Our therapists offer cognitive behavioral therapy (CBT) in Seattle, WA

I’m a Licensed Clinical Social Worker with 11 years of experience providing compassionate care across diverse behavioral health settings. My background includes hospice and grief counseling, supporting adults and families through life’s most vulnerable transitions. I bring a culturally sensitive, intersectional approach to therapy, especially for those navigating identity, loss, or major life changes. My goal is to help clients gain clarity, emotional relief, and confidence as they work toward healing and transformation.

I earned my Master’s in Clinical Social Work from the University of Central Florida, where I also completed minors in Gerontology and Sociology. I integrate cognitive behavioral therapy, dialectical behavior therapy, trauma-focused cognitive behavioral therapy, and mindfulness-based therapy to create individualized, evidence-based care.

I meet clients where they are with compassion, curiosity, and collaboration. Whether coping with anxiety, depression, chronic illness, or self-esteem challenges, my approach is restorative and empowering. Therapy doesn’t have to feel intimidating; it can be transformative, helping you reconnect with your purpose and inner resilience.

Mary Lou Macarius is a Licensed Marriage and Family Therapist (LMFT) who specializes in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school issues, stress, women's issues, and child therapy. She has more than 20 years of experience, working at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic and Good Samaritan Behavioral Health Care Center, as well as in public schools serving students K-12th grade, working independently in Comfort Counseling. She also has experience serving individuals from six years old to 65 years old from her time at the Renton Counseling Center. She is a clinical member of The American Association of Marriage and Family Therapy.

Mary Lou received a Bachelor of Social Work from Eastern Washington University and a Master of Arts in Marriage and Family Therapy from Pacific Lutheran University. She utilizes multiple treatment approaches including, but not limited to, solution-focused therapy, narrative therapy, cognitive behavioral therapy, and structural family therapy. Mary Lou's dominant practicing theories are those of structural family therapy, which focuses on the ways in which families function and the changes that need to be made in the family structure to help them function more effectively, and solution-focused theory, which looks at the solutions that the client brings to therapy for coping with problems and builds on the client’s successes. She also likes to use some narrative therapy, which is focused on changing the way that you look at your life or problems.

Mary Lou is a trauma survivor and comes from an immigrant family, both of which influence the work that she does on a day-to-day basis. This, along with her clinical experience, allows her to support and understand her clients in unique ways.

I am a psychiatric mental health nurse practitioner (PMHNP) with 6 years of experience supporting adults facing depression, anxiety, bipolar disorder, trauma, and other mood and thought-related challenges. I provide a warm, grounded space for clients who want to better understand themselves, build emotional balance, and create sustainable change. My goal is to meet each person with clarity, compassion, and evidence-based care.

I earned my Doctor of Nursing Practice from Walden University. My approach blends clinical expertise with a whole-person lens, using evidence-based treatments tailored to individual needs. I work collaboratively with clients to explore symptoms, strengthen insight, and develop practical strategies that support long-term stability and well-being.

I am here to help you feel understood, supported, and empowered as you navigate what comes next. Together, we will identify your goals and create a plan that meets you where you are. You do not have to face your challenges alone. I would be honored to partner with you in building the healthier, more grounded life you deserve.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with 4 years of experience providing comprehensive mental health care across the lifespan. I specialize in psychiatric evaluation, medication management, and psychotherapy for conditions such as anxiety, depression, bipolar disorder, mood disorders, schizophrenia, conduct disorders, and insomnia. I focus on evidence-based treatment designed to reduce symptoms, improve functioning, and promote lasting emotional well-being in outpatient and telehealth settings.

I earned my Doctorate in Nursing from Arkansas State University. My approach combines clinical expertise with empathy to support individuals as they navigate life’s challenges. I tailor each treatment plan through careful evaluation, medication management, and therapy to help clients build resilience, balance, and overall well-being.

I understand the challenges of living with mental health conditions and strive to create a safe, judgment-free space where clients feel heard and supported. My goal is to provide compassionate, personalized care that encourages healing and growth, helping each person take meaningful steps toward recovery and emotional stability.

