Services & Pricing

Therapy that actually matches your life, not a billing system.

We work with individuals, couples, and families across every age and background in Washington State. All sessions are telehealth. All pricing is posted. Sliding scale and most major insurance plans accepted.

Individual$100 / session
Couples$120 / session
FamilySliding scale
ConsultationFree · 15 min
What we offer

Three formats. One therapist.

Same clinician, same care, same standards across every format. The only thing that changes is who's in the room.

$100/session

Individual therapy

Teens · Adults · Seniors

One-on-one sessions tailored to your personal goals. Whether you're working through anxiety, depression, trauma, grief, a difficult life transition, or just needing a thoughtful person in your corner, we'll meet you where you are.

What's included

  • 50-minute sessions over secure HIPAA video
  • Weekly, biweekly, or monthly cadence (your choice)
  • Personalized treatment plan, revisited together regularly
  • Available in six languages, directly with Dr. Francis
$120/session

Couples therapy

All relationship types welcome

Rebuild trust and strengthen communication with a therapist trained in relationship dynamics and trauma-informed care. We work with married, partnered, dating, polyamorous, and reconciling couples of every configuration.

What's included

  • 50-minute joint sessions, optional individual check-ins
  • Communication frameworks you can use the same week
  • Conflict, infidelity, intimacy, and life-transition work
  • Affair recovery and rebuilding-after-rupture protocols
Slidingscale

Family therapy

All family structures welcome

Work through conflict, improve how you relate to each other, and build healthier patterns together. We support nuclear, blended, multigenerational, chosen, and immigrant families.

What's included

  • Sessions priced on sliding scale by default
  • Parent + teen, sibling, and full-family configurations
  • Cross-cultural and immigration-related family dynamics
  • Coordination with school or pediatric providers if useful
Pricing, posted publicly

No surprise bills. Ever.

What you see here is what you'll pay. Sliding scale and insurance can only lower this number, never raise it.

Free consultationFirst-time clients, anyone unsure$015 min
IndividualTeens, adults, seniors$10050 min
CouplesAny relationship configuration$12050 min
FamilyAll family structuresSliding50 min
Sliding scaleIncome-based reduction, self-attested45–95% of rateSame
Fees · sliding scale

Estimate what you'd actually pay.

Slide and click to get a no-strings estimate. Final rate is set during your free 15-minute consultation. We won't surprise you.

Household income$45k / year
$15k$120k+
Session type

This is an unofficial estimate. Sliding scale is verified during your free consultation. We don't ask for tax returns. Your word is good with us.

Your estimated rate
$80/sessionreduced

Most major insurance plans accepted. Your out-of-pocket cost is usually lower than this estimate.

Lock this in at consultation →
Therapeutic approaches

Evidence-based, tailored to you.

Dr. Francis draws from six modalities, blending them based on what you actually need — not what the textbook says.

CBTCognitive Behavioral Therapy

Identify the thought patterns that are driving the feelings you're stuck in, and practice swapping them out, gradually, in real life.

DBTDialectical Behavior Therapy

Tools for emotional regulation, distress tolerance, and interpersonal skill. Especially helpful when feelings hit at full volume.

ACTAcceptance & Commitment Therapy

Stop wrestling with painful thoughts. Define what you actually value, and take small committed steps toward it anyway.

PCTPerson-Centered Therapy

You are the expert on your own life. The therapist's job is to listen without judgment and create the conditions for you to find your own clarity.

TFTTrauma-Focused Therapy

Specialized protocols for processing traumatic experiences at your pace, with safety and consent as non-negotiables.

EFTEmotionally Focused Therapy

Particularly for couples. Work with the attachment patterns and emotional cycles that keep partners stuck, and learn to interrupt them together.

What it looks like

From first call to first session, here's the shape.

No surprise steps. No phone tag. We make the path obvious, because the path is rarely what's holding people back from therapy.

01

Free 15-min call

We talk briefly to see if it's a good fit. Ask anything. There's zero pressure to continue afterward.

02

First full session

We meet for 50 minutes over secure video. You set the agenda. We bring the structure.

03

Find a cadence

Most clients meet weekly or biweekly. We adjust based on what's actually useful, not what's billable.

04

Ongoing care

We revisit the plan together every few months. You're never locked in, and you decide when to wind down.

Common questions

The things people actually want to ask.

If your question isn't here, the 15-minute call is the easiest way to get a clear answer.

Call 206-458-4944

You'll receive a secure, HIPAA-compliant video link before each session. Open it in any browser on a phone, tablet, or laptop. No downloads, no special hardware. Your camera is yours to turn on or off.

One step at a time

You deserve support. Let's take the first step together.

Reaching out is the hardest part. Trust Clinic is here to make everything after that as simple as possible.

Free 15-min consultation · No card · No commitment