Therapy in the Seattle area: for people who are exhausted from holding it all together
Therapy for Stress, Relationships, & Life Changes
I'm Dania Uritskiy, LICSW, a bilingual therapist in Edmonds WA. I see adults and couples in my office near the waterfront and online anywhere in Washington State, in English or in Spanish.
Most of the people who find me are very good at coping. They're the ones at work who get things done, and the ones in the family who translate, organize, remember everyone's appointments and absorb everyone's moods. From the outside they look fine. Inside, they've been carrying something for so long that they've forgotten they're allowed to put it down.
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I was born in Maryland to parents from El Salvador, spent part of my early childhood there, and grew up with Spanish at home. My last name comes from my husband, who emigrated from Russia, so I know intercultural family life from the inside as well as from my office. I moved to Seattle to be closer to nature, and I am happy and proud to call this place my new home!
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My approach is relational, drawing on attachment-based and psychodynamic therapy. In plain terms, I'll be curious about where your patterns came from, and I'll pay attention to what happens between the two of us, because that's usually where the old patterns appear first.
One position I hold firmly is consistency of therapy. Weekly sessions matter more than people expect, especially early on. This is true for learning any skill in life - momentum is critical, especially when you are starting out.
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I've been in this field for over ten years. I began as a therapist in 2016, counseling students at a community college in Baltimore. In 2021 I became clinical lead at Eleanor Health, a Seattle mental health clinic, leading a team of nurses and other practitioners. After that I spent three years as a clinician and team lead at Self Space, a group practice, before opening Vida Counseling & Wellness in 2024. The longer version is on my about page.
Reviews and Testimonials
Where my practice is focused
A few areas make up most of my work. Each has its own page with much more detail, so follow whichever sounds closest.
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Becoming a parent changes everything at once, and very little of it gets talked about plainly. My perinatal therapy work covers pregnancy, birth, loss and the first years after. I treat postpartum depression and postpartum anxiety, including the intrusive thoughts many new parents are too frightened to say out loud. Partners and fathers are welcome too; they're struggling more often than anyone asks. Later the work can shift toward parenting young children and keeping hold of your own identity once you're someone's parent.
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For people whose competence has turned into a trap. Therapy for professionals is for the person who is excellent at their job and running on fumes, including managers caught between the people above them and the people they're trying to protect. That covers burnout, the high-achiever habit where every win just raises the bar, and the particular pressures of working in tech in the Seattle area, where a reorg can make even a good job feel provisional.
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For people who translate themselves all day, sometimes literally. Multicultural therapy makes room for what other therapy rooms tend to skip: what you owe your family, why "just set a boundary" lands differently when you grew up in a family like mine, code-switching, race, and the odd loneliness of belonging fully nowhere. I work often with immigrants and first-generation adults. And if Spanish is the language your feelings live in, también ofrezco terapia en español.
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I see couples who keep having the same fight, and couples deciding, after a rupture or a long drift, whether to stay together. Intercultural couples are a particular interest, for obvious reasons: two families' rules about money, holidays, loyalty and in-laws end up in one kitchen. You can read how I approach couples therapy and marriage counseling, or, if you're unsure whether you need joint sessions at all, this piece on individual vs. couples therapy.
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Most anxious people I meet have already tried to relax their way out of it. Anxiety therapy with me goes the other direction: we look at what the worry is trying to protect, and why it got loud when it did. Some people come in for overthinking and rumination, the replaying of a meeting at 1am. Others come for social anxiety, or for the people-pleasing that anxiety often hides behind, which can pass for simple niceness for decades.
Please read: what I do not work on
These areas are out of the scope of my clinical domain. If you would still like support in these areas, I can provide a referral and recommendations for other therapists, but I will be unable to take you as my client.
Major depressive disorder and bipolar disorder (I do work with postpartum depression, however)
Children and teens under 18
Substance use disorder and addiction
Online therapy across Washington State
Most of my clients now do online therapy. If you work in Bellevue, downtown Seattle, or Redmond, sometimes a video call on your break is the most practical way to see a therapist regularly - it isn't a lesser version of the work. Same for parents of small children, online therapy during a nap is often the only fifty minutes that reliably exists in a week.
If in-person is your preference, I also offer therapy in my cozy office on the Edmonds historic waterfront! Its about twenty minutes north of Seattle (if traffic is light), or 10 minutes from Shoreline or Lynnwood. We can also walk on the waterfront instead of sitting down in a room.
