Nicole Ruston

Denise (Dj) Coger

Clinical Social Work/Therapist, MSW, LSWAIC (she, they)

Types of Therapy

Individual
Life Coaching
Multicultural Counseling

Specialties

ADHD
Anxiety
Coping Skills
Life Coaching
Trauma
PTSD
Transgender
Traumatic Brain Injury (TBI)
LGBTQIA+
Relationship Issues
Women's Issues
Serious/Chronic Illnesses
Gender Dysphoria

Insurance

Aetna
Cigna
Evernorth Behavioral Health
Premera
United/Optum
First Choice
Kaiser
Regence

Age

Teen
Adults

Languages

English

Pay out-of-pocket

Intake Session (up to 90 minutes): $210
Psychotherapy Session (60 minute): $155
Adjusted Rates (Limited Openings): $100

Letter to court, short-term disability, insurance, FMLA leave, affirming treatment and progress: $50
Emotion Support Animal letter / ADA Service Dog letter: $75.

Licensed in

Washington

Verified by

Verified by Psychology TodayLogo Online Therapy Directory

In therapy, I aim to build a trusting space/ therapeutic relationship for you to feel safe to be seen and learn how to be your most authentic self in and outside of our sessions. I am able to utilize both holistic and evidence-based interventions, to support you depending on what you need. I believe in the mind-body-spirit connection and want to support you in learning practices to support your whole-self wellbeing.

I love creating a warm supportive environment for healing, teaching (psychoeducation) and supporting people in accessing their own abilities to live their best life, stay present when big emotions arise, and being able to mindfully experience and embrace the present moment. I am passionate about working with clients who are BIPOC, trans/ non-binary, college students, have chronic illness, exploring their sexuality, exploring their spirituality, learning how to date/ be in a romantic relationship, and seeking support in understanding how to manage their ADHD, Anxiety and/or PTSD.

I want to acknowledge that not every therapist is the perfect fit for every client, however if you have taken the steps to connect with me, I hope that I will be able to support, encourage and be a guide for you on your journey. “The word guide does not mean I have made it to the top of this mountain called “healing”, but that I am only a few steps ahead of you, as I have walked the path you are on now.” - The Mountain is You

My preferred ages are teens, college age, young adults and adults with kids up to 50.