
Kaori Oto, Psychotherapist

Services & Rates
Couples Therapy
COMMON CONCERNS
Couples often seek support navigating challenges such as:
- Conflict resolution & communication barriers
- Emotional intimacy, trust, or infidelity
- Sexual dynamics or exploring open relationships
- Trauma, past abuse, or grief
- Life transitions (career shifts, separation, blended families)
- Neurodiversity, anxiety, or financial stress
- 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:
​
Phase 1: Joint session to assess goals and dynamics.
Phase 2: Individual sessions (one per partner) to explore personal histories and needs.
Phase 3: Ongoing joint sessions, with occasional individual check-ins if beneficial to progress.
​
​
​
Individual Therapy
COMMON CONCERNS
​
Many clients explore themes similar to those in couples therapy, such as communication barriers, trust, or intimacy. Additional areas I support include:
- Emotional Well-being: Anxiety, depression, 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: Overcoming blocks in personal, creative, or professional realms.
MODALITIES
​
- 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.
- Emotional Transformation Therapy (ETT): A color-based modality targeting rapid emotional and psychological shifts.
- Eye Movement Desensitization and Reprocessing (EMDR): Trauma resolution through bilateral stimulation to reprocess distressing memories.
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, refine tools, and adjust support to align with your evolving goals.
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
-
Kaiser PPO (not HMO)
-
Premera Blue Cross
-
Lifewise
-
Regence Blue Shield
-
Aetna
-
Quest Behavioral Health
-
Out of Network (Superbill is provided)