CBT Therapy in Seattle, WA, Practical, Structured Care, Same-Week Appointments

In short

CBT therapy at Counseling Services for Wellbeing helps Seattle-area adults work on the link between thoughts, feelings and behavior with a practical, structured method. It is broadly available across our team. We accept most major insurance plans, book same-week appointments and see clients at our Green Lake, Burien and Smokey Point offices or by secure video statewide.

Does this sound familiar?

You know the thought is not the whole truth. Knowing better does nothing in the moment.

You know the thought is not the whole truth. You can even argue against it on a good day. But at three in the afternoon, when the worry starts its loop, knowing better does nothing. The same script runs anyway, and you are along for the ride.

Maybe it is the inner critic that narrates every small mistake. Maybe it is the avoidance that started small and has quietly shrunk your world, the calls you do not return, the plans you cancel, the things you have stopped trying. Maybe it is the gap between what you understand about yourself and what you can actually do with that understanding.

Insight on its own has not closed that gap. You do not need someone to tell you the thought is irrational. You need a way to work with it that holds up in the moment, not just in the calm after. That practical, in-the-moment work is what CBT is built for.

What we offer

CBT for adults who want a practical method, not open-ended talk.

The worry loop that will not switch off

The same thought runs on repeat by mid-afternoon. You can argue against it on a good day, but in the moment it wins anyway.

The harsh inner critic running the show

A voice that narrates every small mistake and keeps the volume up. You would not talk to anyone else the way it talks to you.

Avoidance that keeps shrinking your world

The calls you do not return, the plans you cancel, the things you have stopped trying. It started small and quietly took over.

The gap between knowing and doing

You understand the pattern. Insight on its own has not closed the gap between what you know would help and what you can actually do.

Panic and the avoidance around it

The fear of the next attack, and the way your world narrows around the places and situations you have started to steer clear of.

Running on empty from stress and burnout

The patterns that keep you depleted, the ones that look like coping until you notice you have not stopped in months.

First-time-therapy adults are welcome. If you like structure, clear steps and something to practice between sessions, this approach was built for you.

Our approach

How CBT therapy works here.

CBT here pairs the thinking work with a whole-body view, looking at sleep, the body and daily rhythms alongside the thoughts, rather than thoughts in isolation.

1

Reach out

A short form or a call. We hear what is going on, where the pattern is hitting hardest, and what you have already tried. No assessment battery to clear before we talk.

2

Get matched

We pair you with a therapist trained in CBT whose approach fits how you think and what you are working on. The first few sessions are about understanding the pattern and giving you something practical to try, not loading you up with worksheets before it makes sense.

3

Start this week

First appointment in person at one of three Seattle-area offices or by secure video anywhere in Washington. Same therapist each session. The work is collaborative and structured: you set goals together and check progress against them, so you can tell whether the therapy is doing what you came for.

The method

What CBT is, and where a whole-body lens comes in.

CBT, or cognitive behavioral therapy, is a structured, present-focused approach that works on the link between thoughts, feelings and behavior. The American Psychological Association describes it as a well-studied, evidence-based form of treatment that helps people identify the thought and behavior patterns fueling a problem and learn more effective ways to respond. In practice it is collaborative and active: you and your therapist notice the thoughts that drive a feeling, test whether they hold up and practice new responses between sessions.

A worried mind and a wired body feed each other, so we work with both. When CBT alone is not enough, we pair it with somatic and nervous-system work for the physical weight thinking work cannot reach, EMDR when a stuck pattern sits on top of trauma, and DBT skills for the moments a feeling is too big to think your way out of. This is not anti-CBT. It is CBT inside a whole-person practice, matched to how the pattern actually shows up.

4.8★

across 338 reviews

Same-week

first appointments

AAMFT

approved clinical supervision

	CBT-only solo therapists	Online-only therapy platforms	Counseling Services for Wellbeing
First appointment	Often weeks-long waitlist	Days, but with whoever signs on	Same-week scheduling
Insurance accepted	Often cash-pay only	Limited carrier coverage	Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
Same therapist each session	Yes, same therapist	Therapist rotation common	Same therapist, continuous care
Approach beyond CBT if needed	CBT only, refers out otherwise	Scripted, often CBT-flavored	CBT plus somatic, EMDR, DBT available
Messaging between sessions	Rarely offered	Built-in app messaging	No 24/7 app messaging
Therapy + medication coordinated	Refers out to a separate prescriber	Med-first, little therapy	Therapy + psychiatry in one practice

