Therapists and counsellors in the US, UK and Australia who list CBT among their approaches Need help now?

Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Julia Spaude

Profile / United States

Julia Spaude, LICSW

Washington

LICSW - Stress and Anxiety

See online therapy options
  • Cognitive Behavioral Therapy
  • Acceptance and Commitment Therapy
  • Mindfulness techniques

About Julia

Julia Spaude is a Licensed Independent Clinical Social Worker (LICSW) in Washington with seven years of clinical experience. She focuses on common concerns such as stress, anxiety, relationship issues, trauma and abuse, motivation, self-esteem, and confidence. Julia frames the client as the expert on their own life and works with people who want practical ways to manage difficult feelings and make changes.

Her approach blends concrete methods and open listening. She uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT) and client-centered strategies to help people notice unhelpful thoughts and try different behaviors. Sessions often include clear steps, small experiments between appointments, and attention to what matters personally to each client.

Julia draws on seven years of hands-on practice in community and clinical settings in Washington. She aims to make sessions straightforward and goal-focused, helping people break larger problems into manageable parts. Typical topics include coping with grief, managing anger, addressing intimacy-related concerns, and navigating work or caregiver stress.

She also works with people dealing with body image, dissociation, chronic illness or pain, sleep problems, and issues tied to attachment and abandonment. Techniques can include mindfulness exercises, motivational interviewing to strengthen commitment to change, and solution-focused steps to build momentum.

People who prefer clear steps and measurable progress may find this style useful. Before booking, confirm current session formats and logistics so the approach fits practical needs and daily life.

How CBT, ACT, and Client-Centered Work Online

Julia uses Cognitive Behavioral Therapy to help people spot patterns of thinking that increase stress or anxiety and then try out different responses. CBT sessions often involve clear exercises, thought records, and homework to build new habits. Acceptance and Commitment Therapy focuses on clarifying personal values and taking committed actions even when difficult feelings are present; it is useful for navigating avoidance and motivation issues. Client-centered methods prioritize listening and reflecting so people can shape goals that feel meaningful to them.

Choosing the right approach is part of the work. Julia collaborates with each person to decide which methods fit their goals and daily life. She adjusts methods as progress unfolds, combining practical CBT tasks with ACT values work or client-centered conversation when it helps.

Confirm current online session options before booking so you know what formats are offered. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, allow shorter check-ins during a work break, or avoid being on camera when that is preferred. Discussing these practical needs upfront helps match session pacing and homework to everyday routines.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemCareer difficulties

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDissociationEating and food-related issuesEmptinessFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPanic disorder and panic attacksPost-traumatic stressSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

7+ years

Listed in

Washington

Languages

English

Frequently asked questions

What kinds of problems does she help with most often?

She commonly helps people with stress, anxiety, relationship problems, trauma and abuse, self-esteem, and motivation.

How does she use Cognitive Behavioral Therapy?

CBT is used to identify unhelpful thoughts and test alternative ways of thinking and acting. Sessions typically focus on practical exercises and small behavior changes between meetings.

What is her clinical background?

She has seven years of professional experience working in clinical and community settings in Washington.

What credential does she hold and where is she based?

She is a Licensed Independent Clinical Social Worker (LICSW) in Washington.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How are sessions paid for and what do they cost?

Cost varies with location; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

Back to all therapists

Julia Spaude

See online therapy options