Practitioner record · Checked 9 Oct 2026

Adrien Helander has been in practice 9 years and is licensed in Washington. Adrien lists LGBT, trauma and abuse and bipolar disorder among 38 subjects on the BetterHelp roster.

Everything below is either quoted from Adrien's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

9years in practice
38subjects listed
10approaches listed
2languages spoken

01 · Who Adrien works with

Adrien works with LGBT, trauma and abuse and bipolar disorder

Adrien lists 13 specialisms and 25 further focus areas. Specialisms are the subjects Adrien chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • LGBT
  • Trauma and abuse
  • Bipolar disorder
  • Depression
  • ADHD
  • Stress, Anxiety
  • Grief
  • Intimacy-related issues
  • Anger management
  • Self esteem
  • Career difficulties
  • Coping with life changes
  • Compassion fatigue
Also experienced with
  • Abandonment
  • Attachment issues
  • Autism and Asperger Syndrome
  • BDSM, kink, and alternative sex culture
  • Communication problems
  • Dissociation
  • Divorce and separation
  • Family of origin issues
  • Forgiveness
  • Gender dysphoria
  • Guilt and shame
  • Intellectual disability
  • Isolation / loneliness
  • Life purpose
  • Mood disorders
  • Multicultural concerns
  • Obsessions, compulsions, and OCD
  • Polyamory / non-monogamous relationships
  • Post-traumatic stress
  • Self-love
  • Sexual assault and abuse
  • Sexuality
  • Social anxiety and phobia
  • Women's issues
  • Workplace issues

02 · In Adrien's own words

What Adrien says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello! I am licensed in Washington State since 2019, and have been a practicing therapist since 2017. I have experience in helping clients with bipolar disorder, trauma and abuse, stress and anxiety, depression, ADHD, and Autism. I also love helping people with vocational issues, LGBTQ issues, and working with your values and spirituality if that is something that interests you. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I like to collaborate with you and empower you to guide the goals and direction of your own treatment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards managing problems and making a change. I am here to support you in that healing journey.

Messaging hours: 8:00 AM - 4:00 PM, Monday through Friday, and 8:00 AM - 2:00 PM Saturday. Responses may be sporadic or delayed outside those hours.

Adrien Helander, on the BetterHelp listing · read 9 Oct 2026

03 · How Adrien works

The 10 approaches Adrien lists, in plain English

These are the clinical methods Adrien lists. The descriptions are Maker Therapy's, not Adrien's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Adrien runs a session.

Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Cognitive Behavioural TherapyCBT
Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.
Eye Movement Desensitisation and ReprocessingEMDR
A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Motivational InterviewingMI
A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.
Narrative Therapy
Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.
Trauma-Focused TherapyTF-CBT · trauma-informed
CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.
Internal Family SystemsIFS
Treats the mind as made up of parts - the critic, the one who withdraws, the one that keeps everything running - each of which is trying to protect you. The work is getting to know them rather than overruling them.

04 · What happens next

From this page to a first session

Adrien practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Adrien's own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Adrien at this point.

  2. Naming Adrien specifically

    BetterHelp matches algorithmically by default, so asking for Adrien is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Adrien.

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Adrien

Built from what Adrien actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Adrien's - Adrien has not seen them and is under no obligation to answer any of them.

  • “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

    Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

  • “You offer sessions in English and Spanish. Does the work change depending on which we use?”

    People often reach different material in a first language than in a second. Worth naming before you choose.

06 · Practical details

Credentials and licensing

Credential
LMHC
Licensed in
Washington
Licence
WA LMHC 60998674
Licence number
60998674
Licence expires
25 Sep 2027
NPI
1013383017
Years in practice
9
Gender
Non-binary
Languages
English, Spanish
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Adrien's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Adrien. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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