Psychological & Well-being Services Based in the Pacific Northwest
What We Can Offer You
General Psychological & Well-being Services
Foundational services for people looking for steady, high-quality psychological care—whether you need treatment, evaluation, or a place to make sense of what’s going on.
Specialized Psychological & Well-being Services
Targeted offerings for clients, teams, and organizations seeking more specialized support, with particular focus on specialized forms of therapeutic support, assessments, and community-oriented services including attorney support and organization consultation. Each service is something TOPs providers have explicit training and experience in.
Insurances Accepted*
*Where applicable. Not all services are covered by insurance. If the service you are interested in should be covered by your insurance, but we are out-of-network with them, ask about direct billing.
What Brings People Here
People usually don’t come because they fit neatly into a category. They come because something in life, work, family, or relationships has become too hard to keep carrying the same way.
When life feels too heavy to carry alone
For people dealing with trauma, suicidality, chronic overwhelm, or the sense that things are no longer sustainable. We offer grounded, direct support for moments that feel intense, frightening, or hard to name.
When work, school, or pressure starts costing too much
For students, professionals, and high performers whose stress, burnout, perfectionism, or anxiety is catching up with them. This is often where achievement and identity start to collide.
When attention, organization, or follow-through are getting in the way
For children, teens, and adults wondering whether ADHD or executive functioning challenges are part of the picture. We help with both evaluation and practical support for daily life.
When family life feels stuck or strained
For caregivers, kids, and teens navigating behavior, emotion, conflict, school challenges, or disconnection at home. Sometimes the work is with the child directly; sometimes it starts by supporting the adults around them.
When relationships need more room, clarity, or care
For couples and partners navigating conflict, distance, repeated ruptures, or the impact of trauma, stress, and neurodivergence on connection. This includes affirming work with queer relationships, nontraditional partnerships, and poly/open relationship structures.
When identity, belonging, or relationship fit feels complicated
For people exploring gender, sexuality, community, or the pressure of roles that have never felt like a full fit. We offer queer-affirming, poly-friendly care that doesn’t ask you to explain or defend the shape of your life before we can begin.
Announcements!
Some work is best done together.
Groups launch as interest builds.
Access & Sponsorships
Access Matters
Around half of our clinical hours are reserved for reduced-fee or pro bono care for youth and families who might otherwise go without therapy. That’s only possible because individuals and local businesses choose to sponsor care.
If you’re a family needing support, you’ll see options for sliding scale and reduced-fee sessions.
If you’re a person or business who wants to fund care directly, you can sponsor sessions so cost isn’t the barrier.
I use a community-supported pricing model so that people with different financial realities can still access care. If you’re using insurance, your costs are set by your plan. If you’re paying out of pocket, you’ll choose a fee tier that fits your situation—from access rates to standard and higher “sustainer” levels that help underwrite lower-cost spots for others.
There’s no application or proof of hardship required; we use a trust-based, self-reflection guide to help you decide what’s sustainable.
This practice runs on a shared-responsibility model: full-fee work, higher-tier sessions, and contributions from individuals and businesses help keep reduced-fee care available for youth, families, and adults who might otherwise go without.
Sponsors can support an Access Fund or underwrite a set number of low-fee sessions, aligning company values with concrete, local impact.
Partnership/Humbly Featured In
We wish to thank all our fellow colleagues, institutional partners, and sponsors for their support in the clinical, research, and community-based services that we provide.
Ready for the Next Step?
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