Psychotherapy Services

We provide psychotherapy for individuals of all ages, as well as couples and family therapy. We are also able to provide teletherapy through a secure, HIPAA compliant service if getting to the office is a barrier. Our clinicians work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support, couples counseling and beyond.  Each provider is trained to provide evidenced based therapies, as well as a wide range of more specialized therapeutic interventions. In a comfortable and supportive atmosphere, we offer a highly personalized approach tailored to each of our clients individual needs to help attain the personal growth they’re striving for.
Specialties include:
  • Depression  
  • Anxiety, Panic
  • Obsessive Compulsive Disorder (OCD)
  • Posttraumatic Stress Disorder (PTSD)
  • Complex Trauma/Adverse Childhood Experiences
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Mood Disorders
  • Coping with Chronic Pain & Illness
  • Dissociative Identity Disorder
  • Relationship Issues/Divorce
  • Mindfulness
  • Animal Assisted Therapy

  • Perinatal Emotional Complications (e.g., Postpartum Depression, Anxiety, and other emotional difficulties during and after pregnancy)
  • Parenting Support 
  • Grief and Loss 
  • Life Transitions & Adjustment Difficulties
  • Stress Management 
  • Addiction & Recovery 
  • Conflict Resolution 
  • Gender & Sexuality
  • LGBTQIA+ 
  • Geek Therapy
  • Gaming Addiction

Assessment Services

​Sound Psychotherapy & Assessment offers a team of psychologists, mental health therapists, and psychometrists trained and experienced to provide a multitude of psychological, neuropsychological, educational, and forensic assessment services under the direction and supervision of Clinical & Forensic Psychologist Dr. Sierra Swing. We currently offer evaluative services for Children age 8 and older (younger than 8 years on case by case basis), Adolescents, Adults, and Older Adults. 

Dr. Swing is contracted with the Children's Administration/Child Protective Services, Department of Children, Youth, and their Families (DCYF), the Department of Social and Health Services (DSHS), Disability Determination Services (DDS), and Labor and Industries (L&I). Our group also provides self and provider referred evaluations which are often covered by your insurance. 

Psychological Assessment Services:
  • Mental Health Evaluations for
    • Diagnostic Clarification
    • Treatment Planning
    • Medication Recommendations
  • School/Work Accommodations or Leave
  • Bariatric Surgery and other pre-surgical evaluations
  • Gender Dysphoria Evaluations, Letters of Recommendation for gender affirming surgeries


Neuropsychological Assessment Services:
  • Memory Testing
  • IQ Testing
  • Cognitive Disability Evaluations
  • Attention Deficit Hyperactivity Disorder (ADHD) Evaluations
  • Sports Injury/Concussion Evaluations
  • Neurocognitive Impairment 
  • Traumatic Brain Injury
Forensic Assessment Services:
  • Court Ordered Mental Health Evaluations
  • Psychological Evaluations with a Parenting Component
  • Parenting Evaluations
  • Child Custody Evaluations
  • Risk Assessment/Violence Potential
  • Social Security Disability Evaluations
  • N648 Evaluations
  • Expert Witness Testimony
  • Competency to Stand Trial

Educational Assessment Services:
  • Learning Disorder Evaluations
  • IQ Testing
  • Attention Deficit Hyperactivity Disorder (ADHD) Evaluations
  • Motivation
  • Emotional Adjustment
  • Achievement

Contracted Insurance Plans

Each of the providers at Sound Psychotherapy & Assessment are contracted and in network with the following insurance plans:
  • Aetna
  • Blue Cross Blue Shield (BCBS)/Regence
  • First Choice/Kaiser PPO
  • Lifewise/Lifewise Assurance Company
  • Premera
We are able to bill as out of network providers for most other insurance plans; however, you will be responsible for the difference between what the provider charges and what your insurance reimburses, which can often be $60-$100 per appointment. We may be able to negotiate a sliding scale fee for these visits if cost is a barrier to receiving services. Please contact your desired provider directly to discuss.