Anxiety Counseling
When the worry stopped being useful
Worry does a job. It scans ahead, it catches the thing you would have missed, and for a long time it probably made you good at something.
Then the scanning stops switching off. It runs through dinner, through the drive, through the part of the night that was supposed to be sleep. It attaches to whatever is nearest. And the thing that used to make you careful now just makes you tired.
You do not need a diagnosis, a crisis, or a reason that sounds serious enough.
The first conversation is free and it lasts 55 minutes.
Open seven days a week.
Does your insurance cover this? Probably, and here is the list
We are in network with Kaiser, PacificSource, Cigna, Aetna, and United Healthcare and Optum, and with Medicare, both Open Card and in-network Advantage plans.
Regence Blue Cross Blue Shield is expected from 1 October 2026 and Moda from 15 October 2026, both for associates as well as licensed clinicians. For the Oregon Health Plan we can bill Open Card, but not the coordinated care organizations, and most OHP members are enrolled with a CCO rather than Open Card.
If you carry one of the plans above, you pay a copay rather than our full rate. If you do not, sessions are $205 an hour with a licensed clinician and $180 with a supervised associate, and we can give you a superbill to claim back whatever your out-of-network benefit allows.
We will tell you what your plan covers before your first session, not after it.
What this actually looks like
Anxiety is a physical event with a story attached, and people usually arrive describing one or the other.
A low hum that follows you around and lands on whatever is available. Money on Tuesday, health on Wednesday, a text somebody has not answered on Thursday.
Which is harder to dismiss, because it is often about something real.
The heart rate, the chest, the certainty that this one is different. Panic attacks at work are their own problem, because the recovery has to happen in eleven minutes and in a building full of people.
The day is over, there is nothing left to solve, and this is when the mind decides to file everything.
Falling asleep, staying asleep, or waking at four with the engine already running. Sleep and anxiety hold each other up, and treating one usually moves the other.
The gradual shrinking of what you are willing to do, which is the most expensive symptom and the one people notice last.
Which is frequently anxiety that has run out of room, and which is often the only feeling somebody was ever allowed to have.
You are performing, delivering, and running a full threat assessment underneath it, and the exhaustion is not visible to anyone including sometimes you.
What we do about it
We do not tell you to stop worrying. That has already been tried by everyone who loves you.
Acceptance and Commitment Therapy is our associates’ main approach and it is the one most people here start with. The short version: changing your relationship to a thought instead of arguing with it, and getting your life pointed back at what you actually care about. Arguing with anxiety tends to make it louder. This does something else.
Cognitive Behavioral Therapy, for the loops that respond to being seen and interrupted, and for the sleep piece specifically, where it has the best evidence of anything we could offer you.
- Dialectical Behavior Therapy skills, for feelings that arrive at full volume with no warning.
- Internal Family Systems, for the part of you that wants to book the flight and the part that wants to cancel it.
- Mindfulness-based work, for the body end of it, which is where anxiety actually lives.
- EMDR, when something underneath is driving it. We are trained in it.
The first hour goes into understanding what you are actually managing. That is slower than advice, and it is the reason anything after it holds.
Who you would see
Every clinician here works with anxiety.
Licensed clinicians and registered associates, depending on fit and availability.
Our associates are credentialed with Aetna and Cigna. PacificSource stops taking associates on 1 October 2026. If you carry a different plan, our licensed clinicians are your in-network option.
Questions people ask
How do I know if I need therapy for this?
If you are asking, 55 minutes is a reasonable way to find out, and ours is free.
Is this just stress?
Stress has a cause and it goes when the cause goes. Anxiety keeps running after the cause is gone, and it will find a new one. That difference changes what helps.
Do I have to talk about my childhood?
Only if it turns out to be relevant, and you get to decide that. Plenty of anxiety work stays firmly in the present.
Will I need medication?
We do not prescribe. Some people do better with it, many do fine without, and we will give you an honest read and coordinate with your prescriber if you have one.
How soon can I be seen?
Usually within days. We are open seven days a week, and inquiries are answered the same day.
How long does this take?
Depends on what you bring. We will give you an honest estimate after the consultation instead of selling you a package.
I have never done this before and I do not know what to say.
That is the most common sentence in a first session. You do not have to arrive with it organized.
Book a free 55 minute consultation
An hour, at no cost, with a clinician rather than an intake screener.
Book online · In person in Tigard, by video anywhere in Oregon
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