Fiona O'Farrell LMFT, Counseling in Seattle, Washington, 98103

Fiona O'Farrell


Fiona O'Farrell


Professions: Counselor, Marriage & Family Therapist
License Status: I'm a licensed professional.
Primary Credential: Licensed Marriage and Family Therapist - LF60508020
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: $75-$150 per session
Free Initial Consultation


1914 N. 34th Street
Suite 500
Seattle, Washington 98103

My Approach to Helping

I have a unique way of working with my clients to promote a secure sense of self while challenging them to build satisfying connections to others. During therapy, I will work together with you in partnership to change your environment and your interactions with those who are important to you. We will focus on creating balance, harnessing your own strengths, and developing a foundation to support your unique personal belief system.

More Info About My Practice

I believe that everyone should have access to quality counseling services and I encourage my clients to prioritize finding the right fit rather than price-tag. Please contact me directly to discuss fees and rates.

I am also excited to offer low-cost premarital counseling / commitment preparation package for anyone considering the next big step in their relationship. Whether you are engaged, newly married or maybe trying to figure out the next step with your partner. Call for more information.

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

I have experience and extensive training in couples work and offer sex therapy.

My Role as a Therapist

I decided to call my practice 'Adaptive Counseling' because I see adaptation as the foundation for how I view people and what my role is as a therapist. I believe that all humans are innately capable of creating change for themselves. Everyone is born with a unique set of skills that are available throughout our lifetime to use in times of turmoil and distress. As your therapist, my role is to help you harness these adaptive skills and utilize them to battle problems and remind yourself that you are resilient and capable of overcoming any obstacle. I will spend time with you understanding how you have formed these skills and how you may already be using some of them in your day to day life. I understand that it is up to you to make things different for yourself and it is up to me to help you get to a point where you believe it.

Theoretical Influences that Guide My Work

I am trained as a marriage and family therapist. This does not mean I only see couples and families but rather that I work with clients from a relationship-based lens. Even if you are coming to therapy as an individual, my guess is you do not function in complete isolation, we will explore the role of "others" in your life and how those interactions are shaping your experiences.

Video Message

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Services I Provide

  • Family Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Other

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Breakup
  • Caregiver Issues / Stress
  • Creative Blocks
  • Depression
  • Divorce / Divorce Adjustment
  • Family of Origin Issues
  • Family Problems
  • Identity Issues
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Midlife Crisis / Midlife Transition
  • Multicultural Concerns
  • Polyamory / Nonmonogamous Relationships
  • Pre-Marital Counseling
  • Rejection
  • Relationships and Marriage
  • Self-Care
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Harm
  • Self-Love
  • Sexuality / Sex Therapy
  • Social Anxiety / Phobia
  • Stress
  • Suicidal Ideation and Behavior
  • Trust Issues
  • Women's Issues
  • Workplace Issues
  • Worry
  • Worthlessness
  • Young Adult Issues

Types of Therapy

  • Emotionally Focused Therapy
  • Family Systems Therapy
  • Gottman Method
  • Mindfulness-Based Interventions
  • Narrative Therapy
  • Solution-Focused Brief Therapy (SFBT)
  • Systems Theory /Therapy
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