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THERAPY IN SPOKANE VALLEY, WA

We started this practice
because people deserve
 
more than a diagnosis.

The Couch is a relationship focused therapy practice build on the belief that real. change happens through real connection, not just symptom management.

OUR STORY

The Couch was built for people who are tired of
feeling stuck.

We've sat with a lot of people over the years. People who were carrying something heavy and didn't know where to set it down. People who loved their partners deeply but couldn't seem to stop hurting each other. Parents who were exhausted. Individuals who had tried everything and still felt like nothing was changing.

Therapy should give you something you can actually use, not just insight you can't do anything with.

That's why we built The Couch the way we did. Every therapist here is trained to give you real, practical tools alongside the emotional support. We believe insight is the beginning, not the destination. And we believe the relationship you build with your therapist, your partner, your family, is the ground that makes change possible.

We're based in Spokane Valley, WA, and we see clients both in person and via telehealth across Washington State.

WHAT MAKES US DIFFERENT

More than just talk therapy.

A lot of practices offer a place to process. We offer that, and practical skills you can carry into your life, your home, and your relationships.

Rooted in Relationship

We believe human connection drives lasting change. Not symptom management. Not coping strategies alone. Real, lasting change happens in the context of relationship, and that's what we build.

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Everyday Practical Tools

Every session should give you something you can use at home. We're not just interested in insight. We want you to walk out with skills, language, and strategies you can actually reach for.

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Compassionate Care

A space that feels genuinely safe and grounded. No shame, no clinical distance, no jargon. We meet you where you are and treat you like the whole, complicated person you actually are.

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Community Connected

We partner with Valley Real Life because we believe mental health care should extend beyond the therapy session and into everyday life.

Meet the people who will walk with you.

Every therapist at The Couch brings genuine warmth, strong clinical training, and a real belief that people can change. We're a growing team of five, each bringing their own area of depth.

Sara Yarbrough, a licensed marriage and family therapist at The Couch therapy in Spokane Valley, WA

Sara Yarbrough

LMFT · LMHC

Couples & Sex Addiction

Tim Paulding a licensed mental health counseling associate at The Couch therapy in Spokane Valley, WA

Tim Paulding

Associate Therapist

EMDR & Trauma

Brittany Raj a licensed mental health counseling associate at The Couch therapy in Spokane Valley, WA

Brittany Raj

Associate Therapist

ADHD & Children 6+

Tucker Christensen a licensed mental health counseling associate at The Couch therapy in Spokane Valley, WA

Tucker Christensen

Associate Therapist

Couples & Young Men

Cydney Hanrahan a counseling intern at The Couch therapy in Spokane Valley, WA

Cydney Hanrahan

Counseling Intern

Grief & Anxiety

Ready to take the first step?

We'll help you figure out your coverage and find the right fit.
No pressure, no awkwardness.

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