Contact Information


253.752.1860 X329

Karen's Intake Forms

Download Karen's Forms To download the forms, please click on the PDF icon on the left. Please print out forms and bring them with you to your first session.


Karen Bream, MA, LMHC


Licensed Mental Health Counselor LMHC, with an MA in Counseling - Seattle Pacific University
BA in Social Welfare and Psychology - Pacific Lutheran University
Member - AACC- Association of American Christian Counselors


Areas of Clinical Experience and Interest:

  • Working with all age groups; focusing on families
  • Adults, Couples and Children
  • Depression
  • Stress
  • Anxiety/Phobias
  • Marital Reconciliation
  • Affair Recovery
  • Couples Conflict Resolution and Communication
  • Broad Spectrum Autistic/Aspergers Issues
  • Grief and Loss
  • Parenting Concerns
  • Divorce Recovery
  • Sexual Abuse Recovery
  • Blended Families
  • Anger Management
  • Integrating Issues of Faith
  • Career Direction and School Issues


Biographical Information:

Married over three decades with three adult children. I have been a practicing counselor since 1980. Fourteen of these practicing years were with a nationally recognized agency called Homebuilders, working with families in crisis in their homes. The remaining years have all been at Pearl Counseling. I also have written and presented a variety of workshops on Emotion Management, Stress Management and Parenting. Together with a colleague, I developed the initial curriculum for the Breaking-Free Parenting workshops.I also have worked as a school counselor and an EAP counselor in managed care.


Therapeutic Style:

Karen's therapeutic orientation is cognitive/behavioral. She often has a teaching/homework style that brings difficult issues down to a practical level. Usually specific goals are targeted to achieve greater progress through new skills learned. When appropriate, prayer and scripture are incorporated into sessions. She also utilizes the Lifespan Integration (LI) method.



Insurance Accepted






First Choice

United Healthcare


Additional Other Insurances (Inquire)



Initial intake with insurance $150, $130 thereafter--- if no insurance and paying out of pocket the fee is reduced to $130 for the first session and $110 for additional sessions.



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