able to work with individuals located in Washington.
• Experience with domestic and intimate partner violence: If you are exploring support related to abuse or unsafe relationships, you may be interested in therapists who specifically mention trauma, domestic violence, or survivor-centered work in their profiles.
• Cultural and identity fit: Some people look for therapists who share or deeply understand aspects of their identity, such as race, ethnicity, language, religion or spirituality, gender identity, or sexual orientation.
• Accessibility needs: Physical accessibility of an office space, options for virtual sessions, communication preferences, or other disability-related needs can be important factors.
• Approach and values: Profiles sometimes mention being trauma-informed, strengths-based, anti-oppressive, or rooted in specific values. Reading how a therapist talks about their work may help you sense whether their style feels respectful of your lived experience.

Some people also find it helpful to combine information from therapist directories with resources from local or statewide organizations that focus on domestic and intimate partner violence, such as information and support services described on dv.support. Exploring multiple sources can offer different perspectives as you consider what kind of support might feel right for you.