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Sweetwater Sahme, LMHCA

As an Indigenous therapist, my objective is to provide culturally sensitive and holistic healing to empower individuals, families, and communities. Drawing from a deep understanding of traditions, values, and intergenerational experiences, my aim is to cultivate a safe, supportive and non-judgmental space where individuals can flourish. By incorporating empathy, active listening, and empowerment in my practice, I strive to create a warm and nurturing environment where you feel seen, heard, and valued. My intention is to cultivate a sacred environment where individuals can access innate healing power, reclaim ancestral knowledge, and build skills to increase resilience in the mind, body and spirit.


My academic background in marriage, couple, and family counseling, combined with hands-on experience within internship, has equipped me with a comprehensive understanding of various therapeutic modalities, counseling techniques and working with a variety of individuals. I specialize in a personalized approach to therapy, which involves person-centered, acceptance and commitment, mindfulness and strength based therapy approaches. I firmly believe that you are the expert on your own life, and my role is to offer support and guidance as you navigate your unique experiences and aspirations. With a curious and open-minded attitude, we'll explore various topics that arise in therapy together. During our sessions, we'll collaborate to establish personalized goals, and I'll assist you at achieving them at a pace that feels comfortable for you. 


I specialize in working with individuals aged 13 and above, adults, couples, and families. My services are exclusively offered through telehealth therapy to accommodate flexibility and the demands of busy schedules. All you need is a stable internet connection and a private space where you can speak freely. Babies and toddlers are always welcome in our space. Evening and weekend openings available. 


Anxiety and Stress

Generalized and Social Anxiety

Obsessive Compulsive Disorder 

Financial Stress & Budgeting

Clutter Management: Organizing & Simplifying  



Intergenerational & Historical Trauma 


Mood & Adjustment Difficulties

Postpartum Depression

Life Changes & Transitions

Grief and Loss

Identity Development and Exploration


Personal Growth & Values 


Family & Couple Therapy

Communication & Boundary Setting

Relational Skill Building

Attachment & Codependency

Motherhood and Perinatal Struggles

Initial Intake

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.

Fee:  $165

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. 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:  $145

Is Sweetwater accepting new clients?

Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Premera
  • Private Pay
*Billing is submitted with Jennifer Koch, Psy.D. as primary provider. Sweetwater is an associate therapist under direct supervision w/ Dr. Koch. This is referred to as "incident to" billing and is authorized with insurance plans.
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