James Maguire, MA, MST
My Choice Therapy clinician

James Maguire, MA, MST

Practical, down-to-earth therapy for meaningful, lasting change.

AdolescentsAdultsCouples & familiesADHDTrauma

James works with people who feel overwhelmed, stuck, or held back by ADHD, anxiety, depression, trauma, or relationship difficulties. His goal is to help clients make sense of what is happening, identify what can change, and develop practical tools that fit their real lives.

Couples & relationships

Get underneath the argument.

In couples work, James helps partners slow down the familiar cycle: one person feels unheard, the other feels criticized or shuts down, and the original issue gets buried beneath the reaction to it. He makes room for both perspectives while helping each person take responsibility for their part.

The work is practical as well as reflective. Couples learn to name what is happening before it escalates, speak more clearly about what they need, repair after conflict, and make agreements they can actually carry into daily life. James also helps couples navigate trust, intimacy, parenting, ADHD-related friction, and decisions about the future of the relationship.

Explore couples therapy
How James works

Clear, collaborative, and focused on what actually helps.

James brings a genuine and direct style to therapy. He starts by understanding the whole picture—your strengths, history, relationships, current pressures, and the patterns that keep repeating. From there, therapy combines insight with useful strategies, mental exercises, and new ways of responding.

His approach draws from Acceptance and Commitment Therapy, cognitive and solution-focused methods, motivational interviewing, narrative work, family systems, and trauma-focused care. Rather than forcing one method onto every client, he adapts the work to the person and the problem.

James brings decades of experience teaching, coaching, and helping people through major personal, professional, and financial transitions. He offers in-person and online therapy through My Choice Therapy in Bellingham.