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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. 

We also serve the following zip codes in Snohomish County: 98012, 98020, 98021, 98026, 98036, 98037, 98043, 98072, 98087, 98204, 98275


Group Therapy

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

Infant & Early Childhood Mental Health

Ryther strives to meet the mental health needs of infants, toddlers, and preschoolers and their families. We work with the caregiver and child together to offer psychoeducation about development; provide parent coaching to help caregivers be more effective; and offer treatment for behavioral challenges, trauma, and depression and anxiety among other mental health disorders. Intervening early when problems emerge can help prevent more significant challenges later in life.

  • Child-Parent Psychotherapy (CPP): CPP effectively helps caregivers and child manage trauma, reducing symptoms and allowing the child and caregiver to make meaning together about difficult events through play and discussion. (Ages 0-5). Learn more here.

  • Parent-Child Interaction Therapy (PCIT):  PCIT builds positive parenting skills, increases parent-child attachment, and helps caregivers develop more effective strategies for managing behavior challenges. PCIT also treats anxiety, depression, and trauma symptoms. (Ages 3-5).​

  • Promoting First Relationships (PFR): PFR is a 10-week program designed to highlight and build on caregiver skills, helps develop the parent-child attachment relationship, and help caregivers better understand their child’s social-emotional needs. (Ages 0-5).

Intensive Outpatient Programs

  • Co-Occurring Intensive Outpatient (COD IOP): Serves youth 13-18. This program uses our challenge course and other experiential methods to aid in skill building for adolescents with substance use disorders and mental health issues. This group combines motivational interviewing techniques, harm reduction strategies and cognitive behavioral therapy to build connection and community among youth and their families. We accept the following insurance: First Choice, Premera, Regence, Blue Cross, Blue Shield, and LifeWise. Learn more here.

  • Dialectical Behavior Therapy Intensive Outpatient (DBT IOP):  Serves youth 13-18. This program is a good fit for youth with acute mental health needs who are experiencing suicidal ideation, self-harm, school avoidance/failure, chronic interpersonal deficits, and low self-worth or have a history of hospitalization or residential treatment. We accept the following insurance: First Choice, Premera, Regence, Blue Cross, Blue Shield, and LifeWise. Learn more here.

  • Eating Disorder Intensive Outpatient (ED IOP): Serves youth 12-18. This program provides individualized treatment for youth diagnosed with an eating disorder and are either stepping down from a higher level of care or for whom traditional outpatient therapy has not improved symptoms significantly. Ryther's ED IOP program utilizes components of Family Based therapy (FBT) in combination with Enhanced Cognitive Behavior Therapy (CBT-E). We accept the following insurance: First Choice, Premera, Regence, Blue Cross, Blue Shield, and LifeWiseLearn 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.

Partial Hospitalization Program (PHP)

PHP focuses on treating restrictive eating disorders requiring intensive intervention for youth (8-16). The treatment team at Ryther includes: youth, caregiver(s), therapist, nurse practitioner, psychologist, case manager, and behavior specialist. Additionally, we partner with Seattle Children’s Eating Disorder Recovery Program to meet the physical health care and nutritional needs of the youth. We accept the following insurance: First Choice, Premera, Regence, Blue Cross, Blue Shield, and LifeWise. Learn more here.

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 (2-25). Clients in specific programs may be eligible for psychiatry up to age 25.

Psychological Assessment - Not taking new clients at this time.

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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