Margie Segress, LMHC

Margie Segress is a Washington-licensed mental health counselor with more than seven years of professional experience working as a counselor and serving as adjunct faculty at the school where she earned her degree. She holds the LMHC credential - Licensed Mental Health Counselor - and has supported people facing stress, anxiety, relationship challenges, parenting transitions, trauma and abuse, motivation struggles, self-esteem concerns, and confidence issues.

Margie combines clinical experience and teaching background to help clients clarify goals and develop practical skills for daily life. She emphasizes an open, nonjudgmental atmosphere in which thoughts and feelings can be explored honestly and respectfully. This approach aims to help clients build insight, strengthen coping strategies, and move toward the changes they want to make.

Recognizing that beginning therapy takes courage, Margie encourages those who reach out and works collaboratively to make the initial steps manageable. She offers supportive, evidence-informed care tailored to each person’s needs and life context, with attention to attachment, communication, control issues, guilt and shame, life purpose, midlife concerns, mood and post-traumatic stress, and women's issues.

Evidence-Based Approaches and Accessible Online Care

Margie Segress uses evidence-based therapeutic techniques that are adapted to online formats so clients can work on real concerns from home or elsewhere. One common focus is skills-based work that teaches practical coping strategies - these interventions help people manage stress, anxiety, mood challenges, and day-to-day triggers by building tools for regulation and problem solving. Another core element is trauma-informed support, which centers on understanding the impacts of trauma and abuse and guiding clients through stabilization, paced processing, and rebuilding a sense of safety and agency. A third emphasis is work focused on attachment and communication - helping clients improve relationship patterns, address control issues, and strengthen self-esteem in relational contexts.

Margie approaches treatment collaboratively, helping each person identify which techniques fit their goals, preferences, and circumstances. Together the therapist and client assess progress and adjust methods as needed to find the best therapeutic fit.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These formats make it easier to maintain regular sessions, access care across distances, and integrate therapeutic work into daily life while working with licensed professionals and therapists who guide the process.