Family therapy and counseling in Bend, OR

Hi there, my name’s Ephraim and I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses.

Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Looking forward to meeting with you soon!

I enjoy practicing psychotherapy that is holistic and life-transforming. As an LMFT with depth specialization, I listen to your emotional heart and soul to heal the mind. The issues that you experience as an individual, couple or in relationship with family deserve attention with that kind of dedication.

Therapy works best when you don't have to leave part of yourself at the door. With more than 25 years working with individuals, couples, and families, I help people navigate anxiety, trauma, depression, grief, and some of the passages that are hardest to put into words: infertility, pregnancy loss, maternal mental health, and the particular weight that women carry through seasons of life that rarely get enough support. I work with adolescents, adults, and seniors, and my practice is open to people of all faith backgrounds as well as those without religious beliefs. Whatever you believe, you are welcome here.

I'm a Licensed Marriage and Family Therapist with over 10 years of experience helping children, families and adults navigate life's challenges. My approach is warm, collaborative, and solution-focused, and I tailor therapy to each client's unique strengths and goals. I also have experience supporting individuals coping with anxiety, depression, life transitions, relationship concerns and complex medical challenges, helping them build practical skills and create meaningful, lasting change. I especially enjoy working with adults, including women who are pregnant, postpartum or adjusting to motherhood.

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.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in mental health care, supporting individuals across inpatient and outpatient settings. Through my work, I have cared for clients with a wide range of needs, including chronic and severe mental health conditions, and I understand how overwhelming it can feel to navigate symptoms while trying to maintain daily life.

My care philosophy is centered on partnership. Treatment is not about taking over your care, but about working with you to explore your symptoms, goals, and values. Together, we develop a treatment plan that feels respectful, personalized, and empowering. If you have concerns or hesitations about medication, we will discuss all available options openly and thoughtfully, moving at a pace that feels right for you.

I work with individuals experiencing depression, anxiety, trauma, ADHD, bipolar disorder, schizophrenia, OCD, and other mood and thought-related conditions. During the initial session, we focus on understanding your concerns, reviewing your history, and identifying practical steps toward improvement. Care may include psychiatric evaluation, medication management when appropriate, brief psychotherapy, education, and ongoing support.

I believe mental health care should feel supportive, clear, and collaborative—not rushed or overwhelming.

You do not have to face these challenges alone. My role is to help you reduce symptoms, strengthen coping skills, and regain balance so you can function at your best and move forward with confidence and stability.

I provide a space rooted in safety, deep listening, and compassion. Healing is a sacred journey—a process of growing insight, clarity, and wisdom while reclaiming wholeness and transforming pain into purpose. Together, we can explore the paths that lead to a satisfying life filled with peace, joy, and mastery.