LMHC

Diana Elstad, LMHC

Therapist in Washington

Diana is a LMHC therapist in Washington.

35+ years of experience
Focus areas include Addictions, Relationship issues
Approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT)

See availability and next steps on BetterHelp.

About Diana

Diana Elstad is a Licensed Mental Health Counselor and substance use disorder professional practicing in Washington with 35 years of experience supporting people across clinics, treatment centers, hospitals, and private practice. As a geriatric mental health specialist, she has worked with hundreds of individuals facing a wide range of concerns, from addictions and recovery to mood disorders such as depression and bipolar, and from anxiety and PTSD to stress management and sleep or eating difficulties.

Her practice also addresses relationship and family issues, intimacy and parenting challenges, grief and loss, and the lasting effects of abuse, trauma, and attachment wounds. Diana has supported people dealing with codependency, communication and control issues, dissociation, caregiver stress, and substance use, always attending to both presenting symptoms and the life circumstances that contribute to them.

Known for a warm, respectful, and attentive approach, she listens for the unspoken messages beneath a client’s words and draws from an eclectic range of therapeutic methods to meet each person where they are. Diana holds the LMHC credential - Licensed Mental Health Counselor - and combines clinical experience with a compassionate style aimed at practical coping, healing, and growth. She welcomes the opportunity to work with new clients and support them through change.

Approaches for Online Care and Therapeutic Fit

Client-Centered Therapy focuses on creating a supportive, nonjudgmental space where the client’s own goals and insights guide the work. It is useful for people seeking empathy, clearer self-understanding, and stronger decision-making skills.

Cognitive Behavioral Therapy (CBT) is a practical, skills-based approach that helps identify unhelpful thinking patterns and replace them with more adaptive behaviors and coping strategies. It is often effective for anxiety, depression, stress, and problems with sleep or eating.

Dialectical Behavior Therapy (DBT) combines emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness skills to help people manage intense emotions and relationship difficulties, including self-destructive patterns and impulsivity.

Finding the right approach is part of the therapeutic journey. Diana Elstad works collaboratively with clients to determine which methods fit their needs, goals, and preferences, adjusting techniques over time as progress unfolds.

Online therapy with Diana is offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility and accessibility. These options make it easier to fit sessions into busy schedules, maintain continuity during life changes, and receive consistent care from licensed professionals and therapists without the need for travel.

Frequently asked questions

How much experience does Diana Elstad have?

Diana Elstad has 35 years of experience in mental health and substance use treatment.

Is Diana Elstad a licensed therapist?

Yes. She holds the LMHC credential. License details are WA LMHC LH 00003771.

In which languages does Diana Elstad provide therapy?

Therapy is provided in English.

Where is Diana Elstad located?

She is located in Washington.

How can I work with Diana Elstad as my therapist?

You can work with Diana Elstad through video calls, phone sessions, live chat, or text-based messaging.

Does Diana Elstad work with international clients?

Diana Elstad does not currently work with international clients.

How much does therapy with Diana Elstad cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

AddictionsRelationship issuesTrauma and abuse Coping with life changes

Also works with

Stress, Anxiety LGBTFamily conflictsGrief Intimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderDepression

Additional focus areas