Trauma, Dissociation, and Couples Therapy in Seattle and Washington State

Turning struggle into hope, together. In person in Pioneer Square and online across Washington State.

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He has helped me with my extreme traumatic grief more than any single person I know, and my village is large.
Therapy client (via Google)

When it feels like nothing will ever change

You may feel broken, as if something in you was damaged long ago and never repaired. You may have tried everything you can think of, through insight, hard work, or other therapy, and still end up in the same place: the same argument, the same numbness, the same dread. Eventually that hardens into a quiet conviction that this is just who you are.

That conviction is a symptom, not a verdict. Hopelessness narrows the world. It makes the way forward look impossible, traps you inside the same patterns, clouds any sense of direction, and leaves you carrying all of it alone. Trauma deepens this, because it convinces the mind that what happened is still happening and always will be.

These patterns can change. They were learned for good reasons, usually to survive something that never should have happened, and what was learned can be reworked. I have watched people who were certain they were beyond help find their footing again. In my experience, that change comes from working through the pain carefully and directly, with someone who can hold the hardest parts without flinching.

This is where my training comes in. For trauma and dissociation, I use Deep Brain Reorienting (DBR), which works with the brain’s earliest responses to threat. For couples, I use PACT, a model grounded in attachment and neuroscience. I also offer clinical hypnosis as a Registered Hypnotherapist in Washington State, certified by the American Society of Clinical Hypnosis (ASCH). Underneath all of this is a grounding in existential and relational psychodynamic therapy, and a relationship where hope can grow again, at a pace you can tolerate.

I know this from both chairs. Losing most of my sight as an adult brought me to my own place of despair, and I found my way back through that kind of relationship. It is a large part of why I became a therapist.

“Hope is for the soul what breathing is for the living organism.”

Gabriel Marcel, Homo Viator

You don’t have to carry this alone.

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Therapy office of James Nole, LMHC, in Pioneer Square, Seattle

Frequently Asked Questions

Do you accept insurance?

I’m an out-of-network provider. Many clients use their out-of-network benefits to offset the cost. I provide a monthly superbill you can submit to your insurance carrier.

How much do sessions cost?

Individual and couples sessions are $205 for 50 minutes or $310 for 80 minutes.

What happens in a free consultation?

It’s a relaxed 30-minute call. You can share what’s bringing you in, ask about how I work, and get a sense of whether we’re a good fit. There’s no obligation to continue.

Do you offer online therapy?

Yes. I see clients in person in Seattle and by telehealth anywhere in Washington State. For many people, online therapy is just as effective.

Do you see individuals and couples?

Yes. I work with adults, couples, and some teens. In couples work, the relationship itself is the client, so both partners attend together.

How do I know if therapy is right for me?

If past experiences, difficult emotions, or relationship patterns are affecting your daily life, therapy can help. You don’t need a diagnosis to start. A free consultation is an easy first step.

Where is your office?

401 2nd Ave S, Suite 750, Seattle, WA 98104, in Pioneer Square.

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In relationship we are formed. In relationship we are wounded. And in relationship, we heal.
Harville Hendrix