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Jennifer Koch, Psy.D.

As a cognitive-behavioral therapist, my approach is to explore the intricate connections among your thoughts, beliefs, behaviors, and emotions. Through increased self-awareness and insight, we'll pinpoint your strengths and challenges. My focus is on helping you build cognitive flexibility, change unhelpful behavioral patterns, and develop self-awareness. My therapy sessions consistently involve validation of your experiences and emotions, encouragement to establish and maintain boundaries, realistic goal setting, employment of logical thinking, nurturing self-compassion, and embracing laughter as a way to cope with life's difficulties.


I hold specialized expertise in trauma-informed care. Additionally, I am culturally competent in treating first responders and understand the unique needs of this community. Through a collaborative therapeutic relationship, I strive to provide meaningful and personalized interventions tailored to your needs. Working towards therapy goals is a shared endeavor. My expectation is that you will actively participate in therapy and in changing your life, while my responsibility is to support and guide you along this transformative journey. I look forward to working with you!

I work with adults ages 18 and up. I am currently accepting first responders (firefighters, law enforcement, EMS) as new clients. L & I claims are accepted.

First Responders
Post-traumatic Stress Disorder (PTSD)
Complex PTSD (C-PTSD)
Acute Stress Disorder
Moral Injury
Compassion Fatigue
Occupational Burnout
Relationship Problems
Substance Misuse
Suicidal Ideation

Anxiety Disorders
Generalized Anxiety Disorder
Social Anxiety & Panic Disorder

Mood Disorders
Depression & Dysthymia
Adjustment Difficulties
Grief and Loss
Major Life Changes
Relationship Problems
Unhealthy Relationship Patterns
Communication & Boundaries
Initial Intake

Fee:  $300

The intake session is our first meeting. We will thoroughly discuss your history, concerns, symptoms, and goals for therapy. We will also work towards determining goodness of fit. Sometimes it takes a few sessions to determine if we will work well together. I encourage you to research other therapists and find the best provider to fit your needs. As we work together past the intake session, we will continue to explore your experiences, address symptoms, develop strategies, and set new goals as needed. The intake session is 60 minutes. I provide in-office and telehealth therapy options. 

Therapy Sessions

Short term and long term treatment is available depending on your therapy goals. Typically, sessions are weekly or bi-weekly at the start of treatment. As you make progress and get closer to your goals, the frequency of sessions can be reduced. Some clients prefer to continue frequent sessions to maintain their progress and address new issues or stressors. Others choose to return to therapy for monthly sessions or as needed. You determine what is best for you. Sessions are 55 to 60 minutes. Most insurance plans cover unlimited sessions per year. Check with your insurance carrier for any limitations and your out of pocket cost.  

Fee:  $275

Dr. Koch is accepting 

first responders as new clients.

Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Kaiser Permanente PPO Plans
  • First Choice Health
  • Premera
  • Cigna
  • United Healthcare and Optum Plans
  • Labor & Industries (Workers Comp Claims)
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