Jenny Cooke Malstrom, MS, LMFTA

206-459-7994 ext.104

I believe therapy is a sacred place where we explore the tension between acceptance and change. Using a family systems approach, I work with adult individuals and couples struggling with a variety of concerns, including relationship issues, marriage struggles, substance use or addiction, sexuality and sexual health, and those who have a partner or family member with mental health concerns or substance use. I also provide care for individuals and couples grappling with the effects of infertility, perinatal mental health concerns like postpartum depression, and the transition to parenthood.

Feeling disconnected? Emotionally Focused Therapy (EFT) can help you and your partner reconnect, rebuild your bond, and deepen your relationship. Some couples and individuals may benefit from my additional sex therapy training to address affair recovery, mismatched desire, sexual dysfunction, out of control sexual behavior, and sexual shame. I work from a strengths-based perspective, combining evidence-based theories to help clients get ‘unstuck,’ turn towards one another for connection, and live into their values.

My previous professional experience ranges from providing intensive family therapy in a residential substance use treatment facility to providing brief, on-call solution-focused therapy in a primary care doctor’s office. I hold a Masters of Science in Marriage & Family Therapy from Seattle Pacific University and a post-grad certificate in Medical Family Therapy. Prior to that, I worked in international development and non-profit management and earned my BA in Human Services from The George Washington University in Washington, DC.

A southern transplant to the PNW, I’ve been described as a quick-study, am committed to furthering equity in our world, and like to bring humor into the therapy room. I am LGBTQ* affirming. In my personal time, I enjoy being by the water with my husband and son.


    • Couples Therapy
    • Emotionally Focused Therapy
    • Dialectical Behavior Therapy
    • Perinatal mental health
    • Infertility and pregnancy loss
    • Alcohol and substance use
    • Harm-reduction
    • Sexual concerns
    • Supporting loved ones affected by another’s substance use
    • Supporting loved ones affected by another’s personality disorder using CRAFT
    • Life transitions
    • Relationship stress
    • Depression and anxiety
    • Mindfulness
    • Grief and Loss
    • Stress management
    • Men’s issues


Initial Intake Session    60 minutes – $165
Individual Therapy    53 minutes / 90 minutes –  $125 / $200
Couples/Family Therapy    53 minutes / 80 minutes – $125 / $200
Extended sessions beyond 80-90 minutes are available upon request.


Can be billed directly for clients

  • Premera (*see below for exceptions)
  • Global
  • Heritage
  • LifeWise
  • BCBS plans that run through Premera including most Anthem plans

Out of Network

Can be billed on clients’ behalf and will be reimbursed based on specific client coverage

  • Cigna
  • Aetna
  • HMA
  • RGA
  • First Choice plans that start with 87

Not Covered

  • *Premera plans that contract out benefits through Optum, or begin with PBQ
  • Regence and other BCBS plans that run through Regence, including Boeing BCBS
Offering teletherapy online and counseling services in West Seattle.