Kristina Prikhodko, LMFTA

Licensed Marriage and Family Therapist Associate

She/Her

Hello, my name is Kristina, and I am so glad you're here. Taking the first step toward therapy can feel overwhelming, and I want to acknowledge the courage it takes to reach out. I hope to come alongside you as you navigate life's ups and downs, offering support, compassion, and a space where you can show up exactly as you are.

SCHEDULE WITH Kristina

Who I Work With

  • Teens ages 13–17
  • Adults
  • Individual clients
  • Couples

Common Concerns I Help With

  • Anxiety
  • Couples concerns
  • Depression
  • Emotional regulation
  • Identity development
  • Life transitions
  • Premarital counseling
  • Self-esteem

What Therapy With Me Feels Like

  • Collaborative
  • Compassionate
  • Strengths-based

My approach to therapy is strengths-based and focused on helping you understand your experiences while also giving you practical tools you can use outside of sessions. I believe healing happens when you can show up as yourself without feeling like you have to hide or hold parts of you back. In our work together, I aim to create a supportive, nonjudgmental space where you feel understood, and I’ll also gently challenge you when it feels helpful for your growth and for the direction you want your life and relationships to take.

Therapy Approaches I Use

  • Cognitive Behavioral Therapy
  • Dialectical Behavior Therapy skills
  • Relational therapy
  • Strengths-based therapy

Location

  • Telehealth for Washington State residents

Insurance & Payment

  • Accepts insurance through Life Directions Counseling

Education & Training

MA in Marriage and Family Therapy, Whitworth University

Licensed Marriage and Family Therapy Associate

  • LI level 1 and 2
  • Gottman 1 and 2
  • EFT 1

Life can feel overwhelming at times. Anxiety, depression, relationship stress, or big life changes can make it hard to feel like yourself or know what to do next. Therapy is a place to slow things down, talk through what’s going on, and start making sense of it in a way that feels more manageable.

I work with individuals, couples, and families who feel stuck, disconnected, or weighed down by what they’re carrying. A lot of the work we do together is about noticing patterns in your life and relationships, understanding where they come from, and finding new ways to respond that feel more aligned with who you want to be.

In sessions, I focus on creating a space where you can speak freely and feel understood without judgment. I draw from evidence-based approaches, including the Gottman Method and Emotionally Focused Therapy, especially in my work with relationships. I don’t believe in doing therapy one way for everyone, so we figure out together what actually fits you.

I hold a Master’s Degree in Marriage and Family Therapy and a Bachelor’s Degree in Psychology from Whitworth University. My clinical experience includes working with people navigating anxiety, depression, trauma, grief, relationship challenges, and life transitions.

Therapy with me is meant to feel real and supportive—somewhere you can show up as you are and work toward change at a pace that feels doable.

Narrative Roothes Therapy PLLC


If what you’ve read here feels like a good fit, I would be honored to support you. I hope that therapy feels like a space where you can show up as you are and move toward healing.