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Therapy in Lake Oswego, Oregon

Online therapy for Lake Oswego clients.

Online therapy for Lake Oswego adults. Anxiety, depression, trauma, mid-life work, and the relational drag that travels with all of it. Sessions happen from your living room, not from the far side of the Sellwood Bridge.

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Who calls from here

Lake Oswego clients, up close.

What Lake Oswego clients are actually walking in with, and what the local context looks like up close.

Lake Oswego clients usually call from one of two places in life. The first group is mid-career professionals raising kids in First Addition, Lake Grove, or Mountain Park, often with one or both partners commuting downtown, north to Beaverton tech, or just into the Kruse Way office cluster for law, finance, or corporate work. They have the resources for long-term therapy and the kind of analytical mind that wants to actually understand what's happening, not just feel a little better and move on. The second group is people in their late twenties and early thirties who grew up here or moved back, still working out who they want to be when the version their parents pictured doesn't quite fit. Insurance-wise, Regence and Providence are what I see most often in Lake Oswego, followed by Cigna for clients in the tech orbit and Aetna for federal employees. PacificSource shows up regularly for anyone whose employer is in healthcare or higher education. Most of those plans cover therapy with me in-network.

Beyond Lake Oswego, the practice covers the surrounding Oregon communities including Portland, West Linn, Tualatin, and Tigard. Anyone in Oregon can be a client of the practice, so Lake Oswego is one node in a wider statewide reach. The full list of Oregon cities I serve is on the therapy locations page.

How I work

Practical, multi-modal, grounded.

What sessions tend to look like specifically for Lake Oswego clients. The clinical approach is the same statewide; the way it lands in each city is not.

Sessions tend to start practical. Lake Oswego clients usually come in with a real problem to solve. A marriage that's gotten brittle. Anxiety they can't think their way out of, no matter how good they are at thinking. A career that worked beautifully on paper until it didn't. We start with tools that interrupt those patterns. CBT for the cognitive moves, attachment work for the relational ones, Gottman for the couples piece. Then the deeper thread enters, usually a few sessions in. What you've been carrying around, often from much earlier than the current symptom. The deal you made about how to be in the world that worked when you were ten and stopped working around thirty-five.

Common questions

Questions I get asked about working with a Lake Oswego therapist.

  • If I live in Lake Oswego, will online actually work for me?
    Most of my Lake Oswego clients pick online for one reason: they don't want to add another Sellwood or I-5 crossing to a day that already has too many. Sessions are fifty minutes on a HIPAA-compliant video platform. They hold the same depth as in-person. The schedule fits inside a real life.
  • I have Regence (or Providence). Do you take it?
    Yes to both. Regence and Providence are the two carriers I see most often in Lake Oswego. I bill them directly, so you pay your copay or coinsurance at the session and don't deal with paperwork on your end. If you're on a more unusual plan, the consult is a good place to verify together before we start.
  • I'm worried about therapy showing up in my insurance records. What does that look like?
    Insurance billing requires a diagnosis code on each claim. Anxiety, depression, adjustment disorder, PTSD, whatever fits. That diagnosis sits on your insurance record. For most Lake Oswego clients in standard professional jobs, that's a non-issue. For some (federal security clearances, specific licensing situations, anything where mental health on the record matters), self-pay is the clean alternative. The fee is $250 per fifty-minute session.
  • My partner and I both need work, but on different things. Is that two separate therapies or couples therapy?
    Usually one of the two, sometimes both with different therapists. I can't be your individual therapist and your couples therapist at the same time; those roles need to stay separate. What I can do is the couples piece, and refer one or both of you to a colleague for individual work if that's what makes sense. We sort this out on the consult.
Next step

Ready to talk it through? Let's see if we're a fit.

Send a message, or set up a free 15-minute phone consult. You can reach me by email, call, or text. I'll get back to you within two business days.