Rebecca Waterston

Practical therapy for anxiety and relationships

LMHC Washington

Experience: 10 years in practice
Focus areas: Stress, Anxiety, Relationship, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Rebecca

Rebecca Waterston is a Washington-licensed mental health counselor (LMHC) with ten years of clinical experience helping people navigate stress, anxiety, relationship struggles, trauma, and shifts in life circumstance.

Background and approach

She draws on evidence-informed methods like cognitive behavioral therapy and attachment-focused work to help clients examine patterns, change unhelpful thinking, and build more adaptive ways of coping. Rebecca emphasizes practical growth alongside deeper self-understanding so people can make clearer decisions and restore self-respect.

Her practice often addresses sleep and mood impacts tied to anxiety, communication breakdowns that trace back to early family dynamics, and the complex effects of trauma including family addiction, neglect, or bereavement. She also supports those recovering from substance misuse and works with families affected by addiction to reduce fear and regain healthier boundaries.

Rebecca encourages compassionate exploration of shame, guilt, self-esteem, and life purpose so clients can gradually replace old patterns with more effective habits. Sessions focus on thoughtful inquiry, collaborative goal-setting, and concrete skill-building.

Rebecca positions therapy as a supportive space to test new responses, strengthen emotional awareness, and move toward greater confidence and more satisfying relationships over time.

Applying evidence-based approaches to online care

Rebecca frequently uses Cognitive Behavioral Therapy to help people identify and change unhelpful thinking and behavior patterns; this approach can be useful for anxiety, stress, sleep problems, and mood-related concerns. She also draws on Acceptance and Commitment Therapy to support clients in clarifying values, developing willingness to accept difficult internal experiences, and pursuing meaningful action despite discomfort. Attachment-Based Therapy is another part of her work, focusing on how early relationship patterns shape current communication and intimacy, which can be helpful for relationship challenges and healing from relational trauma.

Finding the right approach is treated as a collaborative process. Rebecca works with clients to test techniques, compare what feels helpful, and adjust methods based on each person’s goals, needs, and preferences so the plan evolves from session to session.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, allowing clients to engage from home or other convenient locations and to choose formats that match their schedules and comfort. These options support consistent attendance and make it easier to integrate therapeutic skills into daily life.

Frequently asked questions

What concerns does she commonly address?

She works with people facing stress, anxiety, relationship difficulties, trauma and abuse, self-esteem issues, and coping with life changes, along with related topics such as codependency, communication problems, and recovery from addiction.

What therapeutic style can clients expect?

Rebecca integrates approaches including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, attachment-based and emotionally-focused ideas, and client-centered work to blend practical skills with emotional exploration.

How much clinical experience does she have?

She has ten years of professional counseling experience working with a wide range of concerns across the lifespan.

Where is she licensed and practicing?

Rebecca is licensed in Washington as an LMHC with license number WA LMHC LH61251153 and provides services to clients in that state.

Does she offer sessions in other languages or to international clients?

She conducts therapy in English and is not currently accepting international clients.

What session formats are available?

Clients can meet via video calls, phone sessions, live chat, or through text-based messaging depending on what fits their needs and preferences.

How are fees and subscriptions handled?

Costs vary with location and therapist availability and services use a subscription model that can be canceled at any time.

What is the first step to begin work with her?

Begin by selecting the Start Therapy button, completing a brief matching questionnaire, and then scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuse Self esteem Coping with life changes

Additional focus areas

Avoidant personalityCodependencyCommunication problemsDivorce and separationDrug and alcohol addictionFamily of origin issuesForgivenessGuilt and shameHospice and end-of-life counselingIntellectual disabilityLife purposeNarcissismSelf-loveWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)HypnotherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

10+ years

Licensed

Washington

Languages

English