Online Counseling and Therapy for Washington State


Suffering from Trauma, Anxiety, Depression or Self Acceptance? We can help with that and more with our secure Online Counseling and Therapy. We find the best path forward for your personal growth.

Your therapist, online and ready to help, just a click away…

Take time out for yourself and connect with a counselor who can give you the support you need. Acuity’s Online Counseling and Therapy allows you to connect with your therapist online, through secure video conferencing.

Telehealth/Online counseling gives you the opportunity to explore challenges in life without having to further complicate your daily schedule by traveling to your therapist’s office.

It is a great way to engage in your own self-care, while gaining tools to help you better handle negative thoughts, painful feelings, difficult relationships, home and work stress. Just as we do in traditional in-person counseling, telemental health removes the barriers that are keeping you from seeking help and making positive changes in your life.

While our physical offices are located in the Seattle area, with online counseling we can now serve rural Washington, no matter where you live!

Online Counseling–A Relief for your Busy Lifestyle
You’ve thought about therapy, but you don’t think you can cram it in your busy schedule? You know that counseling will help you feel better in the long-term, but the short-term logistics of making time to leave work and family for a therapy appointment seem to keep it just out of reach? Or, you have health concerns that makes in-person appointments impossible?

When you find a moment to reflect on what’s important, you know that putting yourself first is not selfish, it’s self-care. How can you continue to support the important people in your life if you’re not prioritizing your own health physically, emotionally and mentally?

Acuity Online Counseling and Therapy Can Help.

Acuity’s 1-on-1 Therapies for:

Anxiety »

Depression »

Relationship Issues »

Grief & Loss »

Trauma & PTSD »

Eating Disorders and Body Image »


(CBT) Cognitive Behavioral Therapy »
(EDMR) Eye Movement Desensitization Reprocessing »

Our Clinicians also help with:

  • Personal Growth
  • Navigating Life Transitions (relocation, career changes, stage of life growth)
  • Existential Concerns
  • Managing Anger or Panic
  • Gaining control over Substance use & Addiction

Contact us to schedule an appointment or ask a question.

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Schedule a session and find your best path forward

Get Started: Contact UsSchedule a Session Online

Make time for Self Care. It’s easy with Online Counseling

Research shows that telemental health has all the same benefits and efficacy as traditional in-person therapy, but with the convenience of meeting from the comfort of your home or office.

Ultimately the form of therapy doesn’t matter as much as the quality of relationship between you and your therapist. That’s why rather than focusing on the format of therapy or specific methods we work to connect you with the best counselor that fits your needs.

It’s time to seek help if you have developed:

  • Feeling overwhelmed or stressed during most of your day. Stress can weigh heavily on people. This is why we offer stress management education and mindfulness techniques that better put stress into perspective. 
  • General apathy, depression or fatigue
  • Changes in sleep
  • Changes in appetite. Changes in sleep and appetite can be physical signs of severe emotional pain. 
  • Phobias or compulsions. If you feel like you are not in control of your fear or behaviors at certain times, therapy can help.
  • Over-emotionality. Some people are more emotional than others, but if you find yourself with outsized emotions for a given situation, therapy can help you find better emotional regulation.

Online Counseling for Depression

Researchers compared online to in person therapy for a group of 62 people that both received the same treatment for depression for the same amount of time.  They found that each received comparable reduction in depression symptoms, with the online group finding slightly better long term benefit.

Looking at these results cautiously, it appears that the differences between in person and online therapy are minimal. [1] The research also noted similar decreases in anxiety, hopelessness and thoughts of suicide. 

Online counseling for panic disorder, social anxiety, general anxiety (and depression)

In 2010, researchers looked at the average results of 64 studies comparing online counseling with in person counseling for treatment of anxiety. They found that across the board, in person and online therapies both resulted in similar improvement. [2][3]

Online counseling can be particularly beneficial for those with social anxiety as it means there is less of a barrier (less in person conversations) between the client and therapy. If you are considering online counseling for depression contact us and talk with one of our anxiety therapists.

