interconnections counseling

Counseling and Therapy

Why counseling?

There are many reasons why people may to want talk with a professional about their problems.

Counseling is a term that is used interchangeably with therapy or psychotherapy. Counseling is just one way that people choose to cope with their personal problems. I know that talking to someone you do not know about your personal problems may seem strange at first. However, many people who use therapy as a way of coping tend to feel relieved that their therapist is someone who is objective and who will not judge them. Psychologists must also keep information shared with them by their clients confidential, which helps many people be able to talk more freely and openly. Psychologists have also received many years of training to help people with a wide variety of issues. When there is a safe and trusting relationship between a therapist and her clients, therapy can help people understand themselves more deeply, see different perspectives of the same issue, cope more effectively with problems, and find increased motivation and hope in their life. I recognize that it take a lot of courage to reach out, seek support, and even to acknowledge that you want something changed in your life or within yourself. I encourage you to take the time to find a therapist who you feel comfortable with.

What is counseling?

Counseling is a path of personal growth and self-discovery.

Counseling or therapy is a process whereby individuals gain greater self-awareness and make positive changes in their lives. People may consider therapy when their other ways of coping such as talking to friends are just not enough. Sometimes people may feel like they have too muchgoing on in their lives, or they may feel stuck about how to address a situation in their lives. Others may seek counseling to enhance some aspect of their life (e.g., career, relationships) or their overall well-being, while some will request support to cope with more serious, life-long issues such as long-standing depression, bipolar disorder, or addictions. Regardless of whether your concerns are recent or long-standing, there are many common issues that people talk about in counseling and they include:

Depression - Anxiety - Relationship Difficulties - Self Esteem - Grief and Loss - Health Concerns - Body Image - Stress Management - Sense of Self - Who Am I? - Identity Development - Career Exploration or Career Transition - Financial Difficulties - Trauma and Abuse - Oppression (Racism, Homophobia, Sexism, etc.) - Sexual Trauma - Spirituality - Sexuality - Life transitions and changes - Substance Use and Addiction

My Counseling and Therapy Services

I provide a variety of counseling and therapy services to meet your needs. My approach is to first meet with you to see if working together will be a good fit for you and to decide which of my services are best suited for you. In line with my holistic approach, I will work with other health care professionals, including psychiatrists, physicians, naturopaths, nutritionists, and other complementary and alternative health care providers to coordinate the best care possible for you. I also approach my individual, couples and career counseling from a multicultural framework.

Individual Therapy

I offer individual counseling and therapy services to people who are interested in establishing a one-to-one counseling relationship. Depending on your individual needs, I may talk about how your thoughts, feelings and behaviors affect your well-being and concerns and explore specific strategies for coping with these concerns. Or, I may talk about and explore the impact of past relationships and experiences on your current concerns. You may gain new insight about patterns in your life which may allow you to make healthy changes and achieve a greater sense of well-being. I see my role as a facilitator and collaborator in your process of self discovery, which can be both exciting and challenging for many clients.

Couples Therapy

I offer couples therapy to couples seeking to improve their relationship, or those deciding if they wish to continue their relationship, or to help transition out of a relationship. Couples feeling stuck in their relationship, experiencing troublesome levels of distress, dealing with infidelity, or finding it difficult to cope with a major life stressor are just a few reasons couples seek out therapy. My approach to couples work is grounded in an evidence-based, systematic framework called Emotionally Focused Couples Therapy, developed by Dr. Sue Johnson. I completed an Externship in EFT, which helps couples strengthen their bond and create deeper connections with each other by changing problematic cycles and targeting key emotional interactions. Research demonstrates the effectiveness of this approach. For example, 70 percent of couples reported shifting from distressed to happy and 90 percent significantly improved in 15-20 sessions and these results were stable over a two year period. 

Phone Consultation and Initial Appointment

Free 15-Minute Phone Consultation.If you would like to explore whether working with me will meet your needs, I offer a free initial phone consultation prior to your first therapy session.

The purpose of this initial consultation is for me to find out what your needs are and to be available to answer your questions. With mutual agreement an initial appointment will be scheduled. The initial appointment is also an opportunity to explore whether we may be a good fit. Please let me know in advance if you need accommodations. Unfortunately, my office is not wheelchair accessible but I will be glad to provide you with appropriate referrals.

Initial Appointment. Before your scheduled initial appointment, please print, read and fill out the three following forms:

  1. The Intake Questionnaire will help me determine how I can be most helpful to you. Download the Intake Questionnaire document
  2. The Service Agreement provides information about how we will work together. The fee structure noted below containts current prices for services.Download the Service Agreement document
  3. The Privacy Notice reviews your rights to privacy as a client in therapy.
    Download the Privacy Notice document

Please arrive 10 minutes early and bring these completed forms to your initial appointment.

The initial appointment may be either 55 or 80 minutes, depending on our schedules. During this time, I will ask you a variety of questions about your presenting concerns, history, general functioning, and hopes for therapy. I will also talk to you about my fee structure, office policies, and counseling options.


As a licensed psychologist, I adhere to strict standards of confidentiality of client records and contacts as outlined by the American Psychological Association (APA) and the Laws and Regulations of Washington State. Please read the Confidentiality document and websites below for more information about these standards of confidentiality and privacy, which describes how medical information about you may be used and disclosed.

APA Principles and Code of Conduct

Washington State Department of Social and Health Services' Mental Health Laws and Rules

Interconnections Counseling and Consulting Confidentiality and Privacy Notice


All counseling services have a standard fee. Sliding fees are available on a limited and individual basis. I am an in-network provider for a few insurance companies, including Premera, Regence, and First Choice. If I am not on your insurance panel and you wish to see me, we can discuss options for billing. In some cases I can submit claims to the insurance company on your behalf, but more often than not, I provide you with documentation for reimbursement.

  • Initial Phone Consultation (15 Minutes) Free
  • Initial Appointment/Diagnostic Assessment $225
  • Individual and Couples Counseling Session (55 Minutes) $180
  • Couples Counseling Session (80 Minutes) $270
  • Missed Sessions/Cancellations within 48 hours $180
  • Clinical Phone Consultation (5 minutes) $15 (phone calls are free for first 5 minutes and billed at $15 every 5 minutes thereater) 


My availability to take on new clients varies. To inquire about my availability and to arrange a phone consultation, you can e-mail me at or call 206.257.7861. See Contact Information for the location and address of my practice.


Christy D. Hofsess, Ph.D.
4425 Fremont Ave. N.
Seattle, WA 98103