top of page

Our Services

Below you will find general information about the services we offer. If you find you have questions or would like to talk with us about beginning therapy, contact us. We would be happy to start a conversation.


Our therapists provide psychotherapy to adolescents and adults. In order to improve quality of life, we work with you to identify goals, develop coping skills, decrease distress, and create change.

Our providers’ expertise include:

  • Mood disorders

  • Anxiety-related disorders

  • Interpersonal difficulties and relationship issues

  • Overachievement/Underachievement

  • Trauma

  • Life transitions

  • Developmental issues/Identity development

  • Grief and loss

  • Loneliness/Isolation

  • Adjustment related issues

  • Sexual orientation

  • Gender transition

  • BDSM/ Kink

  • Alternative relationship constellations

  • Sex work

  • Microagressive trauma

  • Substance abuse

  • Disordered eating

  • Body positivity

We work to help couples in all types of intimate relationships to strengthen their partnership and gain a better understanding of one another. Couples counseling helps couples improve communication skills, learn to recognize and resolve conflicts, and maintain a supportive, loving relationship.

Some common issues that couples seek counseling for include:

  • Communication problems

  • Sexual difficulties

  • Conflicts about child rearing or blended families

  • Substance abuse

  • Anger

  • Infidelity

  • BDSM/Kink

  • Alternative relationship constellations

*Please note: We do not bill insurance for couples sessions.


Does your child have difficulty managing big emotions? Struggle to listen and follow directions? Does your child have trouble developing appropriate social skills & peer connections? Do you feel stuck as a parent trying to address these concerns? 


If so, you are not alone! Many children struggle with their social and emotional development, and as a result parents can feel overwhelmed and helpless when trying to figure out how best to support their child. The good news is that there are services available to promote healthy development in your child and provide you with the knowledge & skills needed to feel confident in supporting their child’s mental health. 


When children learn how to manage their mental health early on it sets them up for success in the future. Being mentally healthy during childhood means meeting developmental milestones, learning healthy social skills, and developing sustainable ways to cope with life’s challenges and uncomfortable emotions.

Parenting and Behavior Management Services 

Parent Coaching (Children 7+) 

For families with children over the age of 7 who experience behavioral challenges, SCAW offers 1:1 Parent Coaching. Parent Coaching is focused on providing parents with concrete tools and strategies to effectively manage their child’s behavior and increase the frequency of positive interactions between parent and child.

Additional Mental Health Services 

Anxiety & Depression

Anxiety and Depression are common mental health conditions among children that impacts their self-esteem, relationships, and behavior. Learning how to identify the signs and symptoms of these conditions is an important first step in addressing them. 


Some common symptoms of anxiety in children include: 

  • Excessive fears and worries that are disproportionate to the situation 

  • Fears and worries getting in the way of normal day-to-day activities (school, peer interactions, sleep) ​​

  • Negative thinking 

  • Physical symptoms including stomach aches and headaches

  • Frantic efforts to avoid the anxiety-producing situation 

  • Irritability and anger

  • Difficulty concentrating 


Some common symptoms of depression in children include: 

  • Continuous feelings of sadness and hopelessness

  • Social withdrawal

  • Negative thinking

  • Fatigue and low energy

  • Feelings of worthlessness or guilt 

  • Crying spells 

  • Trouble enjoying activities one once loved

  • Changes in sleep (excessive sleep or sleepless nights) 

If your child has any of the above symptoms, they would likely benefit from therapeutic services. We provide evidence-based treatment from a cognitive-behavioral therapy (CBT) approach for children experiencing Anxiety and/or Depression. Treatment involves helping children understand the connection between their thoughts, feelings, and behaviors, how to identify their feelings and unhelpful thoughts, and develop problem-solving and coping skills to manage life’s challenges.

Any disruption to the family dynamic can be difficult for a family. Some common reasons families seek therapy include:

  • Conflict

  • Substance abuse

  • Miscommunication

  • Behavioral problems in children

  • Conditions such as depression, eating disorders, and/or anxiety

  • Sexual abuse

  • Grief and loss

Caregiver Involvement 

In working with children in a therapeutic capacity, our clinicians will elicit cooperation and engagement from the caregiver(s). Caregiver involvement in treatment is crucial in maximizing the child’s gains and assuring the child feels supported. Caregivers play a critical role in reinforcing the skills children learn in therapy, by prompting their child to use skills outside of session and reinforcing their efforts with praise and positive attention. Additionally, caregiver involvement increases their own confidence and competence in managing their child’s mental health. Level of involvement is dependent on the age of the child, their needs, and the treatment modality being used.

Multidisciplinary Approach 

It is common for the clinician working with your child to request contact with other adults in the child’s life. This could include teachers, members of the child’s school team, pediatricians, speech and occupational therapists, and other caregivers for the child (grandparents, nanny, etc.). The purpose of utilizing a multi-disciplinary approach is two-fold. First, it allows the clinician to gather collateral information about the child’s behavior in other settings. Second, it allows the clinician to provide education and strategies to those interacting with the child, so that the therapeutic approach is consistent & reinforced in multiple settings (ex: at home, school, and childcare). 


If you have a child who could benefit from any of the treatments described above, please feel free to reach us at 206-785-1953 to talk more about how our clinicians may be of help to you and your child.


We offer the following types of psychological assessment:

  • School Readiness

  • Cognitive

  • ADHD

  • Mental Health Evaluations

  • Personality Testing

We provide comprehensive psychological and cognitive testing to better understand issues from a holistic lens. Teens and adults often find themselves struggling with school, occupational, or family life tasks. At times, this may be related to an undiagnosed underlying issue. Identifying challenges, as well as focusing on one’s strengths and support systems, allows individuals to move past these organizational and motivational issues.

To learn more about each of our testing psychologists, click on their link to read their bio:

Dr. Roman Lokhmotov, PsyD

Dr. Mandy Lu, PsyD

Assessment & Testing

As we take part in the global effort to curb the spread of the coronavirus, we are committed to ensuring that you are still supported in the ways you deserve. We are excited to offer online therapy using a HIPAA compliant, secure telehealth software through SimplePractice!


In our ever-changing world, online therapy creates more flexibility, safety, and efficiency for clients. Online therapy has proven to be just as effective as in-person therapy and has the added benefit of being accessible anywhere you are.  


Trainings & Workshops

Seattle Counseling and Wellness values connecting with the community. We understand the importance of contributing to the health and wellness of community members through speaking engagements and community involvement. Our clinicians bring a wealth of knowledge, experience, and passion to the community support and psychoeducation we provide.

Presentation topics include:

  • Sexual Assault Awareness

  • Setting Boundaries

  • How To Seek Out and Utilize Mental Health Services

  • Coping Skills For Stress and Anxiety

  • Asking For Help

  • Trauma and Microagressive Trauma

  • Variant Sexualities

  • Variant Relationship Constellations

We work with educators, clinicians and administrators in the following areas:

  • Creating LGBTQ+ Affirming Environments

  • Creating Safe Environments For Trauma Survivors

  • Working Effectively With Individuals Through The Gender Affirmation/Transition Process

  • How To Identify and Avoid Microaggressions When Working With Diverse Populations

  • Working With School Administrators & Teachers Around Trauma-Informed Approaches & Other Mental Health Issues Commonly Seen in School-Aged Children

Trainings & Workshops
bottom of page