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E M F M Telehealth Therapy

EMFM is no longer providing in-person mental health services for reasons of ongoing public health and safety, therapy ethics of engagement, and financial health. EMFM ONLY provides on-line audio-visual mental health services exclusively through a confidential and secure HIPAA compliant telehealth platform provided by  Video and audio is only available between you and EMFM during your session, and is NOT recorded or stored in any way, shape or form on any device of any kind.

Palm Trees




MON - THUR       

7:00AM - 3:00PM




MON  - THUR      

10:00AM - 5:00PM





EMFM currently is waitlisted for new clients.  Please contact the contact email if you wish to be on this waitlist. 





On First Contact

Please Provide:

  • Insurance Name – Full Name of Your Insurance & Office Origin on Our Insurance Card OR that you plan to pay privately

  • Full Name

  • Phone Number


  • City/State where you live


  • Days and Times Available for Therapy

  • Ability to Agree to Prioritizing Therapy, Timely Attendance, and Fees Outside of Life-Threatening Emergencies

Lotus Flower




Super-Bills Provided Upon Request for Reimbursement from your insurance at their allowable rate.  You will want to contact your insurnace to inquire about their out-of-network rates for a masters level Social Worker with an LCSW.


Individual Clients - 53+ minute sessions

$180.00 for Initial Intake Assessment


$165.00 for Ongoing Visits


Couples - 53+ minute Sessions


$215.00 for Initial Intake Assessment


$200.00 for Ongoing Visits



The best first step is to contact your insurance, including any supplemental or secondary insurances, if applicable, to ensure I am in network for your plans.  This is especially important for people who are on Medicare or those who may have secondary or supplemental insurances. Insurance does not cover couples counseling unless specifically designated under your plan. We do not accept Apple Health (Medicaid Healthy Options) at this time.​​


Coming Soon

  • HMSA Contract in Process



First Choice Health

  • Kaiser Healthy Options & Kaiser Access PPO/Heritage

​LifeWise Health Plan of WA Preferred

  • LifeWise Assurance Co.

Premera Blue Cross

  • Global​ & Heritage​​​ ​


I (B. Bartja Wachtel - He/Him/They/Them) am a Licensed Independent Clinical Social Worker, with a Master of Social Work degree from Eastern Washington University. My focus and experience are in partnering with adolescents (17+), adults, and elders in their relationship to chronic emotional and physical conditions. 


My primary areas of focus and experience include: neurological conditions (ALS, MS, Parkinson's, early on-set Dementias); terminal illness and end of life; experiences of physical and sexual trauma, abuse, neglect, grief, and loss; challenges in spirituality and meaning; non-dominant gender, racial, cultural and romantic orientations; men's issues involving "toxic masculinity" that prevent intimacy; veterans and maternal mental health; family-friend and professional caregivers; as well as conditions of depression and anxiety.

If you don't see your insurance listed above, please contact your insurance to determine if they will accept a "Super Bill" from me for therapy.


Therapy, Psychotherapy and “counseling” mean the same thing—what we call “talking therapy:” spending some set-aside time, initially each week, with your therapist talking about life challenges, areas where you feel stuck or overwhelmed, and engaging your skills and strengths in facing difficulty, as well as developing some new ways of doing things or internal ways of shifting that relieve your suffering and move you toward some peace, contentment and hopefully some meaning in it all.  Most importantly, you and your therapist develop a plan around behaviors, emotions and ways of thinking that support you in improving how you feel emotionally and function in daily life, or what we might call your “well-being.”  Additionally, your therapist addresses skills you might use that are based in the best, well-researched practices. While some people do see a Psychiatrist for prescribing medications, which can be helpful for a short period of time, especially in conjunction with talking therapy, this is not the focus of talking therapy.


The most important part of therapy is feeling a connection with your therapist, and I fully support you in making sure you have the best fit.  It is your right and duty to end the therapeutic relationship when services are no longer serving you.  A listing of alternative agencies or therapists can be provided upon request.


It is reasonable to expect that over time you would spend about 53 minutes each week, by insurance policy, for 6-12 weeks with a therapist, in order to make enough progress to get you on your way to meeting your personal goals for emotional well-being.

