couples therapy seattle

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Commitment to Clarity: Understanding Why We Require a Diagnosis for Insurance Therapy

When you use insurance for therapy, your therapist has to give you a mental health diagnosis and send that to your insurance company so they can decide whether to help pay for your sessions. This diagnosis for insurance therapy piece can feel uncomfortable or confusing, especially if you’re coming in for help with non-diagnosable issues […]

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Aftercare in Kink and BDSM: What It Is, Why It Matters, and How to Do It Well

If you’re exploring kink or BDSM, you’ve probably heard the term “aftercare.” It’s often mentioned as a best practice but in reality, it’s much more than that. Aftercare is a core part of safe, consensual play, and for many people, it’s nonnegotiable. For individuals and partners experimenting with a kink, understanding aftercare is often one

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Understanding Attachment-Based Therapy: Healing Relationship Patterns at the Root

If you’ve ever found yourself stuck in the same relationship patterns, feeling anxious, avoidant, or disconnected, you’re not alone. Many of these patterns are rooted in early attachment experiences. Attachment-based therapy helps you understand those patterns and create more secure, fulfilling relationships. At Steffen Counseling Services, we use attachment-focused approaches to help individuals and couples

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A Therapist’s Toolkit: How Attachment Patterns Show Up in Relationships

Attachment patterns can shape the way we connect, communicate, and respond to closeness in relationships. For many people, these patterns show up most clearly in moments of stress, uncertainty, or vulnerability; when the nervous system is doing its best to protect connection. At Steffen Counseling Services, we often look at attachment not as a fixed

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Meet Hunter Hansen: Your Kink and Poly-Affirming Therapist in Seattle

We’re thrilled to welcome Hunter Hansen (Her/Him) to our practice as our newest clinical intern! Hunter brings an affirming, relational, and creative approach to therapy. She has a special focus on polyamory, ethical non-monogamy (ENM), kink, LGBTQIA+ identities, neurodivergence, and nontraditional relationship structures. As a creative arts therapist, Hunter helps clients explore who they are

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A New Space to Land: In-Person Therapy in Georgetown Seattle Neighborhood

This post comes from Emerson, one of our Seattle-based providers. Emerson offers both in-person therapy in Georgetown Seattle and telehealth sessions to support clients in finding presence, connection, and healing. There’s something different about sitting together in a room. For many of us, therapy has lived through screens in recent years—accessible, flexible, and meaningful in

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In-Person Therapy Seattle: Serving Fremont, Tacoma & Beyond

If you’ve been searching for in-person therapy in Seattle or Tacoma, you’re not alone. While virtual therapy has made mental health care more accessible, many people are still looking for the connection, grounding, and presence that comes with sitting in the same room as their therapist. At Steffen Counseling Services, we’re excited to share that

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Hidden Signs of Desire: What Your Partner Wants (Beyond “More Sex”)

Signs of desire show up in so many quiet ways before anyone says, “We should have more sex.” In fact, for a lot of couples, sex isn’t actually the problem. Instead, sex is the place where disconnection, stress, and old hurts eventually become too hard to ignore. Desire Is About More Than “Enough Sex” In

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Explore Prepare/Enrich Premarital Counseling with Certified Facilitators

We’re thrilled to announce that Sage Robins and Aishleen O’Brien, therapists at Steffen Counseling Services in Seattle, are both a certified Prepare/Enrich Facilitators! This certification expands their ability to support couples through structured premarital counseling and relationship enrichment sessions built on a research-driven framework. What Is Prepare/Enrich? Prepare/Enrich is one of the most widely used

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Why Lube Matters: A Sex‑Therapy‑Informed Guide to Using Lubrication (and When It Helps)

In sex therapy, one of the first topics that surprises many people is lube—short for lubrication. It might seem like a small detail, something you pick up at a drugstore or forget in a drawer. But in reality, lube can profoundly change how people experience intimacy, connection, and comfort during sexual activity. The Role of

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