Michelle Desmond, LICSW, MSW, MPH

What to expect

In therapy sessions, we will discuss what brings you to counseling at this time. In session, I create a space for nonjudgmental, positive regard, that cultivates trust and space to explore. We will also discuss environmental factors (like stress, racism/sexism/homo/transphobia) that effect our overall approach to life. 


Each session is 50 minutes long. I have both day and evening appointment slots available.

How often we meet depends on the goals for therapy we come up with together. Most people come once a week or once every 2 weeks.  How long we meet for is also determined as we discuss what has brought you to therapy at this time, and depends on each individual. We will have ongoing discussions about frequency and length of visits as we meet. Please feel free to share your thoughts with me about this. 

Initial Consultation

I offer a free 20 minute phone consultation to see if we are a good fit. Feel free to either call or email to set a time to talk. During this first consultation, we will discuss what is bringing you to therapy at this time, my approach and logistics. I will also be happy to answer any questions you may have during this time.


Individual therapy appointment ($160).

I do offer some sliding fee slots, contact me if you are interested to see if any slots are currently available or check out my Open Path profile

I bill Premera, Kaiser PPO/First Choice as an in network provider. I bill Aetna as an out of network provider. I am no longer taking new Regence clients. I may be able to bill your insurance as an out of network provider if you have another insurance, depending on your benefits. You may also be able to use your Health Savings Account to pay for your therapy visits, check your provider's coverage and then make sure to bring your insurance card and mention to me in your first visit.