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Virtual therapy offers the flexibility and convenience of meeting from the comfort of your home, office, or any private location within Washington State. Online sessions provide the same thoughtful, relational approach as in-person therapy while making it easier to fit counseling into a busy schedule. Virtual therapy can be especially helpful for clients balancing work, parenting responsibilities, transportation challenges, or those who simply prefer meeting remotely.
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In-person sessions take place in my Edmonds office, providing a private, comfortable, and dedicated space for therapy. Many clients appreciate having a consistent environment away from daily distractions where they can focus fully on themselves and the therapeutic process. Office-based therapy is a good fit for those who prefer face-to-face interaction and value the structure and presence of meeting in person.
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We can just walk out of my office and walk on the beach or even just sit on a bench! Many clients find that movement, fresh air, and natural surroundings help reduce stress, improve emotional regulation, and make it easier to process thoughts and feelings. This option can be particularly helpful for those who feel restless in traditional office settings or who enjoy spending time outdoors.
What happens next
You pick a time for us to meet, directly on my calendar. Fifteen minutes, free, by video or phone. You don't have to have the words ready or fill out long forms; I understand the first step can be difficult.
We meet virtually and talk about what's going on. I'll tell you honestly whether I'm the right fit, and if I'm not, I'll point you toward someone in my network who is.
If it feels right, we schedule your first full session, usually within a week. I see clients at my office in Edmonds on the waterfront, or virtually across Washington State.
FAQ: Questions people ask me before their first session
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Please visit the fees page for the most up-to-date rates and also see to see the guidance on how superbill insurance reimbursements work.
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As of fall of 2026, yes! I'm currently accepting new individual clients, couples, and associate clinicians looking for supervision. Availability changes from month to month, so if you have specific times in mind, mention them when you book your consultation.
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Book a free consultation on my calendar. It's 15 minutes for individual therapy and 20 minutes for couples, by phone or video. We'll talk about what's bringing you in, what you're hoping will change, and any practical questions about scheduling or cost. If we both think it's a good fit, we schedule a first session, otherwise there's no obligation to continue after the consultation.
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Unlike some practices, I schedule a normal 50 minutes for the “intake” session. You don't need to prepare anything or tell your story in order. I'll ask what brought you in now, a little about your history and the people in your life, and what you'd like to be different. Toward the end I'll share what I'm noticing and what I think the work would involve, so you leave with a clear sense of whether you want to continue.
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Most people start weekly. Regular sessions early on help the work build from one week to the next. Once things are more stable, many clients move to every other week, and we decide that together.
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I do both: Online sessions are by secure video and are available to anyone located in Washington State at the time of the session. In-person sessions are at my office at 144 Railroad Ave in Edmonds. Walk-and-talk sessions along the waterfront are also available, weather permitting. You can switch between formats if your needs change.
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Sí. I am hispanic, and fluent in English and Spanish. You can do therapy entirely in Spanish, entirely in English, or switch between the two during a session. Couples where each partner is more comfortable in a different language are welcome too. There's more on my terapia en español page.
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Yes. I work with couples on communication, recurring conflict, trust, family and in-law stress, life transitions, and the particular challenges of intercultural and interracial relationships. Couples sessions start with a free 20-minute consultation with both partners. If you're not sure whether individual or couples therapy makes more sense, I wrote about how to decide.
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Most of my work is with anxiety, work stress and burnout, cultural identity and family expectations, relationships, and pregnancy and postpartum, including postpartum depression. I also provide clinical supervision for associate clinicians.
I don't prescribe medication. If medication might help, I'll say so and coordinate with your doctor or prescriber. I don't do court-ordered evaluations, custody assessments, or disability paperwork. I'm not the right fit when active substance dependence or an eating disorder that needs medical monitoring is the main focus, and I don't treat depression outside the postpartum period. In those cases I'll help you find someone who specializes in it.
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Yes, with the limits that apply to every licensed therapist. I don't share anything about you, including the fact that you're my client, without your written permission. The exceptions are set by law: if someone is at serious risk of harm, if I learn of abuse or neglect of a child or vulnerable adult, or if a court orders records. I go over this at the start of therapy so there are no surprises.
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You can email or call me between sessions for scheduling and brief questions. I don't provide 24-hour crisis coverage. If you're in crisis or thinking about harming yourself, call or text 988, or call 911.
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It depends on what you're bringing. A specific, contained problem often improves within a few months. Patterns that go back years usually take longer, often a year or more, though most people start feeling better well before the work is finished. I'll give you a realistic estimate after the first few sessions. I wrote a longer answer to how long therapy takes.
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The consultation is the best way to find out. Pay attention to whether you feel understood and whether my way of working makes sense to you. I'll also tell you honestly whether I think I'm a good fit, and if I'm not, I'll suggest someone who may be.
