CHATT Counseling , Tessa Groshoff LMHC, EMDR, Art,Trauma,Family....

Office (509)218-0180 for appointments please leave a message, your call will be answered by Friday.

A brief look at Who We Are


Our experience enables us to offer effective outpatient, individualized, psychological care. We treat a number of mental health disorders, and provide a neutral ground to individuals, families, and couples. 

Our Treatment Focus

Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. We offer traditional talk therapy along with play and art based therapy. 

Our Patient Promise

We promise to be there for you every step of your journey. Our goal is to help you grow from your struggles, heal from your pain, and move forward to where you want to be in your life. 

A few of our Therapy’s

Depression & Anxiety : Trauma & PTSD

Depression, fear, and anxiety are some of the most common and uncomfortable emotions that we can experience at some point in our lives. Through counseling and treatment, we are able to help you recover motivation, perspective, and joy that you once had in your life.   Many individuals can experience symptoms associated with painful and traumatic circumstances. Anxiety, fear, and hopelessness are a few emotions that can linger post traumatic events. We can help you overcome these symptoms and guide you through the process of grief and healing. 




Relationship counseling can be beneficial to couples who are looking to strengthen their emotional connection, in all stages of their relationship. Therapy sessions are held with both couples and is a supportive place to discuss issues and solutions to better strengthen your relationship.     

Children & Adolesence, Autism and Learning Disabilities

Being a child, a teenager, a parent or guardian can be difficult at times. You're under stress to be liked, do well in school, get along with people and make big decisions. You can't avoid most of these pressures, and worrying about them is normal. We listen and  work out a plan that can support your growth. We collaborate with your school and can help with an IEP/504 plan when needed. Therapy can help teach skills that will support our children as they grow.  

An in-depth look at who we are


We believe that counseling is a journey.  Our primary goal is to help guide our clients on their own personal journey so they can  learn skills to better understand and cope with situations that may have or are currently stressful and difficult.  The nature of my therapeutic approach is holistic in nature and meaning, We offer various techniques and strategies in counseling. We will take into account the biological, psychological, social and spiritual dimensions of our client; while at the same time, allowing the client to take the lead in therapy. Our office area has access to an art, play and sand tray therapy room along with a traditional talk therapy room. There is also an outdoor patio garden area for quiet meditation before and after session.  CHATT is within walking distance to a wonderful family park, pizza parlor and a coffee shop.

Tessa Groshoff MA, LMHC

I am a licensed Mental Health Counselor, I enjoy working with Autism, ADHD,
child and adult bipolar, depression, anxiety, addiction, dementia,parenting  issues, behavioral concerns ,personality disorders,  parenting issues, behavioral concerns, working with schools and parents/students implementing appropriate IEP or 504 plans, sexual orientation,health related issues,divorce,self-harm and many more.
C.H.A.T.T. Counseling : stands for Counseling in Healting using Art and Talk Techniques. I feel that at times the term counseling creates a fear of:not being good enough, not strong enough and of course the classic your crazy! In reality we all need a place to go to feel safe,to talk about what is not working in our lives,be it past,present or future. You will find at  C.H.A.T.T.  you are listened to without judgment and guided so you can learn skills to connect with your strengths; to speak and know that your voice;your emotions are heard and understand that that at times you are not “drama living” but in turmoil.   For those wishing to try a different approach I offer art therapy techniques. Art has an impact on the person to see a part of oneself that may have been kept hidden in the kindergarten pencil box. Some people think you have to be an artist to participate, there is not a right nor a wrong in creation.  Art is a question of infinite answers.  I  want to allow an opening for others to see into their inner self by playing with clay,glue,paper,wire and paint. CHATT Counseling , Tessa Groshoff in Spokane

Counseling Services Provided

We provide individual,couples and family counsleing in a comfortable and supportive atmosphere.

Addictions                                 Anxiety

Health related issue                 ADHD

Mood Disorders                        Autism

Anger Management                Bipolar

      Obsessive Compulsive Disorder (OCD)

Oppositional Defiance           Divorce

Behavioral Issues                Parenting

Peer Relationships            Depression

Chronic Impulsively        Self-Esteem

Relationship Issues             Dementia

Sexual Abuse                        Self-Harm

Learning Disabilities        Spirituality

Domestic Abuse                              PTSD

Suicidal Ideation         Dual Diagnosis

Teen Violence                               Trauma

Family Conflicts.        Impulse Control

Grief                                      IEP/504 Plans

We work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support,family counseling and when needed IEP/504 plans with the school district and teacher.  We offer a personified approach tailored to each of our client’s individual needs. 

Who we see.....What therapies we provide.

