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Germe Poston

Germe Poston, LICSW

Washington

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LICSW - Anxiety and Relationship Support

  • Client-Centered Therapy
  • Mindfulness strategies
  • Motivational Interviewing

About Germe

Germe Poston is a LICSW (Licensed Independent Clinical Social Worker) practicing in Washington with six years of professional experience. She works with people facing stress, anxiety, relationship struggles, bipolar disorder, depression, and major life changes. Germe also helps with concerns tied to attachment, body image, infidelity, and the overlap of sexuality and mental health such as BDSM, kink, and alternative sex culture.

Her approach centers on listening first. Sessions focus on what feels most pressing to the person in front of her. She uses client-centered techniques to follow the client's lead and motivational interviewing to help people find their own reasons for change.

Mindfulness methods are used to notice hard feelings in the body and to build small, practical habits for managing them. Solution-focused strategies aim to identify realistic next steps and experiments that can be tried between sessions.

Germe frames guilt and shame as common emotions that often sit underneath anxiety, relationship strain, and problems with self-image. She helps people name those feelings and look at the actions and beliefs that keep them active. Conversations tend to be straightforward and focused on clear goals and small, testable changes.

She works in English and supports people affected by first responder stress, blended family dynamics, and gender dysphoria related concerns. To begin, clients complete a short matching questionnaire and schedule a first session using the site's online options.

How Germe Uses Client-Centered and Mindfulness Work Online

Germe draws on client-centered therapy to let the client's priorities guide each session. That means the conversation focuses on what feels most urgent to the person and the therapist follows their lead to explore problems and possible changes.

She also uses mindfulness approaches to help people notice how guilt, shame, and anxiety show up in the body and daily routines. Mindfulness practices are presented as short exercises or daily checks that can be tested between sessions to reduce reactivity and increase awareness.

Motivational interviewing is used to clarify a person's reasons for change and to identify small, achievable goals. Together these approaches help people move from stuck thinking into practical next steps that suit their life and values.

Finding the right mix of methods is part of the work. Germe will collaborate with each person to choose which approaches to try based on their needs, goals, and preferences. That decision is revised as the work progresses so the plan stays useful.

The biography does not list specific session formats, so confirm current online session options before booking. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, or remove travel time so sessions are more practical for everyday life.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesBipolar disorderDepressionCoping with life changes

Additional focus areas

Attachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCommitment issuesCommunication problemsControl issuesDependent personalityDivorce and separationFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyMen's issuesMood disordersPanic disorder and panic attacksParanoiaPolyamory / non-monogamous relationshipsSeasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyMindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

6+ years

Listed in

Washington

Languages

English

Frequently asked questions

What kinds of concerns does she help with?

She works with stress, anxiety, relationship issues, bipolar disorder, depression, and coping with life changes. Additional focuses include attachment issues, body image, infidelity, and guilt and shame.

How does she approach feelings of guilt or shame?

She names guilt and shame as emotions that often underlie anxiety and relationship strain and works to identify the actions and beliefs that keep those feelings active. The work is practical and aimed at clarifying small steps forward.

What is her clinical background and experience?

Germe Poston is a LICSW with six years of professional experience working in Washington. Her background includes supporting people with sexual health and first responder related concerns.

What credential does she hold and where does she practice?

She holds the credential LICSW and practices in Washington state.

Can I work with her if I live outside the United States?

Sessions are offered in English and international clients are not currently accepted.

What session formats are offered?

The original biography does not specify session formats. Confirm current session options before booking to know which formats are available.

How does payment and cost work?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

What should I do to start working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Germe PostonLICSW

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