While meeting face-to-face in my office is always my preference, sometimes this just isn't an option. Some methods of distance counseling include online HIPPAA-compliant video sessions, or me travelling to see you at your home or other comfortable location. This way of conducting counseling is determined on a case-by-case basis.
There are many reasons why someone might need distance counseling as an option:
You are in Washington state, but live far away from Seattle and have unique parts of your identity that can't be met in your community. These might include LGBTQIA, non-monogamous, or kink identities.
You live in, or near, Seattle, but cannot physically get to my office because you cannot climb stairs or have another disability which prevents you from coming to my office.
You experience agoraphobia, or intense anxiety, when leaving your house. In cases like this, distance counseling may be incorporated into our work together, but I will also expect clients to gently push themselves to make it into my office as a part of therapy.
Sometimes, getting in to the office isn't an option...
Because there is extra cost to me to provide distance counseling services, there will be an extra cost for travel or video conferencing, which will be determined before our first session together.