Therapy for high-performing women in Washington State
What is therapy with Erika ?
Therapy with Erika is a steady, grounded space for women who are carrying a great deal and need support understanding what they are feeling, how it is affecting their lives, and what has become too heavy to continue holding alone.
Many of the ways you learned to function—staying composed, anticipating other people’s needs, solving problems alone, pushing past your limits, or remaining dependable no matter the personal cost—may have helped you navigate difficult circumstances, maintain relationships, or succeed in demanding environments. They may also make it harder to recognize your own needs, receive support, or understand why something you once managed now feels unsustainable.
In therapy, we attend to both the distress you are experiencing and the context in which it developed. Anxiety, exhaustion, resentment, grief, numbness, shutdown, or difficulty resting are not treated as isolated symptoms. Together, we examine the emotional and physical responses, relationship patterns, learned roles, losses, and expectations that may be contributing to what you are experiencing.
This work is not simply about helping you tolerate more of what is already costing you. It is about helping you understand what is happening, receive meaningful support, and develop responses that better support your emotional health, relationships, and daily life.
What to Expect in Our Sessions Together?
Naming What You Are Experiencing
We begin with what is happening now and put specific language to experiences that may have felt vague, overwhelming, or difficult to explain.
Words such as “stuff,” “things,” “a lot,” or “I’m just tired” can sometimes stand in for emotions and experiences that have not had enough room to be identified. Getting more specific helps us understand what you are feeling, what may be contributing to it, how it is affecting your life, and what needs attention in therapy.
Making Sense of Emotional and Physical Responses
Your emotional and physical responses are not personal failures.
Overthinking, shutting down, bracing, pushing through, crying unexpectedly, feeling numb, or becoming activated in certain relationships can all carry important information. We pay attention to when these responses occur, what tends to intensify them, and how they affect your work, relationships, rest, and decision-making.
This helps us understand whether a response may be connected to current stress, grief, past experiences, learned expectations, or a combination of factors.
Understanding What Shaped the Pattern
Your responses did not develop in isolation.
Together, we examine the family roles, relationship dynamics, cultural messages, responsibilities, losses, environments, and lived experiences that shaped how you learned to connect, achieve, protect yourself, stay needed, or maintain a sense of belonging.
Understanding that context is not the same as blaming your past. It gives us a clearer picture of why a pattern developed, what purpose it may have served, and whether it still supports you now.
Staying Grounded While We Do Deeper Work
Therapy can bring relief and clarity, but it can also surface grief, anger, fear, or realizations that feel difficult to hold.
We work at a pace that allows you to engage without becoming overwhelmed. Depending on your needs, sessions may include grounding, breath, movement, sensory awareness, reflection, practical coping strategies, and between-session practices that help you remain connected to the present while working through difficult experiences.
Developing Responses That Support You Now
As you begin recognizing your patterns more clearly, we work on developing different ways of responding to yourself and others.
That may include setting boundaries without over-explaining, noticing when empathy becomes responsibility, receiving support without immediately trying to repay it, making decisions without allowing guilt to lead, or creating space between someone else’s need and your response.
The goal is not to respond perfectly. It is to increase your ability to recognize what is happening and make choices that are not automatically determined by fear, guilt, or expectations you may have outgrown.
My Clinical Approach
My approach to therapy is integrative and culturally responsive. Depending on your needs and treatment goals, I may draw from Narrative Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, Rational Emotive Behavior Therapy, IFS-informed work, and somatic practices.
These approaches allow us to address current symptoms while also considering the personal, relational, cultural, and systemic contexts in which they developed. Therapy is tailored to your history, concerns, and goals rather than approached as a one-size-fits-all process.
Is Therapy Right for You?
You do not have to be in crisis to benefit from therapy. You may be meeting expectations at work, caring for others, and keeping daily life moving while privately experiencing significant emotional distress.
This space may be a good fit if you are navigating:
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High-functioning anxiety or depression
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Burnout, emotional depletion, or chronic over-responsibility
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Grief and loss related to life transitions or change
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Hyper-independence or difficulty receiving support
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Relationship strain connected to communication, boundaries, identity, or personal growth
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Professional misalignment, leadership pressure, or conflict between your responsibilities and values
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Identity changes, diminished self-trust, or difficulty making decisions that reflect what you need now
H.
Pharmacist, Wife, and Second Daughter, Washington State
“When I started meeting with Erika, I was overwhelmed, anxious and had trust issues that led to panic attacks. Erika taught me how to open my mind, use my voice, and explore the anxiety and tension with curiosity and self compassion. Erika always met me where I was, and I’m truly happier and more courageous due to her insight and support. I cannot thank her enough.”
Session Fee & Insurance
The private-pay fee is $200 per 55-minute session.
I am also in-network with a limited number of insurance plans through Headway. During your consultation, we can discuss whether I currently participate with your insurance carrier and which payment options may be available to you. Coverage and benefits are determined by your insurance plan, so you will be responsible for confirming your eligibility and expected costs directly with your carrier.
If I am not in-network with your plan, you may choose to pay privately. Upon request, I can provide a superbill that you may submit for possible out-of-network reimbursement. Reimbursement is determined by your insurance plan and is not guaranteed.
Therapy services are available to residents of Washington State.
Ready to Take the Next Step?
You do not need to have everything figured out before beginning therapy.
A consultation gives us an opportunity to discuss what is bringing you to therapy, the kind of support you are seeking, and whether my clinical approach is an appropriate fit for your needs.
This is not a full therapy session, and you do not need to share your entire story during the call. It is a first conversation that allows us to ask questions, discuss expectations, and determine whether we would like to work together.
If we decide to continue, there will be time and space for your story to unfold with care.