Top of the Tree Therapy - Washington State - Telehealth - Couples - Individuals

Hi, I'm Todd, a non-binary, Licensed Mental Health Counselor (LMHC) and Licensed Marriage and Family Therapist Associate (LMFTA) with four years of clinical experience across community health and private practice. I specialize in couples therapy, sex therapy, supporting individuals navigating ADHD, anxiety, depression, trauma, and identity. My practice is sex-positive, kink-allied, and an affirming space for LGBTQ+ individuals, sex workers, and all relationship structures.

I utilize a holistic, systems-informed approach, drawing on Motivational Interviewing and trauma-informed frameworks to find what works best for you. With couples, I incorporate Gottman principles, EFT, trauma informed, and communication-focused work. I don't commit to a single model until I understand how you two actually function together. I don't believe in a one-size-fits-all approach; your context, relationships, and history all shape how we work. The goal is always movement towards you living your best life.

Your first session is less about diving into the hard stuff and more about me getting to know you; your story, what's bringing you in, and what you're hoping for. I'll ask questions, but there's no checklist to get through and no pressure to have it all figured out. By the end, we'll have a shared sense of direction and you'll know whether working together feels like a good fit.