Accessible Version
Thrive Counseling Center
Therapy for Individuals, Couples & Family

Andrew Caughie, MS, LMHC

He/Him, They/Them


Location: In Office & Virtual / Online

Ages: Children (3+), Teens, Adults

Specializes in: Autism, ADHD, LGBTQIA+, Gender Identity, Trauma/PTSD, Depression, Anxiety

Language(s): English


GPS for Life

“I think of myself as a GPS.  I can’t tell you where to go, but I can help you get to where you want to be.” -Andrew Caughie

When you meet Andrew for the first time you will immediately get the sense that you, your children, and your family are in really good hands. If you feel like you could use a GPS in your life then Andrew may be the therapist for you.

If you ask Andrew what his “theoretical style” of counseling is, he’d tell you that he’s a trauma-informed, person-centered, humanistic therapist who borrows from CBT (Cognitive Behavioral Therapy), and DBT (Dialectical Behavioral Therapy) models. Andrew feels strongly that the therapeutic relationship that you will develop together will provide the most value in reaching your goals for coming into counseling. He will work with your life in the present while addressing the ways the past might be contributing to the places you are feeling stuck. Implementing strategies and skills from CBT And DBT models will help you in finding new ways of approaching your life, kids, and relationships.

Supporting the Whole Family

Andrew knows personally and professionally how hard the job of parenting can be, and how helpful it is for kids and parents to have the support of someone who “gets it”. Frequently working with children as young as 3, and up through the teen years, Andrew is uniquely positioned to support your family at whatever age and stage you are feeling stumped. Through a genuine and therapeutic relationship, Andrew will help you and your children realize your full potential together.

Help for Kids/Teens Who Just Keep Getting in Trouble

Andrew wants you to know that all too often the child who keeps getting in trouble doesn’t want to or mean to. They just struggle to know what to do with the feelings and thoughts that they are experiencing on the inside. The children inside of these brains are exhausted (and likely as their parent so are you!), and they just don’t know how to do things differently. They want to be good, but these kids are often suffering from low self-esteem and also some serious challenges with impulse control and emotion regulation.

Using mindfulness approaches, positive behavioral support interventions, parenting support, and skill-based coaching, Andrew can help you and your child find more effective ways to make better choices, and explore better options for how to engage in the world, and how to cope when things don’t go according to plan.

Andrew frequently works with kids and teens who are struggling with:  

  • Feeling angry all the time, and/or having big tantrums, rages, or meltdowns.
  • Anxiety or excessive worries
  • Impulse control and just not knowing how to put on the brakes
  • Knowing how to calm down.  These kids can go from 0-100, but lack the ability to get themselves back down again.
  • Attention Deficit Hyperactivity Disorder, or are just struggling with having  “too much” energy
  • Shutting down, getting easily emotionally overwhelmed
  • Bright kids, Gifted Kids, Twice-Exceptional Kids
  • Moving through experiences of trauma, grief, and/or loss

Trauma-informed Care

In kids, trauma can look like a lot of things. Sometimes we will see signs of depression, sometimes we wonder if a kid has ADHD, or maybe they are just acting out more than “before”. Trauma response is simply the body and brain’s way of trying to stay safe after a stressful experience. While these responses can seem maladaptive and problematic, they are actually an over-adaptation to something that was stressful. Getting counseling means untangling stress responses and letting kids (and their parents) be more fully in the present. Andrew’s approach to counseling can support you and your kids in this process of letting go of the past, and learning new ways to be more effective and engaged in the present.

Support for Parents

Andrew knows how frequently we all can get locked in frustrating cycles with our kids where it just feels like our approach as a parent isn’t working, and we are all left feeling drained and disconnected. Working with Andrew means getting support for yourself AND for your child. With his support, you and your child will learn more effective skills and strategies to increase emotion regulation, communication skills, as well as increase the precious and critical bond between you and your child.

Andrew believes strongly in the importance of the parent/caregiver and child bond to foster healthy development, and to help with the places that you might be struggling. There is little that is more healing than the safe and supportive relationship a parent/caregiver can provide a child. The better the attachment with their parent/caregiver, the more able a child will be to utilize new skills and strategies. Within the safe and supportive relationship with a parent/caregiver, the child is able to try to do things differently. If you feel like you struggle to know how to support your child effectively, Andrew is here to help you. In working on your role and identity as a parent, you will provide the best environment for your child to learn the necessary skills and strategies to help them be successful in their world.

Counseling for Adults: Trauma-Informed, Person-Centered

In addition to his work with kids and families, Andrew also works with individual adult clients. In his work with adults, his focus is on helping you overcome the stressors or traumas that are keeping you stuck in your life or your relationships. Using mindfulness approaches, body-centered approaches, and trauma-informed care, Andrew will help you to find ways to feel safer and more confident in your own skin.

Some of the areas Andrew might help you with include:

  • Big life transitions like a breakup, loss, move, change in job
  • Having a hard time opening up and trusting people
  • Struggling to be in social situations but also simultaneously now wanting to be alone
  • Using alcohol or drugs to feel okay
  • Anxiety and/or Depression
  • Struggles with concentration, or a diagnosis of ADD/ADHD

Andrew’s credentials and background:

  • Licensed Mental Health Counselor
  • Washington State Child Mental Health Specialist
  • MS in Mental Health Counseling, Central Washington University
  • BA in Psychology, Washington University

You don’t have to do this alone. If you are ready to schedule an appointment or have questions about Andrew, please give us a call or email us. If you would like to schedule online now, click here.

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We are happy to welcome our patients back to our Federal Way office for in-person counseling sessions. Please call us at 206-567-7267, text us at 206-659-1153, or email us to set up an appointment. You don't have to go through this time alone.