Roger Midgett , LICSW

Roger Midgett is a Licensed Independent Clinical Social Worker (LICSW) with 32 years of experience in counseling and behavioral interventions. He holds a Master of Social Work (MSW) from the University of Washington and has maintained a long association with King County Mental Health, developing extensive experience across clinical settings.

His practice is solution-focused and person-centered, emphasizing collaboration to identify practical strategies that meet each person's needs. Roger has training in Internal Family Systems, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), psychodynamic approaches, and Cognitive Behavioral Therapy (CBT), drawing from these methods to tailor care to individual concerns.

He works with people facing a wide range of mood and thought-related challenges, including depression, bipolar disorder, anxiety, addictions, grief, and trauma. Roger also supports clients navigating relationship and family dynamics, intimacy issues, sleep and eating concerns, caregiver stress, and career-related changes.

Alongside clinical work, he has a particular interest in creativity and imagination, helping clients overcome barriers that limit self-expression. He frames counseling as preparation for the risks and rewards of sharing oneself and one’s creations with others, and he partners with clients to develop approaches that foster fuller expression and meaningful change.

Therapeutic Approaches for Online Care

Roger integrates Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy into online sessions. ACT helps people clarify their values and build psychological flexibility by learning to accept difficult experiences while committing to meaningful action - it can be useful for anxiety, depression, and life transitions. Attachment-Based Therapy focuses on patterns of connection and trust formed in relationships and helps people address issues like intimacy difficulties, separation and abandonment concerns, and relational trauma.

Finding the right therapeutic approach is part of the work. Roger treats selecting methods as a collaborative process, exploring a client’s goals, preferences, and responses to different techniques and adjusting the plan as progress unfolds. Licensed professionals and therapists will work together with the client to identify what fits best.

Online therapy offers practical flexibility - sessions can take place by video call or phone, and options such as live chat or text-based messaging make it easier to fit support into a busy schedule. These remote formats increase accessibility for people balancing work, family, caregiving, or mobility considerations while preserving regular contact with their therapist.