Provides care for children, adolescent and young adults whose gender identity is different from their sex at birth and/or who do not identify with traditional definitions of male or female. Services include pubertal blockers, gender-affirming hormones, mental health support and readiness discussion.

Gender Clinic offered at Seattle Children's

Provides care for children, adolescent and young adults whose gender identity is different from their sex at birth and/or who do not identify with traditional definitions of male or female.

Programs that prescribe medication for transgender youth in the form of injections or implants that forestalls development of secondary sex characteristics (male features such as facial hair, deep voices and Adam's apples and female features such as breast development), and slows the growth of sexual organs and the production of hormones. Puberty blockers serve the transgender community by giving future trans men and trans women more time to solidify their gender identity and a smoother transition into their desired gender identity as an adult. If a child later decides not to transition to another gender, the effects of puberty blockers can be reversed by stopping the medication. The primary risks of pubertal suppression in gender dysphoric youth include adverse effects on bone mineralization, compromised fertility, and unknown effects on brain development.

Puberty Blockers

Programs that offer hormone replacement therapy for transgender individuals who are beginning the anatomical and psychological transition to another sex and gender. The therapy involves taking estrogen (for male-to-female transition) or testosterone (for female-to-male transition) before, during, and after the surgical transition. The purpose of hormone therapy is to change the physical appearance of the individual to look like the other sex and to feel comfortable. The feminizing effects of estrogen and the masculinizing effects of testosterone may appear after the first couple of doses, though it may be several years before a person is satisfactorily transitioned.

Transgender Hormone Therapy

Programs that provide emotional support, information and guidance in a variety of settings for individuals whose gender identity is not in harmony with their birth assignment, and who may have a desire to change their biological sexual characteristics to conform physically with their perception of self and want to explore their options including hormone replacement therapy, gender transition and/or reassignment through surgery.

Gender Identity Counseling

Programs that specialize in the treatment of adolescents, usually age 12 or 13 through 17, who have adjustment problems, behavior problems, emotional disturbance, a personality disorder or incipient mental illness. The programs may help youth troubled by low self-esteem, social isolation, peer pressure, bullying, school performance issues, truancy, anger management issues, family problems, grief and loss, sexual promiscuity, sexually transmitted infection, alcohol or drug addiction, eating disorders, oppositional and defiant behaviors, depression and anxiety, suicidal thoughts or other difficult issues.

Adolescent/Youth Counseling

Offers individual, couples, family, and group counseling and therapy services for people of all ages facing mental health, addiction, and/or relationship challenges. Offers sex therapy and help navigating sexuality and gender identity and transitions. Provides treatment to individuals and families related to problematic internet and gaming behaviors.

All therapeutic services are strictly confidential. Please note the Center is not a crisis intervention facility and does not offer medication management (appropriate referrals will be provided).

Counseling and Therapy Services offered at Lewis and Clark Community Counseling Center

Offers individual, couples, family, and group counseling and therapy services for people of all ages facing mental health, addiction, and/or relationship challenges.

Programs that provide emotional support, information and guidance in a variety of settings for people who are having difficulty controlling their compulsion to spend time on the Internet.

Internet Addiction Counseling

Programs that offer therapist-facilitated collective treatment sessions in which unrelated groups of individuals, couples or families discuss their attitudes, feelings and problems and, with input from other members of the group, attempt to achieve greater self and interpersonal understanding and adjustment and explore solutions to their problems.

Group Counseling

Programs that offer therapeutic sessions that focus on the system of relationships and communication patterns among family members and which attempt to modify those relationships and patterns to achieve greater harmony. The therapist focuses on the family as a unit rather than concentrating on one of the members who is singled out as the person in need of treatment.

Family Counseling

Programs that provide emotional support, problem solving assistance, and guidance for individuals and their intimate partners who are having problems with their relationship and need assistance to identify the root of their difficulty and explore alternative resolutions with the objective of enhancing the relationship. Counseling may be available in a variety of settings and may include individual or group counseling, conjoint counseling and encounter-type experiences for groups of partners who are experiencing relationship problems and/or who want to enhance their marriages or committed partnerships.

