About Susan

My Clients

  • Teenagers
  • Individual Adults
  • Families and Couples in Crisis (non-traditional couples welcome)
  • Survivors of Trauma (sexual abuse, physical abuse, assault, etc.).

Worth Noting

  • My rate for your first appointment (or assessment) is $150. The standard rate per 55-minute session after the first one is $120. All fees are payable at the end of each session. I accept personal checks, cash, Visa and Mastercard as forms of payment.
  • If I am a preferred provider for your insurance plan, then I will bill the insurance company for you, and you are responsible for paying your co-pay at each session. Please contact your insurance company before your first appointment to determine what your co-pays will be.
  • If I am not a preferred provider on your insurance plan, you will need to pay me at each session. On or around the 10th of each month, a statement will be sent to your home. You may use this statement to seek reimbursement from your insurance company.
  • I do not accept clients who are court-ordered into psychotherapy.

Education and Training

  • Master of Arts in Applied Behavioral Science, with an emphasis on Systems Counseling, from Bastyr University. (2004)

  • Advanced training in treating children's trauma from both the Washington Coalition for Sexual Abuse Programs (WCSAP) and Harborview Medical Center Sexual Assault Center staff. (2005-2009)


  • Washington State Licensed Mental Health Counselor (No. LH00011015)
  • Washington State Child Mental Health Specialist

It is a privilege to make my living helping other people, watching their lives change and evolve. I look forward to hearing from you! ~~ Susan Ruby, MA, LMHC