Soft natural light filtering through a forest of evergreens

James Oxford, LMHC · Seattle

Therapy rooted in who you are.

Existential and psychodynamic therapy for anxiety, relationships, and meaning — in Seattle and across Washington.

Meet James →

A few words on therapy

I believe therapy is, at its heart, a relationship — a quiet, careful conversation between two people in which something honest can finally be said.

My work is shaped by existential and psychodynamic traditions: I'm interested in how the past lives in the present, in the freedom and the weight of being human, and in the meanings we make from what happens to us.

We won't be in a hurry. Healing rarely is. But we'll listen closely, together, for what wants to be understood.

"Happiness cannot be pursued; it must ensue."
— Viktor Frankl

What I help with

A place for whatever you're carrying.

Anxiety

Working with the body, the breath, and the stories that tighten around them.

Depression

Tending to what feels heavy, slow, or unreachable — without rushing it away.

Relationships

Patterns, attachment, and the quiet work of being known by another.

Life Transitions

Endings, beginnings, and the in-between where so much actually lives.

Identity & Meaning

Questions of who you are, what matters, and how to live in answer to that.

Trauma & OCD

A grounded, unhurried approach to memory, fear, and the body's protective wisdom.

Neurodivergency

An affirming space for ADHD, autistic, and differently-wired minds.

Self-Esteem

Loosening the inner critic and finding a steadier sense of your own worth.

My approach

Existential, psychodynamic, somatic.

I draw from existential therapy (autonomy, meaning, mortality), psychodynamic work (the patterns we inherit and repeat), and Acceptance & Commitment Therapy and somatic practice (presence, values, the body's intelligence).

What emerges in our work is shaped by you — your story, your way of being, what you need. There is no formula here, only attention.

Learn more about my approach →

Therapy begins with a conversation.

Free 20-minute consultations are available by phone or video. There's no pressure — just a chance to see if we might be a good fit.