Roger Midgett , LICSW

Roger Midgett is a Licensed Independent Clinical Social Worker (LICSW) with 33 years of experience in counseling and behavioral interventions. He earned his Master of Social Work (MSW) from the University of Washington and has maintained a long association with King County Mental Health, building a practice grounded in real-world public mental health experience.

Roger favors a solution-focused, person-centered stance that helps clients identify practical strategies for change while honoring their individual values and goals. He has training in Internal Family Systems, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, psychodynamic approaches, and Cognitive Behavioral Therapy, and he blends those skills to match interventions to each person’s needs. He works with concerns across the spectrum of mood and thought disorders, including stress, anxiety, depression, bipolar conditions, addictions, trauma, and relationship or family issues.

Roger also brings a special interest in creativity and imagination to his work. He helps clients move through barriers that limit self-expression and supports them in preparing for the risks and rewards of sharing their ideas and creations with others. Throughout his practice he aims to collaborate with clients to find strategies that address what matters most to them.

Therapeutic Approaches and Online Support

Roger frequently integrates Acceptance and Commitment Therapy (ACT) into his work. ACT focuses on clarifying personal values and learning practical ways to accept difficult thoughts and feelings while committing to meaningful action - an approach that can help with anxiety, depression, and life transitions. Client-Centered Therapy is also central to his practice; this approach emphasizes empathy, respect, and collaboration so clients feel heard and supported while they explore their own solutions and strengths. Dialectical Behavior Therapy (DBT) provides concrete skills for managing intense emotions, improving interpersonal effectiveness, and reducing impulsive behaviors, which can be beneficial for mood instability and relationship difficulties.

Finding the right blend of approaches is part of the therapeutic process. Roger works collaboratively with clients to determine which methods best fit their needs, goals, and preferences, adjusting the plan as progress unfolds so therapy remains aligned with what matters most to the client.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - offer flexibility for scheduling and make it easier for clients to access licensed professionals from home or work. These formats support ongoing work between sessions and can accommodate varied communication preferences while helping maintain continuity of care.