I am glad you are visiting.  I hope this site will give you a sense of how I work and what you can gain from psychotherapy.


Psychotherapy can successfully address many of the challenges that life can throw at us.


  • Social Anxiety
  • Career Satisfaction
  • Workplace Stress/Conflicts
  • Attachment Challenges
  • Relationship Security/Communication
  • Anxiety
  • Depression
  • Trauma
  • Creative Blocks/ Artistic Challenges
  • Grief/Loss Life Transitions
  • Coping with Chronic Health Issues
If you are interested in making an appointment or would like to learn more CLICK HERE.


About Mary

Mary Sacco LMHC My name is Mary C. Sacco MA., LMHC.  I practice psychoanalytic psychotherapy with a background in existential and humanistic psychology.

Although I draw from these disciplines, as well as from current neuropsychological findings, I believe that healing happens simply and meaningfully in the face to face conversation.

I have worked with adults and couples for the past 9 years as a licensed mental health counselor. This work continues to inspire in me a deep commitment to the process of healing.

As a Candidate at Northwestern Psychoanalytic Society & Institute, I am beginning my analytic training this year after completing the two-year, Fundamentals of Psychoanalysis certificate program. I graduated in 2008 from Seattle University’s Existential Phenomenological Psychology program.

I am also a member of the International Psychoanalytic Studies Organization and the Northwest Alliance for Psychoanalytic Study.

Working together, we will explore your hopes and challenges in an environment of openness and freedom.

We are amazingly resilient and I agree with J.H. Van den Berg that “The present is an invitation from out of the future to gain mastery over bygone times.”

To find freedom, you must seek it first.

If you are interested in making an appointment or would like to learn more CLICK HERE.


The best way to reach me to discuss any of the services that I offer is by calling and leaving a brief message on my confidential office voicemail at (505) 577-6877. You can leave a voicemail message at any time that is convenient for you.  I am normally able to return your calls on the same business day.  However, unless we are already working together, messages left over the weekend or Holiday will be returned the following business day.


(505) 577-6877

Email communications

If email is a more convenient way to communicate you can contact me at  marysacco@hotmail.com.  Please include the nature of your inquiry along with your name, telephone number, and the best times to reach you.

Office locations

Mary Sacco5828 7th Ave NW
Seattle, WA 98107


What Is Psychoanalysis?

What Is psychoanalysis?


I am glad you are visiting.  I hope this site will give you a sense of how I work and what you can gain from psychotherapy.  Through the process of psychotherapy,  I can successfully address many of the challenges that life can throw at us.  Below is a list and description of some common challenges that many people face.  My practice treats these life challenges and many others, as well.



An emotion characterized by an unpleasant state of inner turmoil, often accompanied by nervous behavior, such as pacing back and forth, somatic complaints, and rumination.  It is the subjectively unpleasant feelings of dread over anticipated events, such as the feeling of imminent death.  Anxiety is not the same as fear, which is a response to a real or perceived immediate threat, whereas anxiety is the expectation of future threat.  Anxiety is a feeling of uneasiness and worry, usually generalized and unfocused as an overreaction to a situation that is only subjectively seen as menacing. It is often accompanied by muscular tension, restlessness, fatigue and problems in concentration. Anxiety can be appropriate, but when experienced regularly the individual may suffer from an anxiety disorder.


mary sacco lmhcA disorder characterized by at least two weeks of low mood that is present across most situations.  It is often accompanied by low self-esteem, loss of interest in normally enjoyable activities, low energy, and pain without a clear cause.  People may also occasionally have false beliefs or see or hear things that others cannot.  Some people have periods of depression separated by years in which they are normal while others nearly always have symptoms present.  Major depressive disorder can negatively affect a person’s personal, work, or school life, as well as sleeping, eating habits, and general health.

Social Anxiety

Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by a significant amount of fear in one or more social situations, causing considerable distress and impaired ability to function in at least some parts of daily life.  These fears can be triggered by perceived or actual scrutiny from others.

Posttraumatic Stress Disorder (PTSD)

mary sacco lmhcA disorder that can develop after a person is exposed to a traumatic event, such as sexual assault, warfare, traffic collisions, or other threats on a person’s life.  Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in how a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress but instead may express their memories through play.

Relationship Security/Communication

Mary Sacco LMHCRelationships may be based on inference, love, solidarity, regular business interactions, or some other type of social commitment. Interpersonal relationships are formed in the context of social, cultural and other influences. The context can and may and perhaps will vary from family or kinship relations, friendship, marriage, relations with associates, work, clubs, neighborhoods, and places of worship.

Workplace Stress/Conflicts

mary sacco lmhcThe work place is normally a challenging part of our lives.  Workplace stress and/or conflict, given its relationship to stress, can be equally dangerous to people’s physical and emotional health. It can even increase an individual’s risk of injury.

Grief/Loss Life Transitions

mary saccoWhen an individual’s ability to resume normal activities and responsibilities is continually disrupted beyond six months of bereavement after a loss of life, therapy has proven to be a successful treatment to help a person regain their emotional balance. Symptoms include unhealthy thoughts and behaviors related to the death or the deceased, continuous inability to regulate emotional responses about the death, and social isolation.

Coping with Chronic Health Issues

Having a long-term, or chronic, illness can disrupt your life in many ways. You may often be tired and in pain. Your illness might affect your appearance or your physical abilities and independence. You may not be able to work, causing financial problems. For children, chronic illnesses can be frightening, because they may not understand why this is happening to them.  These changes can cause stress, anxiety, and anger. If they do, it is important to seek help.


Career Satisfaction

Mary Sacco LMHCSome believe it is simply how content an individual is with his or her job, in other words, whether or not they like the job or individual aspects or facets of jobs, such as nature of work or supervision.  Others believe it is not as simplistic as this definition suggests and instead that multidimensional psychological responses to one’s job are involved. Researchers have also noted that job satisfaction measures vary in the extent to which they measure feelings about the job (effective job satisfaction), or cognitive job satisfaction.


Attachment Challenges

mary sacco lmhcA broad term intended to describe disorders of mood, behavior, and social relationships arising from a failure to form normal attachments to primary care giving figures in early childhood. Such a failure would result from unusual early experiences of neglect, abuse, abrupt separation from caregivers between 6 months and three years of age, frequent change or excessive numbers of caregivers, or lack of caregiver responsiveness to child communicative efforts resulting in a lack of basic trust.


Creative Blocks/ Artistic Challenges

mary saccoA condition primarily associated with artists, in which they lose the ability to produce new work, or experiences a creative slowdown. The condition ranges in difficulty from coming up with original ideas to being unable to produce a work for years. Throughout history, writer’s block has been a documented problem.  Writer’s block may have several causes. Some are creative problems that originate within an artist’s work itself, inspiration, or distraction.  Other blocks may be produced by adverse circumstances in an artist’s life or career, such as physical illness, depression, the end of a relationship, financial pressures, or a sense of failure.  The pressure to produce work may contribute to writer’s block, especially if they are compelled to work in ways that are against their natural inclination.


If you are interested in making an appointment or would like to learn more CLICK HERE.