Misa Mattson, MA, LMFTA

Licensed Marriage and Family Therapist Associate

(she/her pronouns)

Sessions with Misa are held through telehealth.
Session fee: $185 for individual clients, $195 for couples/relationship clients

I work with individuals, couples, and polycules who want to feel more connected to their partners, their emotional and sexual selves, and a greater sense of calm and confidence. As a sex and relationship therapist offering online therapy across Washington, I provide a warm, affirming space for people navigating relationship stress, intimacy concerns, identity exploration, parenting transitions, and emotional overwhelm.

Many clients reach out when communication feels strained, sex or intimacy has become complicated, or they are trying to better understand themselves within their relationships. My work is collaborative, affirming, and grounded in respect for each client’s lived experience, cultural context, and inner wisdom.

Misa’s Specialty Areas:

• Relationship therapy for individuals, couples, and polycules
• Communication challenges and emotional disconnection
• Sex therapy and intimacy concerns, including low or mismatched desire, sexual dysfunction, and sexual trauma
• Non-traditional and polyamorous relationships
• LGBTQIA+ affirming care, including gender and sexual identity exploration
• Parenting, including prenatal, perinatal and postpartum experiences, new parenthood, and parenting challenges
• Multicultural clients and intersectional identity work
• Grief, anxiety, depression, trauma and stress-related concerns impacting relationships and daily life
• Neurodivergence

Professional Background and Training:

• Licensed Marriage and Family Therapist Associate (LMFTA), Washington State
• Master of Arts in Couple and Family Therapy, Antioch University Seattle
• Sex Therapy Certification through Antioch University Seattle
• Training in Gottman Method Couples Therapy, Emotionally Focused Therapy (EFT), and the Developmental Model
• Advanced training in Narrative Therapy, Internal Family Systems (IFS), and anti-oppression frameworks
• Perinatal mental health certification through Perinatal Support Washington
• Premarital counseling certification through Adaptive Counseling
• Member of AAMFT and WAMFT

I bring deep respect for each client’s inner world, lived experience, and cultural context. My goal is to walk alongside you, never ahead of you, as you explore your needs, boundaries, and desires. I help people reconnect with their innate worth, build relationship skills, and shift patterns that no longer serve them.

My work with individuals integrates humanistic, experiential, and strengths-based approaches, always tailored to who you are rather than a one-size-fits-all model. I believe healing happens in safe, consistent relationships, and therapy can be one of them.

For couples and polycules, I draw from Emotionally Focused Therapy (EFT), the Developmental Model, Narrative Therapy, Attachment Theory, and Somatic Therapy. My approach is also informed by advanced sex therapy training through Antioch University, supporting thoughtful, effective work with a wide range of sexual and intimacy concerns.

Outside of my clinical work, I enjoy live music, reading, making art, and spending time in nature with family and friends. Whether you’re feeling disconnected, overwhelmed, or ready to better understand yourself and your relationships, I’m here to help you reconnect with what matters most.