Click here to set up a free introductory session with Em!

Specialties include:

    -Children, Adolescents & Adults

     (age 5+)


    -Autism Spectrum

    -Anxiety & Depression

    -Suicidal Ideation & Self Harm

    -Young Adult Psychosis

    -Grief & Loss

    -Life Transitions

    -Behavioral Issues

    -Family Therapy

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Em Nelsen, LMFT

Pronouns: she/her

Every human being has their own story, and new chapters are constantly being written, developed, and added to the bookshelf of their life.


I work collaboratively with each client, in order to understand and fully embrace the reality in which you exist. I believe that all people are the product of their relationships and experiences: No one is more of an expert on your life and experiences than you are. I strive to walk with you on your own unique journey of self-discovery and development, in a way that unearths your preferred stories and desires, while also acknowledging and addressing the different ways that other people's storylines have affected the meanings that you make of your life.


The strength of the therapeutic relationship is, in my opinion, the most important catalyst of change within the therapy room. My goal is to prioritize your safety and comfort through continual check-ins, feedback, and by listening to, learning from, and honoring your lived experiences. I want to help cultivate a supportive space for you and your family to explore the different chapters of your life, re-write and heal from previous trauma and experiences, and to feel confident and secure in your own ability to develop future stories.

My approach...

I utilize a variety of therapeutic approaches and theories, including social justice/anti-oppression work, mindfulness-based theory, dialectical behavior therapy (DBT), and attachment theory, depending on the individual’s needs and preferences. I often incorporate narrative therapy concepts and practice in my work with clients, in order to honor your individual experience and acknowledge the impact of external storylines and communities on how you view yourself. In practice, I take a “not-knowing” posture, allowing you to share your own stories and experiences, as you know them best.

While I have experience working with a diverse spectrum of individuals, I especially love working with gender and sex minority-identified youth and teens. As a queer-identified clinician, I work with families and individuals to navigate identity development, manage complex emotions, address trauma, and work towards meaningful future storylines. I believe that no individual exists in a bubble, and I work in partnership with individuals and families to determine how much system and family involvement is necessary to meet your wellness and treatment goals.

Professional training & memberships...

Em is in-network with most Premera, Cigna, LifeWise, Anthem and other Blue Cross plans.

Em's fees:

  • 50-minute session for individuals: $170

  • 50-minute session for families: $170; 80-minute session for families: $255.

In my career, prior to graduate school, I worked with adolescents and adults who had been involuntarily hospitalized or required crisis stabilization for serious mental illness. Most recently, in my experience as a Child, Youth, & Family Therapist at a community mental health agency, I have loved working with adolescents, children, and their families who sought out therapy for help with life transitions, crisis stabilization, grief and bereavement, suicidal ideation, psychosis, autism spectrum disorder, various stages of gender transitions and coming out, and systemic or relational conflict.


I earned my Bachelor’s degree in Psychology from Colorado State University and completed my Master of Science in Marriage and Family Therapy at Seattle Pacific University. I am licensed in the state of Washington as a Marriage and Family Therapist (credential #LF61186433) and am a member of the American Association of Marriage and Family Therapists (AAMFT).