• We primarily offer individual and couple therapy to adults 18 years and older.

    We are happy to collaborate with other health care professionals to improve your care. Whenever it is relevant, and only with your permission, we will contact your primary care provider, prescribing psychiatrist, or other health professional.

    We also provide professional consultation and clinical didactics to colleagues and groups on our areas of expertise.

  • Please see the “Providers” pages for information about our unique training and specializations.

    We specialize in supporting individuals and couples with the following concerns. See our font page for more information about each area.

    • Anxiety

    • Obsessive-compulsive disorder

    • Post-traumatic stress disorder

    • Relationship challenges

    • Sexual concerns

    • Substance use

    We have additional experience helping with:

    • Depression

    • Sleep difficulties

    • Stress

    • Burnout

  • The general course of treatment that we provide begins with the free phone consultation, so we can connect and figure out if our approach is a good fit.

    If we decide to schedule an intake appointment, the next step will be for you to complete intake paperwork before our meeting. The intake appointment will be focused on the problem that you’re seeking treatment for, the larger context of your life and history, and your goals for treatment.

    At the end of the intake your therapist will provide you with their diagnostic assessment and a treatment plan based on what you have described. If you are doing couple therapy, you will do the first session together and then you will each have an individual session with your therapist before coming back together for a feedback session.

    If you decide to pursue treatment we will then make a plan to meet regularly, typically once per week, to work toward your treatment goals during session and between sessions.

    Given our training and background, most of the treatment we provide incorporates exercises and activities for you to complete between sessions. This is known as “action oriented” treatment and has been demonstrated to be highly effective at rapidly improving the problems that we specialize in treating.

  • Initial intake (60 min): $350

    Individual session (50 min): $250

    Couple session (50 min) : $260

    We are not in-network with any insurance plans. However, our services may be eligible for partial reimbursement if you have out-of-network benefits. Please check with your insurance provider to determine your specific coverage. We routinely provide superbills to clients at the end of the month to facilitate seamless out-of-network reimbursement.

    A good faith estimate of expected charges is available upon scheduling or upon your request.

  • Yes, we offer sessions in-person and online via video conferencing for adults residing in Washington state. We currently have in-person space in the Madison Valley neighborhood. See the Contact page for photos of our offices.

    Additionally, if you live outside of Washington in a state that has enacted PSYPACT, then Dr. Enkema can meet with you online.