Clinical-TherapyPsychotherapy involves the assessment, diagnosis and treatment of emotional, behavioral and mental health issues. Psychologists are uniquely trained in various assessment techniques including both objective and subjective measures of cognition, personality, and psychopathology.

Psychotherapists can help support clients in working through issues they are facing in their lives and allow a safe, confidential space to talk and explore thoughts and feelings. Different therapists have experience in individuals, couples and/or families, and adopt specific approaches to a multitude of life’s challenges, including:

  • interpersonal issues and problems with identity and/or the Self
  •  stress, anxiety and depression
  • eating disorders and addictions
  • post-traumatic stress disorder
  • obsessive compulsive disorders and phobias
  • general feelings of disconnection

Psychotherapy is aimed at building trust between psychologist or therapist and client, learning and growing from the experience and ultimately healing.


hollyHolley Kaskel, PsyD

Dr. Holley earned her B.S. with honors at the College of William & Mary in Williamsburg, VA. She then moved west to attend the California School of Professional Psychology in San Francisco, CA where she earned her M.A. and Psy.D. (Doctor of Psychology) in clinical psychology. She completed her pre-doctoral internship at UC Davis Medical School in the Department of Family and Community Medicine.

During this training, Dr. Holley worked closely with physicians to help medical patients deal with illness and pain and to understand the mind/body connection. She also facilitated courses for first year medical students, helping them develop sensitivity and rapport with their patients.

Dr. Holley’s postdoctoral fellowship was at Kaiser Permanente, one of the country’s largest managed health organizations. She performed a variety of psychological services; including crisis intervention, psychological assessment, and therapy with children, adolescents and adults. She ran a parent education group and a support group for children going through divorce. She also ran a depression support group for adults and received training in chemical dependency treatment. Dr. Holley worked with individuals, couples and families.

After completing her fellowship, she continued to work for Kaiser in their adolescent eating disorders program and child/adolescent and family program. Dr. Holley also has experience working with survivors of abuse, including childhood abuse and sexual trauma. Since that time, Dr. Holley has balanced private practice work with raising three children.

Dr. Holley is licensed in both California and Washington. She maintains active memberships in the American Psychological Association, the Washington State Psychological Association, and the Academy for Eating Disorders. She keeps her knowledge of the field current by attending conferences and taking continuing education courses regularly.

To schedule an appointment with Dr. Holley please call 425-677-8403 or by email at

isabel head shot

Isabel Barbuto, PsyD candidate, MA, LMHCA, CDP, CHt, MBA

As an Intuitive Mind-Body-Spirit Psychotherapist, Hypnotherapist, Life Coach, Reiki Energy Master, Kundalini Yoga and Meditation Teacher, and iRest® Integrative Restorative Yoga Nidra Teacher, Isabel offers both Eastern and Western modalities to serve individuals, couples, families and groups.

Through the integrative use of evidence-based psycho/hypnotherapy, coaching, and complimentary alternative medicine, Isabel helps clients in their healing journey toward rediscovering wholeness and self-mastery in living a contented life, free of conflict and fear, through developing healthy relationships and interconnectedness with others and Self.

Isabel is an in-network provider with Premera, Lifewise, and First Choice. She is out of network with Aetna/First Health, Cigna, and UBH/Optum.

Specialty areas: Individuals, couples, families with interpersonal relationship conflict, anxiety, depression, mood, and personality disorders, and a spectrum of addictive-compulsive behaviors including alcohol and other drugs, gambling, sex, and food. Isabel’s extensive education and life experience has prepared her to serve all ages, ethnicities, races, religions, and sexual orientations.

Integrative and Holistic: Isabel offers both Eastern and Western modalities including Acceptance and Commitment Therapy (ACT), Cognitive-Behavioral Therapy (CBT), Dialectical-Behavior Therapy (DBT), Emotion-Focused Therapy (EFT), Gottman Method Couples Therapy, Interpersonal and Social Rhythm Therapy (IPSRT), Mindfulness-Based Stress Reduction (MBSR), Non-violent Compassionate Communication (NVC), Psychodynamic Therapy, Object Relations Therapy, Gestalt Therapy, Kundalini Yoga, iRest® Integrative Restorative Yoga Nidra, Hypnotherapy, and Energy Medicine.

