Online therapy, ADHD & Autism Assessments,
Gender-Affirming Letters, and Emotional Support Animal Letters


Hi! I’m so glad you’re here :)
Welcome! I'm Kate (she/her)! I would love to hear all about you when we meet, but for now, I'll share a little about me. :)
I Became a Therapist to Help Domestic Violence Survivors and Work with Fellow Queer People - And then I learned I'm ADHD!
I became a therapist because I lived through a marriage with domestic violence. After I got out of that relationship, I went to a domestic violence advocacy support group, and I learned that 1 in 3 women, 1 in 9 men, and 1 in 2 trans people experience domestic violence! Grrr! Waaaay too many people experience toxic relationships.
So I got angry. I used that anger to write a book about my experience, so people can see the warning signs before the violence gets worse. I spent 8 years writing the book, and then I had to wait to publish it because I was still dealing with legal things with my ex.
I Love Working With Youth and Adults
Then I got bored. I was impatient about not being able to help people with this yet, so I went back to that domestic violence advocacy agency, and I volunteered to run a support group. During this time, I also worked with the YMCA, working with middle schoolers and high schoolers. I loved working at the YMCA, but after school hours weren't sufficient for me. I had so much fun working with the youth that I stayed on as a volunteer for another year, while I worked in restaurants to pay my bills.
I knew there was more I could do to help than volunteering, so I decided to go to graduate school and become a therapist. I wanted to do this so badly that when I didn't get into the two schools in Seattle, I decided to apply to schools all over the country. In early 2020, I was accepted to two schools in Miami. I protested at and around the CHOP almost every day that summer, and a few weeks after the CHOP was torn down, I took a road trip across the country, and started graduate school at Florida International University, at age 36.
I Write Gender-Affirming Letters as a Queer Person and Trans Ally
The first training I took as a therapist, during my first month of being licensed, was to learn how to write Gender-Affirming Letters. I saw how people were being treated in Florida, and I knew I wanted to help. I, as a queer person, knew I wanted to focus my therapy on helping queer people from day one.
I Provide Therapy, Assessments, and Letters to People in Washington and Florida
After graduate school, I moved back home to Seattle to be near my friends and family. But, I still wanted to be able to work with people in Florida. I learned that I could become a Registered Telehealth Provider in Florida with my Washington Licensed Mental Health Counselor license! I contacted a professor from Florida and asked if she would sponsor me, and she said yes. I was then, and I am now, able to help people with Gender-Affirming Letters and therapy in Florida and Washington. <3
I Offer ADHD and Autism Assessments because I am ADHD and We Need Affordable Assessments
A few months into becoming a therapist, I learned I was ADHD. I hyperfixated on ADHD (as an ADHDer does). I took hundreds of hours of additional training and self-study, and got certified as an ADHD-CCSP (ADHD-Certified Clinical Services Provider). I kept trying to find an affordable assessment for myself, and for my clients, and was told time and time again I needed to either pay thousands of dollars or wait over a year to use my insurance.
I got angry again. I learned that therapists are actually allowed to do ADHD and Autism Assessments, yet no one had told us, and so many people were looking for these! So I took multiple trainings on them, and then began offering them.
Not out of anger this time, lol, but out of compassion for those I work with and my fellow neurodivergent baddies everywhere, I created a free Self-Check-In for Neurodivergent People to help ADHD and Autistic people improve interoception, recognize our needs, and find ways to support our mental health.
I Teach Therapists How to Do ADHD and Autism Assessments
A year later, after iterating my process with each client, improving upon it every time, I felt ready to share what I learned. I offered ADHD and Autism Assessment Trainings to therapists, so they could also administer ADHD and Autism Assessments. 24 therapists took my training! I recorded the last training I did so more therapists can learn how to do ADHD and Autism Assessments.
I Wrote Rose Colored Glasses to Help People Who Have Been in Toxic Relationships
In the midst of all this, I was working on finishing my book. The story was written, but I knew it needed more. I went back through the book, and after every chapter in the story, I added another small chapter. I explained, from my perspective as a therapist specializing in domestic violence, exactly what was happening at that point in the story. I explain the power dynamics, love bombing, the cycle of violence, the power and control wheels, the different types of abuse, why I stayed, and how I left. Now, Rose Colored Glasses helps people learn the warning signs and it helps people understand what was happening.
I Wrote The Healing from Toxic Relationships Workbook to Help People Who Have Been in Toxic Relationships
Learning what happens, psychologically, during a toxic relationship, is an important part of how we heal. Instead of having a mountain of confusing memories, we have a clear understanding of what was done to us, and a more clear understanding of the warning signs to look for in future relationships, so we can try to prevent it from happening again. That's also why I wrote Healing from Toxic Relationships Workbook. The Healing from Toxic Relationships Workbook explains the same things as Rose Colored Glasses, but in a more linear form, and with journal exercises and coping tools.
