We offer mental health counseling on a weekly basis to individuals using a variety of holistic counseling best practices, including Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, and Dialectical Behavioral Therapy (DBT).

We specialize in relationships, depression, anxiety, PTSD, BPD, life changes, gender identity, and LGBTQ+ and BIPOC issues.

Getting started is simple. Just select the Free Consultation button to see each of our counselors and their availability. From there you can select the time that works best for you and fill out two short documents to be ready for your consultation.

We are a queer-owned, relationship-centered practice that prioritizes consistency, autonomy, and real human connection—not corporate therapy models.

At Affirmations, clients work with therapists who are supported, valued, and intentionally matched, which leads to more stable, meaningful, and effective care.

• Premera

• Blue Cross/Blue Shield

• Regence

• Kaiser Permanente

• United Healthcare

• Optum Mental Health

• Aetna

• Cigna

• Community Health Plan of Washington

• Molina

• Coordinated Care

• Apple Health (Medicaid)

$150 per session, but with co-pays, clients often pay less than $20 out of pocket per session.

*We do offer a sliding scale cost based on proof of income.

Working with Affirmations means entering a space that is grounded in trust, consistency, and real connection.

• You don’t have to filter yourself
  You can show up as you are—messy, uncertain, or still figuring things out—without judgment or pressure to “have it together.”

• The relationship matters
  We don’t rush the process. We take time to build a strong therapeutic relationship because that’s where meaningful change actually happens.

• You set the pace
  Whether you want structured tools, open processing, or something in between, we adapt to what works best for you.

• You’ll be both supported and challenged
  Therapy isn’t just venting—we help you notice patterns, build insight, and make intentional changes, while still feeling supported.