Ilsa Spreiter


Ilsa Spreiter


Professions: Psychotherapist
License Status: I'm a therapist practicing under supervision.
Primary Credential: LMHCA - MC60238470
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: Free 30-minute consultation. Fifty-minute sessions $140. Some sliding scale slots available starting at $80/fifty-minute hour for those meeting the income requirements.
Free Initial Consultation
Evening Availability


1812 E Madison St
Suite 208
Seattle, Washington 98122

My Approach to Helping

I believe we all want to feel safe and connected. We desire to love and be loved; to engage in meaningful activities and relationships; and to understand who we are, where we came from and where we're going. Oftentimes, life events, trauma, insecurities, sensitivities, etc., separate us from these experiences of comfort and belonging as we struggle to meet the demands of the world, to "live up" or to "make ends meat." In this separation from ourselves and larger spiritual principles and truths, we can find ourselves feeling anxious, depressed, worried, lost and isolated. We can wonder how to make our way back to the happiness, fulfillment and joy we know is possible.

My greatest passion is to help my clients reconnect to themselves, to find their centers and recover the parts of their souls that have been lost. I use an integrative "psychospiritual" approach to guide them in understanding their "human" story (e.g., life events, family of origin issues, trauma, personality structure, etc.) as well as the larger consciousness that holds these truths (e.g., what lessons their spirit is trying to learn, what wounds are trying to heal, how to connect more deeply to intuition, energetic realities, nature, dreams, etc.). Much of my work is focused around mindfulness-based and body-centered practices as I help my clients notice and bring loving attention to their thoughts, feelings, actions and beliefs. I help them connect more deeply to their hearts; to learn to work with their often judgmental heads; and to tap into their "felt sense," the language of the soul. In this way, my clients learn to act from their core, to make decisions from a place of self-awareness and to build relationships grounded in self-knowledge and self-acceptance. In doing this, I draw upon a variety of therapeutic and spiritual principles and practices and work particularly well with those who are creative, sensitive, esoteric or curious about life's unanswerable questions.

More Info About My Practice

I charge $125/50-minute hour for individuals and $150/50-minute hour for couples. I also offer a few sliding-scale slots for those who match the income requirements. While I do not directly bill insurance, various insurance companies will provide reimbursement for my paid services by classifying me in their reimbursement schedule or as an out-of-network-provider. This commonly runs between 50 percent and 80 percent of my fee, and I am happy to provide you a reimbursement receipt. Please contact your particular insurance company directly for additional information. Questions you may want to ask include: What is the reimbursement percentage for out-of-network providers? Have I met my deductible? Do you reimburse for the license LMHCA?

What I Love about Being a Psychotherapist

I find people fascinating and love getting to know them and their struggles, hopes and dreams. I experience great satisfaction in seeing them come to understand and love themselves and to release the thoughts and beliefs that prevent them from leading a happy and fulfilled life.

On the Fence About Going to Therapy?

Bring your ambivalence, and we will talk about it...;)

Important Factors for Choosing a Therapist

I find the intangibles are often the most important: the rapport and resonance you feel with the person; the sense that they are attentive and understanding; and the feeling of "rightness" in the match.

My View on the Nature of 'Disorders'

I am generally turned off by the perspective of "disorder." While I believe diagnosis can be helpful in describing a certain set of experiences, I often find it can be damaging as a label. As a therapist, I am more interested in your particular experience, how it feels, how it has shaped your view of yourself and the world and in what ways it might help you to grow and expand.

The Duration and Frequency of Therapy

As my approach is relational and depth-focused, I especially appreciate long-term work. If you feel you could benefit from this kind of therapy and finances are an issue, please contact me, and we can work something out.

Services I Provide

  • Group Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling

Ages I Work With

  • Adults
  • Elders


  • English

Groups I Work With

    I specialize in working with those who are sensitive, creative/imaginative, spiritually open and have a rich inner/emotional life. These people often feel anxious, depressed or perfectionistic; bogged down by external demands; and disconnected from themselves and others. They can experience low energy or chronic pain and may be asking the big life questions (e.g., "Who am I and how do I find my place and purpose in the world?"). They want to learn how to work with their emotions and sensitivities, to discover their soul's path and to experience more love and joy.

Client Concerns I Treat

  • Abandonment
  • Abortion / Post Abortion Issues
  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Body Image
  • Breakup
  • Career Choice
  • Chronic Pain
  • Codependency / Dependency
  • Communication Problems
  • Control Issues
  • Creative Blocks
  • Depression
  • Dissociation
  • Eating and Food Issues
  • Emotional Abuse
  • Emotional Intelligence
  • Emotional Overwhelm
  • Emptiness
  • Family of Origin Issues
  • Family Problems
  • Fear
  • Grief, Loss, and Bereavement
  • Health / Illness / Medical Issues
  • Helplessness / Victimhood
  • Identity Issues
  • Inadequacy
  • Individuation
  • Isolation
  • Life Purpose / Meaning / Inner-Guidance
  • Money and Financial Issues
  • Mood Swings / Mood Disturbance
  • Panic
  • Perfectionism
  • Posttraumatic Stress / Trauma
  • Power
  • Rejection
  • Relationships and Marriage
  • Religious Issues
  • Seasonal Affective Disorder (SAD)
  • Self-Actualization
  • Self-Care
  • Self-Compassion
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Love
  • Sensitivity to Criticism
  • Sexual Assault / Abuse
  • Sexuality / Sex Therapy
  • Shame
  • Sleep Disorders
  • Social Anxiety / Phobia
  • Somatization
  • Spirituality
  • Stress
  • Trust Issues
  • Values Clarification
  • Women's Issues
  • Workplace Issues
  • Worry
  • Worthlessness

Types of Therapy

  • Body Psychotherapy
  • Body-Mind Psychotherapy
  • Contemplative Psychotherapy
  • Depth Therapy
  • Dreamwork
  • Existential Psychotherapy
  • Focusing
  • Gestalt Therapy
  • Holistic Psychotherapy
  • Humanistic Psychology (humanism)
  • Integral Psychotherapy (IP)
  • Integration of different therapy models
  • Jungian Psychotherapy
  • Mindfulness-Based Interventions
  • Psychodynamic
  • Psychosynthesis
  • Relational Psychotherapy
  • Self-Acceptance Training
  • Self-Relations Therapy
  • Somatic Psychotherapy
  • Transpersonal Psychotherapy
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