Addiction therapists & psychiatrists in Bend, OR

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

Making the decision to start therapy is a profound investment of your time, energy, and vulnerability. If you are looking for a blank-slate clinician who simply nods and listens, we might not be the best fit. I offer a highly engaged, malleable, and unflinching partnership.

My approach is rooted in the belief that while the work of untangling our lives is deeply structural, the room itself doesn't always have to feel heavy. I bring a grounded warmth to my practice—which means knowing how to sit quietly in the gravity of a difficult truth, but also knowing when to break the tension, exhale, and find the light in the sheer complexity of being human. I won’t just sit in silence while you do all the heavy lifting; I am an active collaborator who adapts to exactly where you are.

I am a licensed professional counselor with over 25 years of experience in the counseling field. I have over 28 years of recovery fom alcohol and drug dependence and understand the challenges of breakin an addiction. My practice specialises in treating addiction, depression, and anxiety.

As a PMHNP-BC, I offer medication management and therapy sessions via Telehealth Mon-Fri 0900- 19:00.

In today’s world, many of us are carrying more than just personal stress. Climate concerns, the pandemic, economic instability, political division, and rapid cultural change have created a sense of collective trauma that deeply impacts our mental health. In my work, I recognize that individual struggles don’t exist in isolation—they are shaped by the larger systems and environments we live in.

My goal has always been to support people navigating trauma, personality disorders, depression, and anxiety by exploring the deeper layers of the psyche. Together, we work to build self-awareness, understand unconscious patterns, and develop practical tools that support meaningful and lasting change. I work with a diverse range of clients, from adolescents to older adults (ages 13–65+).

My therapeutic style is eclectic, integrative, and holistic. I draw from a variety of approaches to meet each client where they are, while also acknowledging how societal structures can influence mental health. Areas of particular interest in my work include complex trauma, the psychological impacts of modern economic systems, eco-anxiety, non-dogmatic spirituality, and emerging perspectives in psychedelic-assisted therapy.

Above all, I believe healing happens in a space of safety and authenticity. I strive to create a judgment-free, inclusive environment where clients are met with unconditional positive regard, empathy, validation, and genuine care.

If you’re feeling overwhelmed, searching for deeper understanding, or simply looking for support, you are welcome to reach out.

I spent 18 years as a firefighter and EMT, showing up for people at their most vulnerable and helping heal their physical wounds. Now, I bring that same dedication to helping people heal their emotional wounds as a Licensed Professional Counselor with Love Focused Counseling. I've been in the mental health field since 2012 — from residential care to private practice — and I founded my practice on one belief: the most important relationship you'll ever have is the one with yourself. When that relationship is strong and stable, you can show up fully in every other area of your life.