Clinical Team

Svetlana Shjerven, LICSW (She/Her)

License #LW61539124

Hi! My name is Lana, and I approach therapy through an existential framework, prioritizing empathy, compassion, and building a strong rapport and therapeutic relationship to facilitate change. I endeavor to explore with you your unique experiences, contexts, connections with others and the world around us to foster healing, build upon strengths, and to generally try to improve your situation. I believe strongly in the importance of feeling connected in relationships, to our environment, and to ourselves. Addressing the “here and now” that arises during therapy allows our sessions to adapt and work with the difficult emotions or thoughts that come up, in a safe environment that is confidential, nonjudgmental and humanistic. As well, I can bring more structure and challenge into sessions if that is what you are seeking.

I have worked with and am drawn to working with those who have experienced agoraphobia, anxiety, depression, trauma, life transitions, self-esteem/confidence issues, grief and chronic pain. I am LGBTQIA+, gender- and poly-affirming and enjoy working with clients along the spectrum of neurodiversity, disability, and giftedness. In this space to heal, we can foster resiliency and explore being.

I utilize an eclectic approach, combining multiple areas of practice to suit your needs. In particular, I often draw from CBT, ACT, Narrative, humanistic psychology, strengths-based work, systems theory, and existentialism in the exploration of self-actualization and addressing barriers. I offer evidence-based, trauma-informed approaches. Clients have described me as warm, inquisitive, curious, silly, and nonjudgmental. I also offer “walk and talk” style outdoor therapy too, which could be part of our approach in addressing agoraphobia or anxiety when appropriate (from Seattle to Olympia area).

I became a therapist because I found therapy immensely helpful in my own journey as a teen/young adult struggling with social anxiety, agoraphobia, and identity issues. Between my lived experience and wanting to help people in general, I decided to pursue the field of behavioral health after making the changes in my life that I needed to. I find it an honor and privilege to be in this role.

My full private pay rates are $170 per 50+ minute session and $180 per intake. I have sliding-scale openings, because I don’t want a lack of insurance to be a barrier to accessing care. I’m in-network with most Premera, BCBS, Regence, LifeWise, First Choice, Curative and Aetna plans. Reach me directly at svetlana@cicadamh.org.

In my free time, I find joy (and silliness) in reading, out in nature, doing archery, writing on my typewriters, and spending time with my partner, cats and dog.

Seth Warna, LSWAIC (He/Him)

License #SWIA.SC.70037174

Hey there! I’m Seth. I’m an associate-licensed social worker with an MSW from the University of Washington, and I’m Level 1 trained in Internal Family Systems through the IFS Institute. My main focus is neurodivergent teens through adults, and the concerns that like to tag along with neurodivergence, such as anxiety, depression, complex trauma, and OCD. I have lived experience with many of them. I also work with men, with gifted and twice-exceptional folks, and with queer, trans, and polyamorous clients.

Where we start depends on what you need. Generally speaking, I like to begin from an attachment lens. From there we move into psychoeducation and figuring out how to accommodate your neurodivergence, plus DBT skills for stabilization – the point being to get you to where you have the emotional footing to handle deeper work. My approach tends to be more direct specifically because a lot of neurodivergent people find that a fully client-led approach is overwhelming, and that they need that structure.

For that deeper work I use IFS. A lot of what makes people feel hopeless is the sense that they can’t change anything – that they keep doing things they don’t want to do, that they feel like they aren’t the one steering. IFS starts from the understanding that the mind builds programs to handle hard things and to keep you away from pain that would have been unbearable at the time. Most of those programs were written when you were young and never got updated, so they’re still running automatically in the same way now that you’re older. IFS looks directly at them, works out what they’re actually doing (nothing your mind does is random; there’s always a reason), builds them healthier ways to do their job, and heals the pain underneath. And even though it’s deep trauma healing work, I find it much gentler than most other approaches.

A lot of what people bring me comes from society itself – its power structures and its imbalances. I’m focused on your healing as a human being, not on making you functional for capitalism. But being clear-eyed about that doesn’t make it go away, so I also want to be your accomplice in carving out a place where you can actually thrive. That means knowing what’s out there to help you hack it. There are more resources available than most people realize.

What matters to me: your privacy (which means no AI anywhere in your care), radical nonjudgement, and flattening the power imbalance that therapy usually takes for granted – I’m transparent, and I’ll talk through any diagnosis with you before it goes in your chart.

Right now I offer outdoor nature-based sessions and telehealth, with traditional in-office sessions likely coming. My full private pay rate is $120 per session and I have sliding-scale openings, because I don’t want a lack of insurance to be what keeps someone from getting care. I can accept most (but not all) Premera, BCBS, Regence, LifeWise, Curative, and Aetna plans. Reach me directly at seth@cicadamh.org.

Keira Tunny, MSW Intern (She/Xe/They)

Hey! I’m Keira, I primarily focus my work on trauma healing within the trans and neurodivergent communities. Together we can work on issues like relationships, life transitions, anxiety, depression, grief, self-esteem, identity exploration and other concerns that life brings. I practice relational therapy and through that lens we understand our lives are shaped by how our relationships and interactions with the social world have impacted us. Together we’ll explore how past relationships and experiences affect the emotions coming up in your current experiences.

I am currently a clinical social work intern completing my MSW at University of Washington. As such I am still receiving regular education and exposure to new therapeutic approaches. I’m passionate about finding the approaches that work best for my clients. We’ll apply a variety of techniques in our work together to best address your unique needs. I ultimately believe you are the expert of your experience and if something doesn’t work for you then we’ll take a different approach.

I approach my work with an anti-carceral, anti-pathologizing, decolonial and justice oriented set of values. I strongly believe our challenges do not exist in a vacuum and are contextual. I prioritize building a connection with empathy, individuality, safety and compassion so that we have the rapport to navigate challenging topics in therapy and the therapeutic relationship. I currently offer only online telehealth therapy. I do not utilize any AI tools in my practice.

Currently I work Monday – Wednesday via telehealth. My full rate is $80 per session and I offer sliding scale spots for less for those who need it. I am available to see clients from the first week of October. Reach me directly at keira@cicadamh.org.