The Seattle Clinic was born from a series of questions we asked ourselves over many years: What setting would evoke our best therapeutic presence and sustain our passion over the career-span? What combination of endeavors would constitute our ideal professional life? What work culture would be most conducive to our professional and personal growth and fulfillment? 

From these questions, a vision emerged of a professional community:

  • committed as much to providing effective, evidence-based psychological treatments as it is compelled by the uniquely human art of therapy

  • tied together as much by professional interests as it is by personal bonds and friendships

  • enriched as much by its members' expertise as it is by their desire to be lifelong learners

  • as passionate about cutting edge research as it is about ancient wisdom

  • defined as much by its common purpose as it is strengthened by its members' independence and autonomy

Our Providers

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Andrew Fleming, PhD
Licensed Psychologist

Dr. Fleming completed his doctoral study in Child Clinical Psychology at the University of Washington, his internship in Child & Adolescent Psychology at the UCLA Medical Center, and fellowship at the UW School of Medicine Department of Psychiatry & Behavioral Sciences. Dr. Fleming has developed and researched an adaptation of Dialectical Behavior Therapy (DBT) for young adults with ADHD, and collaborated on the largest multi-site clinical trial of DBT for suicidal teens. His current research focuses on improving interventions for teens and families affected by eating disorders, ADHD, autism spectrum disorders, and suicidal behavior. Dr. Fleming is a member of the Clinical Psychology Faculty at the University of Washington, where he provides individual and practicum training for advanced doctoral students.

Dr. Fleming has worked closely with the developers of leading-edge evidence-based treatments for mood and anxiety disorders, eating disorders, disruptive behavior disorders, suicidal behavior, and autism spectrum disorders. He a certified PEERS® clinician and Functional Analytic Psychotherapy (FAP) trainer. In his private practice, Dr. Fleming provides comprehensive Dialectical Behavior Therapy (DBT), family-based treatment (FBT), and a range of evidence-based treatment for children, adolescents, adults, couples, and families.

Click here for more information on Dr. Fleming's clinical practice.


Julia Hitch, PhD
Licensed Psychologist

Dr. Julia Hitch received her doctorate in Child Clinical Psychology from the University of Washington and completed her pre-doctoral internship at UCLA Medical Center. Observing that patients often come to therapy with multiple concerns, Dr. Hitch has developed expertise in a wide variety of evidence-based therapies, including exposure and response prevention for OCD, prolonged exposure for PTSD, dialectical behavior therapy, behavioral parent training as well as cognitive behavioral therapy more generally.  Additionally, underlying all therapies provided Dr. Hitch utilizes her expertise in functional analytic psychotherapy (FAP) to strengthen the power of the therapeutic relationship so that clients can deepen their interpersonal connections outside of therapy.  

Dr. Hitch enjoys working with patients across the lifespan, seeing patients as young as two, and empowering them to overcome their struggles with OCD, anxiety, mood, emotion regulation, parenting, and challenges in interpersonal relationships. She approaches each patient with enthusiasm, authenticity, and humor, and crafts individualized, evidence-based treatment plans for each person.  

She is on the Clinical Psychology Faculty at the University of Washington and is a certified OCD therapist through the International OCD Foundation. She regularly trains graduate students and psychologists in a variety of evidence-based therapies.

Click here for more information on Dr. Hitch's clinical practice.


Mary P. Loudon, PhD
Licensed Psychologist

Dr. Mary Loudon, co-founder of The Seattle Clinic, is an internationally recognized expert in Functional Analytic Psychotherapy (FAP), an interpersonal and emotionally-focused treatment approach that applies decades of basic behavioral science to the therapeutic encounter.

Dr. Loudon earned her doctorate in clinical psychology at the University of Washington where she specialized in third-wave cognitive behavioral therapies including Functional Analytic Psychotherapy (FAP), Acceptance and Commitment Therapy (ACT), and Mindfulness-based therapies. She received advanced clinical training in FAP, co-instructed the UW FAP Training Practicum for 5 years, and completed her post-doctoral fellowship with Dr. Mavis Tsai, the creator of FAP. Mary is a certified FAP Trainer and workshop leader who has taught, supervised, and provided consultation for hundreds of practitioners domestically and abroad.   

