A listing of therapists, counselors, psychologists, and psychiatrists in Washington, USA interested in providing culturally sensitive cross-cultural care for today’s international expat community.


Melanie Chitwood, M.A., NCC, LMHCA
Nationally Certified Counselor (NCC), Licensed Mental Health Counseling Associate (LMHCA) in the State of Washington, Graduate Member of the British Psychological Society (MBPsS). In addition to my Master’s degree in Counseling from a Stateside CACREP accredited Counselor Education program, I also hold a Certificate in Psychotherapy and Counseling from Regent’s College London (UK), a Graduate Diploma in Psychology from London Metropolitan University (UK), a Master of Science in TESOL from Florida International University (USA) and a Bachelor of Science from the University of Florida (USA).
Location: Seattle, WA, USA & Worldwide via Phone or Online Video Sessions
Phone: 206-305-0672
Email: melaniechitwood.therapy@gmail.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: I have had training and experience in working with people of many different religious faiths, spiritual orientations and backgrounds, as well as, individuals who identify as agnostic or atheist.
Clinical Specialties: [Individuals, Couples, & Families – Adults and Adolescents] Expatriate and repatriate challenges (including culture shock, reverse culture shock, adjustment and short/long term goals); international student adjustment; TCK, feelings of dislocation; isolation; discrimination; life transitions; bereavement (including traumatic/sudden loss); relationship issues; divorce; family conflict; estrangement from family of origin; trauma; PTSD; victims of sexual abuse; person’s struggling to reconcile moral injury from combat; workplace &/or school or academic stressors; depression; anxiety; adult effects of neurodiversity (including: dyslexia, dyspraxia, and Asperger’s Syndrome); support for carers; career planning; identity; and personal development.
Cross-Cultural Experience: I worked with immigrants and refugees in Miami, prior to actualizing my own desire to live and work overseas. I taught academic English at a Japanese university whilst providing phone counseling to both foreign expats and Japanese repatriates on Tokyo English Life Line. I later extended my cross-cultural experience including having spent time in India and having lived and worked in Northern Iraq and in London, United Kingdom where I trained more extensively in the field of counseling and held clinical placements at a bereavement service, a hospice, a specialist Asperger’s Syndrome Service and an NHS hospital, as well as having been a phone counselor with a national mental health hotline and a support worker with victims and witnesses of crimes. I have provided counseling/psychotherapy to clients from over 19 different countries across a range of ages, socio-economic backgrounds, ethnicities, languages of origin, and religious/spiritual orientations. My having spent over a decade of my adult life living, working and providing counseling in foreign countries affords me a unique world perspective, which I feel extends beyond what can be taught from within one’s country of origin alone. I apply a person-centered and existential lens to my approach to therapy in which I seek to understand the client’s world view from their shoes, without assumption or stereotype, but rather through unpacking meaning with the client and meeting them where they are. I believe that human suffering is a normal part of life, rather than a deficiency or pathology, and I value and honor difference. When one challenges themselves outside of their comfort zone or place of origin, I think it is only natural that they will face periods of unease. In confronting this unease, I feel there is an opportunity to learn about oneself and to grow and evolve. I find working with people facing inter-cultural issues to be phenomenally rewarding and I feel honored to be a part of that process with clients.

Robert Espiau, Masters in Counseling Psychology
I have a Licensed Marriage and Family Therapist Associate Credential (LMFTA), Licensed Mental Health Counselor Associate (LMHCA), and a National Addictions Counselor Credential.
Location: Seattle, WA, USA & Worldwide via Online –Using Skype; Zoom; or VSee.
Phone: 805-266-3734        Skype: heartcentered1        VSee: robert.thecounselor@gmail.com
Email: robert.thecounselor@gmail.com
Website: www.heartcenteredtherapeutics.com & www.seattletraumacounseling.com
Nationality: USA
Languages Spoken: English, very poor Spanish
Religious Affiliation: Extensive study and respect for all world religions. I have respect for the psychological teachings contained within all religions. My B.A. is in Consciousness Studies within religious and psychological systems.
Clinical Specialties: I have over 25 years experience working in mental health. I specialize in working with Anxiety, Panic Attacks, Trauma, Sexual abuse, rape, combat trauma; Religious trauma; Nightmares, Sex, Porn, and Relationship addictions; Dissociative identity disorder. Cross-cultural challenges and adaptation depression. Third Culture Kid issues especially as it pertains to self-identity formation and cultural adjustments. I provide support for expats and people with intercultural adjustment difficulties related to the experience of living abroad. I have extensive training in Jungian depth psychology, Mindfulness and meditation based methodologies, and extensive training in somatic methods that help to resolve anxiety and psychological trauma. These include; EMDR, Brainspotting, Mindfulness Based Somatic therapy and TRE. I am very good at helping people stop panic attacks and work on managing emotions.
Cross-Cultural Experience: Have lived abroad in Latin America, Canada, England, Spain, Basque Country/ Euskal Herria (Tolosa), and Mexico. I spent 6 years as a monastic and lived in monasteries with people from all over the world. I am highly aware that Americans are one of the most distrusted people in the world. My masters thesis is freely available online and is on; “The True Origins of Psychology and the influence of Euro-American Ethnocentrism.”

