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Skye Macrae
EdM, MA, LMHC, Clinical Supervisor
She/Her
Fees not specified
Accepting

As a clinician I strive

to be transparent and personal in my therapeutic relationships, and I approach my work from a position of humor, curiosity, and compassion.

I want to help individuals to

feel fun, outrageous, and free… and to develop key understandings into their own psychology, preferences, and needs that can guide their choices and lead to concrete strategies to ease and overcome their distress.

I am especially passionate about

experiences of diversity and alterity of all forms (particularly around gender, sex, and sexuality).

Highlights

  • systems-savvy
  • person-centered
  • radically affirming
  • client-as-expert model
  • authenticity and vulnerability
  • eclectic blend
  • warmth
  • person-centered
  • affirming
  • I strive to be transparent and personal in my therapeutic relationships, and I approach my work from a position of humor, curiosity, and compassion. My therapeutic style is rooted in a humanistic orientation, emphasizing the importance of understanding your full context to provide the most effective support. I embody an eclectic blend of warmth, person-centered, and radically affirming practices.

  • My approach is systems-savvy, person-centered, and radically affirming. I utilize top approaches including Gestalt, existential, narrative, multicultural, relational, evidence-based, social-justice oriented, and constructivist frameworks. Ultimately, I constantly work to break down the inherent hegemonic structure of the therapy relationship, acknowledging that while I might have the clinical knowledge and credentials, my clients are still the experts in the room when it comes to themselves.

  • My approach harnesses imagination and intuition, enhanced by specialized training in trauma therapy, yoga, and meditation. My personal journey, sparked by a misdiagnosis at 19 and shaped by challenges including trauma, domestic violence, addiction, and even spending two months undercover in a cult, gives me profound insights into how these experiences and marginalized identities can lead to additional difficulties. This understanding allows me to offer empathetic and informed support to clients facing similar challenges. Coming from a low-income background, my perspective has been shaped by the broad array of side jobs I’ve held, like a New York bartender or fanfiction editor, which contribute pragmatism, enthusiasm, and thoughtful reframing skills to my clinical work. My work is fueled by an insatiable thirst for knowledge, contributing to the crucial representation of neurodiversity in the mental health field.

Top Approaches

  • gestalt
  • existential
  • narrative
  • multicultural
  • person-centered
  • relational
  • evidence-based
  • social-justice oriented
  • constructivist
  • My top areas of care span gender and sexuality, multicultural issues, identity, bipolar and mood disorders, and concerns specific to Millennial & Gen Z populations, alongside men’s shame & vulnerability. I excel at the intersection where clinical mental health disorders meet cultural and identity issues, supporting individuals navigating a wide range of life experiences and mental health struggles.

  • I am especially passionate about experiences of diversity and alterity of all forms, particularly around gender, sex, and sexuality. My clinical specialization emphasizes kink education and male vulnerability, reflecting a commitment to multiculturally-informed, LGBTQIA+ affirming care for underserved populations in rural Washington.

  • I provide collaborative, multiculturally-informed psychotherapy and love to wade into the messiness of personal growth with my clients as they transition into more authentic, empowered, joyous, and masterful versions of themselves. I want to help individuals feel fun, outrageous, and free, developing key understandings into their own psychology, preferences, and needs that can guide their choices and lead to concrete strategies to ease and overcome distress.

Top Areas of Care

  • gender and sexuality
  • multicultural issues
  • identity
  • bipolar and mood disorders
  • Millennial & Gen Z
  • men’s shame & vulnerability

I’m a systems-savvy, person-centered, radically affirming provider who excels at the intersection where clinical mental health disorders meet cultural and identity issues. As a clinician, I strive to be transparent and personal in my therapeutic relationships, and I approach my work from a position of humor, curiosity, and compassion. I want to help individuals to feel fun, outrageous, and free… and to develop key understandings into their own psychology, preferences, and needs that can guide their choices and lead to concrete strategies to ease and overcome their distress. I am especially passionate about experiences of diversity and alterity of all forms (particularly around gender, sex, and sexuality). I provide collaborative, multiculturally-informed psychotherapy that supports individuals with a wide range of life experiences and mental health struggles, and I love to wade into the messiness of personal growth with my clients as they transition into more authentic, empowered, joyous, and masterful versions of themselves.

  • Honestly, I became a therapist out of spite. I didn’t have access to mental health resources as a young person, so I was eager to take advantage of my college’s free counseling center as a bright-eyed freshman. However, to my dismay, the counselor I was assigned to immediately began to pathologize my experiences and identities. I numbly listened as she dispassionately dissected my life, analyzing everything she viewed as “broken” and “wrong.” I left that session full of righteous indignation, and bitterly thought, “Even I could give better therapy than she just did.” Well… here I am, all these years later! As a licensed clinician, I now have the training to explain that what the medical model views as maladaptive “madness” is often the result of a minority perspective at odds with dominant social norms and beliefs. Coming from a low-income background means that my perspective as a therapist has been shaped by the broad array of side jobs I’ve held while establishing myself as a mental healthcare professional. In my clinical work today, I’ve still got the pragmatism of a New York bartender, the enthusiasm of a theatre camp counselor, and the thoughtful reframing skills of a fanfiction editor. These days, I constantly work to break down the inherent hegemonic structure of the therapy relationship by acknowledging that while I have might have the clinical knowledge and credentials, my clients are still the experts in the room when it comes to themselves. Ultimately, while I may have entered this field out of spite, I’ve chosen to remain here out of love—love for this profession, for the spirit of human resilience… and most of all, love for my clients.

I went to a rural Lutheran college in the cornfields of Minnesota and received my Bachelor’s in Gender Studies, English, and Psychology, and my Midwestern roots mean that I’m always happy to discuss the intersection of spirituality and multicultural identity. Being a queer activist who spent all of undergrad researching and presenting on feminist pornography also means that my time in the Midwest helped me learn how to find creative, practical solutions to the daily hurts of living within systems of institutional marginalization. I then went off to New York City (where there were substantially fewer cows) for grad school, and got two Master’s degrees from Columbia University in multicultural counseling psychology. When I was at Columbia, I spent a year as a middle school guidance counselor, and leveraged that into writing an entire 8th grade sexual health education program from scratch for a Brooklyn public middle school– which is still being taught to this day. After leaving NYC, I made my way out to the beautiful Pacific Northwest and became a Licensed Mental Health Counselor in Washington state, where I worked in private practice; spent a term at Seattle Central College’s inaugural counseling center, where I had the gratifying opportunity to attend to the social and emotional wellbeing of non-traditional college students; and even had the privilege of being the first therapist hired at a vibrant group practice specifically created to provide multiculturally-informed, LGBTQIA+ affirming care to underserved populations in rural Washington. Across all these clinical settings, my primary clinical specialization is very broadly gender, sex, and sexuality– with a particular emphasis on the topics of kink education and male vulnerability.