Vital Changes

Welcome to Vital Changes

Caring that Creates Change

Meet: Dr. David McFarlane

I am passionate about the transforming power of counseling and psychotherapy. Allow yourself to accept and embrace changes in your life with professional insight to assist in healing and making progress toward your goals. I believe that we need a safe place, a sanctuary, for the exploration of your needs in order to experience vital changes in your life.

Therapeutic Goals

  • Relationship skills
  • Communication skills
  • Developing new perspectives
  • Making healthy and wise choices
  • Stress reduction and coping skills
  • Assessing needs and increasing capabilities and strengths

Therapeutic Focus

I focus on creating healthy relationships and healthy lifestyles. I support my client’s need to create new meanings, directions, and purpose. I work with couple communication and relationship improvement, depression, anxiety, trauma, family conflict, impulsivity, and grief. I work across the entire life span to help children, teens, and adults successfully meet the challenges of life's many transitional borders. I work with you to discover new possibilities in your life that are real and positive. I provide psychological testing for children's and adult's mental health functioning.


New clients can call our office number, 425-687-9600, or email me at to set up an initial appointment. My office hours are between 11am and 8pm, Monday through Thursday and on Friday until 5pm. New clients need the following three forms that you can download: New Client Intake form, McFarlane Disclosure form, and HIPAA Release form.

Therapist Education and Training

My education as a therapist includes earning the Doctor of Philosophy and Master of Education degrees at the University of Washington in Counseling and Educational Psychology. I am also a certified hypnotherapist with the Wellness Institute and currently I am in Advanced Hypnotherapist Training. My education in spirituality includes studies at Princeton and Fuller Theological Seminaries, and work as a church pastor.

Therapist Licenses

I am a Licensed Psychologist in Washington State, Hypnotherapist certified by the Wellness Institute, and a Child Mental Health Specialist. I am also a member of the American Psychological Association.

Payments and Insurance Billing

Your payment for my services will depend on my services and your insurance coverage. I accept self pay as well as insurance billing. My fees are listed on my Disclosure Form. My office bills your insurance company for most services. I am pleased to be an in-network provider with Aetna, Premera Blue Cross, Regence Blue Shield, Cigna, Uniform Medical Plan, and Tricare. You can contact me to help determine your insurance benefits at