- Stress and anxiety
- Family of origin issues
- Kink and sexuality
About Catrina
Catrina Switzer is a Licensed Mental Health Counselor (LMHC) in Washington with 15 years of practice. She works with people managing stress, anxiety, trauma and abuse, low self-esteem, and depression. She also supports concerns linked to body image, chronic illness and disability, and questions about sexuality and relationships.
Catrina often works with people who identify with subcultures such as geek, LGBTQ, AAPI, neurodivergent, and kink communities. She describes steadier daily functioning and clearer coping skills as common goals. Sessions focus on practical steps clients can use between appointments.
Her approach includes evidence-based therapeutic techniques like cognitive behavioral therapy and dialectical behavior methods alongside motivational interviewing and talk therapy. She uses these to help people build skills for managing mood, reducing anxiety, and improving communication.
Catrina frames work as a collaboration. Clients set goals and she helps translate those goals into skills and small changes. That can mean habit adjustments, new ways of handling triggers, or different strategies for relating to others.
She has experience supporting people with post-traumatic stress and self-harm concerns and addresses multicultural issues within therapy. Sessions aim to fit the realities of a client's life, such as chronic pain or competing responsibilities. The subscription-based session model can be canceled at any time, and clients begin by completing a short matching questionnaire and scheduling a first session.
What evidence-based approaches look like online
CBT, or cognitive behavioral therapy, helps people notice unhelpful thinking and try small behavioral experiments to test those thoughts. It is often used for anxiety, depression, and managing stress in daily life.Dialectical behavior approaches focus on building practical skills for emotion regulation, distress tolerance, and clearer communication. These skills support people who struggle with intense moods or difficulty managing impulses.
Motivational interviewing is a conversational style that helps clarify personal goals and strengthen motivation for change. It is useful when someone feels uncertain about making a change or wants to set clearer priorities.
Choosing the right method is part of the work. The therapist will collaborate with the client to decide which approaches fit their goals, needs, and preferences. That choice can shift over time as progress is made.
Confirm current session options before booking, since specific formats are not listed here. Online sessions can make it easier to fit appointments into a busy life by removing travel time and allowing shorter check-ins when needed. They can also let clients connect from different locations when schedules or mobility make in-person visits harder.
Areas of expertise
Primary focus
Additional focus areas
Experience
15+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of problems does she work with?
She supports people facing stress, anxiety, depression, trauma and abuse, and self-esteem concerns. Additional focus areas include body image, chronic illness, communication problems, and family of origin issues.
How would she describe her therapeutic approach?
She uses evidence-based techniques such as cognitive behavioral methods, dialectical behavior strategies, and motivational interviewing within talk therapy. The emphasis is on practical skills and steps clients can use between sessions.
How much experience does she have?
Catrina has 15 years of experience as a mental health clinician working with a range of concerns and communities.
What credentials and region are listed?
She is an LMHC licensed in Washington and practices from that state.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How does payment and cost work?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.