Couples therapy
Understand recurring conflict, communicate more clearly, and work on trust, connection, and the choices ahead.
Explore Couples therapyYou can work on your part of a relationship even when the other person is not in the room. Individual therapy offers space to understand your reactions, needs, and choices.

You may find yourself apologizing before you know what you think, pursuing someone who pulls away, or leaving a conversation as soon as it feels critical. Sometimes the pattern makes sense in the context of earlier experiences, even when it no longer helps.
We explore what you notice, what meaning you give it, and what you do next. The aim is to understand your experience while making room for responses that serve your relationships and values more effectively.
Sessions may include recognizing resentment before it builds, asking for something specific, or setting a boundary you can actually maintain. You might practice separating what you know from what you assume about another person’s intentions.
The work does not depend on persuading someone else to change. It can help you clarify where you have influence, what responsibility is yours, and what choices remain when a relationship is difficult.
This page focuses on therapy for one person. If both partners want help understanding conflict and working on the relationship together, the Couples Therapy page explains that format. The two kinds of work have different goals and should be discussed with your clinician.
James works with relationship and family patterns alongside anxiety, ADHD, and trauma. Our Bellingham practice can help you discuss clinician fit and the starting point that makes sense for you.
Read about the clinicians mentioned on this page, then contact us about current availability.
Understand recurring conflict, communicate more clearly, and work on trust, connection, and the choices ahead.
Explore Couples therapyYou may be good at carrying responsibility and less sure what to do when carrying more stops working. Therapy can be a place to get specific about the problem and what you want to change.
Explore Men’s therapyYou can care deeply about your family and still feel stretched past your limits. Support for you matters alongside everything you are trying to provide for other people.
Explore Parenting stressA practical, collaborative space to work through anxiety, depression, trauma, relationships, and changes in your life.
Explore Individual therapyA free 15-minute introductory conversation gives you room to ask about fit, appointments, and next steps. You can also review fees and insurance before reaching out.
Contact My Choice Therapy