Marriage Counseling Online

The benefits we see in therapy for individuals are echoed in the benefits we see among couples working with our couples counselors. While many couples are skeptical about online relationship counseling at first, the results they see eventually win them over. If you come to online counseling with an open mind, we can work well together. 

In one of few academic studies on the subject, by the end of therapy, couples surveyed all described online counseling as different, but not worse than in person sessions. [4] The best results in couples counseling are achieved when couples take control of their relationship and don’t feel pressured or forced to make changes from outside forces (such as a therapist) so some couples find the physical distance between them and the therapist beneficial when working through their concerns. 

If you are considering online couples counseling, talk with one of our couples therapists today.

How Online Counseling Works/How-To:

We recommend that our clients use a desktop computer or laptop for the best connection to be established. There is nothing to download prior to your appointment. Here are the steps to join you session:

  • Download ZOOM app or you connect via Browser
  • About 10 minutes before your appointment, you’ll receive an email appointment reminder with the link to join your call. Please note that the link to join the Telehealth call will only be in your email reminder and not in your text reminder. If you’re set up to receive text reminders, the exact time you receive your text reminder may vary based on your cell phone carrier.
    • Note: If you have already consented to receiving text and/or email reminders, you will continue to receive them for Telehealth appointments as well. If you’re a new client, make sure that you’ve provided your email and or mobile phone number so that we can enable email or text appointment reminders for you.
  • Click the unique link embedded in the email reminder. You may have to copy and paste the link into your web browser if clicking the link does not work. Your video call screen will now open in a new tab.
  • If I have already joined the call, you will see your therapist’s name on the screen. If I have not, you will see yourself and a “waiting screen.”
  • You will also see the Welcome prompt. Click “test internet connection” to test your internet speed.
  • When you are ready, type your name where it says Enter your name to join, and click Join Video Call. This will take you straight into the video call.

FAQ about Online Counseling and Therapy

Am I prepared for online therapy? Am I ready for any technical issues?

We recommend that our clients use a desktop or laptop computer that has a microphone/speakers or that can connect to a headset with those features. You can test your audio connection here. We also recommend an internet connection that can sustain video conferencing (most internet plans cover this). If you are unsure about the quality of your connection you can test it here. If you have confirmed that these things are in line then your therapy sessions will be smooth. 

In your first session we will review any technical concerns you have about the quality of your connection. A few people have a slight delay or interruptions in audio when they first join, but after several meetings of adjustment they don’t notice it. We work with our telehealth company to make sure that such interruptions are minimized.

How to make a Space for online counseling?

We recommend that you set up a quiet and calming space where you can talk with your therapist in privacy. This may mean asking family members to leave the house for some time or keeping your pets outside or in another room. Our therapists are okay with kids being in the room, but most people see best success by keeping their therapy time as time for themselves. The key takeaway is to minimize distractions as best you can so that you can best focus on yourself.

Are sessions confidential?

Our telehealth software uses end to end encryption so that even the most determined “hackers” would not have the ability to access the content of our sessions. To ensure long term privacy, we don’t record any sessions, so be assured that everything said in session will be heard by your therapist and your therapist alone.

What are the safety procedures for online counseling?

If you or your therapist are concerned about your physical safety, you may have a plan put in place for what to do in case of an emergency. One drawback of online therapy from in-person is that in a crisis a counselor is there with you to coordinate help when in person. For those to whom this may be a concern, we clarify our plan in the first session.

Which therapist is right for me?

Let us help you find the right therapist. Many of our therapists specialize in anxiety, so view our profiles online to learn more about specific counselors specializing in anxiety treatment or speak with our Client Care Coordinator, who can help you with a personalized match to the right therapist for your needs. 

Finding the RIGHT therapist is the most important piece of reaching your goals.

How long does Therapy take?

Counseling works best within the framework of a safe and trusted therapeutic alliance. Since it takes time to build this relationship with your therapist, we recommend committing to weekly sessions for at least 8 weeks. Research shows that consistency adds to the positive outcomes of therapy. Once you reach your 8-week goal, you and your therapist can discuss a frequency of sessions that will support your continued success.

I’ve never done therapy before...What can I expect in my sessions?

