Last edited 03/03/2026

Identifies As
She / Her / HersCisgenderWhiteLesbianLGBTQIA+Immigrant / 1st Generation American
Get To Know Me
What should we know about your experiences and background?
As an immigrant and the first in my family to build a life here, I deeply understand the complexities of identity, belonging, and the grief that can come with being far from family. Navigating my own cultural transitions and identity development has given me personal insight into the resilience and vulnerability that often accompany these experiences. I know how isolating it can feel- and how powerful it is to feel understood.
I also came out later in life, which allows me to genuinely connect with clients who are exploring their identities, questioning long-held narratives, or navigating the vulnerability of coming out. I understand how essential affirming support can be during these moments.
During college I lost a close friend to suicide. That loss profoundly shaped my path and deepened my commitment to supporting individuals struggling with depression, anxiety, and emotional pain. It strengthened my belief in the importance of accessible, compassionate mental health care and in creating spaces where people feel safe enough to share what they may not have been able to say elsewhere.
In my work I strive to meet clients exactly where they are. I value authenticity, collaboration, and transparency. Therapy with me is not about being "fixed"- it's about working together to better understand your experiences, clarify what matters most to you, and move toward meaningful change at a pace that feels right.
Location
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Specialties
Specializes in
Relationship IssuesCultural adjustmentLGBTQIA related issuesLife transitionsParenting issues
General Expertise
DepressionAnxietyWork StressLoss/GriefSelf-EsteemSexuality Based IssuesRace & Cultural IdentityADHDAttachment issuesCaregiver stress & supportCodependencyGender identity & transgender healthMood disordersPregnancy, perinatal, & postpartum issuesStressCouplesBurnout
Treatment Approaches
Strength Based TherapyMindfulness PracticesCulturally Sensitive TherapyPerson-Centered TherapyNarrative TherapyAcceptance and Commitment Therapy (ACT)Attachment-Based TherapyCoachingRelational Therapy
Clientele
Types of Therapy
Couples CounselingIndividual Therapy
Serves Ages
ParentsYoung Adults (18-24)Adults (25-65)
Languages
English
Insurance & Fees
Insurances Accepted
AetnaCignaAmbetter HealthCarelon Behavioral HealthOptumOptum: EAPOxford Health PlansPremera Blue CrossQuest Behavioral HealthRegence
Cash Pay Rates/Out-of-Pocket
| First Session: | $175 |
| Couples Counseling: | $200 |
| Individual Therapy: | $175 |
Professional Background
LicensureWashington, Licensed Mental Health Counselor, LH61373517
Education
Multnomah University, Master of Arts, Masters of Arts in Counseling, 2015 — I completed my Masters of Arts in Counseling.
Work HistoryWith experience at Lutheran Community Services and Kindering,I have worked extensively with diverse individuals and families navigating complex life experiences. My background includes supporting LGBTQIA+ communities, immigrants and first-generation individuals, and families adjusting to acculturation, parenting challenges, trauma, anxiety, depression, and major life transitions.
These roles deepened my commitment to culturally responsive, trauma- informed care and strengthened my understanding of how identit, culture and systemic experiences shape mental health and relationships.
In my private practice, I focus primarily on LGBTQIA+ clients, including individuals exploring later-in-life coming out experiences and identity integration. I also work closely with immigrants and bicultural individuals navigating identity deconstruction, belonging, and cultural transitions.
Additionally, I support adults facing anxiety, depression, and significant life changes such as career shifts, relationship transitions, or parenting adjustments. I continue to work with couples, helping partners strengthen communication, recognize attachment patterns, and build more secure, connected relationships while navigating parenting and family dynamics.
My approach is collaborative, affirming, and grounded in curiosity and compassion. I aim to create a space where clients feel seen, understood, and empowered to move toward meaningful and sustainable change.
Frequently Asked Questions
It’s not uncommon to have questions before starting therapy.
Ansebe Smit, LMHC, has answered a few of the questions they receive most often from new clients.
Is Ansebe Smit accepting new clients?
Yes, Ansebe Smit is accepting new clients for online therapy in Washington.
Does Ansebe Smit accept insurance?
Yes, Ansebe Smit accepts insurance, including Aetna, Ambetter Health, Carelon Behavioral Health, Cigna, Optum, Optum: EAP, Oxford Health Plans, Premera Blue Cross, Quest Behavioral Health and Regence.
What types of therapy does Ansebe Smit offer?
Ansebe Smit offers therapy for couples and individuals.
Does Ansebe Smit offer in-person appointments?
No, but people in Washington can book Ansebe Smit for virtual appointments (teletherapy).
Does Ansebe Smit offer online therapy?
Yes, Ansebe Smit offers online therapy via video sessions to people in Washington.
How quickly can I see Ansebe Smit?
Ansebe Smit typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.
What languages does Ansebe Smit speak?
Ansebe Smit conducts therapy sessions in English.
Can I book an appointment with Ansebe Smit online?
Yes, you can easily book an appointment with Ansebe Smit online using ChoosingTherapy.com’s directory.