Mental Health2026-08-26T15:54:53-07:00

Mental Health Counseling & Therapy in the Greater Seattle Area

Our licensed counselors provide evidence-based, trauma-informed therapy for adults across King County and the Puget Sound region. Same-day scheduling available. Most insurance is accepted, including Medicaid.

✓ No referral needed

Why Our Clients Choose THS for Mental Health Care

50+ Years of Trust

Serving the Seattle community since 1972 with proven, evidence-based treatment.

Experienced Counselors

Licensed therapists and counselors who specialize in anxiety, depression, trauma, and more.

Collaborative Care

Integrated mental health, psychiatric care, and substance use treatment delivered through a coordinated care team.

Insurance Accepted

We accept most insurance plans including Medicaid, plus sliding scale fees for uninsured patients.

Telehealth Available

Therapy sessions online or in-person — flexible scheduling to fit your life.

CARF Accredited

Nationally recognized accreditation for quality treatment and patient care standards.

Anxiety Disorders

Generalized anxiety, panic attacks, social anxiety, and phobias. Learn coping skills to manage worry and fear.

Depression

Major depressive disorder and persistent depression. Therapy and medication management when needed.

Trauma & PTSD

Post-traumatic stress from trauma, loss, grief, and major life changes. Healing-focused treatment.

Bipolar Disorder

Managing mood episodes, building stability, and creating healthy routines.

Eating Disorders

Build a healthier relationship with food and your body with support from our counselors.

Mental health is such an important piece of recovery. A lot of places don’t offer it. In treatment, you go through a lot of stuff, and it’s important to be able to talk about that with someone you trust, and that’s huge for me, that I’m able to trust.

Ericka

It is so important to talk about things, and sometimes you don’t even realize you need to talk about things until you get in with your counselor, and you just start pouring out feelings. Your counselor helps you put things in perspective and helps you deal with the issues you’re facing.

Kelly

No matter what I was going through, I always knew that I could find consistency and stability with THS.

Sandra
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Patients served annually

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Report improvement in 8 weeks

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Locations in King & Snohomish Counties

Not sure if mental health care is right for you?

Our patient care team can answer questions about treatment options, costs, and scheduling.

Frequently Asked Questions

How Quickly Can I Schedule an Appointment?2026-08-26T14:43:15-07:00

Most patients are scheduled within 1-2 weeks. If you’re in crisis, we offer same-day or next-day appointments. Call 1-833-278-HELP to speak with our patient care team.

Do I Need a Referral To Start Treatment?2026-08-26T14:56:58-07:00

No — you can request treatment directly without a referral. Call 1-833-278-HELP or fill out our Get Help form to get started.

Note for Opioid Use Treatment: Many THS locations also accept walk-in patients — you can come in today without an appointment.

What Insurance Do You Accept?2026-08-26T14:56:32-07:00

We accept Medicaid/Apple Health and most private insurance plans, including Blue Cross, Premera, Kaiser, Aetna, and more. We also offer a sliding fee scale based on income for patients who are uninsured or need additional support. You can find more details on our dedicated insurance page, or call us to verify your specific coverage.

Note for Youth Mental Health: Aetna is not accepted for youth services specifically.

Is Therapy Confidential?2026-08-26T14:43:30-07:00

Yes — all therapy is confidential under Washington State law and HIPAA. The only exceptions are if you’re in immediate danger to yourself or others, or if there’s abuse of a minor or elder that must be reported.

Can I Do Treatment Online?2026-08-26T14:43:40-07:00

Yes. We offer appointments for patients in Washington State, both in-person and via telehealth — whichever works best for you.

What if I’ve Never Been to Therapy Before?2026-08-26T14:44:01-07:00

Don’t worry—many of our patients are starting therapy for the first time. During your first appointment, your counselor will explain how therapy works, answer your questions, and take time to understand your needs.

Do You Offer Mental Health Groups?2026-08-26T14:58:29-07:00

Yes — we offer both virtual and in-person mental health groups for patients currently enrolled in our mental health services. Visit our Telehealth & In-Person Groups page to see what’s currently available, or ask your care team whether one might be a good fit for you.

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