LMHCTherapists

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Therapist profile

Margie Segress, LMHC

Practical, direct support for stress and relationships

Credentials
LMHC
LMHC, Washington
LH60875184 (expires January 2027)
Based in
Washington
Years in practice
7
Languages
English
Sessions
Online

Details are as listed on the therapist's public professional profile. You can check a license with the state board and an NPI with the national registry.

About Margie

Margie Segress is a licensed mental health counselor who helps people manage stress, anxiety, relationship concerns, trauma, low self-esteem, and depression. She writes in a straightforward way and aims to make first steps feel doable for someone who is worried or overwhelmed.

She has seven years of professional experience in counseling and has taught as adjunct faculty at the school where she earned her degree. That mix of clinical work and teaching shaped a practical style focused on clear goals and steady progress.

Book with Margie Now Review online therapy options and next steps on BetterHelp.

Background and approach

In sessions she encourages open, judgment-free conversation. Clients can expect direct listening, gentle questioning, and practical ideas they can try between meetings. The work often focuses on building self-compassion, improving communication, and reducing persistent worry.

Margie pays attention to patterns that affect mood and relationships, such as attachment concerns, control issues, guilt and shame, and problems with communication. She also supports people navigating life purpose, midlife transitions, and women’s issues. Her practice includes attention to trauma and post-traumatic stress with an aim to help people feel safer in their day-to-day lives.

Sessions are offered in English and Margie accepts international clients, providing multiple online formats to fit different needs.

Therapeutic methods and online care explained

Margie uses evidence-based therapeutic techniques that focus on real-life change and emotional recovery. One common approach she uses is work that helps people understand and shift unhelpful thinking and behavior patterns; this approach is useful for anxiety, low mood, and difficulty making decisions. Another common strand of her practice focuses on processing trauma and its effects so daily life feels less reactive and overwhelming; this helps people facing post-traumatic stress and lingering effects of abuse.

Finding the right approach is part of the work and will be decided together. She will listen to your concerns, goals, and preferences and suggest approaches that fit your situation. The process is collaborative and adjusts as progress is made.

Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video sessions allow face-to-face conversation, phone calls can be easier when bandwidth is limited, live chat offers a quick check-in, and messaging supports shorter updates between meetings. These options help fit sessions into busy days and different life rhythms.
Book with Margie Now Review online therapy options and next steps on BetterHelp.

Frequently asked questions

What concerns does she commonly help with?
She works with stress, anxiety, relationship problems, trauma and abuse, low self-esteem, and depression. Additional focus areas include attachment issues, communication problems, control issues, guilt and shame, life purpose, midlife crisis, mood disorders, post-traumatic stress, self-love, and women's issues.
What is her general approach in sessions?
Sessions emphasize open conversation, direct listening, and practical steps to try between meetings. The approach aims to reduce worry, improve communication, and build self-compassion over time.
How much clinical experience does she have?
She has seven years of professional work experience in counseling and has served as adjunct faculty at the school where she earned her degree.
Where is she licensed and based?
She is licensed as a mental health counselor in Washington, listed as LMHC for Washington licensure.
Which languages are supported for sessions?
Sessions are offered in English and she accepts international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different schedules and preferences.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.