Jessica Nakashian, LCSW (she/they)

Accepting new clients

Jessica is a Licensed Clinical Social Worker who provides individual and family therapy for children, adolescents, and emerging adults. She specializes in supporting clients navigating anxiety, depression and mood concerns, trauma and complex trauma, ADHD and neurodivergence, identity development, life transitions, and relational challenges. Jessica especially enjoys supporting LGBTQ+ clients, neurodivergent individuals, and clients navigating difficult family dynamics, relationship challenges, and questions related to self-worth and identity.

Jessica has experience providing mental health treatment across residential, day treatment, and outpatient settings, supporting clients with a wide range of clinical needs and levels of care. Her approach is person-centered, strengths-based, and trauma-informed, integrating evidence-based approaches including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), DBT-informed skills, trauma-focused approaches, Internal Family Systems(IFS)-informed work, Motivational Interviewing, Collaborative Problem Solving, family systems, relational therapy, and mindfulness-based interventions. Jessica believes therapy is most effective when clients feel genuinely understood, respected, and empowered to explore their experiences without judgment. She works collaboratively with clients to better understand the connections between thoughts, emotions, behaviors, relationships, and values while developing  practical tools for navigating life’s challenges.

With experience supporting children, teens, and families, Jessica adapts therapy to meet each client’s developmental needs, strengths, and preferences. Sessions may incorporate play, creativity, mindfulness, skills-building, and opportunities for deeper emotional processing depending on what feels most helpful for each individual. She believes there is no single therapeutic approach that works for everyone and strives to create a space where clients can build self-understanding, strengthen relationships, process difficult experiences, and move toward a life that feels more authentic and aligned with their values. 

Outside of counseling, Jessica enjoys reading, playing piano, hiking, and spending time outdoors with her pets. She has a particular interest in books related to psychology, trauma, relationships, and personal growth, and enjoys continuing to learn and share resources that may support clients’ growth and self-understanding.

Specializations

• Depression & mood concerns
• Suicidal ideation, safety planning, and emotional regulation  
• Survivors of domestic violence, emotional abuse, and relational trauma 
• Anxiety disorders (including generalized anxiety, social anxiety, and anxiety-related distress)
• Trauma and complex trauma / trauma-informed therapy
• ADHD and neurodiversity-affirming care 
• LGBTQ+ identity and exploration 
• Identity development, self-esteem, and self-concept 
• Adjustment difficulties and life transitions 
• Teens, adolescents, and emerging adults 
• Child and family therapy  

Treatment Interventions & Techniques

• Person-Centered Therapy
• Acceptance and Commitment Therapy (ACT)
• Cognitive Behavioral Therapy (CBT)
• Trauma-Focused CBT (TF-CBT)
• Dialectical Behavior Therapy (DBT)
• Internal Family Systems (IFS)
• Motivational Interviewing (MI)
• Collaborative Problem Solving (CPS)
• Solution-Focused Therapy
• Somatic & Mindfulness Based Interventions
• Strengths-Based
• Family Systems Therapy
• Relational Therapy
• Cognitive Processing Therapy (CPT)
• Child-Centered Play Therapy
• Sand Tray Therapy

Population Served

Individual and family therapy for children, adolescents, and emerging adults ages 5–30, including LGBTQ+ and neurodivergent clients.  

Insurance

In-Network: Aetna, MODA,  Regence BCBS 

Pending: Kaiser

Fees

• Intake Session (Initial Consultation) 60 min session - $250
• Individual Therapy - 50 min therapy session - $205

Self Pay Option

If you prefer to pay out of pocket, MindTree accepts all payments from all major credit cards, checks, cash, or HSA (Health Savings Account). The following rates apply to self-pay clients:

• Intake Session (Initial Consult) - 60 min session - $250
• Individual Therapy - 50 min Therapy session - $205

OON (Out of Network)

If we do not accept your insurance plan, you can pay out of pocket for therapy and we will provide you with a super bill for insurance reimbursement purposes.  Please be aware of your benefits prior to scheduling with us. 

Please check your coverage carefully by asking the following questions to your insurance company:

• Do I have mental health insurance benefits both in network and out of network? 
• Is MindTree a participating provider? 
• What is my deductible? 
• What is the coverage amount per session?
• How many sessions are covered?
• What is my copay per appointment?