- Stress and anxiety
- Trauma and PTSD
- Guilt and shame
About Margie
Margie Segress is a Washington state LMHC with seven years of professional experience. She has worked as a counselor and as adjunct faculty at the school where she earned her degree. She helps people who are dealing with stress, anxiety, relationship strain, trauma and abuse, low self-esteem, and depression.
Margie focuses on making it easier to bring up hard things. She encourages honest talk about thoughts and feelings. Sessions are meant to be a place to speak without fear of judgment, and she guides conversation so it stays practical and focused.
Her background includes clinical counseling work and teaching in higher education. That mix shaped how she structures sessions and explains things. She draws on evidence-based therapeutic techniques to address mood disorders, post-traumatic stress, and attachment issues.
Margie also addresses communication problems, control issues, and the heavy weight of guilt and shame. She helps people consider their life purpose, handle midlife transitions, and build more self-love. Her work includes supporting women with concerns specific to their lives and roles.
Clients can expect straightforward conversation about symptoms and patterns, with time spent on concrete steps to try between sessions. The initial intake focuses on practical goals and what the person wants to change. Follow-up sessions check progress and adjust what they are working on together.
Evidence-based approaches and online care
Margie draws on evidence-based therapeutic techniques that focus on identifying unhelpful thoughts and changing how people respond to them. This kind of work helps with anxiety, low mood, and persistent self-critical thinking by teaching practical ways to test and shift those thoughts.She also uses approaches that attend to past hurt and how it shapes current relationships and attachment patterns. That work looks at repeated interaction cycles and helps people try new, clearer ways of communicating and connecting when old patterns show up.
Finding the right approach is part of the work. The therapist will talk with each person about symptoms, goals, and preferences, and then choose techniques together. That collaborative process allows methods to be adjusted when something is or is not helping.
The original biography does not list specific session formats, so please confirm available options before booking. Online work can make it easier to fit sessions into ordinary life - for example shorter check-ins during a break, avoiding travel time, or choosing a meeting mode that uses less bandwidth. Licensed professionals can help plan how to use online sessions in a way that matches your schedule and goals.
Areas of expertise
Primary focus
Additional focus areas
Experience
7+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, relationship strain, trauma and abuse, self-esteem issues, and depression. Additional focuses include attachment, communication, control issues, life purpose, midlife concerns, and guilt and shame.
How does she approach shame and guilt?
She uses plain, evidence-based techniques to talk through feelings and identify patterns that keep guilt or shame active. Sessions aim to surface specific situations and practical steps to reduce their day-to-day impact.
What is her clinical background?
She has seven years of professional experience as a counselor and has served as adjunct faculty at the school where she earned her degree. That background informs both her clinical work and how she explains concepts.
What are her credentials and location?
She is an LMHC licensed in Washington and practices with that credential in the state of Washington.
Are sessions available in other languages or internationally?
Sessions are offered in English, and she accepts international clients.
What session formats are offered?
The original biography does not list specific session formats. Please confirm current session options before booking.
How does cost and scheduling work?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on the chosen plan and region.
How do I start if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.