First sessions
We start with a 20-minute phone consult, then move into a 90-minute intake focused on history and immediate priorities.
New Clients
New Clients & Waitlist
The brief form helps me understand fit and safety needs so I can respond with the right next steps or referrals.
What to expect
Response time
Emails and waitlist submissions receive a personal reply within 48 hours (Monday–Thursday).
Telehealth
Secure telehealth is available for teens and adults throughout Washington, with in-person sessions in Queen Anne when that feels better.
Safety notice
This form is not monitored 24/7. If you or your child are in crisis, call 988, 911, or go to the nearest emergency room.
- • 988 Suicide & Crisis Lifeline
- • King County Crisis Line: (866) 427-4747
- • Seattle Children’s Crisis Connections: (206) 461-3222
Join the waitlist
Share what feels most important. If you’re contacting me for a child or teen, note the caregiver info and preferred pronouns.
Availability + fees
Typical response time is within two business days. Alex offers 50- and 75-minute sessions on Mondays through Thursdays. Superbills provided for out-of-network reimbursement. Sliding scale spots are reserved for existing clients extending care.
Email hello@alexriveracounseling.com or call (206) 555-0184 to check current openings.