“Tell me what you’re looking for support with…”

Dr. Kari O’Neill, is based in Issaquah, WA & offers counseling in a supportative environment.


Treatment Specialization

offered to ages 14+

Depression, Anxiety, & Stress Management


Life Transitions

Chronic Health Issues

Grief Counseling and End of Life Support

Executive Coaching for Physicians

Located in Issaquah

1301 4th Ave. NW
Suite 103
Issaquah 98027

Hi, I’m Kari

I am an interactive, solution-focused therapist who provides support and practical feedback to help patients move their lives forward.

I have a Doctorate of Social Work. I am the previous owner and clinical director of a private mental health group practice that had over 20,000 patient visits before transitioning from a group practice into Kari O’Neill Counseling in 2022. I am an affiliated medical staff member with Swedish Issaquah.

Voted an Issaquah Highlands Connections Newspaper fan favorite.

Ask Kari: How should I handle my selfish mother-in-law?

Ask Kari: How should I handle my selfish mother-in-law?

I need help handling my selfish mother-in-law. She is the kind of woman who takes the air out of the room. I have tried to build a relationship with her with no success. All she seems to care about is herself and her son (my husband). I can’t even get her to take an interest in her grandchildren, my sons. At this point I no longer even want to be around her, which is causing strife between my husband and me. I am at a loss as to what to do. Help!

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Ask Kari: I’m happily married — should I meet up with an old high school crush for a drink?

Ask Kari: I’m happily married — should I meet up with an old high school crush for a drink?

I recently went to my twentieth reunion and met up with an old guy friend from high school who I always had a crush on. Both of us are now married to other people and have kids of our own, but we danced all night together at the reunion and at the end of the night we kissed. He later sent me a text asking to me meet him for a drink. I don’t know what to do; I am happily married but still very attracted to him. Should I meet him for a drink?

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“My goal is to help people see their worth”


–Kari O’Neill
What I want patients to know:

1. They matter

2. Their feelings are normal

3. They can move their life forward

4. Say the whole thing

5. Living well is a daily practice

"Dr. O’Neill provides a safe space to talk out concerns. She gives me actionable ideas to work through challenging issues."

“Kari’s support, experience, and expertise helped me directly to deal with a huge family problem. The jury isn’t in yet as far as the results of my actions, but at least I know I did the right thing for my family member. I am so grateful!”

"She is open, honest, caring, very easy to talk to."

"Always so thoughtful and kind!! And has helped me a lot with my issues!"

"Kari is like visiting with a friend, an honest friend. Someone who challenges you to see a situation or circumstance for what it really is and then helps you troubleshoot through it. Guiding you to healthy new boundaries and giving you the confidence to keep those boundaries in place."

"Kari is an excellent health care provider and I would recommend her services to anyone I know."

"Kari has been not only my therapist but good friend. Her help has given me a much more positive attitude about life problems. She always has the answers I need to hear. I highly recommend Kari!"

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