In 2009, Dr. Loudon became a member of the Clinical Psychology Faculty at the University of Washington and since this time she has provided clinical supervision to doctoral students in FAP, ACT, and EFT. In her private practice, she works with individual adults and couples across a wide span of concerns including anxiety, emotional avoidance and disconnection from self or others, low mood, grief, trauma, and interpersonal connection and intimacy. She also provides therapy for therapists - an endeavor especially suited for professionals who want to improve their therapeutic skills while cultivating deeper courage, awareness, and love in their personal lives.

Click here for more information on Dr. Loudon's clinical practice. 

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Karen M. Barnes, PhD
Licensed Psychologist

Dr. Karen Barnes received her doctorate in child clinical psychology at the University of Washington with a focus on autism spectrum disorders (ASD). She completed her clinical internship and post-doctoral fellowship training at Seattle Children’s Hospital. Her expertise includes early assessment of ASD and social skills treatments for individuals with ASD. In addition to being a provider at The Seattle Clinic, Dr. Barnes is a clinical psychologist at Seattle Children’s Hospital Autism Center.

Dr. Barnes specializes in the evaluation and treatment of children and adolescents with autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), anxiety, depression, social deficits/differences, and disruptive behavior. She also provides assessments for entrance into highly capable programs or early entrance into kindergarten. Dr. Barnes conducts neuropsychological, cognitive, and learning evaluations with a focus on identifying both strengths and challenges. Her primary therapy theoretical orientation is cognitive-behavioral with a focus on treating anxiety symptoms.  Dr. Barnes works with clients of all ages but specializes in the treatment of young children using empirically supported parent training models.  

Click here for more information on Dr. Barnes' practice.


Dorian Hunter, PhD
Licensed Psychologist

Dr. Dorian Hunter is a clinical psychologist and a member of The Seattle Clinic. She completed her doctoral training in clinical psychology at Rutgers University and post-doctoral training at the University of Washington Behavioral Research and Therapy Clinics and at the Evidence Based Treatment Centers of Seattle.  Her clinical work and research has focused primarily on behavioral interventions for problems related to out of control behaviors (such as self-harm, addictive behaviors, binge eating) as well as the relationship of interpersonal factors to these behaviors.

Click here for more information on Dr. Hunter's practice.


Sarah Sullivan-Singh, PhD
Licensed Psychologist

Dr. Sarah Sullivan-Singh earned her doctoral degree in clinical psychology from UCLA with an emphasis in health psychology.  She was delighted to return to her hometown for her pre-doctoral clinical internship at the University of Washington (UW).  Following internship, she completed a two-year postdoctoral fellowship within the UW Rehabilitation Medicine Department before beginning her independent practice.

Dr. Sullivan-Singh offers evidence-based treatment for anxiety, depression, and managing health-related issues, including coping with cancer and adjustment to chronic disease. Her aim is to support clients in discovering and clarifying their personal values and missions, enacting plans to inhabit those ways of being in the world, and cultivating rituals that foster emotional and physical health.  Dedicated to providing care that is both grounded in scientific evidence and uniquely tailored to each individual client, Dr. Sullivan-Singh integrates therapeutic strategies from a variety of cognitive behavioral therapies (CBT), including Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP). 

In addition to her work with clients at TSC, Dr. Sullivan-Singh provides integrated care one day each week at the Orion Sky Center for Integrative Medicine, an institution devoted to offering complementary medicine services to people whose lives have been touched by cancer.  Finally, she is grateful for the opportunity to enliven and enrich her practice through training students.  She is a Clinical Instructor within the UW Department of Psychology and regularly provides supervision to graduates students enrolled in the doctoral program in clinical psychology.

Click here for more information on Dr. Sullivan-Singh's practice.


Erin Miga, PhD
Licensed Psychologist

Dr. Erin Miga earned her doctorate in Clinical Psychology at University of Virginia, and completed her pre-doctoral clinical internship at Cambridge Health Alliance, Harvard Medical School. Her postdoctoral training was conducted under Dr. Marsha Linehan at the University of Washington, at the site of Dialectical Behavior Therapy (DBT) treatment development.

