Ismael E. Gerena Jr., MA, LMHCA/LMFTA

Ismael E. Gerena Jr., MA, LMHCA/LMFTA

Professions: Marriage & Family Therapy, Mental Health Counseling, Psychotherapy
License Status: I'm a therapist practicing under supervision
Primary Credential: Mental Health Counselor Associate - MC60449151
Secondary Credential: Clinical Hypnotherapist - 03/03/2017
Verified Credentials
1-800-651-8085 ext. 20397
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Office 1
901 Boren Ave
Suite 1015
Seattle, Washington 98104 - United States
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Billing and Insurance

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: My standard rates range from 120.00 for a 1 hour session, up to 180.00 for a two hour complex relationship or large family session.

My clients Generally begin with a 75.00 initial consultation that takes as much as an hour, to cover paperwork and discussing what brings you in, and how I can best be of service. I also can do a 20 minute free telephone consultation.

Free Initial Consultation

Contact me

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Have you ever felt trapped or adrift in the sea of life; found yourself concerned that the people who you most need and love just don't understand you? You don't have to go it alone. I believe that as a therapist I need to begin by allying with you, the space in which we work both physically and metaphorically will be non-judgmental, individually tailored, and centered on your strengths. I do not believe that asking for help means you are sick.
I compare the roll of therapist with the shaman or priest, as being a calling rather than career. I approach the therapeutic alliance we will forge as a bridge of healing, be it the heart or the soul. My philosophical orientation as a therapist is built on combining the schools of Humanistic Psychology and Eco-psychology, with the foundations of Systems Theory (and the new sciences) as applies to psychology and human relationships. We are complex beings living in culturally diverse multilateral social organizations; to ignore the impact of these many forces on our lives is simply unwise. Our sessions will be a place of learning, an exchange of knowing and questioning.
What are my values? Do I make a difference? Questions and reflection on the essential characteristics of being lie at the heart of healthy human behavior. Drawing on someone familiar with your concerns, interested in your values and engaged in your success is not weakness; it is a healthy human need.

Email or Call Ismael E. Gerena Jr., MA, LMHCA/LMFTA at 1-800-651-8085 ext. 20397

More Info About My Practice

My Fee schedule is maintained and current on my practice website, however briefly they range from 100.00 to 180 for sessions of 1 to 2 hours depending on length and complexity.

I can provide you with a monthly statement that includes the necessary information to file insurance reimbursement as an out of network provider, however I am not a member of any insurance panels, I am happy to discuss my reasons for this decision with you.

As part of my commitment to social justice and making mental health care available to those who may, due to income, be unable to afford it, a portion of my scheduled sessions will be made available at a sliding scale based on individual need and circumstance.

Specific Issue(s) I'm Skilled at Helping With

I have experience and familiarity with the complexity of non-traditional relationships, in particular relationships involving more then two partners (Polyamory, Open Marriage, and Ethical Non-Monogamy.) I am trained in providing Couples therapy using both Emotionally Focused Couples Therapy and Gottman Method Couples Therapy. And I have adapted some of the methods of these forms to relationships of more then two.

I also specialize in working with Gay, Bisexual, Queer and Transgendered individuals and couples. As well as offering therapeutic support to parents and allies of LGBTQI individuals.

Sexuality is as much a critical component of our lives, and as much a part of relationships, as emotion and understanding. I am a certified sex educator and therapist, I support those who choose to lead a sex positive lifestyle, and I am a kink knowledgeable mental health professional.

As a mental health provider who has signed the HAES pledge I believe once needs to honor their body, and make decisions based on what respects their health and well-being rather then being chained to mass media images and units of measurement that support a fleeting and flexible illusion of beauty, rather then being in service to joy and vitality.

Had a Negative Therapy Experience?

One of my personal 'wounds' was from what I refer to as harmful and disruptive therapy. That experience was one of the struggles that I believe made me a better therapist.
In my experience the best therapists emanate unconditional positive regard for their clients, non-judgementalism, or awareness of biases that may impact the therapeutic relationship. Good healers are warm, make eye contact and communicate a sense of safety, the best overflow with acceptance and meet the client where they are at. Most importantly a good therapist accepts and welcomes the input and critique of the ones being served.
Have you had a negative therapy experience? I invite you to discuss that with me in as much or as little detail as you feel comfortable with, and I implore you to tell me what you feel did not work to your benefit in the past.

