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Health at Every Size® Healthcare Provider Listing

Tina Alvarado, LMFT



Thresholds Therapy
Seattle (Virtual),
United States

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Specialties & Areas of Focus:
- Couples therapy
- Relationship therapy
- Eating disorders
- Relationship to food, body, movement
- Clinical Supervision
- Self-Care
- Divesting from Diet Culture
Modalities & Theoretical Lenses:
- Emotionally Focused Therapy (EFT)
- Radically Open Dialectical Behavioral Therapy (RO-DBT)
- Attachment
- Intersectional Feminist
- Relational
- Systemic
Age Groups Served:
- Adults (18 years old and up)
Additional Populations Served & Allied Groups:
- Millennials
- people pleasers
- perfectionists
- latinx, latine, latina
- empaths, highly sensitive people (HSP)
Languages Services Offered In:
- English

My Philosophy of Care

As the client, YOU are the expert in your own experience, I use my training to help you make sense of that experience and choose the right path for you. I truly believe that there is not something “wrong” with you. However, its possible that circumstances in your life have made it difficult to function as you once did. You have made it to this point because you are resourceful, but you may find that you feel overwhelmed or that your coping skills aren’t as helpful as they used to be. Together we will examine the parts that no longer seem to fit and discover creative solutions to help you live into your values. Therapy is a chance for you to feel heard, connected, and cared for just as you are—imperfections and all. It is from this place that challenge feels less scary and change can occur. I have a particular focus on the systems at play in our lives and how they may affect my clients inside and outside of the therapy room. This lens is vitally important to understanding my clients' unique pain and aligns with my value of working toward dismantling systems of oppression. If you want a soft and validating place to explore yourself with a therapist who can also kindly call you on your sh*t from time to time, that’s me. At the same time, I know that having an experience of being fully seen and accepted as an imperfect person is really the “good stuff” of therapy.

About Me & My Practice

I am an introvert who loves people. For a lot of my life I thought those things contradict each other until I realized that they don’t have to. I care deeply about relationships and I want to get straight to the heart of what makes a person who they are. I value body trust and autonomy and my life and work are firmly rooted in an anti-diet, fat liberation, Health at Every Size (HAES) framework. Living into these values takes daily effort and I am not a stranger to the struggle of working towards food and body acceptance in a fatphobic and diet-centric world. My lived experience as a small fat, white latina informs my work as a therapist and I work to continue to divest from fatphobia and racism in myself and our systems. I have extensive experience treating clients who have been diagnosed with eating disorders however, many of my clients have never been formally diagnosed with an eating disorder yet have struggled with their relationship to food and their body for much of their life. My early days of working with eating disorders and food/body concerns were spent in higher level of care treatment but I have since enjoyed the ability in my own practice to dig into the depths of food/body relationship concerns beyond the surface level behavioral changes. Outside of work you can find me snuggling with my dog, tasting delicious foods, watching movies, gardening, hanging out by the water, doing some joyful movement and taking my time enjoying a delicious cup of coffee.

Accessibility Considerations

All of my services are delivered via telehealth through a HIPAA compliant video conferencing service. While this can make things convenient, it does require a reliable internet connection and private space to join session.

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