Elsie Comeau (They/She)

Accepting Clients

My name is Elsie. I am a trans-femme therapist seeing clients in Washington state who are on Medicaid over telehealth.

Clinical Trainee in Washington
Supervised by Robin Trevitt

Free Initial Consultation
Request consultation

Free 15-minute call, no obligation.

Services
  • Individual

About My Clients

My clients are often struggling with issues keeping them from taking the next steps in their life. As a trans-femme therapist, I connect with the experience of LGBTQIA+ individuals. As a musician, I understand the frustration when our goals aren't being met due to difficulties we're having with our mental health. The struggles of daily life are unique and complex, I approach you as an individual and want to learn everything we can about how to help you.

My Background and Approach

My mental health career started at a permanent supportive housing site in Seattle, WA. I worked for 4 years supporting individuals who had experienced chronic homelessness maintain their housing, and meet their goals. As a case manager I learned that happiness may endure tremendous struggle and that the communities we live in impact us deeply. From there, I went on to case manage at a multi-disciplinary community mental health center in Seattle, WA. I worked with a dynamic range of individuals who were experiencing a range of difficulties. This required me to think quickly on my feet to support my clients. Now, I am a clinical intern with Arcadia. I work with people on moving past whatever keeps them from taking that next step. I proceed with consent and care to support growth in my clientele. Early goals are establishing trust and stability, then learning how the bumps in the road have impacted them and continue to. My gratitude for the work I get to do is unenumerable.

My Personal Beliefs and Interests

I believe a life well lived is a multi-faceted one. My ability to care for others is informed by how I have shown up in my personal life. Whether it's as a trans person, musician, artist, family member, friend, lifelong Seattle metro resident, or cat parent, it supports me in my ability to be what my clients need. Therapy is a delicate process, not one that can be replicated by a formula, but one that must be informed by tedious research. There is not a one size fits all solution for mental health. When people say what they need, I believe them. I advocate for my clients every way I can and believe that we are the result of unrelenting oppression. When we make something beautiful for the sake of experiencing something, we heal a little bit. When we spend time with people for the love of people, we find a little more peace. Helping people connect the dots that makes the map to their joy is what motivates me to continue this work.

Techniques I Use

Specialties
Dialectical Behavior Therapy (DBT) Internal Family Systems Motivational Interviewing
Other Techniques
  • Attachment Theory
  • Exposure Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Person-Centered (Rogerian)
  • Internal Family Systems

Issues I Treat

Specialties
ADHD Therapists LGBTQ-Friendly Therapists Post Traumatic Stress Disorder (PTSD)
Other Issues
  • Abuse
  • Addiction
  • ADHD Therapists
  • Anger Issues
  • Anxiety
  • Attachment
  • Autism Spectrum Disorder
  • Bipolar
  • Body Image Issues
  • Burnout
  • Career Counseling
  • Chronic Pain or Illness
  • Codependency
  • Depression
  • Divorce
  • Domestic Violence or Intimate Partner Violence
  • Eating Disorders
  • Family Conflict
  • Gambling Addiction
  • Gender Identity Therapy
  • Grief or Loss
  • Insomnia
  • Intellectual Disability
  • Learning Disorders
  • LGBTQ-Friendly Therapists
  • Obsessive Compulsive Disorder (OCD)
  • Parenting
  • Personality Disorders
  • Polyamorous and Open Relationships
  • Post Traumatic Stress Disorder (PTSD)
  • Racial Identity
  • Relationship Issues
  • Self-Esteem
  • Self-Harm
  • Sexual Abuse or Assault
  • Sexual Problems
  • Teen Issues
  • Traumatic Brain Injury (TBI)

Client Focus

Age
Teens (14–18), Adults
Participants
Individuals, Couples
Languages
English

Qualifications

Education
M.S. in Clinical Mental Health Counseling from Walden University (Feb 2027)
Supervision
Supervised by Robin Trevitt · LF61199429
Years in practice
0 years
Insurance Plans Accepted
  • Molina
  • Apple Health
  • Community Health Plan of WA
  • Coordinated Care
I offer online counseling in the following states:

Hours & Availability

Monday 12:30 PM – 5:00 PM
TuesdayClosed
Wednesday 11:30 AM – 7:00 PM
Thursday 12:30 PM – 5:30 PM
Friday 12:30 PM – 7:00 PM
SaturdayClosed
SundayClosed
New clients welcome
Currently accepting new clients
Telehealth
Available

At A Glance

  • Experience: Less than a year
  • Languages: English

Reach out to Elsie