Marriage and Relationships Counseling

Programs that provide emotional support, information and guidance for people who want to explore their sexual orientation in order to enable them to identify and feel comfortable with their orientation. Counseling and support may be offered in a variety of settings which may include individual and group counseling sessions and, if appropriate, conjoint and family counseling sessions with significant others.

Sexual Orientation Counseling

Programs that offer therapeutic sessions to help two individuals who are having a problem with their interpersonal relationship identify and resolve their differences and improve their communication. The therapist focuses primarily on their interaction with one another rather than on each person as an individual. Included are couple counseling, sibling counseling, parent/child counseling and other similar groupings.

Conjoint Counseling

Programs that provide individual, group or family therapy for individuals who have problems related to the excessive use of alcohol and/or use of other drugs (and/or for their families) to help them better understand the nature of the disorder and support recovery efforts.

Substance Use Disorder Counseling

Helps resolve difficulties in your life and relationships. Flexibly blend cognitive, behavioral, biological, and interpersonal approaches to design the best approach for you.

Counseling offered at Asbell Health Strategies

Individual counseling services provided. Telehealth only at this time.

Programs that provide educational and/or therapeutic opportunities for people who are interested in or who need to learn how to deal with their anger in a positive, functional way. Participants may include people who internalize their anger as well as those who act it out verbally or in behavior toward friends, family, children, employers or other people in their lives. Included are court-ordered and voluntary programs for people who are involved in domestic violence or child abuse as well as general workshops for people who are uncomfortable with the way they express their anger.

Anger Management

Programs that provide emotional support, information and guidance to help people resolve whatever personal or interpersonal difficulties they are experiencing. The counselor can address any issue that is troubling the individual, but does not specialize in the treatment of any particular problem area.

General Counseling Services

Provides virtual and in-person mental health services for Pasco School District students. Assists with the following: anxiety, depression, family concerns, trauma, 
eating disorder, motivation, defiance, anger management, academic stress, identity expression, sleep problems, hyperactivity, grief/loss, loneliness, social skills, bullying, self-esteem, self-harm, relationships, and LGBTQ+ challenges. 
Provides students with timely and convenient mental health care at school or from home. Therapy sessions are a safe space and are always private and confidential.

Mental Health Services offered by Hazel

Provides virtual and in-person mental health services for Pasco School District students.

Programs that provide in-person individual, conjoint, family or group treatment for people who are experiencing an emotional crisis and are attempting to cope by threatening or attempting self-destruction; or for people who have experienced these feelings, made such threats or attempted to fatally harm themselves either on one occasion or repeatedly; and/or for the families and significant others of these people.

Suicide Counseling

Multidisciplinary programs, often offered on an inpatient basis with post-discharge outpatient therapy, that provide comprehensive diagnostic and treatment services for individuals who have anorexia nervosa, binge-eating disorder, bulimia or a related eating disorder. Treatment depends on the specific type of eating disorder involved but typically involves psychotherapy, nutrition education, family counseling, medication and hospitalization, if required, to stabilize the patient's health.

Eating Disorders Treatment

Programs that specialize in the treatment of children from infancy to age 12 who have adjustment problems, behavior problems, emotional disturbances, a personality disorder or incipient mental illness.

Child Guidance

Programs that provide emotional support, information and guidance for children and adolescents who have run away from home and for the entire family, if appropriate, with the objective of identifying and resolving the problems that prompted the youth to leave home and/or assisting the youth to formulate and implement a workable plan for his or her immediate future.

Runaway/Homeless Youth Counseling

Programs that provide emotional support, problem-solving assistance, information and guidance for people who have recently experienced a loss, such as the death of a loved one, divorce or separation. Included are counseling programs for widows and widowers, children who have lost a parent, parents who have lost a child and people who are in other similar situations.

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Gender Clinic offered at Seattle Children's

Counseling and Therapy Services offered at Lewis and Clark Community Counseling Center

Counseling offered at Asbell Health Strategies

Mental Health Services offered by Hazel