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- Stress and anxiety
- Relationship issues
- Trauma and abuse
About Margie
LMHC in Washington with seven years of experience, Margie Segress helps people address stress, anxiety, relationship concerns, trauma and abuse, low self-esteem, and depression. She works directly with individuals who want clearer communication, more emotional regulation, and a stronger sense of purpose. Sessions are offered in English and Margie accepts international clients.
Margie focuses on practical conversation and active listening. She aims to make sessions straightforward so people can talk through what feels most urgent. Her work often covers attachment issues, communication problems, control issues, guilt and shame, and women’s issues. She also supports people coping with midlife concerns and mood disorders.
Before arriving at her private work, Margie spent time as an adjunct faculty member at the school where she trained. That background informs how she explains ideas and sets goals with those she sees. Her credential is LMHC, which stands for Licensed Mental Health Counselor in Washington.
In sessions she helps people name patterns, test small changes, and build habits that reduce stress and improve relationships. Conversations may include practice of new ways to speak up, notice emotions, or manage upsetting memories. She encourages concrete steps between sessions to reinforce progress.
Margie asks new people to complete a brief matching questionnaire and then schedule a first session. The program uses a subscription that can be canceled at any time, and cost varies by location. Interested people are invited to select the See online therapy options button to begin.
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How therapeutic approaches translate to online work
Margie uses evidence-based therapeutic techniques that focus on clear skills and manageable steps. One common approach is skills-based work that teaches specific tools for managing anxiety and low mood, such as breathing practices, activity planning, and brief behavioral experiments to test unhelpful assumptions. Another approach emphasizes relationship and attachment work, helping people notice interaction patterns and practice new communication moves to change how they connect with others.Finding the right approach usually happens together. Margie reviews needs, goals, and preferences in early sessions and adjusts methods as progress is observed. The process is collaborative and aims to match techniques to what the person wants to work on and how they like to learn.
Confirm which session formats are offered before booking. When arranged, online sessions can make it easier to fit therapy into daily life by removing travel time, enabling shorter check-ins when needed, and allowing meetings from a range of locations that work within a schedule. These practical benefits can help people keep consistent appointments and apply what they learn between sessions.
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Areas of expertise
Primary focus
Additional focus areas
Experience
7+ years
Listed in
Washington
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, relationship issues, trauma and abuse, self-esteem, and depression, plus related topics like attachment and communication problems.
What is her therapeutic style?
She uses practical conversation and active listening to help people notice patterns and try small changes between sessions.
How much experience does she have?
Margie has seven years of professional experience working as a counselor and as adjunct faculty at the school where she earned her degree.
What credential does she hold and where is she based?
She is an LMHC - Licensed Mental Health Counselor - licensed in Washington and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the US work with her?
She accepts international clients; confirm any time zone or scheduling details when booking.
How are sessions billed?
Sessions use a subscription that can be canceled at any time and cost varies with location.
How do I begin a first session?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and then schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.