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Jennifer Koch, Psy.D.

As a cognitive-behavioral therapist, I focus on how your thoughts, behaviors, emotions, assumptions, and personal perspective connect together. As you gain awareness and insight about all these parts of yourself, we will also work to identify your strengths and challenges. My work centers on helping you develop flexibility with your thinking, changes in how you do things, and pushing yourself in healthy ways. We will identify your values and develop strategies to help you build a life in line with these values. Boundaries, laughter, realistic goal setting, logical thinking, self-compassion, and emotional validation are common themes in my therapy sessions. I am a Certified Clinical Trauma Professional and focus my treatment on helping you achieve post-traumatic growth. I also provide Cognitive Processing Therapy for PTSD for those who are in need of a more structured approach.


I strive to customize treatment to be maximally effective and beneficial for every client. Through a collaborative therapeutic relationship, we will work together in meaningful ways. My expectation is that you will be an active participant in therapy, as well as your life. You are responsible for taking action towards therapy goals and my job is to help you get there.

I work with adults ages 18 and up. I am currently accepting first responders (firefighters, police, EMT) as new clients. L & I claims are accepted.

Anxiety Disorders
Generalized Anxiety Disorder
Social Anxiety & Panic Disorder

Mood Disorders
Depression & Bipolar Disorders


Post-traumatic Stress Disorder
First Responder Trauma
Moral Injury

Adjustment Difficulties
Grief and Loss
Major Life Changes
Identity Development
Pregnancy and Maternal Struggles
Relationship Problems
Unhealthy Relationship Patterns
Communication & Boundaries
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

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.  

Fee:  $275

Dr. Koch is accepting 

first responders as new clients.

Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Kaiser Permanente PPO Plans
  • First Choice Health
  • Premera
  • United Healthcare and Optum Plans
  • Labor & Industries (Workers Comp Claims)
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