Washington State
Affirming, Trauma-Informed Telehealth Therapy in Washington
Telehealth therapy for adults, couples, groups, and families across Washington State. LGBTQIA2S+ and neurodivergent affirming. Insurance accepted.
Who we serve
Washington therapy for folx who deserve real and effective care.
We provide telehealth therapy across Washington State, specializing in supporting people who are often underserved by traditional mental health systems. If you've struggled to find a therapist who truly gets it — you're in the right place.
LGBTQIA2S+ folx
Affirming care for queer and trans adults. Our clinicians have lived and professional experience — no explaining required.
Neurodivergent adults
ADHD- and Autism-affirming therapy that respects different ways of experiencing the world.
Couples, groups & families
Support for relationships at any stage — communication, boundaries, and finding common ground.
Adults navigating life transitions
Identity shifts, grief, career changes, and the in-between moments that are harder than they look.
Anxiety, depression & heavy emotions
Evidence-based care for the patterns, thoughts, and feelings that keep you stuck.
Trauma survivors
Trauma-informed care that moves at your pace. You set the terms of your own healing.
Services
Therapy services across Washington State
Telehealth sessions available across Washington State, 7 days a week — including evenings and weekends.
Individual therapy
One-on-one sessions built around your goals and identities. We begin with an assessment and treatment planning session, and check progress regularly.
60 min · $275
Couples & family therapy
Support for relationships at any stage. Learn to communicate, build healthy boundaries, and find shared ground — it's never too late.
60 min · $275
Group therapy
Guided group sessions focused on topics based on participant interest and need. A supported community space for shared growth.
60 min · $70
Mental health assessment
Biopsychosocial assessments for insurance requirements, governmental programs, or care coordination needs.
60 minutes · $600
Case management
Documentation and support for housing, benefits, gender-affirming letters, ESA letters, Social Security, and more.
30 min · $300
Clinical supervision
Supervision hours for Oregon and Washington associates working toward full licensure.
Contact us for availability
Our approach
Person-centered. Evidence-based.
At HTNW, we recognize that individuals are shaped by systems — family, community, culture, and society at large. Our clinical social work framework means we see the full picture, not just the presenting problem.
Treatment is collaborative. You bring your story, your goals, and your identity. We bring clinical skill and genuine commitment to care that honors all of who you are.
Our Washington clinicians have deep experience serving LGBTQIA2S+ adults, neurodivergent clients, and people navigating complex trauma, minority stress, and identity-related challenges in the Pacific Northwest.
Treatment modalities
Meet the team
Your Washington therapists
Our Washington clinicians bring lived experience, advanced training, and genuine commitment to affirming care. Finding the right fit matters — we're here to help.
Bethany Spanier (she/her)
Therapist, MSW · EMDR · Somatic Therapy
Cheyanne Prominski (she/her)
Therapist, MSW · Young Adults · Couples & Families
Jade Waits (she/her)
Therapist, MSW · Trauma-Informed · Systems-Involved
Amy Williams (she/her)
Therapist, MSW · LGBTQIA2S+ · Autism & ADHD
Looking for a specific clinician? View our full team →
Insurance & fees
We work with most major Oregon insurance plans
Oregon coverage. Superbills provided for out-of-network reimbursement.
Find us
Telehealth across Washington
Connect with your therapist from anywhere in Washington via our secure HIPAA-compliant video platform — available on any device.
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