I provide individual psychotherapy and couples therapy for adults, as well as clinical case management for individuals with complex care needs. My theoretical orientation draws from psychodynamic psychotherapy, object relations, family systems, and emotion-focused therapy.

Cognitive Behavioral Therapy (CBT) is a structured, present-focused approach that targets specific thought patterns and behaviors, often over a defined number of sessions. Psychodynamic therapy, which is the foundation of my work, takes a more exploratory approach — we look at how past relationships and experiences shape your current emotional life and patterns, with particular attention to what unfolds between us in the room. While CBT asks 'what are you thinking,' psychodynamic work tends to ask 'what are you feeling, and where does that come from?

Yes — I work with couples seeking to deepen their connection, repair trust, navigate conflict, or work through significant life transitions together. My approach to couples work draws on emotion-focused therapy and family systems theory, with an emphasis on understanding the relational patterns that play out between partners. Both partners attend sessions together, and sessions are typically the same length as individual therapy.

Yes — this is one of my areas of focus, and it's a loss that is often misunderstood or minimized by others. Whether you're currently on a complex fertility journey, or you've experienced a miscarriage, a termination, or a stillbirth, the grief is real and deserves a space to be fully held. I approach this work with care and without judgment, recognizing that each person's experience of pregnancy loss is unique.

AI can be an excellent tool for reflection and general support, but it is not a substitute for therapy with a trained clinician. A skilled therapist can recognize patterns that may not be obvious, respond to subtle emotional cues, adapt to your unique history and circumstances, and help you navigate complex feelings in real time.

Many clients find that AI can complement the work they do in therapy, but meaningful healing often happens within the context of a safe therapeutic relationship. My goal is not simply to help you solve problems, but to help you better understand yourself, strengthen your relationships, and create lasting change in your life.

AI can help you find support; a therapist can help you find healing.

Telehealth therapy is simply therapy conducted over a secure video platform rather than in person. Sessions look and feel much like traditional therapy — we meet at a scheduled time, you find a private and comfortable space, and we talk. Research consistently shows that telehealth therapy is as effective as in-person treatment for most concerns, and many clients find it easier to access and equally meaningful.

I use Google Meet, which is a HIPAA-compliant video platform easily accessed via email. You don't need to download anything in advance — you'll receive a secure link before each session that you can open in your web browser. I'll walk you through any setup questions in our initial consultation.

I am currently accepting new clients in Washington State and in Georgia. The best way to check current availability is to reach out directly at haileyhardincounseling@gmail.com or (206) 747-0626.

I am a Licensed Mental Health Counselor (LMHC, license LH 60551160) in Washington State and a Licensed Professional Counseling (LPC 016192) in Georgia. Licensure determines which states I am legally able to provide services in, so I'm happy to confirm your eligibility when you reach out.

Most clients meet with me on a weekly basis, and this is the frequency I generally recommend. Weekly therapy provides the consistency needed to build trust, maintain momentum, and create lasting change.

The length of therapy depends on what you're bringing to it and what you're hoping to get out of it. Some people come with a specific concern and find meaningful resolution over several months; others are drawn to longer-term exploration that unfolds over a year or more. I'll follow your lead, and we'll revisit your goals regularly to make sure our work together continues to feel purposeful and alive.

I ask that you provide at least 48 hours notice if you need to cancel or reschedule a session. Late cancellations or missed appointments without notice are charged at the full session fee of $175. I understand that life is unpredictable and am often able to reschedule when something arises in order to avoid a late cancellation charge.

My fee is $175 per 50 minute session. You will receive a monthly invoice for costs and payment is accepted via credit card, HSA/FSA, or check. If cost is a barrier, I encourage you to reach out — I am occasionally able to offer a limited number of reduced-fee spots.

I am currently in network with Premera Blue Cross, Lifewise, First Choice Health, and Kaiser PPO. If you'd like to use your out-of-network benefits, I am happy to provide a monthly superbill — an itemized receipt — that you can submit to your insurance company for potential reimbursement. I recommend calling the member services number on your insurance card to ask about your out-of-network mental health benefits before we begin.

Yes — therapy with a licensed mental health counselor is a qualified medical expense under both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). If your plan requires an itemized receipt, I can provide one upon request. You're welcome to confirm the specific rules with your plan administrator.

Under the No Surprises Act, you have the right to receive a Good Faith Estimate (GFE) of the expected cost of therapy before services begin. As a private pay or out-of-network provider, I am required to provide this estimate to all self-pay clients. The GFE outlines anticipated session frequency and cost so that you can plan accordingly — it's an estimate, not a fixed contract. I'll provide one as part of your intake paperwork.

Yes — what you share in therapy is private and protected by law under HIPAA. I will not share your information with anyone without your written consent, with a few specific exceptions required by law: if there is a risk of imminent harm to you or someone else, if there is suspected abuse or neglect of a child or vulnerable adult, or if records are subpoenaed by a court. I'll review these limits of confidentiality with you in our first session.

If you're experiencing a mental health emergency, please call or text 988 (the Suicide and Crisis Lifeline), go to your nearest emergency room, or call 911. While I care deeply about your wellbeing, I am not able to provide crisis care between sessions as a telehealth-only practice. We can discuss a safety plan and emergency resources as part of our ongoing work if this feels relevant to you.

No — as a Licensed Mental Health Counselor, I provide psychotherapy only and am not able to prescribe medication. If you're interested in exploring medication as part of your care, I'm happy to help coordinate with a psychiatrist or your primary care provider. Many clients find that therapy and medication work well together, and I can collaborate with your prescriber (with your written permission) to support a consistent approach.