Education and Experience: As a doctoral-level psychology (PsyD) candidate, licensed Mental Health Counselor Associate (LMHCA), registered Hypnotherapist (CHt) and licensed Chemical Dependency Professional (CDP), Isabel has a Master’s degree in Counseling Psychology (MA), and Business Administration (MBA) with an emphasis in organizational management. Her Master’s thesis focused on workplace stressors. She is a Reiki Energy Master, certified Kundalini Yoga Teacher, and iRest® Integrative Restorative Yoga Nidra Teacher, plus a current member of the International Association of Yoga Therapists, and the American Psychological Association.

Personal Life: Isabel is married, and has lived in Sammamish for twenty years. She and her husband are happily enjoying their mid-40’s with four furry four-legged children including three miniature-pinscher dogs, and one very special cat.

Isabel accepts a variety of insurance plans, and offers sliding scale and cash fees to uninsured and/or private-pay clients who prefer to keep their right to full confidentiality by not using insurance.

To schedule an appointment with Isabel please call 425-409-9455 or by email at

Gary Hole, PsyD candidate, MA, LMHCA

Therapeutic Approach: Empathy for helping others grow through their life challenges has always been a priority. I respect and value you while you educate me about who you are and how you arrived at your present situation. I compassionately help you develop insight and clarity into the issues you are seeking help for. I support you in making responsible choices towards resolving your pain and/or conflict.

I apply an integrative therapeutic approach, which I individualize for each client. Cognitive Behavioral Therapy is at the core. I integrate CBT with Object Relations Therapy, interpersonal boundary development, DBT and Mindfulness-Based Cognitive Therapy (MBCT). My approach is adjusted to individuals, couples and groups.

I personally worked through a lifetime of professional, emotional and relational challenges and have found healing, freedom and a joyful life. With empathy, I offer to help you find the same. I specialize in helping clients discover their real self, while managing anxiety, depression, relationships, personality traits and life stressors.

Education and Experience: Gary left the engineering profession to obtain a Master of Arts degree in Counseling Psychology at Northwest University in Kirkland, WA and is currently finishing his doctoral degree in Counseling Psychology there. Gary completed three years of pre-doctoral internship training at Meier Clinics Counseling Center in Bothell, WA. Gary trained as an individual and couples counselor, in addition to working as an integral part of the clinic’s 3-week intensive partial hospitalization program. Gary is now practicing as a Licensed Mental Health Counseling Associate (LMHCA) while he works to complete his dissertation and earn his Doctor of Psychology (PsyD) degree. He is also a member of the American Psychological Association (APA).

Personal Background: Gary began his professional career as a design/project engineer after earning Bachelor’s degrees in both electrical and mechanical engineering. During his 27 years of engineering work, he discovered a natural propensity for compassionately supporting others through their professional and personal issues. Gary gained knowledge about mental health, and his experience grew through involvement in volunteer human resources work and through participating as a lay counselor and teacher at his church. Gary realized he was naturally attuned to professional counseling as a second career.

Treatment Specialty: Gary works with anxiety, mood disorders (depression, bipolar), grief, relationship problems, career issues, character/personality disorders and addictions. Gary works with his clients toward the development of positive self-perception, self-actuated growth and maturity. Gary also has a particular interest in issues related to masculinity and spirituality. Gary works with clients 16 years of age and older.

To schedule an appointment with Gary please call 425-677-8403 or by email at

Tyson Hall, PsyD candidate, MA, LMHCA

Therapeutic Approach: Tyson understands that healing happens best inside the safety of a genuine, empathic relationship. Therefore, working towards establishing this therapeutic relationship is the first and most important step. He approaches healing with the assumption that a human’s unique experiences with attachments and relationships create beliefs about who we think we are. The process of healing includes subtracting the false beliefs that stand in front of who we truly are so that we can begin to experience true self-discovery. Because traumatic memories often lead to the creation of very unhealthy, destructive beliefs about who we think we are, the healing process may also include reprocessing those memories in an adaptive way that allows us to become unblocked. Ultimately, Tyson understands that everyone’s journey is uniquely sacred. He strives to facilitate a therapeutic relationship where the client’s own truth leads the healing process.

Tyson uses an integrative method informed by evidence-based theories such as Eye Movement Desensitization and Reprocessing (EMDR), Acceptance and Commitment Therapy (ACT), Object Relations, Cognitive-Behavioral Therapy (CBT) and mindfulness-based therapies.

Treatment Specialty: Tyson believes there is commonality to be found and connected with in people of all ages, wherever they come from, and is therefore open to walking this healing journey with any and all who have the courage to ask for help. Tyson specializes in treating individuals, romantic partners, and family members who struggle with anxiety, obsessive-compulsive thinking, addiction, depression, grief, interpersonal conflict, intrusive traumatic memories, self-esteem, and life direction. Tyson also has a keen interest in using mindfulness techniques to help athletes of all abilities and ages perform to the best of their ability on and off the field.

