Psychotherapy or "talk therapy" helps with a wide range of issues and concerns. Psychotherapy can help to reduce emotional struggles, build confidence, strengthen relationships, and elicit positive change in the mind and body. Some people benefit from short-term therapy and others prefer long-term treatment. Research has shown that the majority of people who seek psychotherapy demonstrate a better quality of life and reduction in symptoms. 

Jennifer Koch, Psy.D.

As a cognitive-behavioral therapist, I focus on how your thoughts, behaviors, emotions, assumptions, and personal "rules" connect together. I strive to customize treatment to be maximally effective and beneficial for every client. An integral part of personal growth and change is the development of insight and awareness about self. Through a collaborative therapeutic relationship, we will work together to identify patterns in your thinking, feeling, and behaving. You are responsible for taking action towards therapy goals and my job is to help you get there.  


I am also a Certified Mental Health Integrative Medicine Provider and member of the American Nutrition Association. I have specialized training in understanding how nutrition affects emotional and mental health. If you are interested in a holistic approach to mental health treatment or general improvement in your quality of life, I can provide this in addition to clinical treatment modalities.  


*Please note that I am not a medication prescriber. I recommend that you consult with your general practitioner or psychiatric prescriber if you are seeking psychotropic medication.

Learn more about Dr. Koch 

Anxiety Disorders
Generalized Anxiety Disorder
Social Anxiety
Panic Disorder
Obsessive-Compulsive Disorder

Mood Disorders
Bipolar Disorder
Postpartum Mood and Anxiety Issues
Adjustment Difficulties
Grief and Loss
Major Life Changes
Identity Development
Pregnancy and Maternal Struggles
Relationship Problems
Unhealthy Relationship Patterns

Body & Food
Eating Disorders
Self-Esteem and Body Dysmorphia
Nutrition and Mental Health

Therapy Services

Initial Intake

Fee:  $300

The intake session is our first meeting. We will thoroughly discuss your history, concerns, symptoms, and goals for therapy. We will also work towards determining goodness of fit. Sometimes it takes a few sessions to determine if we will work well together. I encourage you to research other therapists and find the best provider to fit your needs. As we work together past the intake session, we will continue to explore your experiences, address symptoms, develop strategies, and set new goals as needed. The intake session is 60 minutes. I provide in-office and telehealth therapy options. 

Therapy Sessions

Fee:  $275

Short term and long term treatment is available depending on your therapy goals. Typically, sessions are weekly or bi-weekly at the start of treatment. As you make progress and get closer to your goals, the frequency of sessions can be reduced. Some clients prefer to continue frequent sessions to maintain their progress and address new issues or stressors. Others choose to return to therapy for monthly sessions or as needed. You determine what is best for you. Sessions are 55 to 60 minutes. Most insurance plans cover unlimited sessions per year. Check with your insurance carrier for any limitations and your out of pocket cost.  

*I do not provide psychological evaluations, court-ordered therapy, couple's therapy, family therapy, crisis treatment, or medication management. Telehealth is only available to those living in Washington state.

Is Dr. Koch accepting new clients?

What's in the fine print? 


Front Desk:  360-706-2674



Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Kaiser Permanente: Options PPO, Access PPO, Omni PPO
  • First Choice Health
  • Premera
  • Blue Cross Blue Shield
Current Clients Only:
  • Kaiser Permanente:  Core and HMO
  • United Healthcare and Optum Plans