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 a Master of Social Work (MSW) from the University of Washington and has maintained a long association with King County Mental Health, bringing decades of public and clinical experience to his practice.

Roger practices with a solution-focused, person-centered stance, helping people identify practical strategies that address their immediate concerns while honoring their values and goals. His clinical training includes Internal Family Systems, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), psychodynamic approaches, and Cognitive Behavioral Therapy (CBT), which he integrates as appropriate to each person’s needs.

He works with people facing a wide range of mood and thought disorders as well as challenges related to stress, anxiety, addiction, grief, relationship and family issues, trauma, eating and sleeping problems, parenting, and self-esteem. Roger places particular interest on supporting creativity and imagination, helping clients move through obstacles that limit self-expression and the risks involved in sharing one’s work and identity with others.

As an LICSW, Roger is licensed to provide clinical social work services independently. He collaborates with each person to tailor interventions and to discover the strategies that best meet their goals and life circumstances.

Therapeutic approaches and online support

Roger Midgett draws on Acceptance and Commitment Therapy and Attachment-Based and client-centered principles to guide online work. Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without being controlled by them and then act in ways that align with their values - often useful for anxiety, depression, and chronic stress. Attachment-Based Therapy explores relational patterns formed early in life and how they shape current relationships, which can help with intimacy, family concerns, and attachment issues. Client-Centered Therapy emphasizes empathy, acceptance, and collaboration, creating space for individuals to explore concerns at their own pace and find their own solutions.

Finding the right approach is part of the therapeutic process. Roger approaches treatment collaboratively, assessing a person’s needs, goals, and preferences to determine which methods or combination of methods best fit their situation and evolve over time.

Online therapy offers practical flexibility. Video calls, phone sessions, live chat, and text-based messaging allow individuals to work with licensed professionals from different settings and schedules. These options make it easier to maintain continuity of care, fit sessions into busy lives, and access support when in-person visits are difficult, while still focusing on effective therapeutic work.