Meet
ISABEL DECIAN
Licensed Mental Health Counselor
Specialized, compassionate virtual therapy designed to help you break free from anxiety loops.
Meeting you exactly as you are!
Anxiety, OCD, and phobias do not look the same on everyone. For some, it looks perfectly put together from the outside, showing up on time, maintaining a flawless presentation, and meticulously managing every daily detail. For others, the internal storm has become too loud to hide, causing you to withdraw from family outings, avoid public spaces, or lose entire hours to exhausting physical and mental routines.
Whether you are carrying an invisible, heavy burden behind a composed exterior, or your world has quietly shrunk due to fear and avoidance, I see you.
I believe true healing begins when we look past the surface to support the real human underneath. You do not have to carry this heavy mental load alone. You do not have to pretend you have it all figured out, nor do you have to hide how overwhelming things have become. When you step into my room, you can simply drop the armor and be exactly who you are.
I am a Licensed Mental Health Counselor offering online psychotherapy sessions to clients located in Washington state.
Why I focus on Anxiety, OCD, & Emetophobia
Many people spend years in traditional talk therapy without finding true relief from intense anxiety, OCD, or specific phobias. I chose to specialize because I wanted something better for my clients.
I decided to dedicate my practice to these specific loops because I saw how rapidly adults could transform when given the right evidence-based tools. There is nothing more rewarding than watching my clients develop a deep sense of self-compassion, gain absolute clarity on their anxiety, and reclaim years of their lives. It takes immense bravery to face fears like OCD, compulsions or emetophobia.
My mission is to provide the precise, specialized framework you need so your bravery translates into lasting freedom from suffering.
What It Feels Like to Work Together
Therapy with me is entirely confidential, collaborative, and engaging. Because our sessions are virtual, you can do this deep work from the safety and comfort of your own space, anywhere in Washington State.
We create an active, non-judgmental space where you can safely explore and understand your patterns, triggers, and the underlying roots of your anxiety.
To help you achieve lasting relief, I rely heavily on proven, evidence-based strategies, and practicing safe exposures is an integral part of our work together. Rather than just talking about your fears, we will actively work through them at a pace that feels secure, ensuring you build real-world resilience.
We will also focus on shifting that harsh, critical inner voice, changing how you talk to yourself daily, and building practical tools to navigate overwhelming feelings without getting completely swept away by them.
While we tackle heavy and exhausting challenges, we also bring light into the room. We make room for humor, we laugh when we can, and we celebrate your victories together.
Working as a team, we will face your fears head-on, examining both worst- and best-case scenarios, and collaboratively develop effective tools so you can step back into your life feeling safe, grounded, and genuinely present.
Getting Personal
I grew up in Brazil and I offer sessions both in English and Portuguese.
When I’m not in session, you’ll find me enjoying family walks, spending time with friends, creative chaos at the craft table with my kid, and dreaming about our next travel adventure. These simple joys help me stay connected, curious, and energized in the work I do with clients.
Qualifications & Trainings
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Bachelor of Arts in Psychology, 2010 North Central College, IL
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Master's degree in Clinical Psychology, 2013 Governors State University, IL
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Post-Graduate Certificate in Play Therapy, 2019 Antioch University, WA
A curated list of trainings that have been especially meaningful in my practice:
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Completed Pediatric BTTI via the IOCDF
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Exposure and Response Prevention for OCD, at Center for the Treatment and Study of Anxiety, University of Pennsylvania.
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Advanced Treatment Protocol for Emetophobia, at Center for Anxiety and Behavior Therapy
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Cognitive Behavioral Therapy for Anxiety at The Beck Institute
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I-CBT at Cognitive Behavior Institute
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Dialectical Behavioral Therapy Skills training at Behavioral Tech Institute, A Linehan Training Institute Training Company
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Interpersonal Neurobiology - Immersive year-long training with the warm Bonnie Badenoch, PhD