Roger Midgett, LICSW

Roger Midgett is a Licensed Independent Clinical Social Worker (LICSW) with over three decades of clinical experience. He focuses on clear, practical help for people facing stress, anxiety, depression, bipolar symptoms, grief, addiction concerns, and relationship or intimacy challenges. Roger aims to make sessions straightforward and useful so people can take steps forward between appointments.

Roger uses a person-centered, solution-focused style that starts with the client's goals. He blends methods such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Attachment-Based Therapy, and client-centered techniques to match each person’s needs. Sessions often include skills practice, values-based planning, and ways to manage strong emotions.

He has long ties to mental health work in Washington, including training and practice connected with regional public mental health systems. That background informs a practical approach to coping with chronic health issues, caregiver stress, and long-term mood or thought concerns. He also addresses issues like body image, chronic pain and illness, cancer-related stress, aging and geriatric concerns, and co-morbid conditions.

Roger pays attention to how attachment, abandonment concerns, and communication patterns affect daily life. He also supports people navigating creativity blocks and the challenge of sharing their work with others. In sessions he helps people identify barriers, try new strategies, and build habits that fit their values and routines.

People who prefer straightforward, goal-oriented conversations that also allow space for feelings may find his style a good fit. He works in Washington and conducts sessions in English.

How Roger’s Approaches Work Online and in Sessions

Acceptance and Commitment Therapy (ACT) focuses on helping people notice unhelpful thoughts and still move toward what matters to them. It is useful when coping with chronic health challenges, anxiety, or when making life changes. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches practical skills to change patterns that cause distress. It is often used for mood, anxiety, and sleep or eating concerns. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal skills to reduce intense reactions and improve relationships.

Deciding which approach to use is a collaborative process. The therapist will listen to a person’s goals, try methods that fit those goals, and adjust the plan based on what helps. Sessions can blend elements from different approaches so the work stays focused on real-life progress rather than on following a single method.

Confirm the current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when schedules demand it. It also lets people try talking therapies from their usual environment while working on strategies for managing chronic pain, caregiver stress, mood disorders, or creative blocks. Licensed professionals can help tailor session length and focus so therapy fits into daily life.