She has expertise in treating adolescents and adults in a wide range of problem areas, including depression and anxiety, binge eating, PTSD, self harm, and navigating life transitions (personal and career moves, new baby). Erin also particularly enjoys blending her expertise in DBT and couples therapy by helping couples who are looking for new ways to cope with strong emotions and/or with the stress caused by a child’s dysregulation. Erin has expertise in Dialectical Behavior Therapy, Prolonged Exposure for PTSD and other exposure-based treatments, and Gottman-Method Couples Therapy.

Erin is a Certified DBT Therapist through the DBT-Linehan Board of Certification, and actively volunteers for the organization. She has several book chapters that will soon be published on topics such as Cost-Effectiveness of DBT and a comprehensive review of DBT data to date.  She supervises graduate students at the University of Washingon in DBT and couples therapy.

Click here for more information on Dr. Miga's practice.


Elizabeth LoTempio, PsyD
Licensed Psychologist

Dr. LoTempio completed her doctoral studies in Clinical Psychology at the APA-accredited PGSP-Stanford Consortium. During this time, Dr. LoTempio was part of the Eating Disorders Research Program team at Stanford University School of Medicine Department of Psychiatry and Behavioral Sciences. She completed an APA-accredited predoctoral internship at Yale University School of Medicine, specializing in Dialectical Behavior Therapy (DBT). She then completed advanced training as a postdoctoral fellow at the DBT Center at the Evidence Based Treatment Centers of Seattle (EBTCS). After completing her postdoctoral fellowship, Dr. LoTempio accepted a staff position in the DBT Center and the Eating Disorders Center at EBTCS. Dr. LoTempio has presented at conferences and published on treatment for adolescents with eating disorders and adults participating in various dialectical behavior therapy programs.

Dr. LoTempio is currently a member of the Clinical Faculty in the Department of Psychology at the University of Washington, and provides supervision to graduate students learning DBT in the Behavior Research and Therapy Clinics, Dr. Marsha Linehan’s DBT research and training clinic, as well as to psychiatry residents at the University of Washington Harborview Medical Center.

Dr. LoTempio is a member of the Association for Behavioral and Cognitive Therapies (ABCT), Academy for Eating Disorders (AED), Psychologists for Social Responsibility (PSR), American Psychological Association (APA), Society of Clinical Psychology, and the Washington State Psychological Association (WSPA).

Click here for more information on Dr. LoTempio's practice.

Jared Michonski

Jared Michonski, PhD
Licensed Psychologist

Dr. Jared Michonski completed his doctoral studies in clinical psychology at the University of Houston. As a graduate student, his primary area of research was the emergence of personality disorders in children and adolescents. After completing his predoctoral internship at the University of Rochester Medical Center in Rochester, NY, he moved to Seattle to pursue specialized training in the leading treatment for borderline personality disorder—Dialectical Behavior Therapy (DBT). He completed his postdoctoral fellowship at the DBT Center at the Evidence Based Treatment Centers of Seattle (EBTCS), where, in addition to DBT, he received specialized training in behavioral parent training, with an emphasis upon addressing the challenges parents face when raising emotionally dysregulated. Furthermore, Dr. Michonski served as a therapist in a research trial at the University of Washington in a study that examined the effectiveness of DBT in treating suicidal and emotionally dysregulated teens, during which he trained with Dr. Marsha Linehan, the developer of DBT. Following his postdoctoral training, Dr. Michonski remained at EBTCS for another four years as a staff psychologist, before opening his own private practice. Dr. Michonski has been a member of The Seattle Clinic community since the fall of 2018.

In addition to providing psychotherapy, Dr. Michonski is a member of the Clinical Faculty in the Department of Psychology at the University of Washington, where he provides supervision in DBT to doctoral students. Dr. Michonski is a member of the American Psychological Association. Furthermore, he continues to be involved in research and writing, primarily in the areas of borderline personality disorder and DBT.

Click here for more information on Dr. Michonski’s practice.


Sydney Iverson, PhD
Licensed Psychologist

Dr. Iverson completed her undergraduate studies at the University of Washington, her doctoral study in Clinical Psychology at Washington State University, and her pre-doctoral internship in Child and Adolescent Psychology at the University of Arizona.