Education and Experience: Tyson received a Master of Arts in counseling psychology from Northwest University in Washington and continues there in his efforts towards obtaining his Doctor of Psychology in counseling psychology. As a fifth year doctoral student, Tyson has completed one year of pre-doctoral training in the Special Offender Unit at Monroe Correctional Complex in Monroe, Washington and one year in the 15-day partial hospitalization treatment program at Meier Clinics in Bothell, Washington. He is currently completing his final year of internship at NUhope Community Counseling Center in Kirkland, Washington where he provides outpatient mental health treatment for individuals who cannot afford insurance or full-cost services.

Personal Background: After obtaining his Bachelor of Arts in psychology, Tyson spent the next decade of his life keeping busy with significant events such as marriage, the important work of starting a family, traveling, and working as a Data Communications Technician in the great state of Alaska. Tyson and his wife also spent nearly four years in the state of Maine as Therapeutic Foster Parents to teenagers who experienced abandonment and significant trouble in the family system due to their struggles with conditions such as schizophrenia and autism. Among other experiences in his life, this work led Tyson to pursue a full-time career as a facilitator of healing.

To schedule an appointment with Tyson please call 425-677-8403 or by email at

 Gina Pic for websiteGina M. Serraino, MA, LMHC, R-DMT

Gina is a Licensed Mental Health Counselor and Registered Dance /Movement Therapist.  She earned her Master’s degree in Counseling Psychology and Dance/Movement Therapy from Antioch University New England.  Her training and work experience includes offering psychotherapy, counseling, and body-mind practices to undergraduates in a college mental health center, leading creative and movement therapy groups for seniors in nursing homes and community mental health, counseling families about Alzheimer’s type dementia and working with seniors afflicted by it, working with women and their children at a domestic violence shelter, and with adults in private practice. She is a member of the American Dance Therapy Association, the International Expressive Arts Therapy Association, the NW Alliance for Psychoanalytic Study, and the AEDP Institute.

Gina is an in-network provider with Aetna/First Health, Regence, Premera, Lifewise, and First Choice. She is out of network with Cigna, and UBH/Optum.

Gina’s approach to therapy is rooted in the belief that the mind and the body naturally strive toward health and well-being, but sometimes the stressors in our lives overwhelm this natural state.  She believes that we all have unconscious patterns that influence our emotions and our choices, distort our perceptions, compromise the quality of our lives and of our relationships, or disconnect us from who we want to be.  By developing an awareness of these patterns, new insights and perspectives can be experienced and then lived, so that you can return to a more natural state of well-being.

Gina’s clinical orientation is diverse, integrating psychodynamic, relational, and experiential approaches. This means she will explore your experiences and past relationships, your emotions, your strengths, your patterns of relating, how you experience yourself, and how you envision your life, so that you can gain insight about yourself.

Gina also uses other therapeutic methods, including dance/movement therapy, body-mind practices, and expressive arts therapy for those who are interested.  Dance/movement therapy is a holistic form of psychotherapy that recognizes that the mind and the body are integrally connected. Gina believes that our bodies are like maps to our psyche and speak to us through tension, sensation, and emotion.  By giving voice to these innate expressions through movement, we can begin to shift our psyche, our thoughts, and our emotions, bringing what is unconscious to consciousness so that it can be felt, understood, and integrated.

Expressive arts therapy invites another perspective, offering an experimental place for exploring an emotion or an issue, for taking risks, and challenging perceptions.  Self-expression and creativity can encompass movement, writing, or art materials, but also our daily tasks are creative in and of themselves.  Gina believes that self-expression can become a metaphor for how we are in our lives, uncovering unconscious patterns that can lead to insights about our emotions and how we choose to live in the world.

Having been a dancer and artist for over 25 years, she sees self-expression as transformative. Coupled with psychotherapy, it can provide insight about ourselves and about our capacity for change. Gina trusts that each of us has an inherent sense of creativity, and by working together it’s often the unexpected and unexpressed emotions that emerge from her sessions that can provide new understandings for the experiences in our lives.

Please visit Gina’s business website at to read more about Gina’s approach, her services, and to read her blog.

