Therapy that helps you find clarity, build strategies, and align your response.
Specialized support for anxiety, OCD, stress, and disordered eating - built around your temperament, values, and goals.
Embedded Files
Now offering on Mondays, In-Person in Seattle!
Treatment Approach
A clear path forward - designed for you.
Clarity
Using validated measures and assessment, you will have a clearer understanding of your traits and what is underlying your distress.
Strategy
Learn tools that fit your traits and values (CBT, DBT, ACT, ERP)
Response
With guidance and support, you will build the life you want.
What Types of Therapy Are Available?
Individual Therapy – Weekly 50-minute sessions tailored to your needs. Includes personalized strategies, skills training, and optional psychoeducation for those supporting your recovery.
Couples Therapy - Weekly or bi-weekly sessions focused on strengthening connection, improving communication, and resolving patterns. Offered as a separate service from individual therapy.
Family Therapy - Weekly or bi-weekly sessions designed to enhance understanding, reduce conflict, and support healing within the family system. Offered as a separate service from individual therapy.
Hybrid Learning Pathway – Self-paced lessons and guided exercises assigned based on your treatment plan—ideal for deepening skills between sessions.
Evidence-Based Methods – Therapy is grounded in proven approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Exposure and Response Prevention (ERP).
Rates & Insurance
I am currently in-network with Premera Blue Cross of Washington.
For clients paying out-of-pocket, my rates are as follows:
Initial Assessment – $250/hour
Most assessments are 60–90 minutes. OCD assessments may require 90–180 minutes depending on clinical needs.Individual Therapy – $190/session
50-minute weekly sessions, scheduled on a consistent day and time.Couples and Family Therapy – $250/session
60-minute sessions are scheduled as recommended after intake.Exposure-Based Therapy – $210/session
One to two sessions per week, each lasting at least 60 minutes. Focused treatment for OCD, anxiety, and related concerns is typically 12-16 sessions, and then individual therapy rates may apply. (All clients respond differently, and treatment plans are individualized.) *I offer in-person ERP in the Seattle Metro area, when clinically indicated.
Sessions are conducted in-person or via Zoom, a HIPAA-compliant platform.
Intro Video.mp4About Lara
Your partner in finding clarity, building strategies, and aligning with your unique needs and goals.
I'm Lara Effland, LICSW, a Certified Eating Disorder Specialist and Exposure and Response Prevention therapist. I have nearly two decades of experience helping adults and emerging adults navigate anxiety, OCD, trauma, and disordered eating. I've built national-level clinical programs, trained therapists across the country, and specialize in blending evidence-based methods with deep personalization. Whether you're feeling stuck, overwhelmed, or unsure of your next step, I’m here to help you find clarity, build a strategy that fits, and align your response with intention and confidence.
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