About the Practice

“At PNW Therapy & Coaching, my focus is on creating a compassionate and understanding environment for each client. This is the foundation for well-being and self-discovery.”

Meagan Ciesluk, MS, LMFTA

FAQs

  • I am in network with many insurance providers. See the services page for a list of in network providers that cover individual and family therapy sesssions. Depending on your policy you may be responsible for a copay before each session. If you prefer to pay out of pocket my sesion fee is $180-200 per session.

  • Our first appointment will be spent getting to know each other. I will talk to you about my policies, approach to treatment, and expectations for sessions. Then I will ask you questions to get to know more about your reasons for seeking treatment, your background, and your goals for our work together.

  • I do not provide in person therapy at this time. I can provide a referral for this service upon request.

  • I will email you a video link to click upon time for session. All sessions are held via HIPPA compliant telehealth service: GoogleMeet

  • It is generally recommend to commit to weekly sessions for the first 2-3 months, as it may take the first few sessions for the assessment process. I also understand that the best way to help is to establish a trusting relationship over time until you can independently sustain the lasting change in your life. 

Treatment Approach

In our work, we will develop your internal leadership and clarity by exploring your core values, life-narrative, and authentic foundation. We can expand your understanding of what makes some stressors more difficult and build skills to adaptively overcome future challenges.

Our Work Together

Specializations

Identity development

Life transitions

Trauma reprocessing

PTSD, Anxiety, Depression

Couples

Practice Values

Client-centered approach

Collaborative relationship

Empowerment and support

Skill building

Holistic systemic approach

Strengths-based perspective

Cultural humility

Training, Licensure, & Education

  • Program Therapist, Pathlight Mood & Anxiety Center (2022–2024)
    Lead therapy groups and provide individual support for clients navigating mood, anxiety, and co-occurring conditions in a Residential/PHP setting.

  • Family Therapist, Sound (2022–2024)
    Delivered clinic-based and school-based therapy for youth and families, focusing on communication, crisis stabilization, and trauma recovery.

  • Program Therapist, Eating Recovery Center (2021–2024)
    Facilitated group therapy and supported clients with eating disorders and co-occurring conditions using evidence-based and trauma-informed modalities.

  • Case Manager, Ark Behavioral Health (2021)
    Assisted individuals in early substance recovery by coordinating discharge planning, aftercare resources, and psychoeducation in residential care.

  • Behavioral Therapist, ACES (Comprehensive Educational Services) (2020–2021)
    Provided 1:1 behavioral therapy to children with autism, focusing on skill development, emotional regulation, and family systems.

  • Psychiatric Technician, Dale Medical Center (2018–2019)
    Supported an inpatient acute care psychiatric unit, assisting with crisis de-escalation, medication support, and safety planning.

  • Research Assistant, University of Massachusetts Medical School (2018–2019)
    Contributed to behavioral health studies and supported qualitative data collection on youth resilience and trauma.

  • Sex Therapy Intern, Life Coaching & Therapy (2016–2017)
    Supported couples and individuals exploring sexual health, intimacy, and relationship dynamics through a sex-positive and integrative lens.

  • Licensed Marriage & Family Therapy Associate (LMFTA) – Washington State

  • Mental Health Professional Counselor – Washington State Department of Health

  • Psychological Trauma Response Certification – American Red Cross

  • Applied Behavior Analyst – Applied ABC

  • Certified Dementia Specialist – HealthCare Interactive, Inc.

  • Registered Behavior Therapist – Institute for Applied Behavior Analysis

  • M.S. in Marriage & Family Therapy – Seattle Pacific University

  • B.S in Psychology, Clinical Psychology and Research Concentration – Worcester State University

  • Receiving clinical supervision from Dr. Kevin Belsby, LMFT