Dr. Iverson has developed expertise in a range of evidence-based treatments, including cognitive behavioral therapy, exposure-based therapies, and behavioral parent management. She enjoys working with children, adolescents, and families to empower them with confidence and skills to overcome struggles with anxiety, mood, OCD, trauma, parenting, and relational challenges. She tailors evidence-based treatments to the individual needs of each person in therapy, as every person brings unique experiences and challenges.

Click here for more information on Dr. Iverson's practice.


Natalie Hopkins, MSW, LSWAIC
Licensed Social Work Associate

Natalie Hopkins earned her Master’s in Social Work for the University of Washington, with an emphasis on direct practice with children, youth and families. She completed her first-year practicum as a school counselor at South Shore K-8 School in South Seattle. Her advanced year-long practicum was with the Adolescent Medicine Clinic at Seattle Children’s Hospital. While at Seattle Children’s, she also completed a fellowship in Leadership Education in Adolescent Health (LEAH).

Natalie has received formal training in a range of evidence-based treatments, including Cognitive Behavioral Therapy (CBT), mindfulness-informed approaches, and Dialectical Behavior Therapy (DBT). Natalie is passionate about working collaboratively with adolescents, young adults, and families to develop individualized interventions to overcome anxiety, depression, suicidal behavior, and behaviors related to emotion dysregulation.

In addition to her work with clients at The Seattle Clinic, Natalie leads support groups through the Center for Chronic Illness, a nonprofit devoted to offering complementary services and education programs for those living with ongoing health challenges. Natalie is a member of the Washington State Society for Clinical Social Work (WSSCSW), and the National Association of Social Workers (NASW).

Click here for more information on Natalie’s practice.

Amanda Diede

Amanda Diede, MPH, RDN, CD
Registered Dietitian Nutritionist

Amanda received her Master’s in Public Health from the University of Washington with an emphasis in Nutritional Sciences. She completed her clinical training in the greater Seattle area with a focus on the prevention and treatment of eating disorders. She has worked at multiple eating disorder treatment facilities helping adolescents and adults with various eating disorder and mood and anxiety disorder diagnoses. She was the Lead Dietitian for an eating disorder Partial Hospitalization Program (PHP) and helped launch a new treatment facility in downtown Seattle where she was the nutrition department lead. 

Amanda specializes in working with individuals with eating disorders, disordered eating, chronic dieting, intuitive eating, mindful eating, female athlete triad, and mood and anxiety disorders. She enjoys working with adults, adolescents, and families to support their specific nutrition needs. She uses a non-diet, trauma-informed, Health at Every Size® based nutrition approach. She combines evidence-based research, empathy, and experience to best serve her clients.

 Amanda is a member of the International Association of Eating Disorder Professionals (IAEDP), Academy of Nutrition and Dietetics (ACEND), and Eating Disorder Registered Dietitians & Professionals (EDRDPRO). 

Click here for more information on Amanda’s practice.


Shanna Alvarez, PhD
Licensed Psychologist

Shanna received her Ph.D in School Psychology at the University of Washington and completed an APA- accredited internship in Clinical Psychology at UNC School of Medicine- Chapel Hill. She then went on to complete her Post-Doctoral Fellowship in Clinical Psychology at the University of Washington’s Center for Human Development and Disability.

Shanna specializes in infant mental health and early childhood, parent coaching, developmental disabilities, behavioral challenges, executive functioning, and working with families in foster and adoptive communities. She has worked in a wide array of clinical, educational, and research settings, including Seattle Children’s Hospital (Autism Clinic and Inpatient Psychiatric Unit), UNC Medical Center (Pediatric Inpatient Unit, Developmental Disabilities Clinic, Women’s Mood Disorders Clinic) and multiple school districts in Washington, North Carolina, and internationally. Her greatest passions are evidence based, systems-focused interventions that extend beyond 1:1 work to include the familial and educational systems surrounding each child. To this end, Shanna co-directs The Incredible Years® Program for families of children with challenging behaviors and is a certified TEACCH consultant, collaboratively creating structured learning environments for students with ASD across Washington State.

Shanna is committed to making meaningful connections by creating a warm, collaborative environment in which evidence-based practice can be translated to the reality of her clients’ everyday lives.

