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Neurodivergent-Affirming Therapy · Seattle · Statewide WA Telehealth

Therapy that works with how your brain actually works, instead of asking you to mask through it.

So the work can meet the actual stuff, the burnout, the executive-function wall, the sensory overload, the rejection sensitivity, instead of strategies built for a brain like everyone else's. Care for adults in Seattle and across Washington by secure video.

Affirming ADHD and autism work Most major insurance plans accepted Same-week first appointments
An adult's hands absorbed in shaping wet clay on a spinning pottery wheel, close up in warm earthy light
In short

Neurodivergent-affirming therapy at Counseling Services for Wellbeing helps autistic and ADHD clients in the Seattle area get care from clinicians who work with how your brain actually works, rather than asking you to mask through it. When ADHD evaluation or medication is part of the picture, our psychiatric providers handle that under the same practice. We accept most major insurance plans, book same-week and see clients across our three offices or by secure video statewide.

Does this sound familiar?

You already know what it costs to mask.

Holding eye contact you do not feel. Scripting conversations in advance. Keeping it together all day and crashing the moment you get home. You have been told to just try harder, use a planner, push through the sensory overload, as if the problem were effort and not the way systems are built for brains unlike yours.

Maybe a previous therapist treated your executive-function struggles or your sensory needs as excuses. Maybe you spent sessions explaining what burnout actually feels like for you, or what masking actually costs, instead of getting support for it. Maybe the affirming practices that clearly get it are all cash-pay, online-only or booked out for weeks.

None of that is what affirming care is supposed to feel like. Your brain is not a problem to fix. You should be able to get support that builds on how you actually function, from someone who already understands that.

What we offer

Affirming therapy for the way your brain actually works.

Autistic adults and teens

Including adults recognizing their neurodivergence later in life, who want care that gets it without the explaining.

Adults and kids with ADHD

Working on executive function, motivation and follow-through, with a therapist who works with the brain, not against it.

AuDHD and other neurodivergence

For the overlap and everything in between, across the Seattle metro and anywhere in Washington by secure video.

Sensory needs, regulation and burnout

Support for emotional regulation, sensory overload, autistic and ADHD burnout, and masking fatigue.

Neurodivergent couples and families

Matched with someone who understands how each brain shows up in the relationship, not asking you to explain the basics first.

Affirming care for everyday concerns

Anxiety, depression, relationships and life transitions, from clinicians who get it, not only for neurodivergence itself.

Affirming is the baseline here, not a niche. Your brain is something we build on, not something we ask you to mask.

Our approach

How affirming care works here.

Affirming care starts from the idea that your brain is not a problem to fix. We build on how you actually function instead of forcing a neurotypical mold, and we do not ask you to mask your way through therapy.

1

Reach out

A short form or a call. We hear what is going on and what you are looking for, whether the focus is neurodivergence itself or anxiety, relationships or a hard transition. No masking required to be taken seriously.

2

Get matched

We pair you with a clinician who does affirming neurodivergent work and fits what you came in for, rather than handing you whoever is next on a list. You are not masking or educating your own therapist.

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, so there is continuity and no starting over and re-explaining yourself.

The approach

What neurodivergent-affirming means in practice.

Neurodivergent-affirming care treats autism, ADHD and other forms of neurodivergence as natural differences in how a brain works rather than disorders to be corrected or masked away, conditions described by the National Institute of Mental Health and the Centers for Disease Control and Prevention. We work with how you actually function, drawing on approaches like cognitive behavioral therapy, DBT skills for regulation and EMDR where trauma sits underneath, matched to you rather than the other way around.

When ADHD evaluation or medication is part of the picture, our psychiatric providers handle that side under the same practice. If you are looking at an adult ADHD evaluation, ADHD treatment across ages or psychiatric medication management, those route from here. A note on scope: counselors here do not diagnose ADHD or autism, and this is not a formal autism-testing service. Diagnosis lives on the psychiatry side, where it belongs.

4.8★
across 338 reviews
Coordinated
therapy + psychiatry in one practice
AAMFT
approved clinical supervision

How we compare

Counseling Services for Wellbeing vs. typical Seattle affirming options.

Neurodivergent specialist practices Online-only therapy platforms Counseling Services for Wellbeing
Neurodivergence as the only focus
A whole practice built around it
Whoever is assigned
One focus among many we offer
Insurance accepted
Often cash-pay only
Limited carrier coverage
Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
First appointment
Often weeks-long waitlist
Days, but with whoever signs on
Same-week scheduling
ADHD evaluation and medication
Refers out
Not offered
Psychiatry under the same practice
Same therapist each session
Usually
Therapist rotation common
Same therapist, continuous care
In person and statewide video
One or the other, often
Video only
Three offices or secure video
  • Neurodivergence as the only focus

    • Neurodivergent specialist practicesA whole practice built around it
    • Online-only therapy platformsWhoever is assigned
    • Counseling Services for WellbeingOne focus among many we offer
  • Insurance accepted

    • Neurodivergent specialist practicesOften cash-pay only
    • Online-only therapy platformsLimited carrier coverage
    • Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
  • First appointment

    • Neurodivergent specialist practicesOften weeks-long waitlist
    • Online-only therapy platformsDays, but with whoever signs on
    • Counseling Services for WellbeingSame-week scheduling
  • ADHD evaluation and medication

