Child, Teen and Family Mental Health and Substance Abuse Services

Child, Adolescent & Family Therapy

At Ryther, our goal is to meet every child and family where they are with respect, genuine caring and a real determination to appropriately and effectively address underlying and presenting behaviors, issues and mental health concerns and diagnoses. Ryther child and family therapists work with clients to create a treatment plan with defined goals to be reviewed every 90 days. Therapists also work collaboratively with Ryther’s team of psychiatrists and psychologists. Ryther also consults with schools and professionals on behalf of its clients.

We see our role as partner with you and your family so that family members can learn new ways of thinking, develop positive relationships and realize better lives.

Ryther employs evidence-based therapies including:

  • Cognitive Behavioral Therapy (CBT): We help clients understand the connections and dynamics between thinking, feeling and behavior and we focus on specific issues such as anxiety, depression, trauma and parenting.
  • Motivational Interviewing: We help clients discover their own reasons to make a positive and lasting change in their lives.
  • Parent-Child Interaction Therapy (PCIT): We help rebuild the bond between children ages 2-7 and parents and teach parents new, more effective parenting skills that are especially effective with harder to raise children. .
  • DBT (Dialectical Behavioral Therapy) Skills: We help clients learn new communication, interpersonal effectiveness, distress tolerance, emotion regulation and problem solving skills.

Group Therapy

Ryther’s group solutions utilize effective, evidence-based techniques, including: Groups are offered in Seattle only at this time. To be eligible for any group, your child, adolescent or young adult must first be seeing a Ryther therapist.

  • DBT Skills Group & Therapy (Seattle only): This program is for teens (13-17) who want to increase skills to manage challenges with impulsivity, interpersonal relationships, regulating emotions as well as suicidal or self-harm behaviors. There are two groups meeting weekly in Seattle for six months. Requires joint involvement in individual weekly therapy.

Intensive Outpatient Mental Health DBT Program

Starting September. The Intensive outpatient DBT program serves youth 13-18 with acute mental health needs. This program lasts 12 weeks and requires participants to be on site a minimum of 4 days per week with three days of 3 hour groups (4-7pm on Monday, Wednesday, and Thursdays) and at least one individual session (Tuesdays or Fridays for 50 minutes) per week. Be aware that all services take place at our Main Campus in North Seattle. Intake will need to take place prior to first session. Call 206.517.0234 for information about insurance and to schedule.

This program is a good fit for youth who are experiencing suicidal ideation, self-harm, school avoidance/failure, chronic interpersonal deficits and low self-worth or have a history of hospitalization or residential treatment because of these issues are appropriate. This program is not appropriate for children who are highly aggressive or oppositional as well as those who have a low verbal ability or are moderately to severely developmentally delayed as the curriculum requires the ability to focus for a period of time and process verbal information relatively quickly and accurately.

DBT - Dialectical Behavior Therapy is an evidence-based therapy for the treatment of depression and suicidal ideation. It has been shown to also reduce symptoms of impulsivity and emotion dysregulation, while increasing prosocial skills and distress tolerance.

Referrals for all gendered adolescents struggling with:

  • Depression
  • Self-harm
  • Suicidal ideation
  • Impulsivity
  • Inconsistent relationships
  • Difficulty regulating emotions
  • Those unsuccessful in outpatient therapy alone
  • Those stepping down from inpatient

About DBT Skills Groups:
The three-hours skills groups engage participants through skills acquisition, discussion and activity focused on four main areas; mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. Groups allow participants to practice their interpersonal effectiveness skills under the supervision of a trained therapist.

About Individual Sessions:
Individual sessions will focus on generalization of skills. Participants will report progress on diary cards and troubleshoot skills use with their individual Ryther therapist.

Aspiring Youth

For children, teens and young adults with Asperger's, ADHD, learning disabilities and other atypical neurological traits, Ryther’s Aspiring Youth Program teaches social skills and provides community for both children and parents. For information, contact 206-517-0241 or email . Visit and to learn more.

Contact Us

Ryther has offices in Seattle, Bellevue and Mukilteo with convenient days and hours. Business Hours for Outpatient Services are Monday to Thursday 8am-7pm and Fridays 8am-5pm. We will confirm your insurance plan coverage for our services and bill your insurance directly if service is covered. We have psychiatry services in Seattle. We offer outpatient individual therapy in all three locations. Substance Use Disorder assessment and treatment (Drug and Alcohol) are available at our Seattle location. Psychological evaluations, including evaluations for Autism Spectrum Disorders, are available upon request.

Call 206.517.0234 or email to find out how we can help.

For Frequently Asked Questions about Ryther's services, please download the FAQ document:

As a licensed community mental health center, Ryther has the ability to provide evidence-based individual and family therapy and psychiatry to children and youth with Medicaid insurance. In King County, children and youth with Medicaid insurance, who meet eligibility requirements, can receive comprehensive therapy, mental health, and case management services. As with any other insurance, services are accessed by calling the centralized intake number and providing the information needed to schedule a screening and intake session. Ryther now also provides outpatient substance use services under Medicaid insurance for youth 10-18 years of age in King County.

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