Therapy that lives where you live
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No commitment · Your first step is a free 15-minute video call
Most people don't need a clinical therapist. They need a warm, wise human who actually shows up — not across a desk, but alongside them at routine events, daily activities, and fun outings.
We're bringing back what used to be natural: a trusted confidant, a friend who knows how to listen, a coach who walks through life with you — not a 50-minute office hour with a clipboard.
Alt Therapy is real-life coaching and companionship for modern humans navigating loneliness, love, and everything in between. We meet you where you are. Literally.
Every service is delivered in real environments — not offices. You tell us what you need; we bring it to you, wherever that is.
Movement unlocks conversation in ways an office never can. Our coaches walk alongside you through parks, waterfronts, and neighborhoods while you process, vent, and find clarity.
We visit your home, your favorite spot, your routine. A skilled relationship coach sits inside your actual life — not a neutral office — and helps you two find your footing again.
Golf, cooking, a museum, a market, a hike — we build sessions around activities you actually enjoy, so healing doesn't feel like homework. Joy is the mechanism.
Stuck on a decision, struggling to date, career crossroads — we accompany you through it, literally and figuratively, in the moments where life actually happens.
Big event, first date, important meeting — we accompany you before and debrief after. You don't have to walk into the hard stuff alone.
No agenda. No diagnosis. Coffee, a bench, a call. Sometimes you just need a warm, wise human to hear you out — without fixing you.
Our coaches aren't therapists in disguise. They're highly trained life and relationship coaches who know how to show up — in the real world, in your world.
Author of A Million Green Flags and creator of the Modern Relationships framework, Sia has spent years studying the psychology of connection, loneliness, and what it takes to truly show up for yourself and others. She built Alt Therapy because she couldn't find what she knew people actually needed.
Matthew brings a grounded, no-nonsense approach to coaching that meets people exactly where they are — without judgment, without jargon. Known for his warmth and ability to build trust quickly, he specializes in working with people navigating major life transitions and those who've never felt comfortable asking for help.
All sessions are in-person across Seattle and the Pacific Northwest. No hidden fees. Cancel anytime. Free 15-minute discovery call included with every plan.
Early clients from our Seattle pilot program, 2025.
I'd been to three therapists in four years and none of them came close to what one afternoon walk with my Alt Therapy coach did. She just got it.
My partner and I were on the edge. Having someone come to our actual home — see how we live — that context changed everything. It felt real.
I was the guy who would never do therapy. Alt Therapy felt like having a really wise friend who just happened to know exactly what questions to ask.
Alt Therapy is the real-world, in-person extension of the philosophy behind A Million Green Flags — the book helping thousands rewire how they show up in relationships. The coaching methodology, the framework, the approach — it all comes from the same place.