Most practices offer therapy or psychiatry. At Centered Mind Counseling Services, our mental health clinic in Issaquah and Sammamish offers both, and a team that works together on your behalf.

Issaquah and Sammamish’s Comprehensive Mental Health Clinic
You Deserve Care That Is Built Around You
Whatever brings you here, we are here to help. Therapy, psychiatry, and coordinated care for children, teens, adults, and families throughout Washington State. Because sometimes the best care is all of it, working together.
— Jennifer Spence, M.D., Issaquah Physician
Our Mental Health Clinic in Issaquah and Sammamish Can Help With…
Anxiety
You worry constantly and cannot seem to turn it off. You feel tense, on edge, and exhausted by it. Your child cries at the drop of a hat, struggles to make friends, or needs constant reassurance. Sleep is hard. Decisions feel impossible. Anxiety looks different for everyone, and relief is possible. We can help.
Depression
You wake up and the weight of it is already there. You are your own harshest critic and nothing feels like enough. Your child has gone quiet or stopped caring about the things they used to love. Depression can look like sadness, fog, or just feeling flat. There is a way through this — you do not have to find it alone.
ADHD and Attention
You have been told your whole life that you would do better if you just tried harder. Your child is bright but cannot seem to find their footing at school. Neither of you is broken. Some brains just work differently, and that is not a flaw. ADHD looks different across every age and stage of life, and the right support, whether that is therapy, medication management, or both, can change the entire experience. Imagine what becomes possible with the right support.
Autism Spectrum and Neurodivergence
We believe that neurodivergence is not something to fix. It is something to understand, support, and celebrate. Whether your child just received a diagnosis and you are not sure what comes next, or you have spent your whole life feeling like you see the world differently than everyone around you — you are in the right place. Our team provides affirming, compassionate care for individuals and families navigating ASD and neurodevelopmental differences at every age. You belong here, exactly as you are.
Trauma and PTSD
Something happened. Maybe a long time ago, maybe recently. Maybe you have never said it out loud to anyone. You find yourself bracing for things that other people do not seem to notice. Sleep is hard. Certain places, sounds, or moments take you somewhere you do not want to go. You have been carrying this for a long time and it is exhausting. You do not have to keep carrying it alone. Healing from trauma is possible, and our team is here to walk that road with you, at whatever pace feels right.
Medication Management and Psychiatry
Maybe you are wondering if medication could help. In the right hands, with the right support, medication can give you back access to yourself. Not change who you are. Our prescribers work with children, teens, and adults, whether you are in therapy here, seeing a therapist somewhere else, or not in therapy at all. At Centered Mind Counseling Services, your prescriber and your therapist are part of the same team, working from the same understanding of who you are. The right support can change everything.
You do not have to figure this out alone. Schedule a free 10 minute consultation, no pressure, no commitment, just a conversation.
Here Is How We Can Help
You have just read something that felt familiar. Maybe it was one box, maybe it was several. That feeling matters. It means you are in the right place. As a comprehensive mental health clinic in Issaquah and Sammamish, Centered Mind Counseling Services was built to offer exactly this kind of care.
At Centered Mind Counseling Services, we offer more than therapy. We offer a comprehensive approach to mental health care that brings together therapists, psychologists, psychiatrists, and psychiatric nurse practitioners, all working as one coordinated team. Whether you need therapy, medication management, or both, our goal is to connect you with the right support. Sometimes that is with us. Sometimes it means connecting you with a trusted provider or specialist in the community. What matters most is that you find the right support. Learn more about our integrated care model.
Our team includes master’s level therapists, doctoral level psychologists, psychiatric nurse practitioners, and board certified psychiatrists. Whatever you are facing, we have the clinical depth to help. Beyond their credentials is the genuine care they bring to every person they work with. That includes affirming, respectful care for clients of all backgrounds, identities, and experiences. You can learn more about mental health treatment options through the National Institute of Mental Health.
Care that is built around you. That is not just something we say. It is how we work.
You took the first step by being here. We would be honored to help you take the next one.
Hi, I’m Paula Johnson, MS, LMHC, Owner and Director of Centered Mind Counseling Services
— Bruce Gardner, M.D., Swedish Issaquah Primary Care Physician
We Would Love to Hear From You
You came here for a reason. Whatever that reason is, it matters. And you deserve real support, not just a list of services, but a team that will show up for you.
We are here. In person in Issaquah and Sammamish, and across Washington State through secure telehealth.
The first step is easy. A free 10 minute consultation, no pressure, no commitment, just a conversation about what you need and how we can help.
Ready to take the next step?
Access compassionate therapy, counseling, and psychiatry with our Centered Mind Counseling Services (CMCS) team — in-person in Issaquah and Sammamish or via secure telehealth across Washington State.
Call or text 425-269-3277
or email contact@centeredmindcounseling.com
