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Group of therapists standing in front of a tree

We offer mental health counseling and therapy in Seattle. Substance use disorder assessments and treatment are available at our Seattle location. Individuals who are working with a therapist at Ryther can access services offered by psychiatric ARNP's at Ryther's Seattle office. 

Ryther accepts Medicaid for King County residents. This includes Apple Health and all Medicaid MCOs: Molina, United Health Care, Amerigroup, Community Health Plan of Washington, and Coordinated Care. Unfortunately, we cannot accept Medicaid for residents outside of King County unless the individual is or was a ward of the state. If you have questions about whether or not your insurance is accepted, please give us a call and we can check for you. For commercially insured clients Ryther will submit claims on your behalf. 


Child Parent Psychotherapy

CPP is a therapy for children from birth through age 5 and their parents and/or caregivers that can help young children and families recover and heal after stressful and traumatic events. Learn more here.

Group Therapy

Ryther’s group therapy utilizes effective, evidence-based techniques. Groups are offered virtually at this time. To be eligible for any group, your child, adolescent, or young adult must first be seeing a Ryther therapist. Learn more here.


The Intensive Outpatient (IOP) DBT program serves youth 13-18 with acute mental health needs. This program lasts 12 weeks and requires participants to be on-site a minimum of 4 days per week with three days of 3-hour groups (4-7 PM Monday, Wednesday, and Thursdays) and at least one individual session (Tuesdays or Fridays for 50 minutes) per week. Learn more here.

Mental Health Services

We use evidence-based treatments including CBT (Cognitive Behavioral Therapy), trauma-focused CBT, Motivational Interviewing, DBT (Dialectical Behavior Therapy), PCIT (Parent-Child Interaction Therapy) and Seven Challenges. Other therapies include experiential and expressive arts, narrative, solution-focused, play, ACT (Acceptance and Commitment Therapy) and EMDR (Eye Movement Desensitization and Reprocessing). We treat children, youth and young adults who are struggling with challenges including anxiety, depression, ADHD, self-harm, trauma, and more.

Peer Support Services

Certified Peer Partners area available to build on treatment goals with clients in the community. These individuals have their own first hand experience of navigating the mental health field as a youth and are committed to aiding clients in recovery.

Promoting First Relationships

Promoting First Relationships helps parents feel more confident in parenting their young children (birth to five) and help them understand their child's behavior, promote their attachment, and help them help their child through difficult emotional experiences. Parent and child will meet together with the therapist who will videotape their interactions and offer positive feedback on what is going well. The therapist will also provide information on development, especially social and emotional development, and help create joint meaning-making about experiences.

Psychiatric ARNP

Sarah Cohen and Brandi Harris are child and adolescent psychiatric ARNPs providing evaluation and treatment of attentional disorders (ADHD/ADD), anxiety, depression, mood disorders, substance use as well as behavioral and relational problems in youth ages 2 through 23.

Psychological Assessment

Psychological assessments allow us to better understand how the child thinks and understands things, the strengths and challenges of their brain, and their ability to understand the world around them. From this information, we are able to provide a better understanding of what might be happening with them and tailor individualized recommendations for school, home, and treatment. Learn more here.

Teen Substance Use Disorder

Ryther provides an array of programs designed to address the individual needs of teens using drugs and/or alcohol and their families, as well as those with co-occurring mental health issues. We offer Standard Drug and Alcohol Assessments, Outpatient Counseling (Level 1), Seven Challenges Groups for those engaged in substance use disorder treatment at Ryther, and Co-Occurring Program for those struggling with both a mental health and substance use disorder. Learn more here.

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