SOUND PSYCHOTHERAPY & ASSESSMENT, LLC
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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
Common Questions About 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+ 
  • Eye Movement Desensitization & Reprocessing (EMDR)​
Request a Therapy Appointment

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 above), Adolescents, Adults, and Older Adults.
​

Dr. Swing is contracted with the Children's Administration/Child Protective Services, the Department of Children, Youth, and their Families (DCYF), the Department of Social and Health Services (DSHS), Disability Determination Services (DDS), and the Office of Public Defense (OPD). 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 Management
    • School/Work Accommodations or Leave
  • Bariatric Surgery and other pre-surgical evaluations
  • Gender Dysphoria Evaluations
  • Letters of Recommendation for gender-affirming surgeries
  • Autism Spectrum Disorder (ASD) Screening
  • Adult Neurodivergence Evaluations

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
Educational Assessment Services:
  • ​Comprehensive Psychoeducational Evaluations
  • Learning Disorder Evaluations
  • Dyslexia/Dysgraphia
  • IQ Testing
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Giftedness
  • Twice-Exceptional (2e) Evaluations
  • Academic Achievement
  • Early Childhood Evaluations (ages 3–6)
  • Independent Educational Evaluations (IEEs)
  • IEP/504 Consultation and Educational Advocacy

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
  • Personal Injury Evaluations
  • Expert Witness Testimony​
Evaluation Info & Costs
Letter of Agreement

Biofeedback & Neurofeedback

At Sound Psychotherapy & Assessment, we offer advanced mind-body therapies like biofeedback and neurofeedback to support emotional, cognitive, and physical well-being. 
  • Biofeedback uses real-time data from sensors placed on your body to help you learn to regulate automatic physiological processes like heart rate, muscle tension, and breathing. Techniques like heart rate variability (HRV) training promote resilience and stress recovery.
  • ​Neurofeedback targets brainwave activity, helping retrain the brain toward healthier patterns to improve focus, mood, sleep, and emotional regulation. These evidence-based tools can reduce symptoms of anxiety, ADHD, trauma, and more—complementing talk therapy and other treatments.

To learn more, contact Em Steen for a free screening call: 206-552-9577 or [email protected].
Biofeedback Flyer

Contracted Insurance Plans


Each of the providers at Sound Psychotherapy & Assessment are contracted and in network with the following insurance plans:
  • Aetna/Meritain
  • Blue Cross Blue Shield (BCBS)
  • First Choice
  • HMA
  • Kaiser PPO
  • Lifewise Health Plan/Lifewise Assurance Company
  • Medicaid
  • Meritain
  • Molina
  • Optum
  • Premera
  • Regence
  • United Healthcare (UHC)
  • United Behavioral Health (UBH)
  • Wellpoint

​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.


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