CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

JS Portrait of Julia Spaude

Julia Spaude

Compassionate, practical therapy for real-life challenges

LICSW Washington

Experience
7 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Julia

Julia Spaude is a licensed clinical social worker (LICSW) practicing in Washington who helps people manage stress, anxiety, depression, relationship struggles, trauma, and related concerns. With seven years of professional experience, she centers clients' strengths and lived experience, guiding them to identify values-driven goals and practical steps forward.

Background and approach

Julia emphasizes collaboration and respects each person's expertise about their own life while offering evidence-informed tools to support change. Her care blends cognitive behavioral strategies with acceptance and mindfulness skills, alongside client-centered listening and motivational techniques to address motivation, self-esteem, and coping with life transitions.

She also works with issues such as grief, intimacy challenges, ADHD-related concerns, caregiver stress, chronic illness, and body image, tailoring interventions to each person’s situation. Julia aims to empower clients to build skills, reduce unhelpful patterns, and pursue a more fulfilling life on their own terms.

Therapeutic approaches and online care that fit your life

Julia often integrates Cognitive Behavioral Therapy and Acceptance and Commitment Therapy into online work. CBT focuses on identifying unhelpful thoughts and behaviors and developing practical skills to change patterns that contribute to anxiety, depression, and stress. ACT encourages noticing thoughts and feelings while clarifying personal values, helping people commit to actions that move them toward a more meaningful life.

She also draws on client-centered and mindfulness-based elements, offering empathetic listening and attention to present-moment experience so clients feel heard and learn grounding strategies. Choosing an approach is treated as a collaborative process; the therapist partners with each person to explore what techniques match their needs, goals, and preferences and adjusts course as progress is made.

Online sessions are available by video call, phone, live chat, or text-based messaging to increase flexibility and accessibility for different schedules and comfort levels. These formats make it possible to fit therapy into busy lives, continue work during life changes, and use brief or ongoing contact depending on what works best for the client.

Frequently asked questions

What concerns does Julia commonly address?
She works with a broad range of issues including stress, anxiety, depression, relationship and intimacy-related problems, trauma and abuse, grief, self-esteem, career challenges, ADHD, and caregiver stress.
What is her therapeutic style and approach?
She combines cognitive behavioral techniques with acceptance, mindfulness, client-centered listening, and motivational interviewing to offer practical skills and collaborative support.
How long has she been practicing?
Julia brings seven years of clinical experience working with people on emotional, relational, and life-transition concerns.
Where is she licensed and what are her credentials?
She is licensed in Washington as an LICSW with licence number WA LICSW LW 61237737.
Does she offer services in other languages or to international clients?
She provides services in English and is not currently accepting international clients.
Which session formats are available for working together?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.
How are fees and billing handled?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin therapy with her?
To start, select the Start Therapy button, fill out a short matching questionnaire, and schedule a session based on the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemCareer difficulties

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDissociationEating and food-related issuesEmptinessFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPanic disorder and panic attacksPost-traumatic stressSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

7+ years

Licensed

Washington

Languages

English