To schedule an appointment with Gina please call 425-677-8403 or by email at


Ai EndoAi Endo, MA, LMHCA

Individual therapy for adults and adolescents: addressing anxiety, depression, post-tramautic stress disorder, trauma, grief, relationships, communication skills, life transitions and life coaching. Specializes in holistic intuitive psychotherapy as well as kundalini yoga, meditation practices, spiritual wisdom and energy healing.

Ai is an in-network provider with Premera, Lifewise, and First Choice. She is out of network with Aetna/First Health, Cigna, and UBH/Optum.

About Ai: Ai excels in working holistically, that is with an awareness of how the mental, emotional, physical and spiritual aspects of our self interact. She addresses your therapy goals with through this lens of seeing the forest AND the trees. Your personal beliefs & practices are respected and considered an important strength in your work together. She is aware of diversity and welcomes people of any ethnicity, religion, sexual orientation, gender identification, and culture.

Counseling sessions with Ai are natural-yet-focused conversations and collaborative explorations. She stays open to possibilities, with enough structure to ground your progress. You will learn about yourself and experience your truth, which will open up to possibilities. She also teaches you coping skills and other stress reducing techniques as appropriate, so you will learn effective ways to support yourself in your life.

Specialty areas: depression, anxiety, fear, post-traumatic stress syndrome, sexual trauma, anger, grief, self esteem & confidence, body issues, domestic abuse, relationship challenges, communication problems, life transitions, kundalini awakenings, existential/spiritual crises, addictive patterns, substance abuse, and loss of loved ones.

Training & Experience: Masters Degree in Applied Behavioral Sciences (Counseling Psychology) from LIOS at Bastyr University in 2008; clinical practicum was at Greater Lakes Mental Healthcare in the Child & Family Department; Domestic violence training at Domestic Abuse Womens Network in 2010, and served as a volunteer counselor that year supporting women in that particular situation.

Ai has been a holistic psychotherapist in private practice since 2009, offering mental health counseling, yoga & meditation, and energy healing work. She has studied and practiced yoga since 1995, and has taught Kundalini yoga & meditation extensively since 2005. Her classes and workshops are a powerful melding of western psychology and applied yogic & spiritual wisdom. She has taught over 1100 classroom hours, including in yoga teacher trainings and courses in the US, India and Japan. She has a universal perspective in regards to spirituality, and enjoys working with clients who are interested in bringing that part of themselves into therapy.

Areas of study and joy that have influenced Ai over the years include: natural healing and nutrition, hatha yoga, vinyasa yoga, kundalini yoga, various meditation practices, astrology, tarot, kabbalah, ritual, ancestors, writing, inner journeying, Buddhism, Sikhism, archetypes, 5 rhythms dance, music, aerial arts, gardening, traveling and cooking.

Creating Conscious Behavior: Ai believes what we do and feel are natural outcomes from the situations we have encountered. How we react depends on the coping skills we had at the time of our experiences, our individual traits and environment. Often we have created habits un-consciously, and counseling will illuminate your (and others’) behavior to bring insightful understanding. We will not needlessly trawl the past, but judiciously revisit as needed in the context of how it is affecting you now. Taking care of unfinished business frees up internal space and integrates past experiences so you can clearly be who you are today. From here, the future is wide open.

“It is an honor for me to hold a healing space for you to do this deep
work. If my holistic approach resonates with you, then we may be a good
match to work together on your concerns.” ~ Ai Endo

M.A. Applied Behavioral Science (Counseling) from Bastyr University
(LIOS), 2008.
Licensed Mental Health Counselor Associate, State of WA.
B.A. English Literature (Creative Writing Emphasis) & B.A. Japanese
Language & Literature, from University of WA, Seattle, 2000.
KRI Certified Kundalini Yoga Teacher, 2005.
Certified Harmonyum Healing Levels One, Two & Three, 2005, 2006, 2008.

To schedule an appointment with Ai please call 425-677-8403 or by email at


Cynthia Clarfield, MA, LMHCA

Psychology Resident ~ Assessments ~ Psychotherapy

Approach to Therapy: Cyn is skilled in using a variety of therapeutic practices, and takes an integrative approach, informed by her clinical training in cognitive behavioral therapy (CBT), interpersonal therapy, and relational psychodynamic therapy. She is able to work with diverse populations and individuals with a wide variety of needs. Additionally, Cyn has experience working with young children using play therapy (with sand tray) and art therapy. Cyn also has experience treating adolescent mood and anxiety disorders, ADHD, and school refusal. Cyn especially enjoys working with young people impacted by their sibling’s mental or physical impairments, and also enjoys working with LGBTQ youth and young adults navigating issues related to sexual and gender identity development.

