About Cascadia Counseling

My name is Casey Akerhielm, and I’m a licensed mental health counselor based in Washington state. I work with adults navigating the complex realities of OCD and related disorders, ADHD, anxiety, and the many challenges that come with big life transitions. I’m especially passionate about supporting members of the LGBTQ+ community and individuals who are healing from trauma, including those who have experienced harm in religious or cultic settings.

My practice is rooted in compassion and warmth. I believe therapy should feel safe, collaborative, and deeply respectful of your lived experience. Whether you’re looking for help managing obsessive thoughts, working through anxiety, or untangling the lingering effects of trauma, my goal is to help you build a life that feels more free and authentic.

I’m trained in evidence-based therapies, including Exposure and Response Prevention (ERP) and Eye Movement Desensitization and Reprocessing (EMDR).

I work with clients throughout Washington state via secure telehealth, making it a little easier to get support, wherever you are. If you’re looking for a therapist who will meet you with empathy and expertise, I’d be honored to connect.