Brittany Kesten

Welcome! I'm Brittany (she/her), a Psychiatric-Mental Health Nurse Practitioner providing therapy & medication management to teens & adults in Washington state via televisit. I specialize in working with clients dealing with trauma, mood swings, relationship & identity issues, and self-harm or addictive behaviors. In sessions, I strive to provide a safe place for you to explore your past, the ways that you survived it, anything still holding you back in the present, and the steps that you can take to build a life that feels joyfully and authentically YOURS. I particularly love working with teens and young adults, neurodivergent clients, the LGBTQ+ community, and healthcare workers. As a queer clinician with ADHD, I am committed to providing a space that feels safe and welcoming to all.

I believe that an effective therapeutic relationship is a partnership; my role is to offer my support and clinical expertise, but YOU are the expert on yourself and your treatment will be based on your goals, preferences, and needs. Psychotherapy forms the backbone of my practice. I use a flexible and person-centered approach, utilizing concepts from various trauma-informed modalities and adapting to your needs and preferences in order to provide the most effective care possible. I am trained in various therapy modalities, including Acceptance and Commitment Therapy (ACT), Sensorimotor Psychotherapy, and parts work/Internal Family Systems (IFS). I prescribe non-controlled medications when needed to help manage symptoms.

During our first session, I will spend time getting to know you, your story, and your goals. It is important to me that you do not feel rushed and are able to share freely, but that I also have time to ask about current and past symptoms that may impact your treatment plan. For this reason, your first session with me will be booked in a 2-hour time slot.Follow up appointments are 60 minutes.