Understory Therapy

Therapy for teens & adults rooted in skills.

We work with teens and adults living with anxiety, depression, trauma, and suicidal thinking. In person in Ballard, Seattle and on Vashon Island, and by telehealth across Washington.

In network with Premera, Regence, LifeWise, and most Blue Cross Blue Shield plans.

Need help right now?

Call or text 988 for the Suicide & Crisis Lifeline, or call 911. We are not a crisis service and cannot respond to emergencies.

Two offices

In person in Ballard and on Vashon Island.

Ballard, Seattle

5306 Ballard Ave NW, Seattle, WA 98107

Behavioral therapy (CBT, ACT, and DBT skills) for teens, young adults, and women navigating the postpartum period, with Shivali Mashar, LMHCA. Accepting new clients.

About our Ballard office

Vashon Island

17223 Vashon Hwy SW, Vashon, WA 98070

DBT and skills-based therapy for teens, young adults, and adults, with Patrick Phelan, LMHC.

About Patrick

Both offices are in network with Premera, Regence, LifeWise, and most Blue Cross Blue Shield plans. Telehealth is available anywhere in Washington.

Where to start

Finding the right therapist is harder than it should be.

We believe compassionate, collaborative therapy, grounded in science, can help you build the life you want to live.

Therapy is built on the foundation of trust. If we are not the right fit, we will help you find someone who is.

What we help with

Our providers offer evidence-based behavioral therapy for a range of needs.

Anxiety

Exposure therapy to help you overcome fears and tolerate worry thoughts.

Depression

Behavioral activation to build social connection and rediscover a sense of meaning.

Suicidal thinking

Manage moments of crisis by safety planning and learning skills to tolerate distress and manage intense emotions.

Posttraumatic Stress

Eye Movement Desensitization and Reprocessing (EMDR) therapy and exposure therapy to safely process traumatic events and become unstuck. How we offer EMDR.

DBT

A structured, skills-based approach for people who feel emotions intensely. The most extensively researched treatment for self-harm and suicidal behavior. How we offer DBT.

Teens & young adults

Our clinical focus is the years between early adolescence and the late twenties. More on our work with teens.

Clinicians

Shivali Mashar, LMHCA

Shivali Mashar, LMHCA

Associate Therapist · Ballard, Seattle · Accepting new clients

Person-centered, trauma-informed therapy for teens, young adults, and women navigating the postpartum period, with a focus on identity and self-worth. Read more.

Patrick Phelan, LMHC

Patrick Phelan, LMHC

Therapist · Approved Clinical Supervisor · Vashon Island

Intensively trained in DBT, with a clinical focus on teens, young adults, and high-risk presentations. Read more.

Fees & insurance

In network with Premera, Regence, LifeWise, and most Blue Cross Blue Shield plans.

We bill your plan directly, so you pay your usual copay or coinsurance. We are happy to talk through options if yours is not listed.

  • Regence
  • Premera
  • LifeWise
  • Blue Cross Blue Shield

$180 per 60-minute session, self-pay

Full fees, insurance, and telehealth details

Getting started

Start with a free 30-minute consultation.

It is a chance to meet, ask questions, and work out whether we are the right fit — no commitment either way.

Please do not send clinical details, symptoms, or health history by email or through this website.

Vashon office
17223 Vashon Hwy SW, Vashon, WA 98070
Insurance
In network with Premera, Regence, LifeWise, and most Blue Cross Blue Shield plans
Hours
By appointment
Telehealth
Available to anyone located in Washington state, including Seattle and the greater Puget Sound area