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Tending Roots

Specialized Therapy and Consultation

Siri Gillespie, PhD, MSW, MEd, CSOTP

Who am I?
Fern Leaves
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I've been practicing therapy since 2018 and have worked with people of different ages, abilities, backgrounds, and needs. I believe healing is a lifelong relationship for individuals and communities, and I consider myself a steward of such collective healing. I strive to co-create a therapy space of safety, honesty, informed consent, curiosity, and nurturing. In therapy, we will explore your wounds and the ways you’ve survived, adapted, and protected yourself. We will explore your desires for change and sources of generativity and resilience. We will explore oppressive systems  and

ways of thinking and being that are born from it. We will look at how to heal within a sick cultural system and how to transform patterns of harm.

I try to take an anti-oppression, survivor-informed  approach to my work; I do so imperfectly, like all of us, and I walk the path toward aligning actions and values with you. I specialize in working with individuals who have engaged in violence and survived violence, which unfortunately includes many of us who are living in the conditions of racial capitalism, white cis hetero patriarchy, and ongoing colonization. As an Alaska Native Unangax and white, 2 Spirit, disabled, queer person, I bring my experiences and identities to my therapy practice. I'm committed to my own growth and healing, and showing up authentically, ethically, and responsibly in my professional and personal communities. I practice robust COVID and viral safety precautions as community care and encourage all to do so. 

Therapeutically, I use approaches including Internal Family Systems and parts work, mindfulness/somatic, EMDR, and Cognitive/Behavioral therapies. I recognize that much of these modalities has been appropriated from Indigenous cultures and developed by and within oppressive systems. I am committed to respecting and integrating non-Western approaches to healing and Indigenizing my own wherever possible and invited. I strive to partner with my clients to identify and grow what serves them and community and transform what does not.

I have two master’s degrees in social work and education with a focus in clinical sex therapy. In 2022 I completed a PhD in Human Sexuality Studies focusing on the connection between sexual fantasies and behavior. I am a Licensed Clinical Social Worker Associate and Certified Sex Offense Treatment Provider.

Services and Approach
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I offer therapy with individuals, families, and other relationship structures. I offer specialized group therapies according to the needs of my clients (inquire for current offerings).  I specialize in sexual abuse intervention/prevention, sexuality therapy, and complex trauma. I am a Certified Sex Offense Treatment Provider. I working with queer, gender-expansive, disabled, and Native people as I share those identities. ​I offer specialized assessment and formal consultation. If you are a community member unsure of how to respond to a situation involving sexual abuse, feel free to reach out for a free community consult (this is not meant to be or replace crisis or emergency response).

Offerings:

I offer telehealth and in-person (masked) sessions at my office on Duwamish land in south seattle. I do not accept insurance, though I can provide a superbill for you to submit for reimbursement if you have that coverage.

  • EMDR Therapy (eye movement desensitization and reprocessing)

  • Individual therapy

  • Specialized group therapy/support groups

  • Consultation/education/training

  • Paid Family/Medical Leave (PFMLA) Consultations (learn more below)

  • Gender Affirming Care Consults/Letter (FREE-$200 sliding scale)

  • Sexual Behavior/Risk Assessments (also called "sexual deviancy evaluations”) 

  • Sex Offense Specific Treatment - Individual and Group

  • Sexual behavior therapy, concerns about sexual attraction/arousal

  • Sex therapy

Fees:​ Standard fees are provided below. I try to make my offerings accessible and sustainable​, and set fees that honor those values, which includes honoring my time and needs. I reserve some slots for sliding scale based on financial need and goodness of fit for my program, which can be inquired about by contacting me directly. Individual and agency rates differ, in order to create access for services for people with greater financial need. 

Therapy - Standard rate for individual private pay sessions is $175 per hour. Groups are $80 per group (90-120 mins depending on size). 

Professional consultation/Specialized Risk Assessment - Starting at $250/hour (expert services and court testimony may have a higher rate)

Community Consultation Offering

I have some training and experience in restorative and transformative community responses to sexual and domestic violence. I have worked alongside survivor advocates/therapists to support survivor-led mediation and/or reconciliation. I have supported friends and community members personally through interrupting harm, resourcing for survivors, and educating people about abuse culture and interrupting harm. As a way to share knowledge toward the dismantling of abuse culture, I am open to community consultations to support with (non-emergent, non-crisis) responding to personal/community situations involving sexual or other abuse. I am not a restorative or transformative justice or conflict resolution facilitator. I don’t support with organizational conflict resolution. Before we discuss anything, we will discuss how we navigate informed consent, disclosure of abuse, and how to best center survivors and community safety as we discuss things. This includes discussing specific information that will and will not obligate mandatory reporting, which is a routine practice of informed consent to consult with me. I will be honest about my capacity, knowledge, and scope to support. 

 

This consultation is considered a community offering and there is no fee for short-term consult. You may contact me via phone at 206-880-0511.

Situations where a community consult could help

To get an idea of how I might be able to support, I have experience supporting with/pointing folks in the direction they might need to go for the following circumstance:

-You found out your child sexually abused someone, and you are asking yourself what to do next?

-An ex came to you to tell you that you were abusive to them in your relationships and they want you to get help.

-A family member has been abusive and the family system is ignoring it/allowing it to continue. You want help knowing how to approach your family.

-Your child’s other parent has been sexually abusive to children and you want to create a safe parenting plan.

-A survivor wants support with a safety plan to attend a family gathering where their abusive family member will also attend.

-A friend disclosed they have been/are being abused or exploited and you want to support them and yourself. 

-Your partner or family member was charged with a sexual offense and you want support for yourself.

​-A friend or family member disclosed that they have been abusive  in the past and you want support to process your feelings about it.

© 2026 by Tending Roots 

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