First appointment
- CBT-only solo therapistsOften weeks-long waitlist
- Online-only therapy platformsDays, but with whoever signs on
- Counseling Services for WellbeingSame-week scheduling
Insurance accepted
- CBT-only solo therapistsOften cash-pay only
- Online-only therapy platformsLimited carrier coverage
- Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
Same therapist each session
- CBT-only solo therapistsYes, same therapist
- Online-only therapy platformsTherapist rotation common
- Counseling Services for WellbeingSame therapist, continuous care
Approach beyond CBT if needed
- CBT-only solo therapistsCBT only, refers out otherwise
- Online-only therapy platformsScripted, often CBT-flavored
- Counseling Services for WellbeingCBT plus somatic, EMDR, DBT available
Messaging between sessions
- CBT-only solo therapistsRarely offered
- Online-only therapy platformsBuilt-in app messaging
- Counseling Services for WellbeingNo 24/7 app messaging
Therapy + medication coordinated
- CBT-only solo therapistsRefers out to a separate prescriber
- Online-only therapy platformsMed-first, little therapy
- Counseling Services for WellbeingTherapy + psychiatry in one practice

A good solo CBT therapist offers something real: the same person every session, working a method they know well. What you give up is range. If CBT alone does not reach the whole pattern, you start over with a new referral. We keep the same therapist and the continuity, and we have somatic, EMDR and DBT approaches in the building when the thinking work needs company.

The team

Meet some of our CBT-trained therapists.

CBT is broadly available across our team, so the clinicians here are a sample, not the whole bench. We match you with a therapist trained in CBT whose approach fits how you think.

Jade Fahid

MA, LMHCA

CBTACTSomaticAnxiety & depressionAdults

Read bio Book with Jade

Welcome

Most people think you’re doing fine. You show up, get through your day, and carry everything quietly. But inside, you may feel anxious, overwhelmed, disconnected, or exhausted from holding it all together.

I see you. And you don’t have to do this alone.Reaching out for support can feel vulnerable, especially if you’re used to being the strong one.

But therapy is not a sign of weakness, it is an act of courage. It is a space where you can finally exhale, reconnect with yourself, and begin to feel grounded, supported, and understood again.

Background:

I am a Licensed Mental Health Counselor Associate in Washington State, with a Master’s degree in Mental Health Counseling. I am trained in EMDR and trauma-informed approaches.

My path into this work comes from a deep passion for helping others heal, grow, and reconnect with their sense of self. I believe that everyone carries a story, and within that story is resilience, strength, and the capacity for change.

As both a therapist and trauma-informed yoga instructor, I bring a mind-body perspective into my work, recognizing that healing is not just cognitive, but also emotional, physical, and nervous system-based.

Approach

My approach is warm, collaborative, and non-judgmental, while also being honest and supportive. I believe you are the expert of your own life, and my role is to walk alongside you, helping you reconnect with your inner strength and clarity.

I integrate a variety of evidence-based and holistic modalities, including EMDR, somatic and body-based practices, Cognitive Behavioral Therapy, mindfulness, and nervous system regulation.

I specialize in working with individuals working through trauma, anxiety, depression, self-esteem challenges, relationship issues, women’s issues, and life transitions. Together, we will focus on helping you feel more grounded, build self-trust, develop healthier coping patterns, and reconnect with the version of yourself that feels strong, worthy, and empowered.

Next Steps

You don’t have to keep doing this on your own. Healing is possible, and you deserve support along the way.

If you’re ready to reconnect with yourself, build confidence, and move forward with clarity and strength, I invite you to reach out. You deserve to feel whole, grounded, and at peace. Let’s begin that journey together

Anne Rochon

MEd, LMHC

CBTEMDRPerson-centeredLife transitionsTrauma

Read bio Book with Anne

Welcome to my practice.

If you are feeling overwhelmed, stuck, or unsure about your next steps, you’re not alone. These are everyday human experiences. It can be frightening to reach out for help, so choosing to do something about it now and showing up for yourself is the most powerful first step you can take. I’m here to help you through your next steps.

As a licensed mental health counselor in Washington State, I offer a compassionate and collaborative space for adults and older adults working through life’s transitions. My approach is grounded in a person-centered, trauma-informed framework, and I use a variety of evidence-based therapies, including EMDR, motivational interviewing, expressive arts, and cognitive-behavioral techniques, to help you find what works best.

Together, we will explore your unique experiences and develop strategies to overcome obstacles and achieve your goals. I aim to empower you to build resilience, cultivate self-compassion, and create a life that aligns with your values.

My Background

With a Master’s degree in Counseling from the University of Texas at Austin, my clinical work has focused on supporting adults and older adults experiencing life transitions. I am particularly passionate about working with the LGBTQ+ community and individuals from diverse backgrounds.

