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beautiful lake for walk-and-talk counseling sessions in Seattle, WA - Sarah Crane O'Neill, PLLC

In-Office and Walk-and-Talk Counseling sessions in Seattle, WA

Individual Counseling for Your Unique Journey

Specializing in Adults 18+

Sarah Crane O'Neill, PLLC - Counselor in Seattle, WA - get therapy in Seattle

Hello, and welcome!

I’m Sarah Crane O'Neill, a Licensed Independent Clinical Social Worker based in Seattle, WA. I’m so glad you’re here. Maybe you're considering starting counseling for the first time, or looking for a new counselor. Perhaps you're feeling overwhelmed, stuck in negative patterns, or simply wanting to explore and grow? First off, congrats on taking the first step of looking around at counselors. I know it's not always easy asking for help. I created this website so you can get to know me better and start to determine if I might be a good match for you.

My Approach

I intend to have a warm, non-judgmental, and down-to-earth style, with an interest in you and your experiences. I believe we are all inherently capable, worthy and valuable. I believe you have great strengths for us to home in on and develop -- and you are the expert between us, even if you feel lost right now. I draw from a combination of well-researched psychological theories and approaches, my over ten years of clinical experience, and my lived experience.

I believe in the healing power of relationships—both the relationship you have with yourself and your relationships with others. Research shows the quality of the relationship or "fit" between counselor and client is one of the most important factors for effective treatment. A good fit means that you feel comfortable with and understood by me, and I feel able to work effectively with you. This takes time to build, and we will have regular check-ins to ensure counseling is meeting your goals.

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Services

In-Office Counseling - Sarah Crane O'Neill, PLLC - Counselor in Seattle, WA - get therapy in Seattle

In-Office Counseling

My office is located in the heart of the Madrona neighborhood of Seattle, WA, with easy access from downtown, the eastside, and points north and south. It is in the Madrona Refuge building, above Vendemmia Restaurant. Typically there is free street parking within 2 blocks. It is a warm and welcoming space where we can find privacy and focus. There are various seating options and an openable window. 

Walk-And-Talk Counseling

For female-identified clients, I offer Walk-and-Talk Counseling in Seattle’s Washington Park Arboretum. This approach combines counseling with the benefits of movement and being in nature, providing a refreshing alternative to traditional sessions. 

Walk and Talk Counseling - Sarah Crane O'Neill, PLLC - Counselor in Seattle, WA - get therapy in Seattle

Areas of Focus

Yoga Instructor - Stress Management Counseling - Sarah Crane O'Neill, PLLC - Counselor in Seattle, WA - get therapy in Seattle

Stress Management

I help clients develop effective strategies to manage stress, regain balance, and create a greater sense of calm in their daily lives. (No yoga or meditation required!)

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Life Changes / Transitions

Whether you're navigating a career change, a new relationship, or becoming a parent, I provide guidance and support through life’s transitions.

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Relationship Issues

I work with individuals to improve communication, resolve conflicts, and build stronger, healthier relationships.

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Self Esteem

I help individuals build self-worth through small and large steps to accept themselves, practice self-compassion, face fears, and embrace strengths and interests.

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Parenting Support

I help parents develop self-awareness, confidence and satisfaction in how they interact with their children, at any stage.

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Foster Care / Adoption Issues

I provide specialized support for individuals dealing with the emotional complexities of foster care and adoption.

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Next Steps

Taking the first step toward counseling is often the hardest, but you’ve already begun by exploring this website. My FAQs tell more about what sorts of issues I am not a good fit for, my fees, and other policies.

Let's Get Started!

If you think I could be a good fit for you, or you have any questions, I look forward to hearing from you. The best way to inquire about my availability is to contact me via email or using the form on my website.

We will schedule a free 20 minute consultation by phone or video where I'll ask more about what brings you to counseling, any of your initial hopes / goals / fears about counseling, and I can tell you a little about how I might work with you and your specific issues. You can also ask me any questions you have. This way we can each have a chance to determine if we might be a good fit working together and if we'd like to schedule a first session.

Sarah Crane O'Neill, PLLC - Counselor in Seattle, WA - get therapy in Seattle
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