Along with the more traditional skills in mental health, Social Workers tend toward a more holistic view of your life, with skill and knowledge in navigating the bigger picture of your thoughts, physical health, relationships, values or spirituality, work life and community, all of which have challenges and strengths.



I practice primarily from the approaches of mindfulness based therapy, cognitive behavioral therapy (CBT), self-compassion and positive psychology, which are all grounded in contemplative neuroscience and psychological evidence based research.  I also have training in other approaches that provide flexibility in addressing your concerns, keeping what might work for you at the center of our work together.
In the well-established neuroscience research on the human mind, there are a few things we know about the ways we react to the stress and pain of life: We often get stuck in resistance to the very normal experience of human suffering.  We become stressed by things over which we have no control; aging, disease and death—as though something has gone terribly wrong.  This same research also offers some solutions: In awareness we can acknowledge suffering, that we are disconnected from the fullness of our human experience and ourselves.  We can transform the usual reaction of moving away and disconnecting from pain in the mind, body and relationships.  Instead we can respond, purposefully, by moving toward and internally inclining toward your experience and yourself; cultivating tenderness, interconnectedness, and wise attention--because you are suffering.  There are these tremendous resources within yourself that hold space for a sense of wholeness, especially during emotionally painful experiences and feelings of imperfection.  In the research, these ways of responding to suffering are closely correlated with improvements in mental health, physical health and an overall sense of well-being.



I honor your experience by compassionately and non-judgmentally listening, being present and fully aware of your experiences of the mind, and how this impacts your physical health and relationships.  We engage various ways of being—by bringing a measure of acceptance to suffering, which may show up in any given moment of your life.  Initially we are just being curious and noticing the ways in which you may have become disconnected from any aspect of yourself or overwhelmed by emotions.  When possible, we cultivate compassionate awareness toward your experience and say in a tender way, “What are you resisting?”  By beginning to internally incline in this way toward the pain of life, without feeling the need to condone anything; we allow transformation to naturally come out of a measure of acceptance of what is.
My intention in these interventions is to provide as much structure and predictability as possible.  We will often spend our time together in a brief mindfulness practice—centering ourselves in awareness of what is rising to the surface in emotions, thoughts, body sensations and the core values that hold the most meaning in your life.  In this we are bringing the possibility of reconnection and expanded connection with the greater suffering and joy of your full humanity.
This foundation can be a resource to you when things become challenging or devastating in the present or future.  In more ways than one, this is not about continuing a cycle of wishing that things be different than what they are or striving to keep some pleasurable experience.  Once we can accept our experience and ourselves just as we are, then change, connection and a measure of contentment often come.  I would be honored to join with you in our common humanity on this adventure.


Chronic & Neurological Conditions (Alz, ALS, MS, PD, TBI)

Gender Spectrum Queer Positive (Transgender, Non-Binary, Pangender, Genderqueer)

Affiliative/Sexual Orientations (Lesbian, Pan, Bi, Gay, Hetero/Homoflexible)

Social Justice & Deconstruction of Settler Society

Men’s Issues (Toxic Masculinity, Vulnerability, Compassion)

People of Color (Supremacy Culture of Trauma)

Feminist Thought

Consensual Multiamory (Polyamory/Monogamy/Sex-Positive)

Caregivers (Family, Friends, Professional, Mental Health & Medical Providers)


Pregnancy, Prenatal, Postpartum







Adjustment Disorders




Behavioral Issues


Coping Skills




Domestic Violence


Emotional Disturbance


Family Conflict

Gender Dysphoria




Mood Disorders 


Relationships - Social, Polyamory, Monogamy




Sleep or Insomnia


Somataform Disorders


Terminal Illness/End of Life


Toxic Masculinity 




Work Stress






Elders (65+)


Adolescents (17+)




Cognitive Behavioral (CBT)


Compassion Focused




Mindfulness Based


Motivational Interviewing 


Narrative Therapy


Person Centered


Positive Psychology (Strengths Based)


Self-Compassion Based


Solution Focused Brief (SFBT)





Couples (Only where one is in the Caregiving Role)







 *Any and all information disclosed through this webiste are the sole expressed views of EMFM and are in no way condoned or endorsed of any other contracted or associated entity.

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