    • Neurodivergent specialist practicesRefers out
    • Online-only therapy platformsNot offered
    • Counseling Services for WellbeingPsychiatry under the same practice
  • Same therapist each session

    • Neurodivergent specialist practicesUsually
    • Online-only therapy platformsTherapist rotation common
    • Counseling Services for WellbeingSame therapist, continuous care
  • In person and statewide video

    • Neurodivergent specialist practicesOne or the other, often
    • Online-only therapy platformsVideo only
    • Counseling Services for WellbeingThree offices or secure video

We are not the neurodivergent-only collective in the city and we are not trying to be. We are the option that affirms how you work, takes your insurance, gets you in quickly and can coordinate therapy with the psychiatry side when you need both.

Insurance & coverage

Most major insurance plans accepted

Kaiser Permanente Premera Blue Cross Regence Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Optum Humana Wellpoint Carelon LifeWise First Choice Health Network Coastal Administrative Services Medicare Tricare Triwest

We confirm coverage before your first session, so neurodivergent-affirming therapy here does not have to be a cash-pay decision.

The team

Meet some of our affirming therapists.

A deeper bench of clinicians who do affirming neurodivergent work than the five here. We match you with someone who fits what you came in for.

Angie Blattenbauer, LMHC

Angie Blattenbauer

LMHC
NeurodivergenceEMDRTraumaLGBTQ+Late-recognized ND
Read bio Book with Angie

Stacy Lanier, MS, LMFT-Associate

Stacy Lanier

MS, LMFT-Associate
NeurodivergenceIFSTeensParents of ND teens
Read bio Book with Stacy

Kore Fredericks MA, LMHCA

Kore Fredericks MA

LMHCA
ADHDACTAdults & teensAnxietyAffirming
Read bio Book with Kore

Seanna Hollinger, MSW, LSWAIC

Seanna Hollinger

MSW, LSWAIC
CBTDBTAnxietyDepressionTeens
Read bio Book with Seanna

Serena Perry, MA, LMFTA

Serena Perry

MA, LMFTA
IFSPolyvagalAnxietyDepressionCouples
Read bio Book with Serena

+ Meet the full team

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

Meet the team

Deeper bench than the five here. Tell us what you are looking for and we will match you with a clinician who does affirming neurodivergent work.

Where to meet

Three offices or secure video anywhere in Washington.

If commuting, waiting rooms or sensory-heavy offices drain you, secure video is a real option, and many neurodivergent clients find it easier than getting to an in-person session.

Green Lake, Seattle

North Seattle, Wallingford, Ravenna, Roosevelt

View office →

Burien

White Center, SeaTac, Normandy Park, South King

View office →

Smokey Point, Arlington

Arlington, Marysville, north Snohomish

View office →

Secure video, statewide

Anywhere in Washington. Same therapist either way.

Online therapy in Washington →
Frequently asked questions

What neurodivergent clients ask before starting.

Do you offer neurodivergent-affirming therapy?

Yes. Our clinicians do affirming ADHD and autism work and treat your brain as something to work with, not fix. That means you are not masking or educating your own therapist. We will match you with a clinician who does this work and fits what you came in for, whether the focus is neurodivergence itself or something else.

Do you take my insurance?

We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. Much of the affirming-specialist market in Seattle is cash-pay or online-only, so taking your plan is a real difference. Coverage details vary by plan, so we will confirm exactly what yours covers before your first session, and you will not be left guessing about cost.

How soon can I be seen?

First appointments are available the same week, not weeks out. Many of the affirming-specialist practices in Seattle book well ahead, so you do not have to sit on a long waitlist to start. Reach out and we will find the first opening that fits your schedule, in person or by secure video.

Can you diagnose or prescribe for ADHD?

Our psychiatric providers can evaluate and treat ADHD under the same practice, so therapy and medication can be coordinated rather than scattered. Counselors here do not diagnose or prescribe. If evaluation or medication is part of what you need, see our adult ADHD evaluation page and our psychiatric medication management page, and we will route you to the right provider.

Do you work with autistic clients and adults exploring late-recognized neurodivergence?

Yes, with clinicians who do affirming autism and ADHD work, including support for adults who are recognizing their neurodivergence later in life. To be clear about scope, this is affirming therapeutic care, not a formal autism-testing service. We can talk through what you are looking for at intake so you know exactly what we offer.

Do you offer neurodivergent couples therapy?

Yes. We have clinicians who do both couples work and neurodivergent-affirming work, so a neurodivergent couple can be matched with someone who understands how each partner's brain shows up in the relationship. We will pair you with a therapist who fits the two of you rather than asking you to explain the basics first.

Do you offer affirming therapy 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 in Washington. Many neurodivergent clients find video easier than commuting or sitting in a sensory-heavy waiting room, and it opens affirming care to clients across the state.

Take the next step

You do not have to mask your way through therapy.

Start with one conversation, with a therapist who works with how your brain actually works. Counseling Services for Wellbeing accepts most major insurance plans, books first appointments the same week and matches you with a clinician who does affirming neurodivergent work, with psychiatry for ADHD under the same practice, in person at our Green Lake, Burien and Smokey Point offices or by secure video across Washington.