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Therapists answer…

What is therapy like? What does a typical session with you look like?

Jessica McDuffeeJ

Jessica McDuffee

LPC
Online & In-PersonAccepting New Clients
What does a typical session with you tend to look like?
I want everyone to feel comfortable and confident in session. So, I let you lead on what you want to talk about and where you want support. As appropriate, I provide skills, interventions, and tools for you to utilize as best fits your life to reach the goals that you have.
Life can feel heavy at times, but even in those hard seasons, healing and change are possible. I help teens and adults to work through anxiety, depression, trauma, bipolar, and major life transitions. Whether you’re a teen navigating the ups and downs of growing up, an adult carrying the weight of past experiences, or a parent worried about your child, you don’t have to go through it alone. Together, we’ll uncover your strengths, build healthier coping skills, and find clarity in the chaos. In our sessions, you’ll learn practical tools to manage tough emotions while also gaining the confidence to live with more peace and authenticity. I offer a safe, non-judgmental space where you can show up exactly as you are. My approach draws from CBT, DBT, and trauma-informed care, and I tailor each session to your unique needs and goals. Therapy isn’t about “fixing” you—it’s about helping you rediscover your resilience and create a life filled with purpose, peace, and authenticity. If you’re ready to take that next step, I’d love to walk alongside you. Reach out today by phone or email, and let’s begin this journey together.
Kaileen RussellK

Kaileen Russell

Licensed Independent Clinical Social Worker
Online TherapyAccepting New Clients
What does a typical session with you tend to look like?
I think it is important to know that the first session, and even the couple that follow, may not offer a fair glimpse into the therapeutic process. The first session offers an initial assessment where I work to better understand your needs and the goals you may be working to formulate. The next couple of sessions often involve a fair amount of rapport building. Once we establish a working relationship, I like to offer the comfort of conversation. It is in our conversation where I may then weave in particular responses that reflect a therapeutic approach congruent with your needs and reflective of your goals.
There is a sentiment that was brought to popularity over the last two years: We are all weathering this storm but are not in the same boat. I have spent a lot of time contemplating this concept. One of the interpretations that sticks with me is that we are all human learning to navigate this life but often impacted by different things in different ways. Some people have yachts while others have canoes, some find themselves being tussled in the ocean while others are blessed to gleam across a lake, and some are fortunate to have life jackets while others have felt they had to learn to float alone. No matter each person’s, couple’s, or family’s circumstances we are all trying to navigate through life. Therapy is a safe and private space that I can hold for you where I may aid you in locating a life jacket, developing a crew, patch your boat, and learn to navigate the waters. Whether you find yourself in tousled waters or navigating a new path I would be pleased to work with you. I have enjoyed working with individuals, couples, and families of all different needs for years.
Ragnar ScottR

Ragnar Scott

Ragnar Scott, PMHNP-BC
Online & In-PersonAccepting New Clients
Hey there! I’m Ragnar Scott, a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) specializing in substance use disorder (SUD) treatment and holistic mental health care. As the Associate Medical Director at Rose City Detox and the owner of LiveWell, LLC in Ridgefield, WA, I’m committed to delivering compassionate, patient-centered care that meets you where you are. My experience spans psychiatric, neurological, and substance use disorders, with a career path that has taken me to hospitals and healthcare settings across Oregon, Washington, Illinois, Georgia, Alabama, and Massachusetts. I’ve had the privilege of leading and educating healthcare teams in diverse environments, building a foundation of collaboration and support. If you're between 15 and 55 and facing challenges like ADHD, anxiety, depression, or life transitions, I’m here to help. I understand how overwhelming it can feel when you're balancing work, school, or relationships. My goal is to offer practical, no-nonsense strategies that make life feel more manageable, while helping you regain control of your well-being. My approach is straightforward, transparent, and supportive. I believe in fostering a welcoming environment where you feel safe to express your thoughts and concerns without the pressure of medical jargon. With telehealth as a core part of my practice, I make it convenient to connect when you need it most. Outside of work, you might find me enjoying the great outdoors with my loyal (and occasionally grumpy) German Shorthair, Buddy. I’m passionate about creating a balance between professional dedication and personal fulfillment, and I bring that philosophy into my practice. If you're looking for a down-to-earth approach to mental health and recovery, let's chat. Treatment Philosophy: I believe in providing compassionate, patient-centered care tailored to each individual. At LiveWell, I focus on holistic wellness, addressing mental health and substance use disorders with empathy and understanding. My approach emphasizes open communication and collaboration, fostering a trusting environment where you feel supported. Whether it’s recovery or maintaining well-being, I strive to empower you with practical, effective strategies for lasting wellness. Specialties & Conditions: • Mental Health • Psychiatry • Child Psychiatry • Psychotherapy • Addiction Medicine • Depression • Anxiety • Bipolar Disorders • ADHD • Addiction • PTSD • Insomnia • Relationship Issues • Mood Disorders • Panic Attacks • Substance Abuse • Pediatric Psychiatry • Substance Use Disorder • Grief and Loss • Counseling • Anxiety Disorders • Behavioral Issues • Substance Abuse Evaluation • Opioid Addiction • Alcohol Dependency • Detoxification Management • Behavioral Therapy • Prescription Drug Misuse • Relapse Prevention • Addiction Counseling • Withdrawal Symptoms • Co-occurring Disorders Treatment approach: • Existential • Substance Use Disorder Treatment • Cognitive Behavioral Therapy • Mindfulness-Based Techniques • Patient-Centered Care • Integrative Health Approaches In-network Insurance company: • Anthem • Aetna • Cigna • Blue Cross Blue Shield • Quest • Carelon