Pebble & Pine Therapy
Grounded Growth in Nature’s Rhythm
Therapy that feels like a forest trail, steady, rooted, and always moving toward light. Professional counseling services to help you flourish.
Now accepting insurance - Premera, LifeWise, BlueCross BlueShield
New appointments available for Spring 2026.
Meet Caroline
Caroline Ciesko, M.Ed., M.A.
License: LMHCA MC61666662 (supervised by Sarah Dochow LH60498747)
Welcome to my practice! I’m Caroline, founder of Pebble & Pine Therapy. With a Master’s in Education and over a decade of experience guiding adolescents, adults, and families, I blend evidence-based approaches with genuine, down-to-earth conversation.
My practice is inspired by the resilience of nature: pebbles shaped by gentle waves, pines reaching steadily skyward. Just as the Pacific Northwest landscape transforms through seasons, we too can cultivate insight, resilience, and meaningful change.
Together, we’ll navigate your path to healing, one intentional step at a time.
Therapeutic Terrain
The landscapes we’ll explore together on your journey to wellness
I offer a warm, supportive space where every part of you is welcome. Using a trauma-informed approach, I draw from parts work, ACT, DBT, and EMDR-informed care to gently explore your experiences, build coping tools, and reconnect you with what matters most.
Trauma
We’ll move gently at your pace, using trauma-informed care, EMDR, and parts work to help every part of you feel safer and more at ease.
Grief & Loss
With a compassionate, ACT-based approach, we’ll honor your loss while also creating space for healing and renewal.
Adolescent Support
In a safe, judgment-free space, I use DBT skills and creative tools to help teens manage emotions and feel more in control.
Step Onto the Path
Every journey begins with a single step. At Pebble & Pine, that step is supported, steady as stone and rooted as pine, so you don’t have to walk it alone.
The Process
Free Consultation
Start with a 15-minute call to connect, ask questions, and sense if this path feels right for you.
Intake Paperwork
Simple forms that help us understand your needs and prepare for meaningful work together.
First Session
In our first session, we’ll map out your goals and set a clear direction for your journey.
Ongoing Therapy
Consistent, 50-minute sessions that provide structure, support, and momentum for lasting change.
Key Information
- Insurance: Premera, LifeWise, BlueCross BlueShield
- Private pay: $150/session
The path is yours to choose. If you’re ready to steady your steps and move toward growth, let’s begin.
Connect Under the Pines
Questions about therapy? Ready to start your therapeutic journey? I’m here to help.