Relationship therapy for individuals and couples.

Sara Nied, MA, LMHC ~ 16 years in practice

Couples, individuals, teens, and families.

Telehealth across Washington State.

Sara Nied, MA, LMHC — online therapist in Washington State

Does This Sound Familiar?

  • You’ve been feeling overwhelmed, anxious, or emotionally drained and want support.

  • You feel stuck in repeating patterns—in relationships, at work, or within yourself—and want things to change.

  • You’re navigating a transition and need steadiness, clarity, and a place to sort through it.

  • You feel disconnected from yourself or others and want to feel more grounded and connected.

  • You’ve been carrying a lot alone and want a safe space to exhale and get perspective.

  • You’re ready for practical tools and deeper understanding—not just talking, but real progress.

Confidential & compassionate care tailored to your unique relationship needs.

Four ways to work together:

Marriage & Couples Counseling

Restore trust, open honest communication, deepen intimacy, and strengthen your partnership.

Individual Therapy

Break unhelpful patterns, build self-confidence, reduce anxiety and depression, and nurture healthier relationships.

Family & Teen Support

Strengthen family bonds, enhance communication, manage conflict, understand neurodivergence, and support teens through change.

Decision & Divorce Counseling

Support through separation, divorce, the decision of whether to separate, coparenting, and/or healing from betrayal.

My Approach

Working with me means practical support tailored to your unique needs, where we collaborate to understand your emotions and reshape old patterns.

I use clear, evidence-based tools focused on your nervous system, attachment needs, and relationship dynamics.

Together, we’ll build new insights and actionable steps with kindness and clarity—helping you grow in a way that feels right for you.

About Sara

Hi, I'm Sara.

For over 16 years, I've helped individuals and couples navigate some of life's most difficult and transformative seasons—relationship struggles, betrayal, divorce, anxiety, attachment wounds, coparenting, major transitions, and the complicated realities of being human.

I know that reaching out for therapy can feel vulnerable. Many of my clients arrive after spending months—or even years—trying to make sense of things on their own, or feeling like therapy hasn't worked for them in the past.

They've read the books, talked with friends, and worked hard to create change, yet still find themselves feeling stuck, overwhelmed, disconnected, or uncertain about what comes next.

My goal is to create a space where you feel deeply understood, lovingly challenged, and empowered to move forward with greater clarity, confidence, and self-trust.

My approach is warm, direct, and collaborative. I don't believe therapy should be limited to simply talking about problems. Together, we'll explore the patterns, beliefs, emotional reactions, and relationship dynamics that may be keeping you stuck while developing practical tools and new ways of relating that support lasting change.

In addition to my clinical work, I have spent years studying and teaching the science of healthy relationships, attachment, nervous system regulation, effective communication, emotional resilience, and personal transformation.

My work integrates evidence-based approaches including EFT, CBT, Gottman Method, Narrative Therapy, Gestalt Therapy, somatic interventions, attachment-focused therapy, and neuroscience-informed approaches to healing and growth.

Whether you're working through a relationship challenge, navigating a major life transition, rebuilding after betrayal, or simply longing to feel more grounded and connected in your life, therapy can provide a place to slow down, make sense of what's happening, and move forward with intention.

I'd be honored to support you in that process.

Sara Nied, LMHC — relationship therapist and counselor in Washington State
★★★★★

"I can't recommend Sara highly enough. She's compassionate, grounded, and creates an incredibly safe, welcoming space. Her ability to listen with real presence and offer thoughtful, judgment-free insight is rare. She's a wonderful human and a truly gifted therapist — anyone would be lucky to work with her."

Google review
★★★★★

"Sara is such an experienced and skillful clinician. She's especially skilled with relational work. You are in luck if she's got openings!"

Google review
★★★★★

"Sara is an outstanding therapist. She's professional, easy to talk to, and provides practical guidance that makes a real difference. I highly recommend her to anyone looking for a therapist they can trust."

Google review
★★★★★

"Sara Nied is an exceptionally talented therapist with 16 years of experience helping people make real, positive breakthroughs. She is incredibly sharp, deeply empathetic, and so down-to-earth that you immediately feel at ease…"

Google review
★★★★★

"Sara is an incredibly warm, insightful, and compassionate person. She has a wonderful ability to make people feel heard, understood, and at ease. Her warmth, positive spirit, and intelligence shine through in every interaction."

Google review
★★★★★

"Sara is so kind and I always feel deeply cared about and deeply heard. Definitely recommend!"

Google review

Areas of Specialization

Individual, Couples, and Family Therapy

  • Relationship Counseling

  • Betrayal Trauma Therapy

  • Anxiety and Depression

  • ADHD & Neurodivergent Affirmation and Support

  • Gottman Method

  • EFT - Emotion Focused Therapy

  • EFT - Emotional Freedom Technique, Tapping

  • Attachment-Based Therapy

  • LGBTQ+ Affirmation and Support

  • Non-Monogamy and Polyamorous Relationship Structures

  • Somatic approaches to trauma healing and nervous system regulation

Additionally, I offer parent support and teen counseling:

  • School-based counseling and academic advocacy for neurodivergence and learning or behavioral challenges

  • Parenting Support for 2e and Differently Wired Children

  • Counseling support for Middle and High School Kids (12+) struggling with depression and anxiety, including social anxiety

© 2026 Nied Integrative Therapy. All Rights Reserved.

Telehealth throughout Washington State

If you're in crisis, dial 911, or call/text 988