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l.e. black, md

therapist and psychiatrist

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depth psychotherapy that is LGBTQIA2S+ affirming and intersectionality-informed, with or without medication management/deprescribing.

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I do not provide crisis services. If you are in need of immediate assistance, please contact the crisis line by calling 988 or texting HOME to 741741.

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Hello! I'm Dr. Black; I use they/them pronouns. I am a physician specializing in psychodynamic therapy (with or without medication management) for adults and transitional age youth. My office is in Madison Valley, near Capitol Hill (street parking or 48, 8, 11, 43, 984, 988 bus lines).

I graduated from medical school at the University of Washington, general psychiatry residency at New York University, and child/adolescent fellowship at Seattle Children's.

My practice focuses on psychodynamic therapy. I am bilingual and provide services in both English and Spanish. I have a special interest in working with young adults and the LGBTQIA+ community. I look forward to meeting you soon!

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Insight-Oriented Psychodynamic Therapy

Person-centered, queer-affirming individual therapy for older adolescents, college students, and adults, practiced from an intersectional and anti-oppression lens. 

In insight-oriented therapy, we focus on understanding how the threads of your story come together in your life today, and work together to challenge past beliefs that may be holding you back from the life you want to live now. 


Medical Services and Deprescribing

Collaborative medication management that is focused on your goals. I also support clients interested in deprescribing, where we simplify your medication regimen by safely reducing doses or tapering off of medications that may not be needed.

I provide letters for trans clients to receive gender-affirming care (this service can be provided regardless of insurance status with sliding scale available).

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Do you take insurance? 

I am currently in-network for Regence, Premera, and First Choice, but please check with your specific insurance plan to confirm this. I am listed as Laura Black in insurance networks. If you have questions about billing or insurance, I am happy to connect you with my biller.

What is your approach to therapy?

Fundamentally, I see treatment as a collaboration where your goals and preferences guide what kind of therapy we do. I work with some clients who prefer a more open-ended exploratory conversation style (psychodynamic psychotherapy), and others who prefer more structured sessions focused on skills (CBT, DBT). I have a background in both and am happy to help you think through what approach would be the most helpful.

I am a general psychiatrist so I enjoy working with a variety of people and mental health conditions. I often work with LGBTQIA+ youth and patients who speak Spanish. If you have any questions about my approach I am happy to discuss further.​​

Don't psychiatrists prescribe medications, not do therapy?

This is a great question! All psychiatrists are trained to prescribe medication, and depending on their interests and training some psychiatrists primarily focus on therapy. I appreciate the role of medications and do prescribe them when needed, but the primary focus of my practice is therapy.

Do you write letters for gender affirming surgery?

Yes. If you're interested in this service, please give me a call to discuss what your needs are and how I can help. Please feel free to contact me regardless of insurance status. Sliding scale is available for this service.

Do you work in person or by telehealth?

I currently have both in-person and telehealth openings. 

How can I request a new patient appointment?

I currently have a small number of openings for adult patients seeking weekly therapy. I do not have openings for medication management without therapy.

Please use Calendly below to schedule a 10-minute phone chat. We will talk briefly about your reasons for seeking therapy right now, medical and insurance information, and see whether it might be a good fit to schedule a consultation.

english: About Therapy


I currently have a small number of openings for adults seeking weekly therapy. Please schedule a 10-minute phone consultation on Calendly (below or at this link) to talk about your interest in therapy and whether we might be a good fit to schedule a consultation. 

Please note that filling out this form does not establish a patient-doctor relationship. If you are in crisis, please call the crisis line at 988 or text HOME to 741741.

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2711 E Madison Street, #204 Seattle, WA 98118

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