Are you looking for therapy in Seattle, Washington?
Hello, and welcome. I want to offer a warm, grounded space to talk about something important: your mental health. Living in Seattle has a unique rhythm. It’s a city filled with creativity, ambition, and natural beauty. But it also brings long, rainy winters and a demanding pace that can take a toll on our emotional well-being. The gray skies can sometimes mirror how we feel inside—a little weighed down, a little isolated.
My name is Dr. Matthew Mandelbaum. As a licensed psychologist with decades of experience, I’ve had the privilege of working with highly sensitive and intelligent adults across 43 states, helping them navigate life’s complexities. I see therapy as a supportive and affirming space where you can find clarity, build resilience, and grow into the person you want to be. It’s a partnership dedicated to helping you feel more at home in your own life.
Mental Health in Seattle: Understanding the Challenges
Many people in our community feel an immense pressure to keep up. Whether it’s career stress in a competitive industry, the quiet loneliness that can creep in despite being surrounded by people, or weather-related mood dips, life here can feel heavy. You might look like you have it all together on the outside, but internally, you’re dealing with a quiet sense of overwhelm.
I often work with professionals, university students, and emerging adults who feel stuck. They are high-functioning, bright, and capable, yet they carry a burden that makes each day harder than it needs to be. Recognizing that you need support is not a sign of weakness; it is the first, most courageous step toward healing and meaningful change.
Ready to Start Therapy?
Your healing journey can begin today. Fill out the form below to connect with a therapist who truly listens and understands.
Individual Therapy for Personal Growth and Well-Being
One-on-one therapy is a powerful tool for creating lasting change. In our sessions, we create a personalized, evidence-based plan to help you gain insight, find emotional balance, and move forward. We can work through anxiety, depression, past trauma, difficult relationship patterns, career strain, or questions about your personal identity.
Think of our sessions as a safe space—and sometimes a brave space—to explore who you are and where you want to go. It’s a confidential, relational environment where you can be fully yourself without judgment. Together, we can uncover the patterns that hold you back and build the skills you need to thrive.
Evidence-Based Treatments That Support Real Growth
My approach is compassionate, tailored, and rooted in proven methods. I believe in balancing deep insight with practical tools that you can use in your daily life. No two people are the same, so therapy is always adapted to your specific needs, pace, and goals.
Some of the core methods I use include:
- Dialectical Behavior Therapy (DBT): This approach helps you manage difficult emotions, improve relationships, and develop mindfulness skills. It’s incredibly effective for building emotional regulation.
- Psychodynamic Therapy: We explore how your past experiences and unconscious patterns influence your present behavior. This insight can free you from old habits and create new possibilities.
- Acceptance and Commitment Therapy (ACT): ACT teaches you to accept what is out of your control and commit to actions that enrich your life. It helps you build psychological flexibility and live in alignment with your values.
By combining these evidence-based treatments, we can help you build the resilience, clarity, and confidence you need to navigate life’s challenges.

Photo by Thom Milkovic on Unsplash
Online Therapy in Seattle, WA for Flexibility and Comfort
For many busy adults in Seattle, telehealth has made therapy more accessible than ever. Juggling a demanding schedule, commuting in traffic, and dealing with the simple unpredictability of a rainy day can make it hard to prioritize your mental health. Virtual therapy removes those barriers.
Online sessions allow you to stay consistent and grounded without the added pressure of traveling across the city. You can connect from the comfort and privacy of your own home, making it easier to fit this essential self-care into your life.
In-Person vs. Online: Why Many Prefer Virtual Therapy
While in-person care is the right choice for some, online therapy has been proven to be just as effective for many conditions. The benefits are clear: it offers unparalleled convenience, privacy, and comfort. You can create a supportive space right where you are, whether that’s in your home office or a quiet corner of your apartment.
High-Quality Therapy in Seattle: Understanding Your Investment
I believe that meaningful, lasting therapeutic work requires time, intention, and a strong connection between client and clinician. My practice is designed to offer a high level of expertise, personalization, and care — the kind of focused attention that helps you create real, sustainable change in your life.
Therapy is an investment in your emotional well-being, your relationships, your career, and your long-term mental health. It’s important to choose a clinician who feels like the right fit for your goals, your values, and the level of support you’re seeking.
My practice is considered a premium, boutique service, and I provide the kind of depth, presence, and individualized attention that many clients prefer when they’re ready for serious, transformative work. When you reach out, we’ll talk clearly and openly about the cost of sessions so you know exactly what to expect.
The process should feel intentional, grounded, and aligned with your commitment to growth — never rushed or stressful.
Your First Session: Building Trust, Understanding, and Clarity
It’s completely normal to feel a mix of emotions before your first therapy session—uncertainty, hope, nervousness, and even relief. My goal is to make our initial meeting feel grounding and supportive from the very beginning.
Here’s what you can expect:
- We’ll start by exploring what brings you to therapy now.
- I’ll listen to understand your internal experience and what life feels like for you.
- We will identify your goals and what you hope to achieve.
- Together, we will begin to create a personalized plan to guide our work.
This first conversation is the foundation for building trust and clarity. It’s the start of our journey together.
Supporting Adults, Professionals, and Students in Seattle, WA
I have extensive experience working with a diverse range of individuals, including:
- Professionals in tech, business, law, healthcare, education, and the arts.
- Highly sensitive and intelligent adults navigating a world that can feel overwhelming.
- People working through anxiety, depression, trauma, identity shifts, and deep emotional pain.
- University students and emerging adults managing major life transitions.
My practice is an affirming space built on a foundation of social justice and anti-racism values. Therapy is for anyone seeking personal growth, deeper self-understanding, and a renewed sense of hope.
Therapy in Capitol Hill and Across Puget Sound
One of the greatest advantages of virtual therapy is that it dissolves geographic boundaries. My online practice is designed to meet the needs of communities all across Seattle. Whether you live in Capitol Hill, downtown, or any of the surrounding neighborhoods in the Puget Sound region, you can access consistent, high-quality support without leaving your home.

