Adam Johns, MA, LMFT
Individual & Family Therapy

Therapy that meets you where you actually are.

Good therapy is collaborative. It moves at your pace, takes your interests and ways of thinking seriously, and helps you build a clearer relationship with yourself — your patterns, your needs, your strengths.

My practice focuses on adults and adolescents whose minds, lives, or interests haven't been well served by conventional therapy formats. Many of my clients are neurodivergent. Many are part of the geek and gaming community. Many are navigating a life transition or a recurring pattern they want to change. The throughline is that one-size-fits-all therapy hasn't fit — and we work together to build something that does.

Neurodivergent Adults & Teens

ADHD, autism, OCD, AuDHD, and other neurotypes — whether formally diagnosed or self-identified. The work isn't about masking better or making your brain look more typical. It's about understanding how you actually work, building skills that fit how you're wired, and developing a positive relationship with your neurodivergence without villainizing it.

Practical accommodations: pace flexibility, special interests treated as therapeutic material rather than distractions, and an approach that respects how you process rather than imposing how I do.

The Geek & Gaming Community

Geek culture isn't a hobby — it's often a primary language for identity, relationships, and meaning-making. Therapy that doesn't speak that language has to translate everything, and a lot gets lost in translation.

I'm a gamer myself. We can talk about your D&D campaign, your guild drama, your collection, your stories — and the things they're helping you work through or avoid — without me needing the metaphors explained first.

Adults in Transition

Career changes, identity shifts, the end of a chapter, the start of a new one, the slow erosion of who you thought you'd be by now. Transitions can be exciting, painful, disorienting, or all three at once — and they often surface patterns and questions that have been waiting for the right moment.

Recurring Patterns & Stuck Places

The same relationship dynamic, the same self-defeating loop, the same conflict at work, the same wall you keep hitting. When something keeps happening, it's worth understanding the parts of you that keep showing up — and what they're protecting, communicating, or asking for.

How I work

I draw on several therapeutic frameworks — not as a rotating buffet, but as different lenses for what's actually happening for you. The work tends to include:

Skills for managing thoughts, emotions, and behaviors when you're in the middle of them — drawn from CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy). Useful for the moments when you need a tool, not a theory.

Self-understanding through exploration of your inner experience — the different parts of you that show up, the patterns underneath the patterns, the things you tell yourself and the things you don't. This draws on IFS (Internal Family Systems) and the broader project of getting curious about who you are rather than just trying to fix who you're not.

Narrative — looking at the stories you're carrying about yourself and the world, where those stories came from, which ones are still serving you, and what other stories might be available. Drawn from narrative therapy and ACT (acceptance and commitment therapy).

Strengths-oriented framing. A lot of therapy focuses on what's wrong. I think it's at least as important to understand what's working, what you've already gotten through, and what you bring to the situations in front of you.

CBT DBT IFS ACT Narrative Therapy

Modalities are tools, not identities. The right combination depends on you.

Who I see

My practice is open to adults, young adults, adolescents, and families — with most therapy happening one-on-one. Here's how the different formats tend to work.

Adults & young adults

Individual therapy for adults navigating depression, anxiety, neurodivergence, identity, relationships, work, and meaning. This is the heart of my practice and where I have the most availability — including daytime and early afternoon hours, which can be hard to find with other therapists.

Adolescents & teens

Individual therapy for adolescents, often with neurodivergent presentations, social or academic struggles, identity exploration, or family conflict. Afterschool availability tends to fill quickly — earlier slots are often more flexible. I welcome inquiries from parents looking for a therapist who actually understands their teen's interests rather than treating them as symptoms.

Families

Family therapy is most often requested as a complement to individual therapy when I'm seeing a child or teen — bringing parents and siblings into the work where it makes sense. Standalone family therapy is less common in my practice but available if it fits what you need.

Logistics

Session length
50 minutes
Session fee
$220 per session
Telehealth
Tuesdays, Wednesdays, Thursdays — anywhere in Washington State
In person
Tuesdays in Mountlake Terrace, WA
Insurance
Self-pay only. Superbills available for out-of-network reimbursement.
Sliding scale
Limited slots available — please ask.

If cost is a barrier and a sliding scale slot isn't available, I'm happy to refer you to clinicians and practices that may be a better fit. Reach out and we'll find a path.

Ready to start?

Reach out to schedule a first session, ask a question, or talk through whether we'd be a good fit.

Get in touch