Conditions We Treat
Our Approach
Questions about therapy or getting started? Let's connect — call or text me at (503) 984-2926.
Conditions We Treat
Our Approach
Questions about therapy or getting started? Let's connect — call or text me at (503) 984-2926.
Change your thoughts, change your experience. A practical, evidence-based approach to understanding how thinking shapes how we feel.
Notice the automatic thoughts that shape how you feel and respond.
Gently question whether these thoughts are accurate or helpful.
Build more balanced, flexible ways of seeing yourself and your situation.
"It is not the situation that directly affects how you feel, but your interpretation of that situation."
CBT brings awareness to the thought patterns and behaviors that keep us stuck. It offers practical, evidence-based strategies to develop healthier ways of thinking and responding to life's challenges.
"It is not the situation that directly affects how you feel, but your interpretation of that situation."
Developed by Dr. Aaron T. Beck in the 1960s, Cognitive Behavioral Therapy marked a significant shift in psychotherapy. Moving away from purely analytical approaches, Beck realized that our internal dialogue directly influences our emotional state. Today, it is one of the most widely researched and effective therapeutic modalities.
Research consistently shows that CBT effectively alters neural pathways associated with anxiety and depression. By changing thought patterns, we can physically change how the brain reacts to stressors, leading to lasting emotional resilience.
Our Framework
We don't just talk about change; we build the structure for it. These three core principles guide every session, ensuring our work is intentional, safe, and effective.
We work together as a team to understand your unique experiences.
Sessions are focused and goal-oriented to maximize progress.
Emphasis on practicing new skills in your daily life.
CBT is a versatile tool we adapt to treat a wide range of specific conditions, helping you break cycles of anxiety and depression.
Persistent, excessive worry that feels difficult to control—often about everyday things like work, health, or relationships. The mind races, the body stays tense, and relaxation feels out of reach.
An intense fear of being judged, embarrassed, or rejected in social situations—leading to avoidance of everyday interactions, performance situations, or simply being seen by others.
A cycle of intrusive, unwanted thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) performed to temporarily relieve intense anxiety. The cycle can consume hours each day.
A response to traumatic experiences that can include intrusive memories, flashbacks, nightmares, emotional numbness, and a persistent sense of being unsafe—even long after the event has passed.
More than just feeling sad—a persistent low mood, loss of interest in activities once enjoyed, and changes in sleep, appetite, or energy that significantly interfere with daily life.
A chronic, low-grade depression that persists for years—often mistaken for "just how I am." Less acute than major depression, but equally deserving of care and equally responsive to treatment.
A recurring pattern of depression that arrives with the changing seasons—most commonly in fall and winter when daylight diminishes. It's not just the "winter blues"; it's a real, treatable condition.
A form of depression that can emerge during pregnancy or after childbirth, involving intense sadness, exhaustion, anxiety, or difficulty bonding. It's more common than many realize—and highly treatable with proper support.
Recurring episodes of eating large amounts of food with a sense of loss of control, often rapidly and to the point of discomfort—accompanied by intense feelings of shame, guilt, or distress.
A serious, potentially life-threatening eating disorder characterized by a cycle of binge eating followed by compensatory behaviors—such as self-induced vomiting, excessive exercise, or laxative misuse—driven by a need to undo the effects of bingeing.
Persistent, distressing preoccupation with perceived flaws in physical appearance that may be minor or unnoticeable to others—significantly impacting mood, self-worth, and daily functioning.
A serious, potentially life-threatening eating disorder characterized by restrictive eating, an intense fear of weight gain, and a distorted relationship with body image. It can affect people of all ages, genders, and body types.
An unhealthy fixation on eating "pure" or "clean" foods that becomes rigid and all-consuming—leading to social isolation, anxiety around eating, and potential nutritional imbalance.
When movement becomes compulsive rather than restorative—continuing despite injury, illness, or significant consequences to relationships, work, and daily life. Often co-occurs with other eating disorders.
Clinically significant eating disorders that don't fit neatly into the criteria for anorexia, bulimia, or binge eating disorder—but are equally serious and deserving of care. OSFED is the most commonly diagnosed eating disorder.
You don't have to navigate the heaviness alone. Let's find your way forward, together.