I Teach Other Therapists How to Help People with Toxic Relationships
The more I talked about my experience and my books with domestic violence and toxic relationships with other therapists, the more I realized how much therapists wanted to learn more about it. Unfortunately, domestic violence is hardly talked about in graduate school, so it's often something that therapists need to take extra training on to understand. So, I began offering Continuing Education courses on toxic relationships, and on the intersection of ADHD and toxic relationships. And this year, I got to speak on those topics at the GLMA conference for LGBTQIA+ Health Equity!
I Write Emotional Support Animal Letters Because Pets are Family
Oh, and somewhere in between all this, I also began writing Emotional Support Animal Letters. Our pets are our family, they provide us with emotional support, and qualifying emotional support animals have legal protections.
So, okay, sorry that wasn't just "a little" about me! I hope that this illustrates who I am as a therapist and why I'm passionate about working with neurodivergent people, including ADHD and Autistic, people; queer people; domestic violence or toxic relationship survivors; and youth.
I Would Love To Work With You!
Each of my web pages explains more about the things I offer: online therapy in Washington and Florida, Gender-Affirming Letters, ADHD and Autism Assessments, ADHD and Autism Assessment Training for Therapists, and Emotional Support Animal Letters.
If you would like to connect, collaborate, or work together for any of the services I offer, send me an email at counselor@katemageau.com
For ADHD and Autism Assessments, you can book your appointment directly on my website. As an ADHDer, I knew I needed to make this process as easy as possible for my fellow neurodivergent people!
No Gen AI! I do not, and will not ever, use generative AI for any work related to assessments, mental health or therapy.
Updated October 2026
ADHD Assessments in Seattle, WA. Autism Assessments in Seattle, WA. ADHD and Autism Assessments in Seattle, WA. ADHD Assessments in Miami, FL. Autism Assessments in Miami, FL. ADHD and Autism Assessments in Miami, FL. Gender-Affirming Letters in Seattle, WA. Gender-Affirming Letter in Miami, FL. ADHD therapy in Seattle, WA. ADHD therapy in Miami, FL. Therapy for artists in Seattle, WA. Therapy for artists in Miami, FL. Therapy for business owners in Seattle, WA. Therapy for business owners in Miami, FL. Therapy for therapists in Seattle, WA. Therapy for therapists in Miami, FL. Career counseling in Seattle, WA. Career counseling in Miami, FL. Academic counseling in Seattle, WA. Academic counseling in Miami, FL.
Online therapy for people in Seattle, Bellingham, Tacoma, Olympia, Spokane, and all over Washington; and Miami, Orlando, Gold Coast, Gulf Coast, First Coast, Tampa, Jacksonville, and throughout Florida. Serving the following Washington counties, online: Adams County, WA, Asotin County, WA, Benton County, WA, Chelan County, WA, Clallam County, WA, Clark County, WA, Columbia County, WA, Cowlitz County, WA, Douglas County, WA, Ferry County, WA, Franklin County, WA, Garfield County, WA, Grant County, WA, Grays Harbor County, WA, Island County, WA, Jefferson County, WA, King County, WA, Kitsap County, WA, Kittitas County, WA, Klickitat County, WA, Lewis County, WA, Lincoln County, WA, Mason County, WA, Okanogan County, WA, Pacific County, WA, Pend Oreille County, WA, Pierce County, WA, San Juan County, WA, Skagit County, WA, Skamania County, WA, Snohomish County, WA, Spokane County, WA, Stevens County, WA, Thurston County, WA, Wahkiakum County, WA, Walla Walla County, WA, Whatcom County, WA, Whitman County, WA, and Yakima County, WA.
Online therapy for counties in Florida, online: Alachua County, FL, Baker County, FL, Bay County, FL, Bradford County, FL, Brevard County, FL, Broward County, FL, Calhoun County, FL, Charlotte County, FL, Citrus County, FL, Clay County, FL, Collier County, FL, Columbia County, FL, DeSoto County, FL, Dixie County, FL, Duval County, FL, Escambia County, FL, Flagler County, FL, Franklin County, FL, Gadsden County, FL, Gilchrist County, FL, Glades County, FL, Gulf County, FL, Hamilton County, FL, Hardee County, FL, Hendry County, FL, Hernando County, FL, Highlands County, FL, Hillsborough County, FL, Holmes County, FL, Indian River County, FL, Jackson County, FL, Jefferson County, FL, Lafayette County, FL, Lake County, FL, Lee County, FL, Leon County, FL, Levy County, FL, Liberty County, FL, Madison County, FL, Manatee County, FL, Marion County, FL, Martin County, FL, Miami-Dade County, FL, Monroe County, FL, Nassau County, FL, Okaloosa County, FL, Okeechobee County, FL, Orange County, FL, Osceola County, FL, Palm Beach County, FL, Pasco County, FL, Pinellas County, FL, Polk County, FL, Putnam County, FL, Saint Johns County, FL, Saint Lucie County, FL, Santa Rosa County, FL, Sarasota County, FL, Seminole County, FL, Sumter County, FL, Suwannee County, FL, Taylor County, FL, Union County, FL, Volusia County, FL, Wakulla County, FL, Walton County, FL, and Washington County, FL.




