Our licensed therapists provide family therapy in Washington

I am a licensed independent clinical social worker (LICSW) with 33 years of experience in the mental health field. I specialize in working with individuals navigating complex and long-term challenges, including trauma, mood disorders, anxiety, and life transitions. My work often supports clients who are seeking deeper insight, sustained change, and recovery through a thoughtful and collaborative therapeutic process.

I earned my master’s degree in social work from New York University. My clinical approach is grounded in psychodynamic psychotherapy and incorporates motivational interviewing, stages of change, recovery-oriented care, and Beckian cognitive behavior therapy techniques that are tailored to each client’s unique needs.

You can expect me to be deeply curious about your experiences, goals, and personal story. Together, we will build a clear understanding of what has shaped you and develop strategies that support meaningful progress and hope. Change takes time and practice, and you do not have to navigate it alone. I am here to support you every step of the way.

Brooke Ivler is a Licensed Independent Clinical Social Worker with 3 years of experience assisting children, adolescents, and adults in navigating trauma, behavioral concerns, anxiety, depression, relationship issues, grief, and parenting concerns. Brooke has worked in inpatient psychiatry, community outreach crisis intervention, and individual counseling. She is a solution-focused therapist who helps people function in the system in which they live to create the most fulfilling version of life they can imagine.

Brooke has a Master's in Social Work from Arizona State University. She takes an eclectic approach to treatment and often uses cognitive behavioral therapy, dialectical behavior therapy, and Gestalt practices.

Brooke believes that our brains can provide answers, but sometimes we need help finding the right question to ask. She enjoys helping others see things from a different perspective and wants to put the life you envision for yourself within reach. Contact her today!

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 25 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.