Seattle Therapist for Depression

Teens tend to exhibit difficulties with depression and anxiety differently than adults. Both can show up as irritability, trouble with grades, withdrawal, an increase in risk taking behavior and a lot of conflicts with friends. Since all of these can be normal in adolescents, it can be confusing for teens and their parents to know whether or not help is needed. If these issues have gone on longer than a few weeks to a month or if they are causing significant problems, it's time to seek an evaluation to see if your teen needs help.


I have been working with adolescents for over twenty years. I find them delightfully curious, full of life, idealistic and sometimes surprisingly mature and philosophical.

Some of the issues I help teens with are:

  • Depression
  • Self-harm such as cutting
  • Anxiety
  • Academic problems, including dropping out of school
  • ADHD/ADD management
  • Divorce adjustment
  • Blended family issues
  • Substance abuse
  • Conflict with parents
  • Oppositional and defiant behavior
  • Trauma such as history of sexual or physical abuse or recent sexual assault
  • Involvement in unhealthy dating relationships, including domestic violence
  • Decisions about what to do after school
  • Questions about sexual orientation or gender identity

I typically start therapy by meeting with teens and a parent or parents to get an idea of what the concerns of each are. After that, we'll decide together if individual counseling, family counseling or a combination of both is needed.

Please contact me at 206-228-6829 or Sara@SaraHiatt.com with any questions or to schedule an appointment. I look forward to hearing from you. My therapy office is in North Seattle, conveniently located near I-5.

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