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Seattle Death Doulas

Seattle + Puget Sound

A gentler way through.

I'm Zac, a psychologist becoming an end-of-life doula. This is a small, deliberate practice offering presence, planning, and steady company to people facing the end of life, and to the families walking with them.

The work, in plain words

Non-medical. Non-anxious. Non-negotiably yours.

A death doula (sometimes called an end-of-life doula or death midwife) is a holistic, non-medical companion who walks alongside a dying person and their family. Not as a clinician. Not as a stranger paid to "handle" something. As a steady, informed companion.

I sit vigil through long hours. I translate what the body is doing. I help you say the things that need saying. I hold the room so the people you love can stop performing and start being present.

Just as a birth doula supports a person bringing a new life into the world, a death doula supports a person leaving this life, and the loved ones who must continue.

Presence

Steady company across the long arc of dying: bedside vigil, hard conversations, quiet hours.

Planning

Advance directives, POLST, legacy work, family logistics, after-death care, all on your terms.

Care

Education on the dying process. Grief support before and after. Practical help when the world goes quiet.

About the practitioner

Hi, I'm Zac.

A psychologist by training. An end-of-life doula in formation. I came to this work through years of study, and I'm building a practice that takes both presence and rigor seriously.

Read my story

My background is psychology, undergraduate work at Western Washington and a Master's at Seattle Pacific. The thread through both was the same question: how do people make sense of difficulty, and what helps when nothing fixes it.

What I bring to the bedside isn't medical or religious. It's the quieter discipline of psychology: noticing what's actually happening between people, holding space for grief without trying to fix it, helping families find their own words for things that often go unsaid.

I'm currently completing foundational end-of-life doula training and accepting a small number of first families, including pro-bono and sliding-scale work. If you're considering working with me, I will tell you exactly where I am in that path and what I can and can't honestly offer.

How I help

Six ways I walk with you.

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Companion presence & vigil

Steady, unhurried company at the bedside.

A doula sits vigil during the final hours and days, not to do, but to be. They tend to the room, hold the silence, offer comfort touch, and ensure no one dies alone. For families, this presence means rest, meals, and the freedom to be loved ones first.

Advance care planning

Get your wishes on paper, while there is time.

Doulas guide the conversations many of us avoid: advance directives, POLST forms, healthcare proxies, what a “good day” looks like at the end, what you want and don’t want. They help you make decisions clearly, so loved ones aren’t left guessing.

Legacy & life review

Capture the story while the storyteller is here.

Letters, recorded interviews, ethical wills, photo books, recipe collections, gifts for grandchildren not yet born: legacy work weaves meaning out of a life. Many people find that reflecting on their story is itself a gift to themselves.

Family & caregiver support

Help for the people doing the holding.

Caregivers run on empty. A doula coordinates with family, friends, and care providers, helps facilitate hard conversations, and helps loved ones communicate needs when tensions are high. They bridge gaps in care that hospice or family alone can’t fill.

Education on the dying process

Knowing what is happening makes it less frightening.

Doulas explain what the body does as it shuts down (changes in breath, color, appetite, awareness), so the people present can stop pathologizing the natural and start being with it. Knowledge replaces panic with presence.

After-death care & memorial

Honoring what was, gently, on your terms.

Home funerals, washing and dressing the body, sitting with the dead, planning ceremony, eulogy work, and coordination with funeral homes when needed. Doulas help families reclaim rituals that were once everyone’s and have lately been outsourced.

Death is one of life's most potent and sacred passages, as well as one of the most denied, ignored, and feared. We do not have to meet it alone.
A guiding belief of this work

Common questions

What people ask first.

Most of what you're wondering, someone else has wondered too. Here's a start. The rest live in the full FAQ.

Read all FAQs

What is a death doula?

A death doula (also called an end-of-life doula or death midwife) is a non-medical, holistic companion who supports individuals and their families through the dying process. Just as a birth doula supports a person bringing a new life into the world, a death doula supports a person leaving this life. They offer presence, practical guidance, education on the dying process, advocacy, and steady companionship during one of life’s most sacred passages.

Are death doulas the same as hospice?

No, and they work beautifully together. Hospice provides medical and nursing care guided by Medicare and clinical protocols. A death doula complements that care with what hospice often can’t offer due to staffing constraints: more time, more continuity at the bedside, more personalized advocacy, and the ability to be present through long hours of vigil. We highly recommend contacting your local hospice as soon as you’re facing a terminal diagnosis, and contacting a doula alongside that care.

How is this different from a hospice volunteer?

Hospice volunteers are wonderful and bring genuine compassion. Death doulas typically bring more extensive training (including substantial inner work around their own fears and emotions about death), and they enter into a continuous relationship with you. A doula is your doula. They learn your story, your wishes, your family, and they stay with you across the whole arc of dying, not just a scheduled shift.

When should I contact a death doula?

Anytime, but earlier is better. The sooner a doula joins your story, the more time there is to get to know each other, to map out what matters, to have the conversations that need having while there is still strength for them. Many doulas also work with people who are healthy: preparing advance directives, doing legacy work, talking through the kind of death they hope for.

Begin a conversation

You don't have to navigate this alone.

Whether you're facing a diagnosis, supporting a loved one, or thinking ahead while there's time, start with a free thirty-minute conversation. There's no pressure to continue.