You know you need something to change. Maybe you can't name it yet, and that's fine, because naming it is part of the work we'll do together, not something you're expected to arrive already knowing. I'm Karen Meadows-Hills, a Licensed Marriage and Family Therapist working entirely by telehealth across Washington state.

I work with veterans and military families navigating the disorientation of coming home or stepping into a new stage of civilian life, parents overwhelmed by a teenager who feels like a stranger some days, and people carrying climate anxiety or the weight of rebuilding after a loss. I draw on Solution-Focused Brief Therapy, the Person-of-the-Therapist model, Satir's experiential method, Internal Family Systems, Narrative Therapy, Acceptance and Commitment Therapy, and Gottman Method, choosing whichever combination actually fits what's in front of me rather than running everyone through the same process. I trained at Antioch University and I'm a member of AAMFT.

Sometimes all you know is you need change. That's enough to start with, and it's often further along than it feels from the inside. Working entirely by telehealth also means I can stay in a client's life through a move anywhere within Washington state, without them having to restart with a new therapist every time an assignment changes.

I'm a good fit for a veteran, military family member, or parent in Washington state looking for a Gottman-trained therapist working entirely by telehealth, especially if you've felt like past providers didn't understand the specific texture of military transition or climate-related anxiety.

Request a session whenever you're ready. Telehealth means you can fit this around a schedule that a military family's life, deployment cycles included, doesn't always leave room for. If a PCS move or an upcoming deployment is part of what's prompting you to look for support now, mention that when you reach out, it changes how I think about pacing the work together.