top of page



Mental Health


Couples Counseling


in Seattle, WA

Winter 2023 Update: My practice is full and I am not accepting new clients.

Home: About Therapy

Hello & Welcome!

I'm so glad you're here. Maybe you are considering individual or couples counseling for the first time ever, or looking to return but with a new counselor. Perhaps you're feeling overwhelmed, stuck in negative patterns, or simply wanting to explore and grow?


I hope this website helps you get to know me and my practice better, so you can determine if I might be the right fit for you. I know firsthand how both seeking out and being in counseling can feel vulnerable and hard, and it takes time to build trust in a counselor.


My aim is to create a warm, non-judgmental, and down-to-earth environment in the room (or on the walk!) with you, with an interest in your unique intuition, strengths, values, identities, cultures, history and relationships. I believe you are the expert between us, even if you feel lost right now. I use my experience and training to link you closer to your wise self, and feel more power to make the choices that work for you and improve the quality of your life and relationships.


I balance careful listening and validation with asking open-ended questions about your thoughts, emotions, and even physical sensations in your body, as well as offering well-timed, gentle observations and possible strategies for you to try. I am often asking your reactions to my feedback and, periodically, to how counseling is going in general, so I can stay attuned and tailor my approach to your changing needs. I like offering practical tools to try in session or as homework, if you are interested, such as a mindfulness exercise, short video to watch, journaling prompt, or a dialogue exercise with your partner. 

I've both experienced and witnessed counseling's power to help people find more ease, clarity, connectedness, freedom and satisfaction in their lives and relationships. And I believe -- and research confirms -- that the most influential factor towards the effectiveness of the counseling is the quality "fit" between counselor and client. A good fit means the client(s) feel truly comfortable with and understood by the counselor, and the counselor also feels some comfort or ability in working with the clients.


If reading this website makes you feel hopeful that we could be a good fit, please reach out and let's meet for a free consultation.

Sending you good wishes,





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.

Nature Explorer
Home: Services
Happy Couple

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.

Home: About Me


Clients have described me as warm, down-to-earth, and candid yet gentle. I appreciate playfulness and humor and can laugh at myself. I identify as a white, cisgender, heterosexual woman, and aim to maintain a feminist, anti-racist, anti-bias lens in my work and life. I'm continually learning and seeking to grow in these areas.


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 clinical social worker is my true privilege and joy.


I earned my Masters in Social Work from Smith College School for Social Work in 2008, and a BA from Brandeis University with a major in Sociology in 2004. I have over ten years of experience as a counselor, case manager, and Gottman workshop facilitator. I've worked as a counselor 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 as a case manager at Amara, where I assessed and supported foster and adoptive parents. 


I grew up in Massachusetts, and have also lived in North Carolina and Chile and Argentina, South America. I came to Seattle in 2006 for a graduate school internship thinking it would be short-term, but fell in love with the Northwest and my now husband. We have been married for twelve years and have two elementary school-age children. I love being in nature, a good workout or yoga class, and ice cream.

Home: FAQ
Home: Contact
Green Leaves

Winter 2023 Update: My practice is full and I am not accepting new clients.



Have you (and your partner if seeking couples counseling) 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). Next, we will schedule a free 20 minute consultation by phone or video. If you are interested in couples counseling this can be with just one of you or both of you. In this brief consult I will 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.


I use the first 3-4 sessions as an assessment phase, in which I am learning a lot about you and your history, mental health, relationships, and hopes and goals for counseling. If I don't believe I can meet your needs at the end of this time or at another point in our working together, I will explain this to you and find you appropriate referrals. 



I am available for sessions Mondays and Wednesdays during business hours. I am available for in-person office sessions on Mondays, and I am available for walking or telehealth sessions only on Wednesdays. I make every effort to respond to emails and phone calls within 24-48 hours Monday - Friday.


Email (preferred):

Phone: (206) 339-3641


I am located at 1126 34th Ave, Suite 206, Seattle 98122. This is the Madrona Refuge building, with Vendemmia Restaurant on the ground floor, in the Madrona neighborhood. It is an ADA-accessible building. There is usually plenty of free street parking within 1-2 blocks. See the building's green and rust-colored doorway tucked back a little from the street, just one door south of Vendemmia's door. The front door will be locked, but please just call me at the number above and I will come down and let you in, or you can find my name listed in the directory call box under "Crane-O'Neill, Sarah," push "Call" and I will buzz you in. Come up the stairs or elevator to the second floor and to your left you'll see suite #206, which says "Lisa Hake Counseling" on the door (I sublet this suite from a colleague).

bottom of page