Credentials and Experience:

Cyn earned dual Bachelor’s degrees in the Humanities at the University of California, Irvine, before moving to Seattle, where she earned her Master’s degree in Psychology from Antioch University Seattle. She has completed the coursework and clinical training toward her PsyD (Doctor of Clinical Psychology) at Antioch University Seattle, with a concentration in Child and Adolescent Psychology. She is currently conducting her original research (doctoral dissertation) on the experience of adolescent siblings of substance users.

Cyn has 5 years of clinical service experience. She provided counseling and psychological assessments to children and adolescents in two specialized schools focusing on neurodevelopmental disorders and early childhood trauma. Cyn’s pre-internship training years were at Therapeutic Health Services (THS) and Ryther community mental health clinics. At the THS Youth and Family Services Branch in Rainier Valley, Cyn worked with the chemical dependency and mental health treatment teams providing psychological services to the Intensive Outpatient Program (IOP) and King County Drug Court clients. This was followed by her second year of pre-internship training at Ryther, where she worked with the Department of Psychological Services providing outpatient and inpatient treatment to children, adolescents, and families. Cyn then completed her internship year of clinical training at Ryther.

Approach to Assessment: Psychological evaluations can help patients better understand how their cognitive, behavioral, and emotional functioning influences the way they experience and navigate the world. The process of undergoing a psychological evaluation can feel exciting and validating, but it can also be intimidating, and it’s normal to feel some anxiety; Cyn works hard to make the experience as warm, safe, and engaging as possible from start to finish. She takes a strengths-based approach to evaluations. This means she tailors the selection of instruments to best answer the patient’s diagnostic questions and then uses the results to shine light on a patient’s existing strengths, as well as areas of concern. Assessments always include a thorough recommendation section, which benefits the patient and those who support them in their everyday lives. Ultimately, Cyn wants patients to reach their full potential; she believes that psychological assessments can lay the groundwork for making the effective changes that will bring the greatest improvements to patients’ personal, academic, and vocational lives. Cyn enjoys helping patients, providers, and families use assessments to gain diagnostic clarification, such as differentiation between ADHD and anxiety. She is also trained in the administration of personality assessment using both objective and projective instruments.

Additional Background: Before pursuing psychology, Cyn spent three years working as para-educator at Children’s Institute for Learning Differences (CHILD), a school providing services to Seattle-area children with a variety of social, emotional, and behavioral challenges. This experience inspired her to pursue a career in psychology, where she continues to help children and adolescents develop the social/emotional/behavioral skills that will support them toward happier and healthier lives. Cyn is a member of the American Psychological Association.

To schedule an appointment with Cyn please call 425-677-8403 or by email at


Michele Whittington CHt, Certified Hypnotherapist

I decided to become a licensed hypnotherapist & life coach because I desired to see more vibrantly alive, wildly successful people. I have assisted hundreds of clients to address their suffering through hypnotherapy, a process that facilitates change quickly, easily & joyfully. Imagine experiencing amazing clarity, peace & freedom even in the midst of challenging circumstances.

Hypnosis is simply intentionally designing what you want and letting go of what you don’t via your thoughts and beliefs. Hypnotherapy provides you with the ability to change your mind and body on a deeper level by harnessing the power of the subconscious mind (90% runs your life). Allow your superconscious mind to become the biggest asset in your healing process rather than its greatest opponent.

I can assist you in the treatment of:

  • Weight loss
  • Transitioning (job/career, empty nester, divorce)
  • Confidence booster (body image, public speaking, dating)
  • Smoking cessation
  • Mojo motivation
  • Sleep issues
  • Increase student grades, learning & study habits
  • Pain management* (with doctors note)
  • Anxiety, stress management and relaxation (my specialty!)

Everything is energy. Reiki or energy medicine is also another technique I offer to activate the natural wellness processes of the body, restore physical and emotional well-being.

“What a wonderful experience today with your healing energy work. WOW…I went from a pain level of 8 to NO pain in less than an hour! Mind blowing to watch my swelling go down so fast. To see and feel the difference so quickly is awesome. Thank you for the relief of pain.” ~ Cheryl, 3 broken toes without pain meds

Change can be fun. Create a life you love…you deserve it! Are you ready to begin?


First Session: 11/2 hour = $185

2 or more sessions: 1 hour = $125

Discovery Call: 15 min = Free

To schedule an appointment with Michele please call 425-677-8403 or by email at