If you are in crisis
This website is not for emergencies and messages sent through it are not monitored continuously. If you or someone you know is in immediate danger, call 911. For free, confidential 24/7 support, call or text 988 (Suicide & Crisis Lifeline); veterans and service members can press 1. For non-emergency questions, call (509) 780-6178.
Counseling services are provided by Paul Swanson, LMHCA (Licensed Mental Health Counselor Associate), Credential #MHCA.MC.70147923, practicing as an associate counselor under the clinical supervision of Jonathan Douglas, MS, LMHC, NCC, Psychotherapist/Clinical Supervisor. Paul is pursuing Certified Mental Performance Consultant® (CMPC) certification through the Association for Applied Sport Psychology (AASP); mental performance consulting is educational and skill-based and is not psychotherapy or mental health counseling.
Information on this site is general education and does not create a counselor-client relationship or constitute clinical advice. Please do not send protected health information through website forms or email. Scheduling and clinical communication take place inside our secure client platform.
Paul's military service is shared as professional background. Cause & Effect Institute is not affiliated with or endorsed by the Department of Defense, the U.S. Army, the U.S. Air Force, or the National Guard.
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