Left Coast Care

Therapy for people in Washington state

Meet Rachel Cruz

a licensed clinical social worker who believes healing happens in relationships, with ourselves, our communities and our stories

You don’t have to have it all figured out. We’ll sort through it together.

More About Me

I want therapy to feel like a soft landing, a space where you can be honest, uncertain, angry, curious, or quiet, and know that you’re still welcome.

I believe everyone deserves a place where they don’t have to explain themselves over and over. You get to bring your full self here, even the parts you’re still getting to know.

I’ve worked with people facing systems that weren’t built for them — and I hold deep respect for how people survive, adapt, and resist. I approach this work with humility, care, and a sense of collaboration.

License Number: LW61334224

My Approach

I believe therapy works best when it’s a partnership. I don’t see myself as the expert on your life

I show up with warmth, curiosity, and tools that might help, but you’re in the driver’s seat.

My approach is relational, identity-affirming, and grounded in both individual and collective healing. I pay attention to your body, your culture, your relationships, and how you make meaning. I’m especially interested in supporting folks who are unpacking internalized messages and reclaiming their own voice.

My Experience

Before becoming a therapist, I worked in community mental health and nonprofit spaces, supporting people navigating trauma, housing instability, and cultural disconnection.

I’ve worked with teens, adults, and families — especially those with marginalized identities. My experience includes supporting clients through anxiety, depression, racial and cultural identity exploration, and the long-term impacts of trauma.

Whether you’re trying therapy for the first time or coming back to it with new clarity, I’ll meet you where you are.

Trauma

You’ve been through more than most people know.

Maybe it’s something recent, or something that’s shaped you for a long time.
You don’t have to retell your whole story for healing to begin — we’ll move at your pace, with care.

My Specialties

Depression

Some days, it’s hard to care about anything.

You might feel stuck, numb, or like nothing really matters. You’re not broken — and you don’t have to carry this alone.

Anxiety

Your brain is always going. You’re tired of worrying about everything.

Whether it’s social anxiety, constant second-guessing, or that tight feeling in your chest — therapy can help you get a little more breathing room.

I work with women, non-binary folks, and those who are gender-queer

Individuals aged 15+

I may be able to see younger adolescents on a case-by-case basis. Please get in touch to speak about this option if you’re interested.

Other people & issues I work with:

  • Racial identity and intergenerational healing

  • Life transitions and adjustment

  • Relationship issues (family, peer, romantic)

  • Identity exploration (including gender and cultural identity)

  • Stress management and emotional regulation

  • Adolescents/Teens

  • Support for BIPOC and LGBTQIA+ communities

  • Neurodivergence-affirming care

Rates & Insurance

My rate for a 53-minute therapy session: $170

  • I am not yet contracted with insurance, but am in negotiations with:

    • First Health

    • Kaiser HMO and PPO

    • and Regence

    I do courtesy billing for out-of-network benefits.

  • I’m not yet able to take EAPs, but am working on offering that in the future.

  • Please contact me if you are interested in sliding scale options.

My Education

MSW from University of Washington

Get in Touch!

Schedule a free 15-minute phone call or video chat with me to discuss your therapy goals and determine if we are a good fit.

CONTACT