SARAH CRANE O'NEILL, PLLC
Located in the heart of Madrona, Seattle
Offering video sessions during Covid-19
I am currently full and not accepting new clients.
Hello & Welcome!
Maybe you are considering individual or couples counseling for the first time ever, or looking to return to therapy but with a new therapist. Perhaps you're feeling overwhelmed, stuck in negative patterns, or simply wanting to explore and grow.
As someone who's been in therapy a few times, I know firsthand the fear and courage in asking for help, and slowly putting trust in a therapist and process. I hope this website helps you get to know me and my practice better to determine if I might be the right fit for you.
I believe we humans are designed for relationships. When we feel seen, heard, and cared for, even just by a few significant people in our lives, we tend to thrive. Depending on your needs and goals, I’d like to help you improve your relationship with yourself, and with the important people in your life. And I'd like to build a trusting, positive working relationship with you, as that's the key that makes therapy effective.
I believe you are the expert in the room, even if you feel lost right now. I use my training and experience to link you to your inner-expert, so that you may find more clarity, ease, connectedness, and freedom in your life.
Clients have described me as down-to-earth, warm, and candid yet gentle. I appreciate playfulness and humor. I keep a small caseload and focus on the quality of my work -- making time for my own growth, consultation, and training -- not the quantity of clients I see. Being a therapist is my true privilege and joy.
SERVICES I OFFER
My areas of expertise are stress management, adjustment/life transitions, relationship issues, communication, self-esteem, parenting support, and foster care/adoption issues. I work with all personality types, but am especially skilled working with people who describe themselves as introverts or highly sensitive (read more about highly sensitive people here). I also love to work with parents and expectant parents.
I welcome couples of all sexual identities and expressions. I work with folks feeling stuck in frequent conflict, those who don’t often feel they “click” anymore, and those who just experienced a major breach of trust or other stressful event. I also work with couples facing a milestone or life change, such as marriage or welcoming a new child, to help them prepare and adjust their relationship.
I'm a Licensed Independent Clinical Social Worker (Smith College School for Social Work, 2008) with over ten years of experience as a therapist, case manager, and Gottman workshop facilitator. I've worked as a therapist to couples, adults, and children/families in various settings in Seattle, including Seattle Therapy Group, Harborview Abuse and Trauma Center, and Catholic Community Services. I've also worked at Amara, where I assessed and supported foster and adoptive parents.
I identify as a white, cisgender, heterosexual woman. I aim to maintain a feminist, anti-racist, anti-bias lens in my work and life, and am continually learning and seeking to grow in these areas.
I grew up in Massachusetts, spent stints in North Carolina and South America, and moved to Seattle in 2006 when I met my now husband. We have two young children who keep us on our toes. I love the outdoors, exercise, and art and design.
FREQUENTLY ASKED QUESTIONS
HOW DO I KNOW IF YOU'RE THE RIGHT THERAPIST FOR ME/US?
There are a few indicators for both individuals and couples that I would NOT be a good fit. For individuals, these are self harming or suicidal thoughts or behaviors, a diagnosed personality disorder, an active addiction, or an active eating disorder. For a more specially trained therapist, you can search for a therapist on Psychology Today by your city/zip code and then select the specific clinical issues you are facing to narrow the search.
WHAT IS YOUR RATE?
Individual therapy: 50 mins/$120
WHAT FORMS OF PAYMENT DO YOU ACCEPT?
I accept cash, check, Visa, MasterCard, American Express, Discover, Health Savings Account (HSA) Cards, and Flexible Spending Account (FSA) Cards.
DO YOU OFFER SLIDING SCALE RATES?
DO YOU TAKE INSURANCE?
HOW DO I FIND OUT IF I HAVE OUT OF NETWORK COVERAGE?
I suggest calling the customer service # on the back of your insurance card and asking:
- What are my mental health benefits, if any?
- (If you are interested in couples therapy) Do I have coverage for marriage and family therapy services?
- Do I have out-of-network coverage?
- What is the coverage amount per session?
- How many therapy sessions does my plan cover?
- Do you only reimburse for certain diagnoses, procedure codes, and/or session lengths?
- How do I obtain insurance reimbursement?
- Is approval required from my primary care physician prior to receiving therapy services?
HOW LONG ARE SESSIONS, AND HOW LONG WILL I/WE BE IN COUNSELING?
CAN WE BRING OUR BABY TO SESSIONS?
HOW DOES TELEHEALTH WORK?
I am happy to offer video sessions during Covid-19 and at other times if you request it. I use doxy.me, a HIPAA-compliant video platform that is free. You don't need to download anything, I will just send you a link to our meeting room (same link every time). You must be in Washington state for our session. You need a private space away from others, relatively high speed internet and a device with a camera. If you are seeking couples therapy, you need to be in the room with your partner. Video sessions can be a little awkward at first, but I find people usually get used to it surprisingly fast, and it can work quite well for therapy, including couples therapy.
I am currently full and not accepting new clients.
LET'S GET STARTED:
Have you (and your partner if seeking couples therapy) both read my website and think I could be a good fit for you? Wonderful, I look forward to hearing from you. The best way to inquire about my availability is e-mail (below). If you'd like to talk by phone first, usually the best way to reach me is via e-mail and we can schedule a 10 minute phone call.
I find an in-person session is a better way to assess "fit" than a phone call. If at the end of our 3-4 session assessment phase I don't feel I can meet your needs, I will explain this to you and find you appropriate referrals.
I am available for sessions Tuesdays and Thursdays, with limited evening availability. I make every effort to respond to emails and phone calls within 24-48 hours Monday - Friday.
HOW TO REACH ME:
Phone: (206) 339-3641
MY OFFICE IS LOCATED AT:
Madrona Refuge Building, Suite 301
1126 34th Ave, Seattle, WA 98122
The Madrona neighborhood is conveniently located in central Seattle east of downtown, between the 520 and 1-90 bridges. There is plenty of free street parking near the building. The building has an elevator and is ADA accessible.