White Flowers

SARAH CRANE O'NEILL, PLLC

Compassionate, Clear Couples Counseling

Located in the heart of Madrona, Seattle 

Offering video sessions during Covid-19

Currently full and not accepting new clients

COUPLES COUNSELING TO HEAL & CONNECT

You might have come to this website because you are feeling stuck in negative patterns with your partner. Perhaps you can't resolve problems or conflicts very well, you feel lonely or unappreciated, or you just don't "click" the way you used to. Maybe you've gradually become more distant, or perhaps there was a breach of trust or stressful event. Or perhaps you are approaching a major milestone such as marriage or parenthood and you want to fine-tune and prepare.

I offer a warm, caring yet direct style. I work to develop a trusting, constructive relationship with each of you so that you BOTH feel I "get" you and am on your side. It's your relationship and the dance between you that we are interested in understanding and beginning to heal or improve, not so much one of you. I help you talk with each other in more daring, honest, and also kind ways than you might have been able to previously, and help you practice and build some new skills to use outside sessions. 

 

It can be hard to know whether or when to ask for help, and maybe even embarrassing or scary to consider couples counseling. Counseling can get written off as a"last resort" for a relationship before it ends -- but I believe the opposite is true: when two people work hard in couples therapy with a skilled counselor they both trust, particularly early in to a problem rather than several years into it, therapy can transform a relationship and equip it to weather future challenges well.

 

It's never too soon to begin.

 

SERVICES I OFFER

"BRIDGE" COUPLES COUNSELING

Short-term support for couples facing a major life change, including adjusting to Covid-19 and stay at home orders

“Bridge” Counseling is my own model -- a 3-4 session series designed for couples facing a major life change or transition (not a breach of trust or other emotional injury in the relationship) such as a move, illness, or even a global pandemic. During such a time, there is often a great deal of uncertainty. You may need your partner more than ever, but not know what you need exactly or how to ask, much less how to be truly present for your partner while you deal with immense stress yourself.

Please watch this video to learn more.

 
Lesbian Couple with Baby

TRADITIONAL COUPLES COUNSELING

Medium or long-term support for diverse couples at any life stage

I draw from a medley of couples therapists and modalities, but I am primarily informed by Gottman Method, created by therapists Drs John and Julie Gottman. Their research has followed over three thousand couples over four decades and uncovered what the most toxic interactional patterns tend to be, as well as the qualities and habits of the most happy and long-lasting relationships.

 

 

PREMARITAL COUNSELING

For Couples Entering Marriage or Commitment

It's common that when entering marriage or commitment, couples are well aware of their strengths as a couple and dimly aware of their challenges, but hopeful these challenges will improve or go away on their own. I use Prepare/Enrich, an assessment tool created out of the leading couples therapy modalities, including Gottman Method and Emotionally Focused Therapy. It is customizable to your unique circumstances (married before, have children, etc).

 

Bride and Groom

ABOUT ME

Dear Reader,

Welcome to my website and practice!

 

I'm a Licensed Independent Clinical Social Worker (Smith College School for Social Work, 2008) with over ten years of experience as a counselor, case manager, and Gottman workshop facilitator. I've worked in various outpatient counseling settings with couples, adults, and children and families facing discord, trauma, and loss. I've also worked at a child welfare agency where I assessed and supported foster/adoptive parents. 

 

I identify as a white heterosexual woman. I seek to tune into my own privilege, biases, and unique experiences in these identities, as well as the limitations and biases of the methodologies I use, so that I can better see and understand you on your terms, and offer the most fair and personalized-to-you therapy as possible.

 

I'm a Massachusetts native but consider the northwest home. My husband and I have been together for fourteen years and I have found couples counseling very helpful in our own relationship. We have two children, preschool and early elementary age, who help keep life interesting. I love the outdoors, exercise, and creativity in most any form.

I look forward to hearing from you.

Take care,

Sarah

 

FREQUENTLY ASKED QUESTIONS

ARE YOU THE RIGHT THERAPIST FOR US?


I tend to be the best fit for couples of all cultural backgrounds and sexual identities and expressions who both want to be in couples counseling, and want to stay together. I am NOT a great fit for: - Couples in which one or both is considering separating or divorce. Discernment Counseling is often a more effective option. You can find a Discernment Counselor here. Additionally, I am not a good fit for couples who are in the process of breaking up or have already broken up. - Couples where there is a pattern of degradation, humiliation, sexual coercion, or violence. 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. - Couples practicing or considering polyamory or an open relationship. My training falls short in supporting people through the more specialized issues that can occur. Find a more appropriate couples counselor here.




WHAT IS YOUR RATE?


50 minute couples counseling sessions are $150, and 80 minute couples counseling sessions are $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. I can provide you with a monthly "superbill" (a kind of receipt) for you to submit to your insurance carrier or employer for reimbursement and/or flex spending purposes.




HOW DO I FIND OUT IF I HAVE OUT OF NETWORK COVERAGE FOR COUPLES COUNSELING?


I suggest calling the customer service # on the back of your insurance card and asking:
- What are my mental health benefits, if any?
- 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 WE BE IN COUNSELING?


Sessions can be 50 or 80 minutes depending on your interest. If we are doing Traditional Couples Counseling, I suggest the first and fourth sessions, at least, be 80 minutes to cover the more intensive questions and topics of those sessions. Ideally, we will find a standing weekly time for our meetings. The length of couples counseling can vary. I want to give you meaningful benefit to therapy, but I also don't want you to have to be in couples counseling forever (unless you want to be of course!). "Bridge" Couples Counseling is 3-4 sessions. Traditional Couples Counseling is usually 8-12 sessions but can be longer if you'd like. Prepare/Enrich counseling is usually 6-10 sessions depending on your interest.




CAN WE BRING OUR BABY TO SESSIONS?


Yes! Pre-crawling babies are always welcome.




HOW DOES TELEHEALTH WORK?


During the Stay at Home order for 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 session. You need relatively high speed internet and a device with a camera. You need to be in Washington state and in the same room together with some privacy from others in your home. It can be a little awkward at first, but I find most couples get used to video sessions surprisingly fast.





 
Dandelion Parachute Seed
CONTACT ME

LET'S GET STARTED:

I am currently full and not accepting new clients.

Have you and your partner 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 the first session I don't feel I can meet your needs, I will explain this to you and find you appropriate referrals. Or if you and your partner don't feel I'm the right fit for you and want to find another counselor, no offense taken! This is fairly rare in my experience and my in-depth website helps ensure good fits.

 

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: 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