01 · Who Germe works with

Germe works with stress, Anxiety, relationship issues and bipolar disorder

Germe lists 5 specialisms and 31 further focus areas. Specialisms are the subjects Germe chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Germe's own words

What Germe says about the work

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

I am licensed in Washington with 6 years of professional work experience. I have experience in helping clients with sexual health needs, first responders and their families, stress, anxiety, relationship issues, bipolar disorder, & depression. I also have experience working with coping with life changes. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Germe Poston, on the BetterHelp listing · read 7 Oct 2026

03 · How Germe works

The 4 approaches Germe lists, in plain English

These are the clinical methods Germe lists. The descriptions are Maker Therapy's, not Germe'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 Germe 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”.

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.

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.

04 · What happens next

From this page to a first session

Germe 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 Germe'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 Germe at this point.

2. Naming Germe specifically

   BetterHelp matches algorithmically by default, so asking for Germe 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 Germe.

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

2 questions worth asking Germe

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

• “You list both Solution-Focused Brief 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 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.

06 · Practical details

Credentials and licensing

Credential

LICSW

Licensed in

Washington

Licence

WA LICSW LW 61504718

Licence number

LW 61504718

Licence expires

7 Jan 2027

NPI

1194318915

Years in practice

6

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Germe'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 7 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 Germe. 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.

Something on this page wrong or out of date? Report it and it will be checked against the source.