Online Therapy for people in Washington and Florida​

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Hello! It's nice to meet you! I'm Kate (she/her)! I'm ADHD and queer. :)

Email me at counselor@katemageau.com to schedule a free consultation for therapy!​

I have 2 openings as of 10/19/26!

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No Gen AI! I do not, and will not ever, use generative AI for any work related to assessments, mental health or therapy.​

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Explore ways to improve interoception, identify and meet your needs, and support your mental health with my free Self-Check-In for Neurodivergent People worksheet!

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Here are the topics I love to help people with in therapy!

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• Neurodiversity, especially ADHD and Autism (I am ADHD myself and I am an ADHD - Certified Clinical Services Professional, ADHD-CCSP)

  • I can help you bring out your strengths, and also ​help you make challenging things become easier, and I can help you to notice what aspects in your life are related to ADHD or Autism, or both if you're AuDHD

• Healing from toxic relationships, emotional abuse, intimate partner violence, domestic violence

• Past, current, and future-desired relationships, i.e. dating!

• Writing as a tool for healing, through narrative therapy, and/or writing your own memoir (see mine here!)

• Executive functioning: We will talk about how to use your gifts, to make the aspects that make neurodiversity a disability less impeding on your life. :)

• Living with chronic illness and/or disabilities

• Career counseling: Figuring out what you want to do in your life and how to get there (including job and school applications, resumes, and cover letters)

• Starting a business! I love to help with this, especially for fellow creatives and healers!

• Academic counseling, including school decisions, application essays, choosing majors, studying habits

• Sexuality, sexuality identity (I am kink and poly affirming and knowledgeable)

• Gender identity

• Free gender-affirming letters

• Anxiety

• Navigating social and legal changes that may affect your life

• Dealing with the s**t storm that is happening in everyday politics

• Finding meaning in life

• Organizational strategies

• Mindfulness practices

• Dream analysis

• I can incorporate tarot and astrology if you're interested!

• Brainstorming ideas with you to help you feel good about yourself and your life!

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Get my new book, Rose Colored Glasses, to heal from toxic relationships!

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Get an ADHD and Autism Assessment ​

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Frequently Asked Questions

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Hi! Let's talk about how we would work together! First and foremost, I tailor my approach to each client. I work with adolescents starting at age 13, and adults of all ages, living in Washington and Florida. Each session with each client can also look different, because we will always start with you and what you want to work on. But, that being said, I have some tools I use to give the process a bit of structure. 

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Consultation

In our free 15-minute consultation, we will briefly get to know each other. I will ask you to tell me what you want to work on, and I will make sure that I have the tools and expertise to help you. It is part of the American Counseling Association ethical code that I only work with clients who I have the knowledge and skills to help, and I think this also just feels right. So I will make sure that whatever you are working on is something that I know I can help with. If it is not, I will do my best to help you find the right therapist or type of healer for you. If I feel I can help you, we will talk more about what that looks like, and then discuss the paperwork and scheduling.

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Counseling Goals

In our first session, we will get to know each other, as you tell me about what you want to work on. If you want, we will establish a few of your goals together. We might try and create measurements for some goals, such as lessening symptoms of anxiety, depression, or post-traumatic stress disorder. For other goals, we might just write a goal such as, "process the relationship with this person," or "process the trauma and/or feelings of this event." Then if it feels right, we will create a few objectives underneath those goals. 

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Your Therapy

The goals will work to establish a loose structure for our counseling sessions. So, in each session after the first one, I will ask you want you want to talk about, work on, or maybe just what's on your mind at the moment. As we discuss whatever it is, I will keep your goals in the back of my mind, so that I can keep us on topic. There may be times when what you want to discuss doesn't seem relevant to the topic, but if it is relevant to you, then I want to hear about it! I often see patterns in things to help connect them back, anyhow. So you don't need to worry about working on your goals, or planning what you want to talk about for the next session, or any of that. That's my job. :) Your job is just to show up and be present. :)

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Counseling Theories

 

I use a few different counseling theories, which I keep in the back of my mind, to help keep us moving in a forward direction with your progress. 

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Relational Therapy: 

In every single counseling book I read, it stated that one of the most consistently supported factors in successful therapy is the therapeutic relationship. This is key to relational therapy.

A successful therapeutic relationship is genuine, honest, warm, kind, and trustworthy, and it provides a safe, open space for you to talk about anything you want. I literally mean anything you want. Nothing shocks me anymore! 

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That doesn't mean things don't surprise me, because they do, and sometimes my facial expressions will show it! I respond to things people tell me with genuine reactions, not a blank slate.

This can be really helpful when someone has a lot to say about something. My facial expressions become another way to show that I'm listening and help them feel understood and validated.

I've also had several experiences where someone says something, I make a face in response, and they say, "Yes, that! That's exactly how I felt!"

