Intake Process

The admissions process starts with an initial phone intake with our masters level Intake Specialists (206.538.2305). We will gather insurance information and check eligibility and benefits to ensure it makes sense to proceed with the admissions process.

Prior to admission to Opal, these three steps are taken:

  • 30-minute phone intake with Gigi Zappone, LMHC, Alissa Swank, LMHCA, Brooke Ursey, LMHCA, or Kristen Otten.
  • Face-to-face intake
  • Medical assessment as appropriate

Based on the information gathered, we will make a recommendation regarding the most appropriate level of care for your treatment.  If we can offer the recommended services at Opal, we will then begin the process of setting up your care plan.

Opal’s Intake Department phone number is 206.538.2305.

Opal’s Intake Team

Co-Founder + Executive Director

Alexia “Lexi Giblin”, PhD, CEDS

Dr. Giblin (#PY00003876) is the Executive Director and Co-Founder of Opal: Food+Body Wisdom.  She is a member of Dr. Thomas Lynch’s Radically Open-Dialectical Behavior Therapy (RO-DBT) Senior Clinician Team.  Dr. Giblin leads the integration of RO-DBT in to Opal programming. She is also currently Clinical Faculty in the University of Washington’s Psychology Department.

Dr. Giblin has worked in the mental health field in various capacities since 1995.  She received her doctorate from the University of Washington in 2004 and worked in private practice for 8 years prior to founding Opal.  Dr. Giblin was a Faculty Lecturer in the University of Washington’s Psychology Department from 2004-2011.

Dr. Giblin’s research focused on body image dissatisfaction and teen appearance talk.  Her past clinical positions include Lead Clinician and Training Coordinator roles at Seattle Mental Health. Her contributions to the University of Washington were recognized during the yearly “Celebrating University of Washington Women” observance.  She has served as Vice-President and Education Chair of the Puget Sound Chapter of the International Association of Eating Disorders Professionals (iaedp).

Dr. Giblin is committed to making Opal a nationally recognized program offering compassionate treatment for eating disorders that is responsive to recent research.  Along with her Co-Founders, Julie Church, RD, CD and Kara Bazzi, LMFT, she leads Opal with socially responsible business practices.  


Lexi has professional interest and advanced training in: Attuned/ intuitive eating, depression/anxiety, enneagram, grief and loss, Health at Every Size, OCD, RO DBT, trauma, women’s health. 

Intake Lead + Primary Therapist

Gigi Zappone, LMHC

Gigi is a Licensed Mental Health Counselor  in the state of Washington (#MC60703455).

Intake Specialist

Alissa Swank, LMHC

Alissa is a Licensed Mental Health Counselor in the state of Washington (#LH 60901996). Alissa received her Bachelors of Science in Community Health from Western Washington University in the lovely Bellingham, WA. After working for several years as a youth mentor, educator, birth doula, and mountain guide in various non-profit settings, she returned to school and received her Masters of Arts in Counseling Psychology from The Seattle School of Theology & Psychology in Seattle, WA. Outside of Opal, Alissa has a private therapy practice in which she helps individuals work through anxiety, relational issues, body image, identity, and more. She is passionate about connecting individuals with their relationships to themselves, their bodies, food, and wild and authentic nature. If she is not working, Alissa seeks to spend time with loved ones, outdoors, and with her hands busy creating anything from pottery to homemade bread.


Alissa has professional interest and advanced training in: The Enneagram, Health at Every Size, maternal mental health. 

Intake Specialist

Brooke Usrey, LMHCA

Brooke is a Licensed Mental Health Counselor Associate in the state of Washington (#MC60826793). Brooke grew up in rural Indiana and received her BA in Psychology from a working farm college near Asheville, NC. After working for several years as a youth mentor, AmeriCorps volunteer, bookbinding apprentice, letterpress printer, art director, and caregiver for elders, she returned to school and received her MA in Counseling Psychology from Bastyr University.  Outside of Opal, Brooke has a private therapy practice where she works with teens and adults to find their own strength in navigating life’s challenges, and she works part-time as a letterpress printer in a small but mighty stationery business. She is particularly passionate about supporting women and girls in harnessing their inner power and living their fullest lives. If she is not working, Brooke spends time with friends, takes lots of walks, writes letters, and tries not to take life TOO seriously.


Brooke has professional interest and advanced training in: DBT, depression/ anxiety, grief and loss, Health at Every Size, LGBTQ issues/ gender affirming, sex therapy/ sex positive, systems of oppression, trauma, women’s health, ACT, adolescent mental health, biopsychosocial approach to mental health treatment. 

Art Therapist/Intake Specialist

Kristin Otten

Kristin has a masters in art therapy and counseling psychology from Naropa University. She was an intern at an eating disorder treatment center in Denver where she practiced milieu therapy and individual and group art therapy. Prior to that, she served in AmeriCorps where she taught conflict resolution in schools and was also a mentor for children with behavioral concerns in the school setting. She believes that we are all on a healing path that is unique to us, and likes to witness, support, and engage the unfolding of clients’ lives through the lens of attachment, trauma, social justice, and transpersonal psychology. Outside of Opal, she enjoys walking, yoga, painting, singing out loud in public with headphones on, dancing in her kitchen, and spending time with her two daughters.