Self-Pay EMDR & Trauma Therapy in Washington State (Telehealth Statewide)
I meet with people across Washington by video, self-pay, at whatever pace feels right for you.
I work self-pay, by telehealth, with people anywhere in Washington - Seattle, Spokane, Tacoma, Vancouver, Bellingham, Everett, wherever you are. No commute, no waiting room, no driving across town on a day when that's the last thing you have in you. I'd rather you know how I actually work than just what I treat. Take a look, and trust what feels right.
Maybe you already know something is off.
You're managing. On paper, things look fine. But something underneath keeps running the show: the anxiety that won't fully quiet down, the relationship pattern that repeats no matter who you're with, the feeling that you have to earn your rest. That's not a personality flaw. It's a belief your nervous system picked up somewhere along the way, and it's been protecting you ever since, even now that it's costing you more than it's giving you.
How we work: EMDR at the nervous system level
Most therapy stays in your thinking mind. You gain insight, you can name the pattern, and then you go home and live the same pattern anyway. That's not because you didn't try hard enough. It's because the belief isn't stored in your thoughts. It's stored in your nervous system, and talk alone has a ceiling.
EMDR is one of the most researched approaches for reaching beneath that ceiling. It's not magic and it's not guesswork. It's a structured way of helping your nervous system finally process the experiences that installed the belief in the first place, so the charge behind it can actually decrease instead of just being managed.
We use EMDR alongside the same core method described on our home page: mapping what's really going on, understanding the nervous system without judgment, meeting the protective part of you with compassion, doing the deeper processing work, and then staying with you as you practice living differently in your actual life, not just in session.
Working self-pay in Washington State
I work self-pay, which means the pace and shape of our work together is between the two of us. If you have a PPO plan, I provide a superbill after every session so you can submit for out-of-network reimbursement.
Who we work with across Washington
Anxiety & Burnout: The exhaustion usually isn't about your schedule. It's about what you believe is required of you just to be okay.
Trauma & Core Beliefs: Old conclusions your nervous system made about the world, ones that made sense once and are limiting you now.
Relationships & Attachment: The same pattern with different people isn't bad luck. It's a nervous system playbook we can find and work with directly.
Career & Professional Identity: Imposter syndrome that scales with your success. We work with what's underneath it, not just the symptoms.
Life Transitions: Who you are when the thing that used to define you is gone. We help you answer that without defaulting to someone else's version.
Telehealth across Washington, done right
Washington allows me to see clients by secure video as long as you're physically in the state at the time of our session. That means real, HIPAA-compliant care wherever you are, without any compromise on quality just because we're not in the same room.
A Little Bit About Erica...
I'm Erica Tringali, a licensed mental health counselor (LMHC) working with clients across Washington and New York. My approach blends EMDR with a deeper look at the beliefs and patterns driving what brought you in - not just managing symptoms, but working with what's underneath them. I've spent my career specializing in trauma, anxiety, and the kind of stuck patterns that talk therapy alone doesn't always reach.
Areas we serve
I work with clients by telehealth throughout Washington State, including:
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South Sound and Greater Washington
Spokane and Eastern Washington
We serve all of Washington State by telehealth.
Frequently Asked Questions
Do you accept insurance? No. We work on a self-pay, out-of-network basis. This means we're not bound by what an insurance company decides is medically necessary, how many sessions you're allowed, or which diagnosis code has to justify the work. That freedom lets us focus entirely on what you actually need, at the pace your nervous system needs it, without a case manager weighing in on your care.
What does a session cost? Sessions are $150.
Can I still get reimbursed through my insurance? Often, yes. We provide superbills, which are detailed receipts you can submit to your insurance company for possible out-of-network reimbursement. Many PPO plans reimburse a percentage of the session fee, though the exact amount depends on your specific plan. We'd recommend calling the number on the back of your insurance card and asking about your out-of-network mental health benefits before your first session, so you know what to expect.
What is EMDR, and how do you use it? EMDR is a structured approach for helping your nervous system process experiences that are still driving how you feel and react today - not just talking about them, but actually working through them. I use it alongside deeper work on the beliefs and patterns underneath what brought you in, not as a stand-alone technique.
How do I know if we're a good fit? Book a free consultation. It's 15–20 minutes to talk through what's going on and get a feel for how I work, before you decide anything.
What happens in the free consultation? We talk about what brought you here, I'll explain a bit about how I work, and you get a sense of whether it feels right. No pressure to commit to anything after.
How many sessions will I need? It varies. Some people come in with something specific and need fewer sessions than they expected. Others are working on something longer-standing. We figure out the rhythm together as we go.