Michael Gramlich


Michael Gramlich


Telehealth Available
Professions: Clinical Psychologist
License Status: I'm a licensed professional.
Primary Credential: Psychologist - PY61106398
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: Intake Assessment: $200 per session | 75 minutes.

Individual Therapy Session: $175 per session | 50 minutes and $200 per session | 75 minutes.

The initial 15-minute phone consultation is free of charge.

I’m happy to provide you with a detailed invoice (i.e., superbill) for out-of-network or private pay therapy on a monthly basis that you may take directly to your insurance company and they will determine reimbursement based on your plan.
Free Initial Consultation
Weekend Availability


Lakewood, Washington 98498

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My Approach to Helping

Do you want to overcome intense emotional or physical reactions related to trauma (PTSD)? Would you like to master panic attacks, excessive worrying, or avoidance of feared situations (anxiety)? Do you desire to feel energized, greater enjoyment, happier days, or stronger relationships (depression)? Are you motivated to learn mindfulness and skills to handle difficult feelings or challenging life events (stress reduction)? Whatever it is, I want to help you get the care you deserve. I am a culturally sensitive psychologist that values self-reflection and respects your history, identities, and views.

I primarily offer cognitive behavioral therapy (CBT), which is a gold-standard psychotherapy in psychology. Our thoughts, behaviors, and feelings are interconnected. Together, we will explore science-backed techniques using CBT to develop a healthier relationship with your beliefs and actions to help you connect with others, excel at work, or boost vitality.

At my practice, you will gain concrete skills on how to quiet your self-criticism and manage the rollercoaster of emotions. Together, we will focus on your goals and get you on the road to taking your life back. Therapy is a balance: we will shed light on your darkest emotional pain or judgments, and most of all, celebrate your victories.

More Info About My Practice

Since I started my journey in psychology, I believed technology would enhance mental health services through mobile applications. I sought specialized training in the delivery of telehealth at the VA Puget Sound Health Care System (i.e., online therapy using a secure video connection). This firsthand experience later inspired me to launch Evergreen Cognitive Behavioral Therapy PLLC after seeing the effectiveness of online counseling to help address the scarcity of mental health specialists available for individuals living in remote or rural areas of Washington. Also, I’ve worked with clients juggling multiple life responsibilities that required time efficient and convenient access to evidence-based care. You no longer have to endure the added stress of commute times. I am passionate to provide online therapy to support your resilience and emotional well-being. You may access sessions from your home or a private setting (e.g., parked vehicle) using a computer, tablet, or video capable phone.

My Role as a Therapist

Together, we will build a non-judgmental therapeutic relationship and collaborative therapy plan that supports your strengths and preferences to foster growth.

I am a white, cisgender, heterosexual, non-disabled man who aims to engage in culturally sensitive care. I always aim to understand your perspectives and respect your cultural identities and history. It is essential for any effective therapist to engage in self-reflection and I continually strive to sustain this practice of cultural humility.

I value transparency and believe a healthy therapeutic relationship requires me to cultivate a space that honors authenticity and self-autonomy. You are truly the expert on yourself and always in charge of what the focus of therapy entails. My goal is to serve as a guide to bridge your goals with techniques backed by science to promote your well-being.

You will receive care in a therapeutic setting that invites vulnerability and helps you connect with meaning or vitality for recovery. One-on-one, we will break the cycle of your negative feelings, thoughts, and behaviors that you're experiencing by weaving practical skills with open communication and self-compassion.

My Therapy Focus

Cognitive behavioral therapy or "CBT" is an evidence-based psychotherapy. CBT is an umbrella term that describes a family of goal-oriented, client-directed, psychotherapeutic interventions for mental health incorporating cognitive, behavioral, interpersonal, and psychoeducational techniques.

On the Fence About Going to Therapy?

All are welcome! Whether you have experience with therapy or this is a new option you're open to exploring. There is no obligation to continue services after the initial consultation and I will provide you with resources that might better fit your needs.

The Duration and Frequency of Therapy

When you engage in therapy, I would normally recommend attending 8 to 15 therapy sessions weekly or once every other week, actively participating in therapy sessions, and practicing outside of therapy sessions to promote learning and growth. Meaningful symptom reduction is often found after 6 sessions and treatment goals are typically reached by 12 sessions. Longer-term care is also an option.

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Services I Provide

  • Individual Therapy & Counseling
  • Psychological Evaluation
  • Telehealth

Ages I Work With

  • Adults
  • Elders


  • English

Groups I Work With

    Adult men and women; Adult LGBTQ+ individuals

Industries & Communities Served

  • First Responder/Medical Professionals

Client Concerns I Treat

  • Agoraphobia
  • Anxiety
  • Depression
  • Emotional Overwhelm
  • Emptiness
  • First Responders
  • Habits
  • Life Purpose / Meaning / Inner-Guidance
  • Panic
  • Phobias
  • Physical Abuse
  • Posttraumatic Stress / Trauma
  • Self-Compassion
  • Self-Criticism
  • Shame
  • Sleep Disorders
  • Social Anxiety / Phobia
  • Stress
  • Trust Issues
  • Values Clarification
  • Worry
  • Worthlessness

Types of Therapy

  • Acceptance and Commitment Therapy (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Cognitive Processing Therapy
  • Dialectical Behavioral Therapy (DBT)
  • Exposure Therapy
  • Mindfulness-Based Interventions
  • Motivational Enhancement Therapy (MET)

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