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Joshua Koch, therapist at No Stress No Stigma in Seattle

Joshua Koch

LMFTA · No Stress No Stigma

Joshua Koch, LMFTA, is a therapist at No Stress No Stigma, a Seattle practice offering online therapy across Washington. Joshua’s focus areas include relationship issues, LGBTQ+ and identity exploration. New clients start with a 50-minute $25 intro session, with no commitment after it.

  • Relationship Issues
  • LGBTQ+
  • Identity Exploration

About Joshua

Hi, I'm Josh.

Life has a way of pulling us in different directions. We move through career changes, relationship challenges, family pressures, loss, uncertainty, and periods where we find ourselves asking, "How did I get here?" or "Is this really the life I want?" Sometimes, despite our best efforts, we feel stuck, disconnected, or caught in patterns that no longer serve us.

I believe meaningful change begins with understanding. The way we think, feel, communicate, and connect with others is often shaped by experiences, relationships, and expectations that developed long before we were aware of them. Therapy offers an opportunity to slow down, explore those influences, and gain clarity about who you are, what matters to you, and how you want to move forward.

My approach is grounded, collaborative, and direct. I don't view therapy as a process of fixing something that's broken. Instead, I see it as an opportunity to develop greater self-awareness, strengthen your sense of identity, and learn how to navigate life's challenges with intention rather than reactivity. Together, we'll explore the patterns that may be keeping you stuck and work toward creating a life that feels more aligned with your values and authentic self.

Before becoming a therapist, I served in the United States Army for 24 years, retiring as a First Sergeant. That experience taught me the importance of resilience, accountability, adaptability, and human connection. It also showed me that strength isn't about carrying everything on your own, it's about having the courage to examine yourself honestly and continue growing.

Whether you're navigating relationship difficulties, anxiety, identity concerns, life transitions, family challenges, or simply seeking a deeper understanding of yourself, therapy can provide a space to explore those questions without judgment. I look forward to meeting you and helping you move forward with greater clarity, confidence, and purpose.

Joshua Koch is an associate level marriage and family therapist (LMFTA) #MG.70133003, supervised by Wendy Naiman, LMFT #LF60419664

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