1	I walk down the street. There is a deep hole in the sidewalk. I fall in. I am lost ... I am hopeless. It isn't my fault. It takes forever to find a way out.	2	I walk down the same street. There is a deep hole in the sidewalk. I pretend I don't see it. I fall in again. I can't believe I'm in the same place. But it isn't my fault. It still takes a long time to get out.	3	I walk down the same street. There is a deep hole in the sidewalk. I see it is there. I still fall in ... it's a habit. My eyes are open. I know where I am. It is my fault. I get out immediately.
4	I walk down the same street. There is a deep hole in the sidewalk. I walk around it.	5	I walk down another street.		The Tibetan Book of Living and Dying Sogyal Rinpoche

Joan Cartales LMHC  |  206.375.5955

600 First Avenue, Suite 526 | Seattle, Washington 98104    map

Joan Cartales, LMHC provides psychotherapy for people facing difficult transitions,
unexpected changes, and challenging situations in their lives.

I provide therapy for individuals wanting to improve quality of life, find meaning in
everyday living, and struggling with aging parents. Working with older adults and their
families and supporting people struggling with end of life and age-related issues are
some of my areas of expertise.

I work with adults struggling with depression, anxiety and related mood disorders. My
experience includes working in community mental health providing counseling services
to individuals and their families in nursing homes as well as working with individuals
and couples in the community.

Currently I facilitate one SMART Recovery® meeting per week. Please contact me
via phone or email for additional information on SMART Recovery® and meeting times
or go to www.smartrecovery.org.

For more information or to schedule an initial consultation, please call
206.375.5955 or email joancartales@gmail.com.