Click here for more information on Dr. Alvarez’s practice.


Jennifer L. Brysacz, PsyD
Licensed Psychologist

Dr. Brysacz received her doctorate in clinical psychology from the PGSP-Stanford Psy.D. Consortium. During graduate school she researched eating disorder prevention and body image promotion as a member of Stanford University School of Medicine’s Laboratory for the Study of Behavioral Medicine. Dr. Brysacz completed both her predoctoral internship and postdoctoral residency at the VA Sepulveda Ambulatory Care Center of the Greater Los Angeles VA Healthcare System. While at the VA Dr. Brysacz focused on women’s mental healthcare, insomnia, PTSD, and Substance Use Disorders. She additionally provided specialty care to combat veterans with both PTSD and addictive behaviors.

Dr. Brysacz finds meaning in helping adults with a range of problems, including eating disorders, anxiety, depression, insomnia, addiction, and PTSD.  She also enjoys working with individuals who are in recovery from addiction, as well as those coping with relationship problems and life transitions. She works from a primarily cognitive behavioral framework grounded in a non-judgmental, patient centered stance.

Dr. Brysacz believes that the best therapeutic relationship is a cooperative one. She approaches her clinical work with warmth, humor, and an open mind.

Click here for more information on Dr. Brysacz’s practice.


Katy Stanfill, PhD
Licensed Psychologist

Dr. Katy Stanfill specializes in the evidence-based treatment of difficulties related to trauma, mood & emotion dysregulation, depression & anxiety, as well as grief and significant life changes. She currently only works with adults and has expertise in working with clients who are (or previously were) in career fields that are high-risk, high-performance, high-stress. This often includes executives, professional athletes, first responders, and veterans.

Her clinical approach is informed from her in-depth experience with the following therapeutic approaches: Prolonged Exposure (to include DBT-PE), Behavioral Activation Treatment for Depression, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy (to include CBT for Insomnia) and Dialectical Behavior Therapy (although please note that she does not currently provide Dialectical Behavior Therapy as a full-model intervention).

Prior to becoming a clinical psychologist, Dr. Stanfill was a CH-46 helicopter pilot and an officer in the U.S. Navy. Her undergraduate degree was completed at the U.S. Naval Academy. After a decade in the Navy, she elected to pursue her doctorate in clinical psychology.  She completed an APA-approved pre-doctoral internship at Sharp Mesa Vista Hospital in San Diego, CA and post-doctoral training at the National Center for Telehealth and Technology on Joint Base Lewis-McChord in Tacoma, WA.  Additionally, she worked for three years at the Evidence-Based Treatment Centers of Seattle, where she primarily provided intensive Dialectical Behavior Therapy.

She finds purpose and meaning in working with both sides of the stress continuum: helping people perform to their utmost and, also, reducing suffering and facilitating the healing process after traumatic or high-stress event(s). In addition to her clinical practice, she has a practice that focuses on utilization of psychological principles to improve performance through executive coaching and performance psychology. Dr. Stanfill is a provider for the Give an Hour organization and provides supervision to graduate students in the University of Washington Psychological Services and Training Center.

Click here for more information on Dr. Stanfill’s practice.


Nat Jungbluth, PhD
Licensed Psychologist

Dr. Jungbluth completed his doctoral study in clinical psychology at the University of Denver, his pre-doctoral internship at the University of Washington/Seattle Children’s Hospital, and post-doctoral fellowships at the Seattle Children’s Hospital and UW Department of Psychology.

Dr. Jungbluth’s clinical work is predominantly behavioral and cognitive-behavioral, building on the strengths and values of individuals and families to help them achieve the lives they want.

In addition to his work at The Seattle Clinic, Dr. Jungbluth holds several other roles. At the Seattle Children’s Hospital he works to develop, test, and implement brief behavioral treatments for youth seen in primary care settings around the state. Through the Harborview Medical Center, Dr. Jungbluth helps lead a statewide training initiative known as “CBT+” that trains hundreds of public mental health clinicians each year, in addition to supporting their supervisors and organizations in making evidence-based practices available to their communities. Dr. Jungbluth provides training and consultation to community- and school-based professionals on the treatment of anxiety, depression, posttraumatic stress and behavior problems. He collaborates with colleagues at the University of Washington to research implementation strategies for evidence-based treatments such as Trauma-Focused CBT across Washington and internationally. He also serves as an outside clinical consultant for the Harborview Center for Sexual Assault and Traumatic Stress (HCSATS) and provides supervision and consultation to trainees and staff regarding treatment for posttraumatic stress at the Seattle Children’s Hospital.

