Cognitive Behavioral (CBT) Therapists in Washington

My work is about meeting you where you are and helping you find clarity and stability when things feel overwhelming.

I’m an AASECT-certified sex therapist and licensed psychotherapist who works with individuals and couples navigating concerns related to relationships, sex, and intimacy. Many of the clients I work with are experiencing distress around desire discrepancies, difficulty being present or fully enjoying sex, sexual functioning challenges, or are looking to explore and expand their sexuality—including kink, BDSM, or polyamorous relationship dynamics While I am highly trained in sex therapy, I also specialize in couples therapy and help couples navigating relationship issues like emotional intimacy, conflict, parenting issues, and affair recovery. Sessions with me are warm, direct, rich with tangible tools and strategies to help you overcome the challenges you're facing in your relationship. Each session is tailored directly to your needs. Together, we will normalize what's going on and find ways forward so you can start living your most fulfilled, erotic, and passionate life.

Welcome. I am a Board-Certified Psychiatric Mental Health Nurse Practitioner and Master of Public Health with over 18 years of healthcare experience. Throughout my career, I have provided compassionate, evidence-based mental health care across a variety of settings, including hospitals, long-term care facilities, inpatient residential programs, and Veteran healthcare services. My goal is to meet you where you are in your journey and create a supportive environment where you feel heard, respected, and empowered. Whether you are seeking care for the first time or returning to treatment, I am committed to helping you achieve improved mental wellness through personalized, culturally responsive care.

Procrastinating on work or running on autopilot? Struggling to stay focused, get quality sleep, or keep your routines on track? Maybe you’re feeling drained, frustrated by nutrition, exercise habits, or hormonal shifts, or just not like yourself lately. You’re not alone. I help people stop wasting their energy on things that drain them and start investing it where it counts. I’m a Psychiatric Mental Health Nurse Practitioner and work with adults ages 19 to 45. My focus is on comprehensive medication management for ADHD, Depression, Insomnia, PMDD, PTSD, and weight management. I treat the whole person, not just their symptoms. This includes looking closely at sleep habits, screen time, food choices, weightlifting, communication, mindset, and daily routines to support lasting change. My focus is on making sure you’re strong in every area, not just surviving. With 10 years of experience as a travel nurse, including 6 in psychiatry, I bring a strong clinical foundation to my current role as a nurse practitioner. Over the years, one thing has become clear to me: at the core, we are all more alike than different. Most people want peace, autonomy, and real enjoyment in their lives. My philosophy is a lot like sports. In baseball, maybe you can catch, run, and hit line drives, but if you can’t throw the ball, you’ll never reach your full potential. Mental health works the same way. Medication, sleep, movement, and daily habits all work together. That’s how real change happens

You’ve tried everything you can, and still… You struggle to manage your emotions, and you don’t understand why your mood seems to go from 0 to 100 at the drop of a hat. Because you feel so deeply, things that seem harmless to other people cause you immense pain, panic, and distress. You feel hopeless about the future and sometimes hurt yourself in the process of trying to manage it all. You are in the right place. At Spring Day Therapy, I work with teens & young adults to provide compassionate, collaborative (and oftentimes playful!) evidence-based treatment.

I’m Charity, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 15 years of experience helping individuals and families navigate mental health challenges. I provide compassionate, evidence-based care through telehealth, combining medication management and psychotherapy to support lasting wellness. My approach is patient-centered, collaborative, and tailored to each person’s unique needs and experiences. I work with clients across the lifespan and treat a wide range of concerns, including anxiety, depression, ADHD, trauma-related disorders, bipolar disorder, schizophrenia spectrum disorders, and behavioral challenges. My goal is to help you achieve greater balance, resilience, and overall well-being as we work together on your mental health journey.

Noah Freiburger is a board-certified Psychiatric Mental Health Nurse Practitioner and Certified Brain Injury Specialist. He founded Brain Bath with the vision of creating a mental health practice that blends evidence-based care with a human-centered approach. Noah’s clinical experience spans inpatient psychiatry, outpatient care, substance use treatment, and work with individuals experiencing severe and persistent mental illness. This diverse background allows him to tailor treatment to the unique needs of each patient, whether the focus is ADHD, anxiety, depression, or complex psychiatric conditions. In addition to leading Brain Bath, Noah serves as the Medical Director for Mid Michigan Recovery Services (MMRS) and is on staff at Stanford’s Lucile Packard Children’s Hospital. His approach is collaborative, transparent, and rooted in evidence-based practice, with an emphasis on helping patients feel informed, empowered, and supported throughout their mental health journey.

Hello, I’m Dr. Francesca Derius, a psychiatric nurse practitioner dedicated to helping individuals achieve emotional balance and clarity. I offer personalized, supportive care grounded in clinical excellence, empathy, and respect for your unique journey.