Coatlicue Sierra Rose (she/her)

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"Not everything that is faced can be changed, but nothing can be changed until it is faced." ~J. Baldwin *Telehealth: OR WA TX CO*

Licensed Mental Health Counselor in Seattle, WA

  • Individual

About My Clients

I'm a trauma-informed, anti-racist, intersectionally-minded existential psychotherapist specializing in decolonization work for healers & helping professionals, disabled folks, people with vitiligo, first-generation college students, members of the LGBTQIA2S community, and active allies. I also offer Exposure Response Prevention therapy for OCD and related disorders and Habit Reversal Training for Body-Focused Repetitive Behaviors (BFRBs) like trichotillomania and skin-picking.

My Background and Approach

I primarily use existential narrative therapy to help people to tell, retell, and reframe their stories to empower them in grappling with the big existential questions of identity, belongness, and meaning/purpose. For OCD, I use ERP to help you break the obsessive-compulsive cycle and take back your life. For BFRBs, I use HRT to interrupt these behaviors so that they're no longer bringing you physical and emotional pain. I can help guide you through the big and small existential questions underlying your mental health struggles. Throughout this work, I'll also help fill your coping skill toolbox with strategies from DBT, CBT, ERP, HRT, and other therapies as appropriate for your needs.

My Personal Beliefs and Interests

I'm a proud queer-identified Tejana member of the disability community, former teen mom, and first-generation college grad raised in generational poverty. My work is informed by my lived experience, including my journey as a woman of color with vitiligo universalis and my lifelong quest to confront my own internalized misogyny, racism, and ableism as a dual Mexican-US citizen and Canadian Permanent Resident with both settler and Indigenous lineage. I'm a Buddhist in the Mahāyāna tradition and a loving biological and adoptive mother of several beautiful LGBTQI2S folx.

Insurance Plans Accepted
  • Aetna
  • Cigna
  • Optum
  • Blue Cross Blue Shield (BCBS)
I offer online counseling in the following states:
I have experience with the following
  • Buddhism
  • Christianity
  • Interfaith
  • Multifaith

At A Glance

  • Experience: 16 years of practice
  • Languages: English
  • Rate: $150 - 200/session

Reach out to Coatlicue