Click here for more information on Dr. Jungbluth’s practice.


Lisa Baldini, PsyD
Postdoctoral Fellow

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Dr. Lisa Baldini received her doctorate in Clinical Psychology from the PGSP-Stanford Psy.D. Consortium and completed her predoctoral internship at the VA Long Beach Healthcare System.  Her research and clinical work focuses on mindfulness and compassion-based interventions for adolescents and underserved populations.  Dr. Baldini has trained in a variety of clinical settings including VA hospitals, schools, academic medical centers, and outpatient clinics.  Her training utilizes evidence-based psychotherapies including cognitive behavioral therapy, acceptance and commitment therapy, exposure-based therapies, and mindfulness-based therapies.

Dr. Baldini works with individuals, couples, and families across the lifespan.  She enjoys working with people from a wide variety of backgrounds to overcome issues such as anxiety, OCD, depression, trauma, emotion dysregulation, insomnia, and chronic pain. Her style integrates warmth, humor, and authenticity to create genuine connection.

Click here for more information on Dr. Baldini’s practice.


Tracey Ward, PhD
Postdoctoral Fellow


Dr. Tracey Ward received her doctorate in Clinical Psychology from Seattle Pacific University and completed her pre-doctoral internship in the Child Track at Seattle Children's Hospital within the University of Washington, School of Medicine. Dr. Ward’s clinical practice spans both assessment and therapy for children and teens in the areas of obsessive compulsive disorder, challenging behaviors in young children, autism spectrum disorders, and anxiety disorders – with a particular expertise in selective mutism. Dr. Ward specializes in evidence-based treatments that include cognitive behavioral therapy, exposure-based therapies, and behavioral parent training. Her training includes inpatient settings, intensive outpatient treatment programs addressing selective mutism and OCD, and outpatient and assessment clinics at Seattle Children’s Hospital Psychiatry Department and Autism Center, Univeristy of Washington, Center for Human Development and Disability, and Advanced Therapeutic Solutions in Chicago, Illinois.

Dr. Ward has experience working with children from the age of 3 through adolescence, providing individual, group, and intensive treatment. She has expertise treating a broad range of anxiety disorders, with focus in treating selective mutism, obsessive compulsive disorder, and behavioral parent training for parents of young children. Dr. Ward also has extensive experience diagnosing autism spectrum disorder and treating psychiatric diagnoses within this population.

Her clinical approach focuses on empowering patients with collaborative assessment and treatment planning that is unique to them and providing accurate and age appropriate psychoeducation. She places a strong value on fun, humor, bravery, emphasizing unique strengths within each young person. Dr. Ward loves to teach kiddos how to build their brave muscles, help teens identify and conquer fears, and support parents in helping their children and teens overcome challenges and live more joyful lives.

Dr. Ward has been invited to speak frequently in a variety of medical and mental health settings on selective mutism, anxiety, and autism spectrum disorder. She provides consultation to schools and other providers on selective mutism, and is an active in researching the comorbidity of selective mutism and ASD.

Click here for more information on Dr. Ward’s practice.


Providers at The Seattle Clinic are independent practitioners solely responsible for the care of their clients.


Join the conversation.

As our community grows, we welcome inquiries from clinicians, students, prospective post-docs, and professional organizations who see opportunities for collaboration, are interested in receiving training, or are curious about joining our community.

If you are a professional interested in joining or collaborating with The Seattle Clinic, please complete this form below! Please note that responses to these inquiries may take 1 to 2 weeks.

If you are a client or prospective client, or if you need to directly contact a provider at The Seattle Clinic, please follow the direct links above on this page for individual providers.

Professional Contact Form


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Please note that professional inquiries may take 1 to 2 weeks for a response. Prospective client inquiries cannot be processed and addressed via this web form -- please use individual provider links above.