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Spence Counseling Alliance
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Individual Therapy

A space to finally say what's true

and figure out what to do with it.

Therapy isn't about being fixed. It's about being honest, with yourself, about your patterns, your history, and what you actually want. I work with adults and teens on what's hard to hold alone: anxiety, grief, relationships, burnout, identity, and the quiet sense that something has to change.

         Session Fee $225 / 50 minutes

         Available to Washington State residents only.

My Approach

MIDLIFE WOMEN'S THERAPY

You've held it together for everyone else. This is the space for you.

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Midlife is not a breakdown. It's a reckoning, and it's one of the most important things you'll ever go through. The empty nest, the identity shift, the grief of roles you've outgrown, the slow realization that you've been living someone else's version of your life. This is exactly the kind of work I'm built for.

We'll work on:

  • Untangling your identity from caregiving roles you've outgrown

  • Setting boundaries that actually hold

  • Processing the grief that comes with major transitions

  • Reclaiming your voice, your needs, and your sense of self

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MEN'S THERAPY

The strategy of keeping it contained stops working eventually.

Most men have been taught to push through, solve it, and move on. That works, until it doesn't. Stress accumulates. Relationships strain. Sleep gets worse. The autopilot runs the show, and something that used to feel manageable starts to feel like it's running the table.

Men's therapy is a no-performance space. We get straight to what's real. I'll help you understand what's actually driving the patterns, build emotional muscle, and find a way to live that feels like yours, not just a role you've been cast in.

Common reasons men come in:

  • Work stress, burnout, or anger that's hard to shut off

  • Disconnection or conflict in relationships

  • Feeling flat, lost, or unfulfilled despite doing everything right

  • Identity questions around fatherhood, aging, or purpose

TEEN THERAPY 
AGE 16+

Sometimes teens need a trusted adult who isn't their parent.

The teen years are genuinely hard. There's enormous pressure to perform, academically, socially, in family dynamics, at an age when identity is still being formed and emotional regulation is a work in progress. Having a trusted adult outside the family can make a significant difference.

I meet teens where they are. Sessions look different for every person, sometimes it's talking, sometimes it's doing, sometimes there's humor, sometimes there's silence. The goal is always the same: to help them develop the skills and self-awareness to navigate their world with more confidence and less noise.

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WALK TALK THERAPY

Sometimes the best conversation happens in motion.

Walk and Talk therapy moves the session outdoors, no eye contact pressure, no office walls, just conversation and movement. Research supports what many people already sense: that walking helps process emotion, release body tension, and break through the kind of stuckness that doesn't shift in a chair.

Available to existing clients in the Issaquah area. Ask about availability during your consultation.

My Approach

Ready to stop holding it all alone.

Therapy can help you make sense of what's happening, change what isn't working, and move forward with more honesty and support.

Spence Counseling Alliance

Spence Counseling

Alliance, PLLC

Therapy and coaching for people who are done performing and ready to live.

Quick Links

Contact

⚲   Issaquah, Washington

✉︎ lois@spencecounselingalliance.com

🕻   (425) 224-6326

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© 2026 by Spence Counseling Alliance, ALL RIGHTS RESERVED.

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