Clear Water Lake

SARAH CRANE O'NEILL, PLLC

Compassionate Psychotherapy

Located in the heart of Madrona, Seattle 

Offering video sessions during Covid-19

I am currently accepting individual adult clients. I am full for couples.

 
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Hello & Welcome!

I walk with adult individuals and couples through periods of stress or change in their lives and relationships, whether they feel overwhelmed, stuck in negative patterns, or simply wanting to explore and grow. 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.

 

We humans are designed for relationships. I believe 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. 

 

In therapy the focus will be on you, but you'll know who you are talking to and with -- I value being myself in sessions, including using humor at the right times. I've been in individual and couples therapy myself a few times and am always growing. I love being a therapist, it's a real privilege to work with people in this intimate, vulnerable way, and share a little in their journey.

SERVICES I OFFER

INDIVIDUAL THERAPY

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.

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COUPLES THERAPY
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PREMARITAL COUNSELING

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.

 

ABOUT ME

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/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 all kinds of creative projects.

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FREQUENTLY ASKED QUESTIONS

HOW DO I KNOW IF YOU'RE THE RIGHT THERAPIST FOR ME/US?


If you (and your partner if you’re interested in couples therapy) have read my website and feel I might be a good fit, that’s the first step. The first 3-4 sessions (typically three sessions for individual therapy, four sessions for couples therapy) of our work together will be an assessment and goal setting phase, in which I’ll be getting to know you, assessing your needs, and ensuring I believe I have training and tools to help you meet your goals. If at the end of 3-4 sessions I do not feel I am a good fit for you, I will give you three referrals for therapists I believe would be a better fit. Towards the end of this time, we will discuss and arrive at two or three top goals for our work together.
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. For couples, I am not a good fit for those folks seriously considering separating or divorce (learn more about Discernment Counseling here) or already separated. My training also falls short in working with couples who are practicing or considering polyamory or an open relationship (find a more skilled counselor here). Last, couples therapy is not indicated if there is a pattern of degradation, humiliation, sexual coercion, or violence in your relationship. You might be in a domestic violence situation. Often individual therapy, rather than couples therapy, is the best place to begin until these behaviors decline or cease. If you are unsafe right now, please call 911. To seek support and resources, please consider calling the WA State Domestic Violence Hotline, at 1-800-562-6025.




WHAT IS YOUR RATE?


Individual therapy: 50 mins/$120 Couples therapy: 50 mins/$150, 80 mins/$225




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?


Yes, due to the impact of the Covid-19 epidemic I have a number of sliding scale spots available.




DO YOU TAKE INSURANCE?


I find that although insurance can mitigate the cost of counseling, it can also bring major limitations around kind or duration of your care as well as your confidentiality. For these reasons I have chosen to not be listed as a preferred provider with any insurance carriers. However, I am considered an Out of Network provider, and some insurance plans offer considerable or full reimbursement for counseling with Out of Network providers, depending on your benefits. Our 3-4 session assessment phase at the start of working together will give me the chance to see what is happening for you clinically. If you meet criteria for a mental health condition such as anxiety or depression, I can diagnose you with this and provide you with a monthly "superbill" (a kind of receipt) for you to submit to your insurance carrier or employer for possible reimbursement and/or flex spending purposes. Insurance carriers require a mental health diagnosis to consider reimbursement.




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?
- Do I have coverage for telehealth ( video) appointments?




HOW LONG ARE SESSIONS, AND HOW LONG WILL I/WE BE IN COUNSELING?


For individual therapy, sessions are 50 minutes. For couples therapy, sessions can be 50 or 80 minutes depending on your interest, although I suggest our first and fourth sessions, at the least, be 80 minutes as these appointments involve more questions from me or more discussion together about our goals, and 50 minutes does not provide enough time. Ideally, we will find a standing weekly time for our meetings. The length of counseling can really vary depending on your interest and needs. Individual counseling can be anywhere from five sessions to years of working together weekly, depending on what you’re looking for. Similarly, couples sometimes want to focus more briefly on a very specific change in their lives (such as a move, illness, etc) and how it’s impacting their relationship which can be done sometimes in 4-5 sessions, and other times couples want to work on one or more longer standing patterns in their communication or conflict which can take more like 8-12 sessions of focused work, or more. Prepare/Enrich premarital counseling can be about 5-10 sessions, and it can evolve into more long-term couples counseling if you desire.




CAN WE BRING OUR BABY TO SESSIONS?


Yes! Pre-crawling babies are always welcome.




HOW DOES TELEHEALTH WORK?


At the present time due to Covid-19, I am offering video sessions only. I am happy to offer these 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 need relatively high speed internet and a device with a camera. You need to be in Washington state. You need a private space away from others. 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.





 
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CONTACT ME

I am currently accepting individual adult clients. I am full for couples.

 

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.

 

MY AVAILABILITY:

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:

Email (preferred): sarah@madronacounseling.info

Phone: (206) 339-3641

MY OFFICE IS LOCATED AT:

Madrona Refuge Building, Suite 301

1126 34th Ave, Seattle, WA 98122

(map below)

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.

(206) 339-3641

Madrona Refuge Building, Suite 301
1126 34th Ave, Seattle, WA 98122