Treatment Orientation

Cognitive Behavior (CBT)        Eclectic

Family Systems                            Gestalt

Humanistic                   Psychodynamic

Relational                                 Sand play

Art                     Solution Focused Brief





Client Focus

Children (5-10)

Pre-teens/Tween (11-13)

Adolescents/Teenagers (14-19)


Elders (65+)

Therapy Fees


Initial session (60 minutes)                $155

 Individual, couple, or family (45-50 min)


Extended session (75-80 min)         $175

Short session (25-30 min)                   $50

 Group therapy session varies ________  

 Litigation (preparation, travel, court)      

                                                              $150/ hr

No shows          $30 for every occurance

For those not using insurance

Annual Income

Less than $20,000                                  $50

$20,000-$35,000                                     $60

$35,000-$50,000                                     $70

$50,000-$60,000                                      $80

$60,000-$70,000                                       $90

$70,000-$80,000                                    $100

More than $80,000                               $110

Sliding Scale is based on income of client, average family of 1-4 and can be adjusted higher or lower.  Fees above are based on a regular 45-50 minute session. 

Payment Methods

Accepted Insurance Plans

Group Health                                               Molina

Aetna                     Adoption Support Services

United Health          Community Health Plan

  Kaiser Foundation Health Plan     Compsych       Out of Network    call as we are adding on more

Accepted Payment Method

Cash, Check, Mastercard, Visa accepted for payment

To determine if you have mental health coverage through your insurance carrier, the first thing you should do is call them.  Check your coverage carefully and make sure you understand their answers. Some helpful question you can ask:

*What are my mental health benefits?

*What is the coverage per therapy session?

*How many sessions does my plan cover?

*How much does my insurance pay for if I use an out-of-network provider?

*Is approval required from my primary care physician?

Common Questions

How can therapy help me?

A number of benefits are available from participating in therapy.  Therapists can provide support, problem-solving skills and enhanced coping services for issues such as depression, anxiety, relationship trouble, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselings can be a tremendous asset to managing personal growth, interpersonal relationships, family conflicts, marriage issues and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:

*Attaining a better understanding of yourself, your goals and values

*Developing skills for improving your relationships

*Finding resolution to the issues or concerns that led you to seek therapy

*Learning new ways to cope with stress and anxiety

*Managing anger, grief, depression, and other emotional pressures

*Improving communications and listening skills

*Changing old behavior patterns and developing new ones

*Discovering new ways to solve problems in your family or marriage

*Improving your self-esteem and boosting self confidence

*Growing in spiritual understanding

Do I really need counseling? I can usually handle my problems.

Everyone goes through challenging situation in life, and while you may successfully navigate through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. In fact, counseling is for people you have enough self-awareness to realize that they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you are in life and making a commitment to change the situation by seeking counseling. Counseling provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns and overcoming whatever challenges you face.

Why do people go to therapy and how do I know if it is right for me?

People have many different motivations for coming to counseling. Some may be going through a major life transition (unemployment, divorce, new job, etc), or are not handling stressful circumstances well. Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts. Counseling can help provide some much needed encouragement and help with skills to get them through these periods. Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life. In short, people seeking counseling are ready to meet the challenges in their lives and ready to make changes in their lives.

What is counseling like?

Because each person has different issues and goals counselling will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or new insights gained) from the previous therapy session. Depending on your specific needs, counseling can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. Either way, it is most common to schedule regular sessions with your counselor (usually weekly).

It is important to understand that you will get more results from counseling if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in counseling sessions, We may suggest some things you can do outside of therapy to support your process-such as reading a pertinent book, journal on specific topics, noting particular behaviors or taking action on your goals. People seeking counseling are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.

What about medication -vs-counseling?

It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptoms counselling addresses the cause of our distress and the behavior patterns that cause our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach  to wellness. Working with your medical doctor you can determine what's best for you, and in some causes a combination of medications and counseling is the right course of action.

Does what we talk about in therapy remain confidential?

Does what we talk about in therapy remain confidential?

Confidentiality is one of the most important component between a client and counselor.  Successful counselling requires a high degree of trust with highly sensitive subject matter that is usually discussed only in the counselors office. We provide a written copy of our confidentiality disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone. This is call "Informed Consent".  Sometimes; however, you may want us to share information or give an update to your healthcare team but by law I cannot release information without obtaining you written permission.

State law and professional ethics require me to maintain confidentiality except for the following situations:

*Suspected child abuse or depended adult or elder abuse, for which we are required by law to report this to the appropriate authorities immediately.

*If a client is threatening serious bodily harm to another person/s, we must notify the police and inform the intended victim.

*If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, we will take further measure without their permission that are provided by law in order to ensure their safety.

Contact Us

We're Here for You

Please contact us with questions or to make an appointment.

CHATT Counseling , Tessa Groshoff MA,LMHC

1405 E 12th Ave, Spokane, Washington 99202, United States

(509) 218-0180 Office. (844) 272-9257 fax


Fridays are reserved for IEP/504 and/or group meeting.  Please feel free to contact us for further information. 

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