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Lara Shemali

Lara Shemali, LMHC

Washington

LMHC in Washington - stress and relationships

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  • Stress and anxiety
  • Relationship patterns
  • CBT and ACT

About Lara

Lara Shemali is a Washington LMHC with 29 years of clinical experience helping adults with stress, anxiety, relationship concerns, trauma and abuse, self-esteem, and depression. She works with people who are trying to reduce daily stress and rebuild steadiness in their lives.

She offers straightforward tools for managing worry and anxiety. Sessions often include practical coping skills and thought work drawn from cognitive behavioral approaches. She also uses Acceptance and Commitment Therapy ideas to help people clarify what matters to them and take manageable steps toward those values.

Lara brings experience addressing relationship patterns and attachment concerns that often come from the family people grew up in. She supports people noticing how early roles and expectations still shape communication, closeness, and trust now. This can include work on abandonment or commitment worries and on difficulties like communication problems or blended family stress.

She has long experience with substance issues and recovery, and with the emotional effects of chronic illness and body image worries. People also come for help with dissociation, mood challenges, and handling the fallout from separation or domestic violence.

In sessions she focuses on clear conversation and active strategies. She balances client-centered listening with concrete interventions from CBT and emotionally-focused work. Practical scheduling options are discussed with each person so therapy fits around work and life demands.

How her approaches translate to online sessions

Acceptance and Commitment Therapy helps people notice unhelpful thoughts and reconnect with what matters to them. It focuses on small actions that align with values and can help with anxiety, avoidance, and low motivation. Cognitive Behavioral Therapy examines patterns of thinking and behavior and offers concrete tools for reducing worry and shifting responses. It is often used for stress, anxiety, and mood concerns. Emotionally-Focused Therapy centers on emotions and interaction patterns in relationships, supporting clearer communication and stronger emotional connection.

Finding the right approach is part of the work. The therapist will talk with each person about their needs, goals, and preferences and then try methods that seem a good fit. That collaborative process helps decide whether to lean more on ACT, CBT, or emotionally-focused interventions over time.

The biography does not list specific online session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy around work, childcare, or long commutes. They can also allow shorter check-ins when schedules are tight and let people choose quieter times of day or evenings to attend sessions without travel.

Areas of expertise

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageChronic pain, illness, and disabilityCo-morbidityCommitment issuesCommunication problemsDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSImpulsivityInfidelityJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential Therapy

Experience

29+ years

Listed in

Washington

Languages

English

Frequently asked questions

What concerns does she help address

She helps adults with stress, anxiety, relationship issues, trauma and abuse, self-esteem, and depression. Additional focus areas include attachment issues, abandonment, substance concerns, and blended family stress.

What is her therapeutic style

She combines client-centered listening with practical techniques from cognitive behavioral therapy and elements of Acceptance and Commitment Therapy and Emotionally-Focused Therapy. Sessions aim for clear conversation and actionable steps.

How much experience does she have

She has 29 years of professional work experience supporting adults with a range of emotional and relationship concerns.

What credentials and location are listed

She is a Washington LMHC and practices from Washington state.

Which languages are supported

Sessions are offered in English and she accepts international clients.

What session formats are available

Session formats are not specified in the biography; please confirm current session options before booking.

How is cost handled

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin working with her

Begin by selecting the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.

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Lara ShemaliLMHC

See online therapy options