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Therapy in Vancouver, Washington Anastasia Kihwaga, Therapy Clinician

Gender Identity: Female (She/Her)

Ages Served: 11-75+

Appointments: In-office and Online

Manages Medications: No, provides therapy only

Accepts Insurance: Yes - View accepted plans

Anastasia Kihwaga, Therapy Clinician

Anastasia Kihwaga, LMHCA

Specializes In:

Anxiety
Depression/feeling down
Domestic violence & abuse
Early adulthood: Independent living or relationships
Early adulthood: Starting college or career
Emotional abuse
Grief & loss
Immigration/cultural status
Panic attacks
Self-esteem
Stress management
See all specialties >

Anastasia Kihwaga helps patients across Washington navigate overwhelming emotions, shifting life circumstances, and patterns that no longer serve them. She supports adolescents, teens, adults, and seniors with a warm, grounded presence, offering a space where clients can feel understood while developing tools that create meaningful change. As part of LifeStance Health, she works with individuals and families throughout Washington who are seeking practical strategies and compassionate guidance. Anastasia provides care for a wide range of mental health needs, with particular emphasis on anxiety, depression, and PTSD/trauma. She integrates evidence-based approaches to help clients gain clarity, strengthen emotional resilience, and build healthier ways of coping. Her clinical work is also shaped by experience supporting neurodiverse individuals and those navigating complex family or identity-related stressors, offering affirming, culturally aware support.

In addition to her broader expertise, Anastasia is especially passionate about helping clients work through challenges related to ADHD, alcohol and drug use issues, and childhood behavior issues. She approaches these concerns with empathy and structure, collaborating with clients and families to understand root causes, build skills, and foster stability. Her work in these areas is grounded in a belief that lasting change is possible when clients feel heard, empowered, and supported without judgment. Anastasia draws from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Christian Counseling, as well as mindfulness and exposure-based interventions. She serves diverse populations, including individuals with developmental disabilities, members of the LGBTQ+ community, and those with a history of adoption or foster care. She offers additional therapeutic modalities to meet clients’ unique needs. Sessions are available in both English and Swahili. Outside of her clinical work, Anastasia enjoys music, travel, and discovering new adventures—interests that remind her of the importance of curiosity, connection, and balance.

Anastasia Kihwaga provides services with supervision.

Types of Care & Ages Served

Areas of Focus

Couples Therapy

Helps partners address relationship conflict and improve communication with a clinician's guidance.

  • Anxiety
  • Domestic violence & abuse
  • Emotional abuse
  • Immigration/cultural status
  • Panic attacks
  • Stress management
  • Adoption & foster care
  • Anger issues
  • Bipolar Disorder
  • Bullying or harassment
  • Career & work issues
  • Caregiving
  • Depression/feeling down
  • Eating issues: food deprivation
  • Eating issues: purging/regurgitating
  • Focus, concentration & memory
  • Gambling
  • General relationship issues
  • Grief & loss
  • Intense mood changes
  • Marital stress or divorce
  • Menopause & perimenopause
  • Other addictive behaviors
  • Other women's health concerns
  • Parenting
  • PMS & PMDD
  • Pornography/sexual behaviors
  • Premarital counseling
  • Racial identity
  • Religion & spirituality
  • Self-esteem
  • Sex & intimacy issues
  • Sexual trauma
  • Trauma & PTSD
  • Video game/internet

Individual Therapy

Get help addressing challenges and improve well-being with a clinician's guidance.

  • Domestic violence & abuse
  • Early adulthood: Independent living or relationships
  • Early adulthood: Starting college or career
  • Emotional abuse
  • Aging
  • Anger issues
  • Anxiety
  • Body image
  • Career & relationships (mid-life)
  • Career & work issues
  • Childhood behavioral issues
  • Chronic pain-related issues
  • Depression/feeling down
  • Empty nesters
  • End-of-life challenges
  • Ethnic identity
  • Family conflict
  • Focus, concentration & memory
  • Gambling
  • General relationship issues
  • Grief & loss
  • Immigration/cultural status
  • LGBTQ+
  • Marital stress or divorce
  • Men's health/issues
  • Menopause & perimenopause
  • Other addictive behaviors
  • Other women's health concerns
  • Panic attacks
  • Parenthood
  • Parenting
  • PMS & PMDD
  • Pornography/sexual behaviors
  • Premarital counseling
  • Racial identity
  • Retirement
  • School avoidance
  • School behavioral issues
  • Self-esteem
  • Sex & intimacy issues
  • Sexual trauma
  • Stress management
  • Trauma & PTSD
  • Video game/internet

Family Therapy

Improve communication and resolve conflicts within family dynamics with a clinician's guidance.

  • Depression/feeling down
  • Domestic violence & abuse
  • Emotional abuse
  • Grief & loss
  • Self-esteem
  • Adoption & foster care
  • Aging
  • Anxiety
  • Attachment issues
  • Caregiving
  • Childhood behavioral issues
  • Chronic pain-related issues
  • End-of-life challenges
  • Family conflict
  • General relationship issues
  • Immigration/cultural status
  • LGBTQ+
  • Marital stress or divorce
  • Panic attacks
  • Parenting
  • Premarital counseling
  • Racial identity
  • Retirement
  • School avoidance
  • School behavioral issues
  • Stress management

Languages

  • English
  • Swahili

Education

  • International Leadership University

FAQs

Please use our online form to schedule an appointment with Anastasia Kihwaga. You can also call 360-906-1190 to have someone assist you.

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