 

Showing genuine emotion is human, and it can be incredibly therapeutic.

Within this trusting therapeutic relationship, we can also model healthy communication, which can help you in your other relationships.

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Existential Therapy: 

Existential therapy helps people explore meaning, patterns, and direction in their lives. It helps us explore questions such as "Who am I?" and "Where do I want to go in my life?" This is particularly useful for academic and career counseling, when people are trying to decide what they want to study or what kind of job or career they might want. Existential therapy is also very helpful for dating, when people are making decisions about who they want to invite into their lives, or what relationship structures they prefer.

 

I also use this approach to help people recognize how events they are currently experiencing might be connected to experiences from their past. I find this to be a helpful and gentle way to process trauma. Instead of sharing your whole trauma story, we can talk about what's currently happening in your life. Then, when something comes up that's affecting you, we can explore how it might be related to what you've experienced.

 

Then we can talk about that particular traumatic experience, and look at connections together, to help explain why the current event might feel more difficult than you expected. That also gives people the opportunity to make meaningful changes in their current life, to make life feel a little bit easier. And of course, if you want to share your whole trauma story, you absolutely can! This provides another way to process trauma by connecting your past experiences to what's happening in your life today, helping you better understand yourself and make meaningful changes in the present.

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Feminist Therapy:

Feminist therapy is an approach that welcomes people of all genders and gender expressions and helps us examine power structures. This can help us recognize how societal structures affect our lives and explore how social justice and cultural experiences relate to what we're discussing in therapy.

Feminist therapy also includes psychoeducation, so when we talk about toxic relationships, I teach about how power dynamics may have affected your relationship.

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It can also include bibliotherapy! If you like to read, I may suggest fiction or nonfiction books that can help you learn, reflect, or heal. Or, if you're reading a book that's affecting you, we can talk about it and connect it to your life. I love, love, love to read and talk about books! As of October 2026, I've read 80 books this year, and I'm currently in the middle of reading five books lol.

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Narrative Therapy:

This is a set of techniques that help people rewrite their life stories. Often, when a person has experienced trauma, they begin to examine their entire lives through the lens of that experience, and sometimes through the lens of being a victim.

 

Narrative therapy helps us recognize that our experiences do not have to define us, and that we have the power to understand and tell our stories in the ways that feel best to us—not the ways society tries to tell us. Narrative therapy can include writing and journal exercises, but it is mostly done through talking. I'll come up with different exercises or homework activities, and then we will tailor them to what you prefer, and what works for you.

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Acceptance and Commitment Therapy (ACT Therapy):

Acceptance and Commitment Therapy (ACT) is a therapeutic approach that helps people develop metacognitive awareness, or the ability to recognize how they think. It helps people look at their thoughts and emotions, make space for them, and choose how they want to respond, rather than feeling controlled by them. ADHD and AuDHD people often find this helpful for managing the hundreds of tabs they have open in their minds!

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There are six core processes in ACT: acceptance, making space for thoughts and emotions we cannot always control; mindfulness, bringing our awareness to the present moment; cognitive defusion, helping us untangle ourselves from our thoughts; self-as-context, recognizing that we are more than our thoughts and emotions; values, identifying what matters most to each person; and committed action, choosing behaviors that align with those values.

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Somatic Techniques:

Symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD) can all affect our nervous systems. Somatic techniques provide tools to help us notice how we are feeling in our bodies. Learning to listen to sensations in our bodies can give us clues about how we are feeling and where those feelings might be coming from.

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Somatic techniques can also include tools such as mindfulness and grounding, which help connect us to the present moment. When we experience symptoms of depression, we may find ourselves ruminating about experiences from the past. When we experience anxiety, we may find ourselves worrying about what might happen in the future. And when we experience PTSD, memories of past experiences can influence how we perceive safety and danger in the present.

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Mindfulness and grounding techniques can help bring our attention back to the here and now. These tools can be used as needed to help us move out of thought spirals. But when we practice them regularly, they can also help us recognize those spirals earlier, reduce their intensity, and develop a greater sense of calm over time.

 

​Wanna do therapy together?

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So, what do you think? Send me an email at counselor@katemageau.com and we can schedule a consultation to see if we are a good fit!

 

Individual counseling is $175 per 50-minute session; sliding scale and pro bono spots are full. 

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I accept credit card, HSA, and FSA. If you have out-of-network benefits, I can provide a superbill you can provide to your insurance for reimbursement. This is up to you to determine with your insurance company; I cannot guarantee reimbursement. Please note if you use your insurance, your insurance company will see your diagnosis.​​​​​

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​Get my new book, Rose Colored Glasses, to heal from toxic relationships!​​

Get an ADHD and Autism Assessment 

Get a gender-affirming letter

Explore ways to improve interoception, identify and meet your needs, and support your mental health with my free Self-Check-In for Neurodivergent People worksheet!

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