Important Factors for Choosing a Therapist

Find someone who you feel comfortable with. While their specialization, education, or thoughts on one method against another are worth exploring, being able to sit, and make a human connection with the therapist is the greatest predictor of success I know of.

How My Own Struggles Made Me a Better Therapist

In my personal journey toward my calling I felt the concept of "the wounded healer" aligned strongly with my values and beliefs. The idea is that you must know the darkness before you can confront it, you must experience the dark night of your own soul before you can emerge to can serve the light. It is rare that someone comes to this calling without having faced their own demons, and that therapists, by virtue of their humanity will also have suffered emotional wounds.

Coming out, questioning an essential part of my being, and coming to terms with society and cultures stigmas and labels, Navigating the complex dance of relationship and discovering that the human soul is often capable of passionate love and honoring more then one person, Loss of the beloved and learning to accept my own imperfections have all informed and improved my ability help those I serve.

The Duration and Frequency of Therapy

So much depends on exactly what situation you present and how much you want to accomplish at this time. While some people come in for a very particular question or decision (resulting in very brief therapy), others come in determined to shift many longstanding issues (which can mean remaining in therapy for a year or more). The answer to this question depends on you and your goal(s) for therapy.

My goal is to help you reach your goal or goals. Along that line of thinking, I usually recommend that clients schedule appointments every week so we can get traction with the problem and move more quickly toward change. There are cases where every other week appointments can be sufficient, especially if you put effort into change between sessions.
Ultimately, therapy is a collaborative process, we will work together to determine what our goals of therapy will be. Depending on the nature of the goals, we will decide realistically how frequently and for how long the therapy is likely to be for you. In the end, you as the client have the final say.

Services I Provide

  • Consultation
  • Family Therapy
  • Group Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Mediation
  • Online Counseling / Phone Therapy

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Groups I Work With

    Gay, Bisexual, Transgender, Queer, Polyamorous, Kink, Sex Positive, Parents of LGBTQ Children, LGBTQ Allies

Client Concerns Within Your Scope of Practice

  • Abandonment
  • Abuse / Abuse Survivor Issues
  • Academic Concerns
  • Addictions and Compulsions
  • Adjusting to Change / Life Transitions
  • Aging and Geriatric Issues
  • Anger
  • Anxiety
  • Attachment Issues
  • Blended Family Issues
  • Body Image
  • Breakup
  • Caregiver Issues / Stress
  • Child and/or Adolescent Issues
  • Chronic Illness / Disability
  • Codependency / Dependency
  • Control Issues
  • Creative Blocks
  • Depression
  • Divorce / Divorce Adjustment
  • Emotional Abuse
  • Emotional Overwhelm
  • Family of Origin Issues
  • Family Problems
  • Fear
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Habits
  • Helplessness / Victimhood
  • HIV / AIDS
  • Identity Issues
  • Inadequacy
  • Inattention, Impulsivity, and Hyperactivity (ADHD)
  • Individuation
  • Internet Addiction
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Men's Issues
  • Midlife Crisis / Midlife Transition
  • Panic
  • Polyamory / Nonmonogamous Relationships
  • Power
  • Pre-Marital Counseling
  • Relationships and Marriage
  • Religious Issues
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Love
  • Sex Addiction
  • Sexuality / Sex Therapy
  • Shame
  • Spirituality
  • Stress
  • Values Clarification
  • Workplace Issues
  • Young Adult Issues

Types of Therapy

  • Acceptance and Commitment Therapy
  • Cognitive Behavioral Therapy /REBT
  • Conflict Resolution Therapy
  • Depth Therapy
  • Ecotherapy / Nature Therapy
  • Emotion Focused Couples Therapy
  • Emotion Focused Therapy
  • Gottman Method
  • Humanistic Psychology
  • Hypnotherapy
  • Integration of different therapy models
  • Mindfulness Based Cognitive Therapy
  • Mindfulness Based Interventions
  • Narrative Therapy
  • Neuro-Linguistic Programming
  • Person Centered / Rogerian
  • Psychodynamic
  • Relational Psychotherapy
  • Self Acceptance Training
  • Shamanic Journeying / Psychoshamanic
  • Solution Focused Therapy
  • Soul-Centered Psychiatry
  • Systems Theory /Therapy

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