About Laura
Laura Geiger is a Licensed Mental Health Counselor (LMHC) practicing in Washington. She helps people manage stress, anxiety, depression, trauma, relationship and parenting concerns, and challenges like ADHD, grief, anger, and low self-esteem. Her direct approach aims to make therapy understandable and doable for busy people.
Laura favors straightforward conversations and practical strategies. She listens for how past relationships shape current reactions and works with clients to spot unhelpful patterns.
How Laura works
Sessions often include exercises to change thinking and behavior, as well as reflective work about personal stories and attachment needs. Her background includes more than two decades of clinical practice in Washington. Laura draws on a mix of methods to meet each person where they are.
She described her style as client-centered and supportive, focusing on what the client wants to change. In session she blends cognitive-behavioral tools with mindfulness and narrative techniques to help people cope and make new choices. Attachment-focused ideas guide work on relationship patterns and emotional connection.
Together these approaches aim to reduce symptoms and increase day-to-day coping skills. Laura works with a wide range of concerns tied to family, work, and life transitions. She also supports people facing complex stresses such as caregiver strain, adoption and foster care issues, and co-morbid conditions.
Her goal is to offer clear steps and steady support as clients figure out their next moves.
Laura lists 5 ways of working on the entry:
What Laura works with
The areas below are the ones Laura selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Midlife crisis
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Self esteem
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 22 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How attachment, CBT and narrative work online
Laura uses attachment-based ideas to look at how early relationships affect current reactions. This approach helps when patterns of trust, closeness, or abandonment shape stress, relationship tension, or parenting challenges.She also uses cognitive-behavioral therapy, which focuses on identifying and changing unhelpful thoughts and behaviors. CBT techniques help with anxiety, depression, impulsivity, and coping with life changes by teaching concrete skills and homework practices.
Narrative therapy is used to separate a person from their problem and rewrite the story they tell about themselves. This can reduce shame, guilt, and feelings of emptiness by creating new meanings and choices.
Finding the right approach is part of the work. Laura collaborates with each person to choose methods that match their needs, goals, and preferences. She adjusts strategies over time so therapy stays useful and relevant.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation when that is helpful. Phone sessions can fit a short break or require less bandwidth. Live chat and text messaging are useful for quick check-ins, coaching-style support, or when writing out thoughts helps. These formats make it easier to work around schedules and stay connected across distance.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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