“Just like trees, we only grow where we are the most vulnerable. Meeting ourselves and others at the edge of comfort, befriending our cracks, we allow the emergence of the new.” — Bayo Akomolafe
Welcome to Kasama Mental Health with Vina Barham, LMFTA offering trauma-informed, relational & integrative therapy for adults & couples.
Healing trauma and attachment wounds happens in relationship.
Kasama is a Filipino word meaning “to be with” or “together.” It reflects the foundation of this practice: healing does not happen in isolation or through sheer willpower. Healing happens in relationships - with our self, with others or within the family, cultural, and social systems that shape us - especially when the nervous system experiences safety, presence and attunement.
Many adults and couples arrive at therapy feeling thoughtful, capable and deeply invested in growth, yet still remain stuck in patterns that don’t shift through insight alone. You may understand your experience intellectually, but your body still reacts. You may be in a relationship where both partners are trying, yet cycles of conflict, distance, or shutdown keep getting in the way of feeling close and secure.
At Kasama Mental Health, I offer trauma-informed, attachment based therapy for adults, and couples who want deeper, more sustainable change - without forcing, fixing or rushing the process.
A Relational & Decolonizing Approach to Therapy
Healing happens when the nervous system feels enough safety to change—and safety is created in relationship.
Many Western models of mental health locate distress solely within the individual and emphasize productivity, control, or symptom reduction. At Kasama Therapy, I hold a different perspective: we are shaped in relationship—with caregivers, partners, families, culture, history, and the systems we live within.
From this relational lens, trauma is not simply something that happened in the past. It is something the nervous system learned in response to repeated experiences of stress, disconnection, or unmet needs. Healing, therefore, is not about fixing what’s “wrong” with you—it’s about creating the conditions where safety, choice, and connection can grow.
My work integrates somatic and experiential approaches, including Sensorimotor Psychotherapy, Internal Family Systems (IFS) and Expressive Arts alongside evidence-based therapies such as CBT, DBT, and ACT. In my work with couples, I draw from Bowen Family Systems, Emotionally Focused Couples Therapy (EFCT) as well as the Gottman Method. Across all work, I focus on nervous‑system regulation, attachment, and relational repair, moving at a pace your body and your relationships can trust.
You don’t have to do this alone.
(A note: Expressive arts in my work are not about performance or talent, but about reclaiming multiple ways of knowing and mending —embodied, relational, and intuitive—especially in a culture that often privileges words over lived experience.)
Individual Therapy
For adults healing from complex or developmental trauma
Individual therapy is for adults who feel the ongoing effects of trauma in their bodies, emotions, and relationships—often long after the original experiences have passed.
This work may be a fit if you:
Feel anxious, shut down, or emotionally overwhelmed despite insight
Grew up needing to be hyper‑responsible, invisible, or “the strong one”
Struggle with boundaries, rest, or self‑trust
Notice your reactions feel automatic or out of proportion
Have tried talk therapy before and still feel stuck
Using evidence-based therapies with body‑centered, parts‑informed and expressive approach, we work together to build nervous‑system capacity, understand protective responses, and create more choice in how you respond—without reliving trauma or pushing beyond what feels safe.
My current introductory rate is $90 per 50-minute sessions for individuals. Rates may increase as my practice fills, but current clients will be notified well in advance. I am only accepting a limited number of clients at the moment. I serve clients from all across Washington state via telehealth.
Couples Therapy
Attachment‑based therapy for couples caught in painful cycles
I work with couples who feel caught in repetitive conflict, emotional distance, or cycles of pursuit and withdrawal—even when there is deep care and commitment on both sides.
Couples therapy in my practice is grounded in Bowen Family Systems, Emotionally Focused Therapy (EFT) & the Gottman Method, informed by trauma and nervous-system awareness. Together, we focus on:
Understanding the emotional and attachment needs beneath conflict
Identifying the patterns that keep you stuck
Increasing differentiation
Reduce reactivity and shutdown
Building emotional safety, responsiveness, and repair
This work is not about blame or communication scripts although we do skill building work when appropriate. The heart of what I do is about helping partners feel more secure, seen, and connected—so new ways of relating can emerge.
My current introductory rate is $110 per 50-minute sessions for couples. Rates may increase as my practice fills, but current clients will be notified well in advance. I am only accepting a limited number of clients at the moment. I serve clients from all across Washington state via telehealth.
What Therapy at Kasama Is Like
Clients often describe our work as:
Grounded and attuned
Slow enough to feel safe
Deep without being overwhelming
Gently creative when helpful—never forced
Compassionate toward all parts
Focused on long‑term, sustainable change
Therapy at Kasama is collaborative. We move together at a pace that honors your nervous system, your relationships, and your lived experience.
“Even a wounded world is feeding us. Even a wounded world holds us, giving us moments of wonder and joy. I choose joy over despair. Not because I have my head in the sand, but because joy is what the earth gives me daily and I must return that gift.”
— Braiding Sweetgrass, Robin Wall Kimmerer