Janelle Butler

Janelle Butler is a Licensed Mental Health Counselor (LMHC) with nine years of practice. She works with people facing stress, anxiety, mood disorders, grief, addiction, relationship and intimacy concerns, and the strain of caregiving and chronic illness. She practices in Washington and also accepts international clients.

Janelle began her career in community mental health in the greater Seattle area and now practices from the East Coast while continuing to serve Washington and beyond. That background means she has met many different kinds of problems and seen a range of life circumstances. She focuses on helping people notice patterns that keep painful feelings alive.

In sessions she helps clients name negative beliefs and either change them or change how they are held. She emphasizes practical steps and honest conversation. Janelle believes relief can start quickly, but lasting change needs steady effort.

Grief and end-of-life concerns are among the issues she supports, and she treats those topics with attention to hope and meaning. Her approach blends goal-focused skills with attention to emotional experience. Clients can expect a balance of guidance and listening.

Her toolkit draws from several approaches including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, Attachment-Based ideas, and client-centered work. Janelle also uses strategies helpful for trauma, ADHD, eating and sleeping struggles, and relationship communication. She offers services in English and American Sign Language.

How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice thoughts and feelings, choose what matters to them, and take small steps toward those values. It can be useful for anxiety, depression, grief, and motivation struggles. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and teaches concrete skills to change unhelpful patterns; it often helps with anxiety, mood, and sleep problems. Dialectical Behavior Therapy (DBT) provides emotion regulation, distress tolerance, and interpersonal skills that are helpful when emotions feel overwhelming or relationships are strained.

Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what feels most useful. That conversation helps shape whether ACT, CBT, DBT, or a mix is used, so the plan matches the person's needs.

Confirm current session formats before booking, since options are set by the practice. Online therapy can make fitting sessions into everyday life easier by reducing travel time, allowing shorter check-ins around a work break, or making it simpler to continue care when moving between regions. Licensed professionals can teach the same skills and strategies online as in person, and sessions can focus on practical tools, processing grief and loss, or working through caregiving and chronic illness challenges in ways that fit a client's routine.