Currently accepting new clients. I offer my services in-person or via video teletherapy (e.g. Zoom, Skype, Facetime,

James Emerson Bederaux-Cayne, MA, LMHC

I have a Master of Arts Degree in Counseling Psychology from Antioch University, Seattle (1998).  I am a Washington State Licensed Mental Health Counselor (LH 00006925), a National Certified Counselor with the National Board for Certified Counselors, a Clinical Member of the American Mental Health Counselors Association, and a Clinical Member of the American Counseling Association. I have a certificate in Mental Health Clinical Supervision from the University of Washington School of Social Work. I am trained in and have certificates in EMDR 1&2. I also have certificates in Basic and Advanced Critical Incident Stress Management from the International Critical Incident Stress Foundation. I have been practicing since 1995.

My Areas of Specialty


  • Relationship Issues
  • Trauma and PTSD
  • Child or Adolescent

Issues Treated

  • ADHD
  • Addiction
  • Adoption
  • Anger Management
  • Anxiety
  • Autism
  • Behavioral Issues
  • Bipolar Disorder
  • Coping Skills
  • Depression
  • Divorce
  • Domestic Abuse
  • Domestic Violence
  • Emotional Disturbance
  • Family Conflict
  • Grief
  • Impulse Control Disporders
  • Infertility
  • Mood Disorders
  • Parenting
  • Peer Relationships
  • Self Esteem
  • Sexual Identity Issues
  • Substance Use
  • Suicidal Ideation
  • Survivors of Suicide

In addition to broad clinical training, I have specialized training and experience in marriage and family therapy, child and adolescent therapy, early childhood mental health issues, clinical supervision, disaster counseling, mediation and high conflict family problems. I work with children/adolescents, individuals and families.

I help people to manage depression, anxiety, transitions, relationship problems, healing from trauma, and developmental issues of childhood and adulthood. I provide EMDR and Critical Incident Stress Management services, as well as offer support to Survivors of Suicide. I help those serving in the United States Armed Services and their families. I help people in all aspect of family planning including contemplation of fertility interventions, e.g. IVF. I also assess potential egg donors, as well as those thinking about adoption, either relinquishment or expanding one’s family. ​

My Therapeutic Approach

I will actively use my training and experience to help you meet your needs & goals. Successful treatment is a direct result of mutual efforts, honesty, respect, and collaboration. Life is full of transitions and many transitions require skill to navigate. Some happen easily and others require thought, planning and occasionally outside help. I regularly help people manage depression, anxiety, life & work transitions, relationship problems, the processing of and recovery from trauma, and developmental issues throughout the lifespan.

I have a broad range of clinical training and experience related to individual, couples, families and group therapy. In addition, I have specialized interest, training, and experience in child and adolescent therapy, early childhood mental health issues, marriage & family therapy, complex grief, disaster & PTSD counseling, mediation & high conflict family problems.

My overall approach is to be brief, task oriented and solution focused. I work from an integrated developmental approach based on psychodynamic and family systems theory. At times, I may also include a cognitive behavioral approach. Our initial contact is primarily evaluative, although some therapeutic benefit may occur.

Types of Therapy

  • Cognitive Behavioral (CBT)
  • Family/Marital
  • Family Systems
  • Mindfulness-Based (MBCT)
  • Solution Focused Brief (SFBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)

Client Focus

  • Adults
  • Adolescents / Teenagers (14 to 19)
  • Preteens / Tweens (11 to 13)
  • Children (6 to 10)
  • Toddlers / Preschoolers (0 to 6)
  • Individuals
  • Couples
  • Families

Rates, Policies & Forms


Cost per Session: $125 – $175
Sliding Scale Available: Yes
Payments Accepted: Cash, Check, Health Savings Account, Mastercard, Visa


Payment or co-payment is expected at time of service except if otherwise preauthorized through insurance. In the event that your insurance does not cover treatment, you will be responsible for all fees. Please check with your carrier to determine coverage and whether I am considered an in-network provider for your plan prior to your first visit. I bill the following insurance:

  • APS Healthcare
  • Aetna
  • Anthem
  • BlueCross and BlueShield
  • Cigna
  • First Choice Health
  • MHN
  • Numerous EAP Programs
  • Regence
  • TriWest
  • Uniform
  • UnitedHealthcare
  • Out of Network

Cancellation Policy

Please change or cancel appointments with at least 24 hours notice. For late cancellations without notice or missed appointments you will be charged as much as you or your insurance company pays (including copay) for a regular session, which varies by insurance plan. Failure to pay an account for 90 days may result in further action.

Schedule an Appointment

If you would like to schedule an appointment, you may complete the form to the right to request an appointment type and available time(s). I will respond to you via phone, text, or email with scheduling options depending on your indicated communication preferences.

You may also contact me directly to schedule at (206) 898-9366 or

Appointment Request Form

  • If you would like to request an appointment on a specific day, please indicate your preference(s) below. You may select multiple days.
  • If you would like to request an appointment at a specific time, please indicate your preference(s) below. You may select multiple times.
  • Please check with your insurance carrier to determine coverage and whether I am considered an in-network provider for your plan prior to your first visit. If you intend to use your insurance, please bring your insurance card to your first appointment.
  • If this is your first visit with me, please provide a brief description of your circumstances and what you are hoping to achieve through counseling. You may also provide any additional information you feel is relevant. If you are a returning client, you may elect to enter a specific message here, but it is not required.

    **IMPORTANT NOTE** Information submitted through this form is not considered confidential or privileged. Please do not provide any information here you wish to keep protected and private. Emailing or calling this office does not create a client relationship between you and Emerson Counseling & Consultation.


Contact Form

For general inquiries, please complete and submit the form below. To request an appointment, please complete the Appointment Request Form above.

Emerson Counseling & Consultation

3618 California Avenue SW
Seattle WA 98116

TEL: (206) 898-9366