Intake Process

There’s a lot to consider when starting therapy. MEND has a step by step intake process that helps to discern if MEND could be a good fit for the care you deserve and the support you're seeking.

We currently have a limited number of appointments available with our Intern Therapists and Staff Therapists. Please see their bios and read about their fees to learn more.

If you’re ready to take the first step, click the “Ready to Get Started?” button below. This will take you to our Contact Us page where you can submit your contact information and indicate which services you’re interested in. You will then receive an email with a link to our Intake Questionnaire to complete. If you’d rather give us a call, our intake phone number is (206) 660-4396, or you can email

If we determine through the intake process that MEND could be a good fit, our intake team will work with you to pair you with an Intern Therapist or a Staff Therapist.

If for any reason throughout our intake process we discern that we won’t be able to provide you with the best care - due to scheduling, financial needs or level of care - we will provide referrals and resources as needed.

To take the first step, click "Ready to Get Started?" below.


We want counseling to be an inclusive resource that can support as much of the community as possible. We offer a sliding scale, and we are grateful to each client who pays what they are able based on their economic situation. We will never ask you for your income. We ask you to honestly consider what you can sustainably pay. No guilt. No shame.


Supporting     $70 - Individual      $85 - Relationships
The Supporting Fee is MEND’s full fee. We ask all who can pay the Supporting Fee to do so. 

Sustaining      $60 - Individual      $75 - Relationships
The Sustaining Fee covers the cost of counseling and keeps our doors open.

Sponsored      $50 - Individual      $65 - Relationships
The Sponsored Fee is the reduced fee we offer so that together, we can make counseling available to more people.


Full Fee                $120 - Individual            $135 - Relationships 

We ask all who can pay the Full Fee to do so.

Sliding Scale       $70-110 - Individual      $85-125 - Relationships

The sliding scale is available for counseling with staff therapists to make therapy accessible for people who cannot afford the full fee. We ask you to honestly consider what you can sustainably pay.


I can’t afford $50 per week for therapy. Can I pay less?
Unfortunately no. $50-$70 is the lowest fee range we can offer, but there are some organizations independent of MEND that have funds available to support paying for therapy - here are some links to their websites:

Does MEND offer every other week or once a month counseling?
We believe an important aspect of therapy is finding and developing a connection between you and your therapist. The relationship you and your therapist build over time will support you in working toward the healing and change you hope to achieve. This relationship can take time and consistency to develop. MEND asks that clients commit to weekly sessions for the first 8-12 weeks of therapy. From there, your therapist will work with you to determine the frequency of ongoing care.

What payment methods does MEND accept?
When in person, we accept cash, check, and credit and debit cards. Due to COVID-19, we are only seeing clients remotely, which makes paying with cash or check a bit harder. We are able to accept payments using a debit or credit card, and you can do so through your TheraNest account. Until September 30, 2021, you may also pay via debit or credit card through PayPal ( or the payment page on our website.

Does MEND take insurance?
No, we operate entirely outside of the insurance system and offer low-cost and sliding scale to all clients. If you see a Staff Therapist, they can give you a billing statement. It is your responsibility to submit a billing statement to your insurance company. We do not guarantee that your therapy will be covered.

How does scheduling work?
After you complete an Intake Questionnaire, our intake team will determine if MEND is a fit for your therapy care and pair and schedule you with a MEND therapist based on your preferences. MEND deeply values the pairing process of client and therapist. During times when MEND therapists’ schedules are full, we will offer to put you on our waiting list and pair you as soon as there’s an opening. If for any reason we’re unable to provide you with care, we will work with you to provide referrals and resources.

What if I get paired with a MEND therapist, and it’s not a good fit?
We believe that the relationship you build with your therapist is critical to the work you do with them, and there are times when it’s just not a “fit.” If this is the case, we have a step-by-step process to help you transition therapists.

Does MEND offer groups and workshops?
We do! Stay tuned to our website, as we keep it updated with upcoming groups and workshop offerings to support you and your healing.