Profile image of Nancy  Montstream

Nancy Montstream(She/Her/Hers)

Licensed Mental Health Counselor, LMHC
Anxiety - Depression- Relationship issues-Adoption & foster care-Adolescent mental health-Life coaching-
AboutSpecialtiesLocationsInsurance & FeesTestimonials

Professional statement

Nancy Montstream is a Licensed Mental Health Therapist located in the Seward Park neighborhood of Seattle, who works with clients across the age span. Being a former high school counselor and educator, Nancy has years of experience working with adolescents, young adults, parents, and families. Many of her clients enter counseling because of a life crisis which can manifest in the form of a career change, death of a loved one, a struggling child or teenager, a break-up, a traumatic experience, the effect of an addiction, a life transition, identity struggles, or consistent patterns of worry or regret. Nancy, as a parent of 3 adult children, 2 biological and 1 adopted, has unique insight into adoption, mixed-racial families, attachment issues, emotion dysregulation and educational systems.

Nancy’s therapeutic approach is rooted in Cognitive Behavioral Therapy, an evidence-based approach that focuses on helping clients understand how their thoughts, feelings and behaviors are interconnected which in turn facilitates measurable, positive change in their lives. Nancy emphasizes the importance of awareness between the mind and physical sensations helping to reduce anxiety, reactive behavior, and negative patterns of thinking. She utilizes trauma-informed therapies, mindfulness, self-compassion, spirituality, and narrative scripting to help clients increase self-confidence, satisfaction, and joy in their lives.

Nancy creates a warm and safe space for clients to be heard. As an interactive therapist, Nancy approaches her clients through active listening, clarification, thought-provoking questions, and reflection without judgment and with honesty. She sees her clients as equal partners who are fully capable of growth and change.

Nancy has both experience and passion towards diverse populations including POC, LGBTQIA persons, neurodiverse, and those of varying faiths. She is currently offering telehealth appointments and welcomes new clients to her practice.

Message to clients

Welcome! I am glad you are here and taking the first step to make change in your life.

I practice from an integrative perspective to fit the needs of each client. Each person has a unique situation that requires me to listen to your story with compassion, curiosity, and openness. I bring many tools and techniques to my practice utilizing a mind-body approach that connects your emotions and thoughts with physical sensations and body awareness. This brings awareness to underlying emotions and struggles that otherwise may be overlooked or missed.

Life brings many struggles and accepting and managing these takes resilience and work. During our time together I may bring up uncomfortable issues, often challenging your thoughts and behaviors. My hope is to encourage you towards positive change that sets you on a path toward living with more vitality, authenticity, and hope.

I highly value learning new therapeutic techniques and tools and have training in Mindful Self Compassion (learning how to think about and treat yourself positively), Dialectical Behavioral Therapy (a skills-based program to help adolescents and young adults with emotional management, interpersonal, and decision-making skills) and EMDR (a treatment, especially effective for those with past trauma, that engages the brain and body in the healing process by accessing the memories that underly negative beliefs and behaviors).

I look forward to connecting with you to start a new journey towards wellness.

Work and Education

Years of Experience: 13 years

Nancy Montstream Counseling, Licensed Mental Health Therapist
Kennedy Catholic High School, Counselor/Dept. Chair
Eastside Catholic High School, Counselor/Dept. Chair

Seattle University, MA in Education, Counseling, 2011
University of Washington, BA in Psychology and English, 1988


Washington: LH61358308




Anxiety - Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)

Depression - Providing support and promoting healing of hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life

Relationship issues - Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating

Adoption & foster care - Support around pre- and post-adoption challenges including family dynamics, challenging behaviors, attachment issues, and navigation of the child welfare system or adoption agencies

Adolescent mental health - Working with adolescents, teenagers, and parents on social, academic, and/or emotional challenges throughout teenage years; addressing anxiety, family conflicts, peer relationships, school stress, transition to college, social media pressures, self-esteem, hopelessness about the future, emotional disregulation

Life coaching - Identifying intentions and implementing strategies to build resilience and work towards one’s personal, health, or career goals


  • Adults (24+)
  • Couples
  • Families
  • Parents
  • Seniors (65+)
  • Teenagers (13-18)
  • Young adults (18-24)

Locations & Hours


Nancy Montstream is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.

Out-of-pocket fees

  • Individual sessions:$140 (60min)
  • Sliding scale:$100 - $140
  • Initial session:$200 (60min)
  • Couples sessions:$155 (60min)
  • Family sessions:$155 (60min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing
Payment options
  • Cash
  • Check
  • Credit Card
  • Debit Card
  • PayPal
  • Venmo
Session frequency

Frequency of sessions this provider offers to see clients once you are an established client.

  • Weekly
  • Every other week
  • Multiple times a week
  • As needed

Client testimonials

"I was happy to speak with Nancy. She is very easy to talk with and provided good information to assist me in making a decision about therapy."
- Zencare client September 2023

Book a Free Initial Consultation

The practice will call you for a free 10min phone call to discuss your needs and ensure a match!

This provider has no upcoming call times available.