I believe in the importance of creating a safe and inclusive therapeutic environment. I am committed to ongoing learning and professional development to ensure I provide my clients with the best possible care.

My Approach

Our work will be a collaborative process centered on your needs and goals. I offer a safe and supportive space where you can explore your thoughts, feelings, and experiences without judgment. We will work at your pace, building trust and rapport as we work through your journey together.

I believe in the importance of self-compassion and resilience, and I will support you in developing these qualities. My holistic approach considers your physical, emotional, and spiritual well-being.

My Commitment to You

I am committed to providing culturally competent and affirming care to all clients. I value diversity and believe everyone has the right to live authentically and pursue their goals.

I look forward to supporting you on your path to healing and growth.

Courtney Hofto

MS, LMHC, NCC

CBTTF-CBTACTMindfulnessTrauma

Read bio Book with Courtney

Locations: Telehealth

My Approach

At its core, therapy is an opportunity to process and understand our past while also growing into the people we want to be. Life can be so brutal and complicated; we deserve a safe place to talk and explore. I want to take a moment to recognize your bravery in beginning this counseling process. Life throws us curve balls, and everyone sometimes needs some assistance in learning to cope effectively. You have incredible value and are capable of conquering your hardships. I strive to maintain a safe, comforting, and trusting environment in which to explore. Considering a person’s many roles and experiences is vital to the therapeutic process. I work with my clients to understand their own stories, strengths, and goals. My clinical approach is based in mindfulness, acceptance and commitment therapy (ACT), and trauma-focused cognitive behavioral therapy (TF-CBT). I strive to integrate these techniques into our collaborative process in hopes of helping you become the truest version of yourself. As your therapist, I provide space and tools to encourage growth and change.

Education

I am a Licensed Mental Health Counselor (LMHC) with a master’s degree in Clinical Mental Health Counseling from Eastern Washington University. I also received my Bachelor’s degree in Psychology with a minor in Women’s, Gender, and Sexuality Studies from Washington State University.

Experience

I provide therapy services to children six years and older, teens, and adults – including couples and families. I began my career in mental health by working at the local and national suicide prevention hotlines. This experience allowed me to learn what can be helpful for those experiencing emotional pain. I have also provided school-based therapy for elementary students in Washington. I specifically have worked with
children, teens, and families who have experienced trauma. I have experience working with people in various stages of life – those just starting out, those rebuilding later on, and those managing the effects of aging.

My therapy space is a sanctuary for all, regardless of cultural backgrounds, identities, or relationship structures. It is a safe haven for all members of the LGBTQIA+ communities. In my practice, I am deeply committed to being non-judgmental, accepting, open-minded, and collaborative. I strive to create an environment where everyone feels not just welcomed, but truly accepted and respected.

Trent Landenberger

MS, LMFTA

CBTSolution-focusedAnxiety & depression

Read bio Book with Trent

Hi! My name is Trent Landenberger, and I look forward to walking alongside you on your journey toward healing and growth.I am a Licensed Marriage and Family Therapist Associate (LMFTA) with a strong foundation in relational and systems-based care.

Background:

I hold a Bachelor’s degree in Theology from Colorado Christian University and a Master of Science in Family Therapy, which together shape my holistic and values-informed approach to mental health. With experience counseling individuals, couples, and families, I am passionate about helping clients work through life’s challenges with clarity, resilience, and hope.

Approach

My work is grounded in a warm, collaborative, and trauma-informed therapeutic style. I strive to create a safe and supportive environment where clients feel heard, respected, and empowered to explore their experiences. I take a strengths-based and insight-oriented approach, helping clients better understand themselves, their relationships, and the patterns that influence their lives.

I integrate evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Structural Family Therapy, and Narrative Therapy. By tailoring treatment to each individual and family system, I support clients in developing effective coping strategies, reframing unhelpful narratives, and nurturing meaningful, lasting change.

I work with adults, adolescents, couples, families, and veterans, and I specialize in anxiety, depression, trauma, grief, relationship concerns, life transitions, and severe mental illness. I am particularly attentive to the ways personal history, relationships, and life circumstances intersect, and I aim to help clients move toward greater connection, stability, and well-being.

Closing

Driven by a genuine desire to support others, I approach therapy with compassion, curiosity, and deep respect for each client’s unique story. It is an honor to partner with individuals and families as they work toward healing, growth, and more fulfilling lives

Angie Blattenbauer

LMHC

CBTDBTERPOCDTrauma

Read bio Book with Angie

Karina Escamilla

M.Ed., LMHCA

CBTAnxietyDepressionPerson-centered

Read bio Book with Karina

A counselor offering warm, culturally sensitive support for anxiety, depression, stress, life transitions, trauma, and relationships, drawing on CBT, mindfulness, and strength-based approaches.