I am a psychiatric mental health nurse practitioner (PMHNP) with 19 years of experience in the mental health field. I work with adolescents and adults, and I value partnering with families to support long-term emotional wellness. I specialize in treating anxiety, depression, bipolar disorder, trauma, mood disorders, schizophrenia, and schizoaffective disorder, with a focus on helping clients build stability and improved daily functioning.

I hold a master’s degree in nursing from Gonzaga University. My approach integrates psychiatric evaluation, medication management, and supportive care to help clients develop effective treatment plans. I emphasize education, empowerment, and practical strategies that support sustainable mental health progress.

I believe meaningful change is possible, even when things feel overwhelming. I strive to create a supportive space that encourages growth, gratitude, and resilience. If you are seeking guidance and medication support to move toward your wellness goals, I invite you to schedule an appointment so we can begin this journey together.

Nanette Guild is a Licensed Independent Clinical Social Worker with 25 years of experience supporting individuals navigating depression, anxiety, trauma, grief, relationship transitions, identity concerns, and chronic illness. She brings warmth, humor, and a collaborative spirit to her work, helping clients feel empowered and understood. Nanette creates a safe space that honors each person’s story, promoting healing through trust and emotional connection.

Nanette earned a Master’s in Social Work from the University of Kansas. Her approach integrates cognitive behavioral therapy, behavioral activation, mindfulness, distress tolerance, and solution-focused techniques to support emotional regulation, resilience, and well-being.

Nanette values diversity, equity, and justice and believes in the deep connection between mind, body, and spirit. She uses a strength-based, interactive, and often humorous style to support long-term growth. Clients often appreciate her humility, open-mindedness, and deep respect for their lived experiences. Reach out to Nanette today!

Lena Nganga is a Licensed Independent Clinical Social Worker (LICSW) with more than 15 years of experience assisting teens, adults, and seniors struggling with mood dysregulation, negative self-talk, anxiety, relationship issues, family concerns, life transitions, and trauma or abuse.

Lena graduated with her Master's degree in Social Work from the University of Denver. She has worked in several clinical settings, including residential, outpatient settings, and in schools with various ages and diverse backgrounds. Her approach combines cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), client-centered, solutions-focused therapy, and motivational interviewing (MI).

Lena knows that it takes courage and strength to make the first steps towards improving your well-being. She enjoys working collaboratively with each client to determine individual needs and believes in treating others with respect, sensitivity, and compassion. Lena looks forward to working with you in achieving your goals. 

I am a psychiatric mental health nurse practitioner (PMHNP) with 19 years of experience supporting adults across the lifespan. I specialize in treating mood disorders, anxiety, depression, and behavioral and cognitive changes related to aging. I take a collaborative, evidence-based approach and work to create a therapeutic environment grounded in clarity, trust, and steady support.

I earned my Doctor of Nursing Practice from the University of Washington, where I developed advanced training in psychiatric assessment, medication management, and whole-person care. My clinical work is guided by a blend of psychodynamic, mindfulness-based, and strength-focused methods tailored to each individual.

Every person deserves care that honors their story. My goal is to help you feel understood, supported, and empowered as we work together toward improved well-being. If you are ready to take the next step in your healing, I welcome you to schedule a session.

My name is Lonnie Renteria, and I am a Licensed Professional Counselor (LPC) with 9 years of experience. I provide a safe, judgment-free, supportive space for individuals, couples, and families. I take an experiential approach, helping clients discover truths about their needs, expectations, and hopes. I also specialize in working around trauma and attachment injuries.

I received my Master’s in Clinical Psychology from Argosy University. I am well-versed in emotion-focused therapy, motivational interviewing, eye movement desensitization and reprocessing (EMDR), narrative therapy, & trauma work. I am continuing to enhance my training in internal family systems models, to be a more patient and empathetic therapist. 

I have a genuine interest in your process, and I encourage you to be the best you can be. I believe we all have the capacity to heal and build the life that we want to live. I view therapy as a collaborative partnership and a forum for gaining a better understanding of ourselves, not a place to "get rid of" or "fix" something. Get started today!