Online therapy for Tigard clients.
Online therapy for Tigard adults. Anxiety, depression, trauma, couples, and family work, from the commuter hub of southwest Portland metro. Online means the 217-to-I-5 merge stops being part of your therapy week.
Request a free 15-min consultation →Tigard clients, up close.
What Tigard clients are actually walking in with, and what the local context looks like up close.
Tigard sits at the south-metro freeway crossroads. The 217-to-I-5 merge runs through the city, Washington Square anchors the retail and office mix to the north, and Bridgeport Village sits on the southern edge. Most of my Tigard clients spend real time on the freeway because Tigard is where you live when you need access to Portland, Beaverton, and the south-metro corporate belt at once. The clients themselves are often mid-career: parents in the middle years with kids stretching but not gone, couples whose marriage worked one way when both partners were younger and is asking to work differently now, professionals partway through a career pivot. Anxiety, depression, and trauma show up in their normal share. A lot of Tigard intake also includes a less acute thing: clients who aren't in crisis but who feel stuck. Insurance-wise Tigard is mixed. Regence and Providence are the two I bill most often. PacificSource comes up regularly. Cigna and UnitedHealthcare round out the carrier list for clients in tech and corporate roles. I bill all the major Oregon carriers in-network.
Beyond Tigard, the practice covers the surrounding Oregon communities including Portland, Lake Oswego, Beaverton, and Tualatin. Anyone in Oregon can be a client of the practice, so Tigard is one node in a wider statewide reach. The full list of Oregon cities I serve is on the therapy locations page.
Practical, multi-modal, grounded.
What sessions tend to look like specifically for Tigard clients. The clinical approach is the same statewide; the way it lands in each city is not.
The starting question with a Tigard client is usually not what's wrong; it's what's stuck. The presenting symptom (anxiety in the 217 merge traffic every morning, a marriage that's stopped surprising either person, a depression that nobody can name onset for) is often the surface of a pivot the client hasn't fully made yet. We name the stuck place, and then we work both sides. The practical side, where CBT and behavioral interventions can interrupt the daily pattern. The deeper side, where psychodynamic and attachment-informed work look at the decisions that put you in this stuck place to begin with, often decisions made twenty or thirty years ago. For couples, Gottman gives the conversational scaffold so you can actually have the conversation the marriage has been avoiding. Sessions are collaborative and paced. Not every Tigard client needs to dig into the deeper layer right away. Some need the practical relief first.
Questions I get asked about working with a Tigard therapist.
I commute downtown from Tigard every day. Is online therapy a meaningful upgrade?
For most Tigard clients with a downtown commute, yes. An in-person therapy slot usually means another hour-plus round trip (including the 217 merge into I-5) on top of the session, often during traffic windows that are already at their worst. Online sessions take fifty minutes total. They hold the same depth. The schedule fits inside a real life.What carriers do you usually see for Tigard clients?
Regence and Providence the most often. PacificSource, Cigna, UnitedHealthcare, and Aetna come up regularly. I'm in-network with all of them. The full carrier list and the out-of-network superbill explanation live on the insurance page.I want to do couples work. Where in Tigard do you see couples?
Everywhere in Tigard, because the practice is online. Both partners log in from wherever you are. Some couples sit on the same couch with one camera, some take it from separate rooms or even separate cities if work travel is involved. I'm Gottman-trained, which gives the conversational structure that lets sessions move.What if I'm not sure online sessions hold the same depth as in-person?
It's a normal concern and the consult is the right place to test it. For most presentations (anxiety, depression, trauma, couples, family work), the research and my own experience are clear that telehealth holds the same depth as in-person. For a small number of specific clinical situations it doesn't, and on the consult I'd say so and refer you accordingly.
What I help with for Tigard-area clients.
Anxiety therapy
Practical, multi-modal anxiety therapy for analytical adults in Tigard and across Oregon.
Read moreDepression therapy
Depression therapy for Tigard-area adults who are tired of being tired and want to understand what's underneath.
Read moreCouples therapy
Gottman-trained couples therapy. Practical, structured work for communication, conflict, intimacy, and the slow drifts.
Read more
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.