Therapy Anywhere in Oregon

Anywhere in the State

I am licensed in Oregon (L18011), which means I can work with anyone physically located in the state at the time of our session. Portland and Eugene and Salem, yes. Also Burns, Astoria, Klamath Falls, and the places where the nearest therapist taking new clients is two hours away and booked through spring.

I hold a California license as well (LIC #22048). If you split your year between the two states, or you are moving between them, the work does not have to stop at the border.

Does It Work as Well as Being in the Room?

This is the question I get most, and the honest answer is that it holds up better than most people expect. Video therapy has been studied against in-person care for years now, particularly for anxiety, depression, and PTSD, and the outcomes come out comparable. What carries the work is the relationship between two people paying close attention to each other, and that survives a screen.

A few things do shift. EMDR adapts well to video, and the bilateral stimulation can be handled on screen once we set it up together. Couples sessions go best when both partners are in the same room with one camera between them, though two locations can work when travel or scheduling leaves no other option. And if what you are facing calls for a higher level of care than weekly outpatient therapy, I will tell you that directly and help you find it. Keeping you in something that is not working would serve neither of us.

How Sessions Actually Work

Most people already have Zoom on a computer or a phone, so there is usually nothing new to learn. If it is unfamiliar, or you are not sure your internet will hold up, say so on the consultation call and we will take a few minutes at the start of your first session to get you set up.

Finding a Room of Your Own

The most common obstacle is not technology. It is finding fifty minutes somewhere nobody can overhear you. A parked car works. So does a spare bedroom with a white noise machine running outside the door, or an office after everyone else has gone home. Whatever you come up with is fine, and it does not have to be elegant. If privacy at home is genuinely impossible, say so early and we will solve it together before it quietly undermines the sessions.

Insurance and Getting Started

I am in network with Regence BlueShield, UnitedHealthcare, and Aetna, and I see private-pay clients as well. Telehealth coverage varies from plan to plan, so it is worth checking before your first session. Send a note with your plan details and we will help you verify your benefits.

I am currently accepting new clients, with daytime and early evening times available. If you would rather meet face to face and you are in Central Oregon, the Bend office is here.