Catrina Switzer , LMHC

Catrina Switzer is a licensed mental health counselor who helps people handle stress, anxiety, trauma, low self-esteem, and depression. She affirms each step a person takes toward change and treats progress as a series of small, important wins.

Catrina brings 15 years of clinical experience and focuses on meeting people where they are. She has a long history supporting clients who identify with BDSM and kink communities, geek culture, LGBTQ communities, Asian American and Pacific Islander backgrounds, neurodivergence, and chronic illness. She works with adults and younger clients and centers each person’s values in planning care.

In sessions she uses practical, evidence-based techniques to set clear goals and build usable skills. That can mean learning tools to manage anxious thoughts, trying new ways to handle strong emotions, or shaping routines that reduce overwhelm. She explains options plainly and helps people pick approaches that fit their daily life.

Catrina emphasizes collaboration. Clients help choose priorities and track small changes over time. She focuses on communication, healthy boundaries, and skills that make daily life easier.

Her experience in Washington and familiarity with diverse communities inform her work. People who want a straightforward, nonjudgmental therapist who understands alternative sexual cultures and chronic health challenges may find her approach supportive and respectful.

Evidence-based approaches for online care

Many clients find cognitive behavioral techniques helpful because they focus on the links between thoughts, feelings, and actions. CBT helps people spot unhelpful thinking patterns and practice alternative responses to reduce anxiety and improve mood. Dialectical behavior skills teach practical tools for managing strong emotions, improving distress tolerance, and strengthening interpersonal effectiveness. These skills can help with mood swings, intense stress, and relationship challenges.

Catrina approaches treatment as a collaboration. She listens to your goals and suggests approaches that fit your life. Together you will try techniques, review what works, and adjust the plan based on your needs and preferences rather than following a fixed script.

Online therapy offers flexible ways to connect. Video calls allow more face-to-face interaction for in-depth work. Phone sessions can fit into a short break or reduce bandwidth needs. Live chat and text-based messaging support quick check-ins, between-session coaching, or easier ways to share notes and progress. These options help people keep therapy consistent when schedules or health needs make in-person visits difficult.