My counseling journey began over a decade ago in Minnesota, supporting individuals and families navigating addiction and co-occurring mental health concerns. Now based in Washington, I continue this work with teens and adults, bringing specialized training in addiction and trauma.
My approach is collaborative, practical, and tailored to you. I draw from evidence-based modalities like CBT, DBT, and mindfulness to build insight, strengthen emotional regulation, and support meaningful, sustainable change. For deeper trauma work, I integrate Internal Family Systems (IFS) and somatic-based approaches to help you reconnect with a sense of safety, self-trust, and internal balance.
Steph Sianko
MA, LADC, SUDP, LMHCA