The unknown of anything new can make it scary. Especially if you’ve never been to counseling before. Let us show you the “roadmap” so you know what to expect:

1st Session:
This first meeting is an introduction for both you and your counselor. Your therapist will explain the therapy process and go over the specifics of informed consent. From there, your therapist will gather additional information about your history, current circumstances, as well as struggles and personal strengths, which will help them to define a treatment plan that aligns with your goals. 

This is also the chance for you to learn more about your therapist. We encourage you to ask questions and get to know them; the relationship you build with your therapist will be the most important part of your work together. 

2nd Session and Future sessions:
In your weekly sessions, you and your therapist will use evidenced based therapies such as CBT, Mindfulness or ACT, to help you address your symptoms of worry, stress and anxiety. For anxiety rooted in trauma, or related to obsessive compulsive disorder (OCD), your therapist may recommend treatment with EMDR.

Closing Sessions:
Our goal is for you to find relief from your anxiety and be ready to “graduate” from therapy. In the last few sessions with your therapist, you will review your initial goals, the progress you have made, and solidify your new skills for managing anxiety in your life. At your last meeting together, you’ll have the time for the meaningful goodbye with your therapist.

How much does Counseling cost?

We strive to create access to high quality mental healthcare for everyone. Our therapists’ rates vary by experience and specialized training. We will make every effort to find the right therapist for you. 

Acuity Counseling also accepts health insurance and offers both in-network and out-of-network coverage. 

We are in-network partners with: 



First Choice

Premera Blue Cross

* We do not participate in EAP plans

Why don’t you only use Cognitive Behavioral Therapy (CBT)?

While we use CBT as an aspect of our therapeutic approaches, we know that every individual is different. No one responds to any method perfectly, so by employing many techniques we are able to provide the most personalized support. Cognitive Behavioral Therapy is talked about in relation to mental health so often because it has a large body of research behind it and is easy to replicate across all cases. This is why you may hear it called “evidence based,” which it certainly is. However, we use other evidence based therapies in conjunction with CBT in our therapies.

How can I evaluate whether therapy is working?

Acuity is unique because we use research backed questionnaires to assess your mood, goals and progress. From time to time we may share with you your progress on these reports, “you report being angry 30% less days than when you started therapy,” and then ask what your goals for the future may be. We have found that by having clients set their own goals and following up regularly we can achieve better results.

If I go to Acuity for help, does it mean there is something wrong with me?

No. We try to break this stigma constantly.

Many people come to Acuity just to gain a better perspective of themselves and work on some issues that they are having in their daily life. There aren’t many places for people to vent and seek honest help, so we provide that space for people as well as psychologically informed advice to better cope with life’s persistent problems. Even if you have a mental health diagnosis there is nothing wrong with you. We all experience and react to the world in different ways, it’s hard to argue that there is anything wrong with that.

Is medication used in conjunction with your therapy?

Some conditions for some people are best treated with the help of medication. If we find it necessary after our initial assessments, we will discuss types of medication, your comfort with it, and the pros and cons of medication with you. If you so choose, we can refer you to the appropriate psychopharmacologist in the area. If you are already on medication, we will coordinate treatment with your primary provider.


If you have questions and would like to talk about any of our counseling services, please reach out for a complimentary phone consultation or send us an email.

First Session Within 72 Hours of Calling

We book you an appointment within 24 hours of contacting us (usually less) and make sure your first appointment is soon after.

Seattle: 206-922-2376

Bellevue: 425-549-3242

Bothell/Woodinville: 206-910-9476

for Billing questions call:



Use our Online Scheduling Tool or call our office to schedule your appointment, or for any changes regarding scheduling.

Schedule by phone: 206-910-9476


Counseling services are often covered in full or in part by your health insurance company. Acuity Counseling proudly accepts most major health insurance plans.


First Choice





Sound Health & Wellness

We do not participate
in EAP Plans

Acuity Counseling Locations




Falcon View
12900 NE 180th St, Suite 160
Bothell, WA 98011
(206) 910-9476

Plaza 600 Building
600 Stewart St, Suite 1228
Seattle WA 98101
(206) 910-9476

–Coming Fall 2021–
221 N Wall St.
Spokane WA 99201

(206) 910-9476

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