PNW Therapy
PNW Therapy & Coaching

PNW Therapy & Coaching

Therapist$$Seattle

About

I'm Meagan Ciesluk, MS, LMFTA and Mental Health Professional Counselor in Washington, practicing as PNW Therapy & Coaching, PLLC. I offer telehealth individual and couples therapy for adults across Washington, with a focus on communication, conflict cycles, intimacy, ADHD, anxiety, PTSD/complex trauma, and identity development. My background spans residential/PHP mood and anxiety care, family therapy, eating-disorder programming, and sex-positive intimacy work. Published fees...

Services & pricing

Individual therapy (50 min)

Published individual session fee (insurance plans also accepted as listed).

  • $130

Couples therapy (50 min)

Published private-pay couples session fee.

  • $200

Insurance

Publicly lists Aetna, Cigna/Evernorth, Premera, Regence, UnitedHealthcare; Kaiser noted out-of-network.

  • In-network select plans

Specialties

Couples communication and conflict cyclesBetrayal and rupture repairADHDAnxietyPTSD and complex traumaIdentity developmentSex and intimacy

Our Team

Meagan Ciesluk

LMFTA

Photo Gallery

Service Area

Seattle

Based in Seattle, WA. Appointments available virtually and in the local area where offered.

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Frequently Asked Questions

Q1:What are your fees?

Individual sessions are $130 for 50 minutes and couples sessions are $200 for 50 minutes when paying privately, as published on my services page.

Q2:Do you take insurance?

I am in-network with many providers including Aetna, Cigna/Evernorth, Premera, Regence, and UnitedHealthcare. Coverage and copays vary—confirm your plan. Most insurers do not cover couples counseling.

Q3:Do you offer telehealth or in-person?

All sessions are telehealth via HIPAA-compliant Google Meet or Zoom. I do not currently offer in-person therapy.

Q4:Who do you work with?

Adults 18+ for individual therapy, and couples navigating communication, betrayal repair, intimacy, and related concerns.

Q5:How can I reach you?

Email meagan@pnwtherapyandcoaching.com or call 206-745-2282. Contact form: pnwtherapyandcoaching.com.

Q6:What approaches do you use?

Systemic and strengths-based work drawing from IFS, Gottman, DBT, emotion-focused therapy, narrative therapy, and sex therapy as fitting.

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Additional Information

Languages Spoken

English
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