Couples therapists in Seattle, WA

38 verified listings 179 more licensed therapists from the NPI registry Updated October 1, 2026

38 couples therapists in Seattle are listed with details from their own websites. 30 of them offer online sessions, and the approaches mentioned most often are Emotionally Focused Therapy (EFT), Gottman Method and Internal Family Systems (IFS). Listed fees run from $50 to $270 per session. Whether you’re working through a hard stretch or getting ready to marry, compare how they work and what they charge below.

If you or your partner are in crisis, call or text 988 any time, day or night. If someone is in danger, call 911.

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Approach

Emotionally Focused Therapy (EFT) , 5 listings
Gottman Method , 3 listings
Imago , 1 listing
PACT , 1 listing

1 more

Prepare/Enrich Clear Approach: Prepare/Enrich

What these approaches mean

Emotionally Focused Therapy (EFT): Developed by Sue Johnson and grounded in attachment theory. Helps partners change the negative patterns that drive them apart.
Gottman Method: Developed by John and Julie Gottman. Usually starts with an assessment, then works on friendship, managing conflict and shared meaning.
Imago: Developed by Harville Hendrix and Helen LaKelly Hunt. Built on the idea that we carry an image from childhood into adult relationships.
PACT: Developed by Stan Tatkin. Combines attachment theory, neuroscience and arousal regulation; sessions can run longer than usual.
Prepare/Enrich: An online relationship assessment followed by feedback sessions with a trained facilitator, for engaged or married couples.

Couples therapy approaches, explained

Insurance

Aetna , 1 listing
Cigna , 1 listing
Blue Cross Blue Shield , 1 listing
Kaiser Permanente Clear Insurance: Kaiser Permanente

Sessions

Online (telehealth) , 1 listing
In person , 1 listing

1 of 38 verified listings matches:

Prepare/Enrich Remove filter Approach: Prepare/Enrich
Kaiser Permanente Remove filter Insurance: Kaiser Permanente
Clear all

Karen Klemetson, PhD, LMFT

Type

Marriage & family therapist

Approach

Prepare/Enrich and Emotionally Focused Therapy (EFT)

Sessions

Online and in person; online for clients in CA and WA

Insurance

Out of network; mentions Aetna, Cigna, Blue Cross Blue Shield and Kaiser Permanente. Ask about a superbill

Fee

Sliding scale available

Also

LGBTQ+ affirming · Faith-integrated counseling available

Visit website of Karen Klemetson (opens in a new tab) Call Karen Klemetson at (425) 271-9711

Source: lutherancounseling.net, checked Oct 1, 2026 NPI 1225097918

179 more licensed therapists from the NPI registry aren’t covered by these filters. See the registry list.

Questions about couples therapy in Seattle

How many couples therapists are listed in Seattle?

This page lists 38 verified couples therapists in Seattle. Another 179 licensed marriage and family therapists with Seattle practice addresses appear in the federal NPI registry but haven’t been confirmed yet.

How much does couples therapy cost in Seattle?

Among the 21 verified therapists here who list a fee, session prices range from $50 to $270. 17 mention a sliding scale. Fees change, so confirm the current rate with the therapist.

Can we do couples therapy online in Washington?

Yes. 30 of the 38 verified therapists in Seattle offer online sessions. A therapist can generally only see clients online while those clients are located in a state where the therapist is licensed, so both partners should be in Washington (or another state where the therapist holds a license) during sessions.

Do couples therapists in Seattle take insurance?

Some do. Of the 38 verified therapists, 14 mention Blue Cross Blue Shield, 10 mention Aetna and 8 mention Cigna on their websites. Many plans cover couples therapy only in limited cases, so ask your insurer and the therapist before your first session.

Which couples therapy approaches do therapists in Seattle use?

Of the 38 verified therapists, 19 mention Emotionally Focused Therapy (EFT), 16 mention Gottman Method, 9 mention Internal Family Systems (IFS) and 2 mention Prepare/Enrich on their websites. Many therapists combine approaches, so ask how they work with couples and how they trained.

Are couples therapists in Seattle accepting new clients?

9 of the 38 verified therapists say on their websites that they’re accepting new clients. Openings change quickly, so contact a therapist to confirm.

Are there couples therapists in Seattle with evening or weekend hours?

2 of the 38 verified therapists list evening or weekend appointments on their websites.

Can we talk to a therapist in Seattle before booking?

13 of the 38 verified therapists mention a free consultation. It’s a chance to ask how they work with couples, what they charge and when they have openings.

Choosing a therapist in Seattle

How to choose a couples therapist: license types, how to check a license, and questions to ask before a first session.
Gottman Method vs. EFT: here, 16 verified listings mention the Gottman Method and 19 verified listings mention EFT.
Couples therapy approaches, explained: what Emotionally Focused Therapy (EFT), Gottman Method and Internal Family Systems (IFS) involve, and who developed them.
What couples therapy costs: how Seattle fees compare with other cities, and what to ask about insurance.
All cities in Washington with verified listings.

Nearby cities

Bellevue, WA 8 mi
Tacoma, WA 27 mi

About these listings

Listings come from the public NPI registry and therapists’ own websites. Each verified listing shows its source and when it was last checked. About our listings.

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Verified listings

Karen Klemetson, PhD, LMFT