Kate Cousineau

Therapist & reformed Psychiatric Provider

My career has moved through child welfare, family therapy, family medicine, and psychiatric medicine — arriving, for the last ten years, at a federally qualified health center where I sat with the full spectrum of human suffering. Along the way, a question kept surfacing that conventional medicine couldn't fully answer: why do some people heal, and others don't — even when the treatment is the same?

That question led me to the nervous system. And then deeper — to the subconscious patterns that shape how the nervous system responds, how the body holds stress, and how early experiences and beliefs quietly organize our present-day lives in ways we often can't think our way out of.

I am a licensed therapist and psychiatric PA-C trained in clinical hypnotherapy and somatic nervous system approaches. My work focuses on the underlying patterns driving anxiety, functional disorders, chronic pain, and the kinds of persistent dysregulation that live below the level of insight.

I don't teach coping strategies (although I believe in their value!). I work at the level where the symptoms were generated and continue to be generated — and that tends to produce changes that feels different from anything therapy alone could reach.

My work includes the body's energy systems alongside its neurology. Emotions are energy — and energy is held in the body. When we shift emotions, we shift energy. And when we can move that energy out of the body, we can profoundly change pain, tension and anxiety. In my experience, the people drawn to this kind of work often already sense that something deeper is available to them. I promise that you are right..

I live and practice in Trout Lake, Washington, in the Columbia River Gorge — a place that has a way of doing some of the healing on its own. I offer sessions virtually across Washington and Oregon State, and in person for those who make the trip.

If you've done the work and still feel like something hasn't fully shifted — this might be where that changes.

Credentials & Training

  • PA-C (Physician Assistant, CAQ - Psychiatry)

  • LCASW (Licensed Clinical Associate Social Worker)

  • Heart-Centered Hypnotherapy

  • Gut-Directed Hypnotherapy / North Carolina IBS Protocol

  • DBT Skills Training

  • Somatic and nervous system-informed approaches

  • 20+ years clinical experience across psychiatric medicine, therapy, and family therapy