Photo by Stephen Plopper on Unsplash
Your Path Toward Emotional Resilience and Well-Being
My mission is to help you build a life that feels more authentic and meaningful. Therapy can help you understand your story, develop essential emotional skills, reduce suffering, and embrace your personal strengths. It is a path toward creating lasting change from the inside out. I invite you to imagine what your life could feel like with more support, clarity, and a stronger sense of self.
Mental Health Resources in Seattle (Beyond Traditional Therapy)
Finding support doesn’t always mean meeting with a therapist. Seattle has a wide range of community-based, peer-driven, and identity-focused mental health resources that offer connection, safety, and guidance in non-clinical ways. These options can be especially helpful if you’re looking for community, crisis support, or a space to talk with people who understand what you’re going through.
Resource |
Type |
What They Offer |
Who It Helps |
|---|---|---|---|
|
Peer support |
Groups, education, family support |
Free, community-led |
|
|
Peer support |
Mental-health + recovery peer groups |
Great for LGBTQ+ and recovery communities |
|
|
Community programs |
Creative arts, social connection |
Non-clinical support |
|
|
Community support |
Trauma-informed community, stability support |
Membership model, very welcoming |
|
|
Crisis line |
24/7 crisis line, warm line, teen line |
Major King County hotline |
|
|
Crisis line |
Immediate suicide prevention support |
Calls route locally |
|
|
Crisis support |
Crisis stabilization + referrals |
For urgent situations |
|
|
Identity support |
Trans peer groups, advocacy |
Highly trusted in Seattle |
|
|
LGBTQ+ youth |
Social groups, community center |
Ages 10–22 |
|
|
LGBTQ+ Latinx |
Advocacy, education, support services |
Spanish-language support |
|
|
Community support |
API-focused trauma + domestic violence support |
Peer-led programs |
|
|
Cultural wellness |
Indigenous health, education, community programs |
Non-clinical cultural support |
|
|
Cultural wellness |
Community wellness programs |
Indigenous-focused |
|
|
Supportive services |
Support for homelessness + mental well-being |
Case management + housing |
|
|
Family support |
Domestic violence advocacy + services |
Strong community support |
|
|
Community support |
Food, family resources, safety programs |
Not religious-requirement based |
|
|
Community wellness |
Workshops, events, resource navigation |
Free, low-barrier |
|
|
Harm reduction |
Substance use support, outreach |
Includes REACH program |
|
|
Peer harm-reduction |
Substance-use peer groups |
Non-judgmental environment |
|
|
Peer recovery |
Alcohol recovery meetings |
Widespread, free |
|
|
Peer recovery |
Narcotics recovery meetings |
Free support |
|
|
Youth support |
Teen-run hotline, online chat |
Evenings |
|
|
Youth services |
Support for unhoused youth |
Holistic programs |
|
|
Youth crisis |
LGBTQ+ youth crisis support |
24/7 |

Photo by Andrea Leopardi on Unsplash
New Clients: Your First Step Toward Growth and Support
Beginning therapy is an act of strength and self-compassion. Many individuals come to this point after navigating stress, anxiety, or internal struggles on their own for far too long. Reaching out to a licensed mental health professional can be the moment where things finally start to shift.
Your first step is simple: contact me to schedule an initial consultation. This gives you space to ask questions, understand my approach to psychology, and see if working together feels like the right fit. There’s no pressure and no commitment — just a chance to explore your options.
Even though I don’t offer low cost therapy or group therapy, I’m committed to providing high-quality telehealth services that meet the unique needs of adults across Seattle, Capitol Hill, and the Puget Sound area. My virtual clinic is built to support people who want a thoughtful, personalized experience rather than a one-size-fits-all model.
Online therapy makes it easier to face life’s unique challenges without adding more stress to your schedule. Whether you think in metric or imperial units, work long hours, or juggle family responsibilities, virtual sessions create a supportive environment right from home — or “home jump left” if you’re reading this on mobile.
My aim is to help you improve your mental well-being, build resilience, and feel more grounded as you move forward. You’re not alone in what you’re struggling with, and you don’t have to navigate it without support.
If you’re ready to take the next step, I invite you to schedule your first session. My telehealth practice offers a calm, affirming space where therapists like me work closely with each person to create lasting change. My team may be small, but the level of care is intentionally deep and focused — designed to help you feel seen, understood, and supported from the very beginning.
Let’s begin this journey together.


