About Margie
Margie Segress is a Washington-licensed mental health counselor who helps people facing anxiety and stress. She focuses on practical steps clients can use right away. Margie keeps sessions straightforward and down-to-earth so worried people can breathe easier and make small changes.
She draws on seven years of professional experience as a counselor and as adjunct faculty at the school where she earned her degree. Her work has included helping people manage depression, relationship concerns, trauma and abuse, and low self-esteem.
Background and approach
Margie also supports people dealing with attachment issues, communication problems, control struggles, guilt and shame, and questions about life purpose. In sessions she aims to build an open space for honest talk. She encourages clients to name feelings and try small experiments between meetings.
Conversations are practical and aimed at reducing daily stress and improving mood. Margie treats concerns such as mood disorders, post-traumatic stress, and difficulties with self-love and confidence. She pays attention to patterns in relationships and offers tools to change unhelpful habits.
The tone is collaborative rather than prescriptive. Starting therapy is framed as a gradual process. Margie helps people set clear, manageable goals and checks progress along the way.
Her approach is calm, direct, and focused on everyday improvements.
Approaches that fit online counseling
Many evidence-based techniques focus on changing daily thoughts and behavior. Cognitive approaches help people identify unhelpful thinking patterns and try different responses; this can reduce anxiety and low mood by giving concrete steps to test in real life. Skills-based strategies teach tools for managing stress, improving sleep, and calming the body when anxiety spikes.Trauma-informed methods focus on grounding and safety while working at a pace the person can tolerate. These approaches help people process painful memories and reduce symptoms of post-traumatic stress through gradual, supported work rather than rushing the process.
Finding the right approach is a team effort. The therapist will discuss goals, preferences, and practical needs, then try methods that make sense for the situation. Sessions include checking progress and adjusting techniques when something is not helpful.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit varied routines. Video calls are useful for face-to-face conversation and teaching skills. Phone sessions work well when bandwidth is limited or when a shorter check-in is needed. Live chat and text messaging offer flexibility for brief check-ins, homework, or ongoing support between sessions. These options make it easier to schedule care around work, family, and daily life.
Questions people ask
What concerns can I bring to therapy?
What is her therapeutic style like?
How much experience does she have?
What credentials and location are listed?
In which languages are sessions offered?
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Experience
- 7 years
- Licensed
- Washington
- Languages
- English
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