
Kaori Oto, Psychotherapist

Services & Rates
Couples Therapy
COMMON CONCERNS I can help:
- Conflict resolution & communication barriers
- Emotional intimacy, trust, or infidelity repair
- Sexual dynamics or exploring open relationships
- Trauma, past abuse, or acute/long-term grief
- Life transitions (career shifts, separation, blended families)
- Neurodiversity (mainly ADHD)
- Cultural/racial identity and bicultural relationship dynamics
MODALITIES
My approach integrates evidence-based frameworks:
- The Developmental Model (relationship life cycle focus)
- Emotionally Focused Couple Therapy (EFT) (attachment-theory based)
- The Gottman Method (communication and conflict management)
Session Structure:
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Phase 1: Joint session to assess goals and dynamics.
Phase 2: Individual sessions (one per partner) to explore relational histories and needs.
Phase 3: Ongoing joint sessions as needed, with occasional individual check-ins if beneficial to progress. End therapy.
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Individual Therapy
COMMON CONCERNS I can help:
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Many clients explore themes similar to those in couples therapy, such as communication barriers, trust, and intimacy. Additional areas I support include:
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- Emotional Well-being: Anxiety, depression, PTSD, C-PTSD, anger management, and low self-esteem.
- Identity & Growth: Navigating life transitions, acculturation, spirituality, and self-discovery.
- Relational Dynamics: Family conflicts, relationship challenges, and boundary-setting.
- Performance & Purpose: imposter syndrome, perfectionism, and procrastination
MODALITIES
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My approach integrates evidence-based frameworks:
- Emotionally Focused Individual Therapy (EFIT): Strengthening emotional awareness and relational patterns.
- Cognitive Behavioral Therapy (CBT): Focused on behavioral improvement, reframing unhelpful thoughts, and building practical coping strategies.
- Internal Family System (IFS): Understanding and working with these inner parts to achieve greater self-awareness, self-compassion, and overall well-being.
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Session Structure:
​Phase 1: Collaborative assessment of goals, challenges, and personal history.
Phase 2: Develop alternative beliefs, coping strategies, and actionable steps tailored to your needs.
Phase 3: Evaluate progress, and provide support as necessary. End therapy.
Relationship Coaching
Over two decades, I have provided relationship coaching to clients worldwide. If you're seeking to develop conflict- resolution skills and cultivate tools to deepen intimacy and connection- but do not reside in Washington State- you might consider online coaching with me. I invite you to schedule a complementary consultation. This will help determine whether my coaching approach clings with your needs and goals.
New couple? Engaged? Newly married? Deeply committed? This Essential Relationship (ER) package is premarital counseling. It is designed to build a strong foundation for your relationship and to learn essential skills to protect your future. You don't have to wait for problems to see a therapist. While couples therapy tends to focus on fixing problems, this package prevents them. Interested? Ask me about pricing and details.
Essential Relationship Package
Rates
The full fees are as listed. I offer a limited number of reduced-rate appointments for those who are in financial need.
Couples Therapy
Intake session: 80 min $250
Standard: 55 min $200
80 min $250
Individuals Therapy
Intake: 55 min $200
Standard: 55 min $160
*Therapy services only available to Washington residents.
*The rates for coaching sessions are the same as therapy rates.
Insurance
- First Choice Health | FCH
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Kaiser PPO (not HMO)
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Premera Blue Cross
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Lifewise
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Quest Behavioral Health
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Out of Network (Superbill is provided)