Locations: Telehealth

Hello, my name is Karina Escamilla, M.Ed., LMHCA. I am passionate about supporting individuals through life’s challenges with compassion, understanding, and a culturally sensitive approach. I earned my master’s degree in counseling and am dedicated to helping clients feel heard, empowered, and supported throughout their healing journey. My goal is to create a safe, welcoming environment where clients can grow emotionally, mentally, and personally.

My journey into the mental health field began with a strong desire to help others work through difficult seasons of life and discover their inner strengths. Through my education and training in counseling, I have developed a foundation in supporting individuals experiencing anxiety, depression, stress, life transitions, trauma, relationship challenges, and self-esteem concerns. I value authenticity, empathy, and creating meaningful therapeutic connections that allow clients to feel comfortable and understood.

My counseling approach is collaborative, client-centered, and tailored to each individual’s unique needs. I strive to provide a supportive and nonjudgmental space where clients can openly explore their thoughts, emotions, and experiences. I draw from evidence-based approaches such as Cognitive Behavioral Therapy (CBT), mindfulness techniques, strength-based therapy, and person-centered therapy to help clients build coping skills, increase self-awareness, and work toward meaningful goals. I am especially passionate about supporting diverse communities and helping clients build resilience and confidence in their everyday lives.

Taking the first step toward therapy can feel overwhelming, but you do not have to work through life’s challenges alone. I would be honored to support you on your journey toward healing, growth, and emotional wellness. If you are ready to begin creating positive change and investing in yourself, I encourage you to reach out today. Your path toward healing starts here.

+ Meet the full team

Therapists and psychiatric providers across all three offices and by secure video.

Meet the team

A deeper bench than the five here. Tell us what you are working on and we will match you with the right therapist.

Where to meet

Three offices or secure video anywhere in Washington.

CBT translates well to video, since much of the work happens in the skills you practice between sessions wherever you are. Meet the same therapist in person or online.

Green Lake, Seattle

North Seattle, Wallingford, Ravenna, Roosevelt

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Burien

White Center, SeaTac, Normandy Park, South King

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Smokey Point, Arlington

Arlington, Marysville, north Snohomish

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Secure video, statewide

Anywhere in Washington. Same therapist either way.

Online therapy in Washington →

Frequently asked questions

What adults ask before starting CBT.

What is CBT (cognitive behavioral therapy)?

CBT is a structured, present-focused approach that works on the link between thoughts, feelings and behavior. You and your therapist notice the thoughts that drive a feeling, test whether they hold up and practice new responses between sessions. It is collaborative, goal-oriented and skills-based, oriented toward what is happening now rather than open-ended talk.

What does CBT help with?

CBT is used across a wide range of experiences, including anxiety, depression, OCD, panic and the unhelpful thought patterns that fuel them, plus the strain of stress and burnout. It is flexible and often combined with other approaches based on what fits you. Your therapist will tailor the method to what you are actually working on.

How is CBT different from DBT?

CBT centers on thought patterns and behavior, working on the thoughts that drive a feeling and practicing new responses. DBT centers on concrete skills for intense emotions and relationships, what to do when a feeling is too big to think through. Many people use elements of both, and your therapist can help you find the mix that fits you.

Do you take my insurance for CBT therapy?

We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. We will confirm what your specific plan covers before your first session, so you know what to expect rather than guessing. If you are unsure about your coverage, reach out and we will help you check before you book.

How soon can I be seen?

First appointments are available the same week, not weeks out. Much of the Seattle market books four to six weeks ahead or is cash-pay only, so you do not have to wait long to start. Reach out and we will find the first opening that works with your schedule, in person or by secure video.

Do you offer CBT online or only in person?

Both. You can meet in person at our Green Lake, Burien or Smokey Point offices, or by secure video anywhere in Washington with online therapy, with the same therapist either way. CBT translates well to video, since much of the work happens in the skills you practice between sessions wherever you are.

Where are your offices?

We see clients at three offices, Green Lake in Seattle, Burien and Smokey Point in Arlington, plus secure video sessions anywhere in Washington. The Green Lake office serves North Seattle, the Burien office serves South King County and the Smokey Point office serves north Snohomish County. You can also meet entirely online if that is easier for you.

Also see

CBT that targets the thought patterns that keep you stuck.

You know the thought is not the whole truth. Knowing better does nothing in the moment.

CBT for adults who want a practical method, not open-ended talk.