Cristine Ramsdale, LMHCA
Location: Seattle, WA, USA
Phone: 206.372.3610
Email: contact@cristineramsdale.com
Website: www.cristineramsdale.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: Christian
Clinical Specialties: Adults–depression, anxiety, transtions, trauma, creative blocks
Cross-Cultural Experience: I have spent time abroad in Eastern Europe and Central Asia and have travelled to Europe, South America, and South Asia. I expected to work overseas once I graduated from college; however, health issues kept me state side. I am married to a TCK and have spent time involved in an organization that worked with Asian Americans. I have devoted time to studying cross-cultural communication both in ministry and in a therapeutic setting.

Leanna Ramsey, MA, LMHC
Leanna Ramsey Counseling and Consulting
Location: South Seattle, WA, USA
Phone: (253) 260-5404
Email: LeannaCounseling@gmail.com
Website: www.LeannaRamseyCounseling.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: I work with people of all religious faiths and backgrounds.
Clinical Specialties: I work to create a non-judgmental, honest, steady and kind space for us to explore your life together.  I believe it is my job to follow your lead in regards to timing, subject matter and intensity.  My ultimate goal is for healing for your most authentic self as you experience being grounded in love and compassion for yourself. Other areas of interest for me are: Youth and Adult aged TCK’s, Expatriates, Repatriated Expatriates and otherwise Internationally Mobile, LGBTQ, Grief, trauma,  work stress, conflict resolution. Adjustment Issues, Cultural and Racial Identity. sexual therapy, family conflict, transition stress and infidelity. I practice Strength-based, relational care for the whole family which includes individuals, couples, children and nontraditional chosen families of all shapes and sizes.
Cross-Cultural Experience: Adult TCK, Raised in Ghana West Africa Have also lived in Great Britain, South Korea, Texas USA, Southern California USA

Josh Sandoz, MA, LMHC
Location: Seattle, WA, USA
Phone: 206-914-7115
Email: josh@joshsandoz.com
Website: www.joshsandoz.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: I work with people of all religious faiths and backgrounds.
Clinical Specialties: Youth and Adult aged TCKs, Expatriates, Repatriated Expatriates, and the otherwise Internationally Mobile; Grief & Loss; Transition; Adjustment Issues; Cultural Identity.
Cross-Cultural Experience: Adult TCK, born and raised in Seoul, South Korea. Former Director of Child and Family Support Services at Interaction International, providing services for TCKs and the Internationally Mobile community.

Leyla R.B. Welkin Ph.D. LMHC
Licensed Mental Health Counselor in Washington State, USA
Location: Seattle, WA, USA
Phone: 206-954-4629
Email: lwcrossingcultures@gmail.com
Website: www.leylawelkin.com
Nationality: USA
Languages Spoken: English, Turkish
Religious Affiliation: Religious Society of Friends
Clinical Specialties: Trauma, gender based violence, sexuality, intercultural families, intercultural living and work experiences.
Cross-Cultural Experience: Born in Turkey and raised in the United States and Turkey.  Living and working in Turkey as an adult, leading intercultural education programs.  Conducting cross-cultural clinical research.


Kevin J. Fleming, Ph.D.
Location: Washington, USA (and worldwide: travels to client countries)*
* Grey Matters International is a “one stop shop” global psychological consulting firm that leverages powerful neuroscience technologies and methods for ex-pats and their families. We work in a ‘we come to you’ fashion and can help all your personal,relationship and family/children mental health needs quickly and effectively.
Phone: 1-877-606-6161  (if calling from outside USA: 1-918-949-1972)
Email: info@greymattersintl.com
Website: www.greymattersintl.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: Open to All Religious/Spiritual Orientations
Clinical Specialties: Mood disorders, stress/burnout, relationship conflict, addiction, OCD, ADD/ADHD, brain injury, trauma, sleep concerns, high performance and career counseling
Cross-Cultural Experience: Worked with clients on 5 continents on their private mental health needs and have advised many multi-cultural “professionals, executives, leaders” on their culture change needs affecting many employees and their unique values