Relationship and Individual Support

Telehealth and in-person sessions for Washington State residents



  • Communication issues

  • Fighting and conflicts

  • Affairs and infidelity

  • Polyamory, ethical nonmonogamy
  • Sex therapy and related issues

  • Premarital counseling

  • Relationship life stage changes

We're here to help


  • Career counseling

  • Self-esteem issues

  • Grief counseling

  • Sexuality, gender & sexual issues

  • Life transitions

  • Anxiety

We're here to help


  • Sexless relationships

  • Unfulfilling sex life

  • "Sex addiction"

  • Sexual function issues

  • Sexuality topics

  • Gender identity topics

We're here to help

Book an Appointment

Emails and voicemails are actively monitored and returned the same or next business day

Please note that email is not a secure means of communication and spam filters may prevent your email from reaching us. To send us secure messages, please use the Client Portal accessed via "Request Appointment." We should respond to you quickly, although we recommend that you call us directly if you don't hear back from us within 24 hours.

Fees & Insurance


Please see the "Services" page for more details on fees and services offered. Current standard rates are $150 per session.


Session fees are private/direct-pay only at this time. Though we do not take insurance or bill directly, a receipt can be produced for clients to submit to their insurance company for possible reimbursement for out-of-network provider services. Please discuss this with us before or during your first session. For your actual out-of-pocket costs, reimbursment rate (if any), and complete coverage details, please check with your specific insurance company and health plan.

For more information, please discuss this with us before or during your first session to see if this is an appropriate situation for you and your relationship. 

Good Faith Estimate Notice

Telehealth & In-Person

We offer sessions both in-person and via telehealth. Due to the ongoing COVID-19 situation, as well as cold and flu season, clients can choose whatever setting is most comfortable for them. Clients can access their telehealth session from the comfort and convenience of their home via a secure, HIPAA-compliant link sent prior to the session and accessed through the client portal. 


Michael J. Rubbinaccio, MA, LMFT

Managing Partner

Michael J. Rubbinaccio, MA, MA, LMFT is a Washington state licensed therapist in Seattle. Michael earned a master’s degree in clinical psychology, specializing in couples and family therapy as well as sex therapy from Antioch University in Seattle. He also holds a master’s degree in communications theory from Seton Hall University in New Jersey. For nearly 25 years, Michael held various positions in human resources, as a certified human resources professional by the Society for Human Resources Management (SHRM), and other communications and consulting roles. He is now in therapy private practice serving clients in the State of Washington.

Washington State License #:


M.A., Couples & Family Therapy / Sex Therapy

Antioch University, Seattle

M.A., Communication Theory

Seton Hall University, New Jersey

B.J., Journalism

University of Missouri-Columbia

Professional Memberships:

The American Association for Marriage and Family Therapists (AAMFT)
The Washington Association for Marriage and Family Therapy (WAMFT)
The American Association of Sexuality Educators, Counselors and Therapists (AASECT)
The Association for Death Education and Counseling (ADEC)

Society for Human Resources Management (SHRM)