Monica Cagayat LMFT, MA


Monica began her career in a hospice setting, working with individuals and families on the complexities of grief and loss. As she continued to work in different settings such as mental health treatment programs and schools, the theme of grief and loss continued to follow her. She uses the term life's umbrella experiences, to normalize the experience that we all of have with grief and loss. She believes it is important to give voice to how grief and loss impacts our lives. Working with people during such vulnerable times, continues to be a place where Monica sees resilience. Working with people to find their resilience and understanding the new world in which a person may find themselves living, is an honor.

Monica appreciates working with people to create a therapeutic experience that is meaningful for them. Although therapy can be challenging, Monica believes laughter and being authentic are what help to create a comfortable environment where change can take place.

When not a work, Monica enjoys spending time with her family and exploring the uniqueness of the Pacific Northwest. She volunteers for Camp Erin each year and enjoys the community of people committed to creating safe places for children who have lost a loved one.

Her approach is systemic, understanding that her clients are multi-faceted and deserve to be an active part of their therapeutic experience. Areas of focus have included supporting loved ones and caregivers after a death, working with people after a major life change (retirement, sexual identification/exploration, changes in belief/faith/spirituality, role changes in parenthood), and supporting those in caregiver roles. She has experience with severe mental health diagnoses, crisis, anxiety, depression, anticipatory grief and complicated grief. Monica believes in meeting her clients where they are, while helping them create the change they are striving for. She works with individuals, couples, and families, offering them support during times of loss, change and life transitions. In addition, facilitates support groups for teens and adults.

Monica's professional background is in Marriage and Family Therapy, Systems Counseling, Grief and Loss, ACT, CBT, Narrative Therapy, and mindfulness.

She has worked in hospital systems with a focus on Hospice services and bereavement, mental health treatment centers and school systems.


Master of Arts in Marital and Family Therapy, University of San Diego (2008)

Bachelor's of Arts, University of New Hampshire (2004)


Master of Arts in Marital and Family Therapy, University of San Diego, 2008

Licensed Marriage and Family Therapist, WA State, 2014 to present

Licensed Marriage and Family Therapist, CA State, 2011 to present

AAMFT member since 2006

Specialties and Modalities

Grief and Loss

Life Transitions

Mental Health



Older Adults



Narrative Therapy

Art for therapeutic exploration


Depression (understanding Depression vs Grief)

Systemic approach