Chronic Pain Therapy & ADHD/Autism Evaluations for Adults in Seattle & Portland
Specialized psychological care for adults navigating chronic pain, complex nervous system symptoms, neurodivergence and identity-related stress, including therapy for individuals and couples, and gender-affirming, queer-affirming care. Services are offered remotely across Washington and Oregon.
Melissa Ellsworth, Ph.D.
Licensed Clinical Psychologist
Specialties
Chronic Pain & Mind–Body Conditions
I support individuals experiencing chronic pain or persistent physical symptoms influenced by stress, trauma, or emotional patterns, using mind–body and nervous-system approaches.
ADHD & Autism Evaluations and Therapy
I provide comprehensive ADHD and autism evaluations for adults, as well as therapy for neurodivergent individuals and couples navigating sensory sensitivity, emotional regulation, burnout, and relational stress - without forcing neurotypical norms.
Gender Diverse & Queer-Affirming Care
I provide affirming care for trans and nonbinary individuals and couples, and welcome people across diverse queer and sexual identities, with attention to identity, minority stress, and lived experience.
Hi, I’m Melissa.
I’m a neurodivergent + queer-identifying clinical psychologist based in the Pacific Northwest, working with adults and couples across Washington and Oregon via telehealth.
I specialize in the intersection of chronic pain, neurodivergence (ADHD & autism), and intimacy/relationship concerns - especially when symptoms don’t make sense, haven’t responded to standard treatment, or feel deeply tied to stress, identity, or nervous system overload.
Many of the people I work with are insightful, capable, and exhausted. They’ve tried doing “everything right,” yet still feel stuck in pain patterns, emotional shutdown, anxiety, or disconnection - from their bodies, their partners, or themselves.
My work is grounded in evidence-based approaches like Pain Reprocessing Therapy (PRT), Emotional Awareness and Expression Therapy (EAET), Internal Family Systems (IFS), and trauma-informed care, but I’m not interested in forcing people into rigid protocols. We work collaboratively, at a pace that respects your nervous system, your autonomy, and your lived experience.
I’m especially attuned to clients who:
live in high-functioning, high-masking bodies
feel misunderstood by traditional medical or mental health systems
want depth, nuance, and honesty — not surface-level coping tips
Outside of therapy, I’m deeply connected to nature, creativity, and movement, and I bring that same respect for rhythm and regulation into my clinical work. I don’t believe healing is about “fixing” you — it’s about helping your system feel safe enough to change.
Schedule a Initial Consultation
During our 20-minute consult, I’d love to hear more about what you’re looking for in therapy and/or an evaluation. I’ll also share more about my approach and areas of expertise and answer any questions you may have. We can decide together if we’re a good fit and if not, I’m happy to offer referrals to other providers who may be a better match.
A few important details before we meet:
I am not in-network with any insurance companies. My fee for therapy is $225 per 50-min session. Neurodivergence Evaluations are $1000 for ADHD, $2500 for Autism and $3500 for Combined.
I partner with Thrizer, a service that helps streamline out-of-network billing and can submit claims on your behalf.
Please indicate if you are interested in therapy and/or an evaluation. If you have questions or need additional consultation availability, e-mail me at: melissa@realignpsych.com