Roger Midgett, LICSW

Roger Midgett is a Licensed Independent Clinical Social Worker (LICSW) with 33 years of experience in counseling and behavioral interventions. He holds a Master of Social Work from the University of Washington and has maintained a long association with King County Mental Health. Roger adopts a solution-focused, person-centered stance and integrates training from several therapeutic models, including Internal Family Systems, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, psychodynamic methods, and Cognitive Behavioral Therapy.

He works with people facing a broad range of mood and thought concerns, collaborating to identify strategies that address each person’s needs and goals. Roger emphasizes practical, individualized approaches and partners with clients to find what works in day-to-day life. He also brings a special interest in creativity and imagination, helping clients move past barriers that limit self-expression and creative work. Counseling with him is framed as preparation for the risks and rewards of sharing oneself and one’s creations with the world, blending evidence-informed techniques with attention to personal values and life context.

Therapeutic approaches and accessible online care

Roger draws from Acceptance and Commitment Therapy and client-centered and attachment-informed principles to guide online work. Acceptance and Commitment Therapy (ACT) focuses on helping people clarify personal values and take action toward them while learning to live with difficult thoughts and emotions - it can be useful for anxiety, depression, and coping with life changes. Client-centered therapy prioritizes the client's perspective, offering empathic listening and support so clients can explore feelings, build self-understanding, and strengthen decision-making. Attachment-based ideas help illuminate how early relationship patterns influence current connections and can be especially helpful for relationship, intimacy, and attachment-related concerns.

Finding the right approach is part of the process. Roger works collaboratively with clients to determine which methods fit best for their needs, goals, and preferences, adjusting techniques as therapy progresses. This collaborative stance helps tailor the work to each person’s circumstances.

Online therapy with Roger offers flexible ways to engage - video calls, phone sessions, live chat, or text-based messaging - so therapy can fit into busy schedules and different comfort levels. These options increase accessibility and make it easier to maintain continuity of care while working toward meaningful change with the support of a licensed professional.