Bipolar disorder therapists & psychiatrists in Hillsboro, 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.

I have over 15 years experience supporting people seeking to be their best selves. I work best with people that are looking to end self-defeating behaviors, adopt new ones and sustain them.

Hi! I'm Carli, and I'm a Board Certified Psychiatric Mental Health Nurse Practitioner based in the Pacific Northwest. I work with teens and adults navigating everything from anxiety, depression, ADHD, and trauma to burnout, life transitions, and the stress of living in an increasingly complex world.

I believe mental health care should be compassionate, collaborative and tailored to you as a whole person—not just your symptoms. My goal is to create a space where you feel safe, heard, and genuinely supported from the very beginning.

Care with me is flexible and designed to meet you where you are. Together, we'll find the pace, treatment approach, and level of support that fits your needs—and adapt as those needs evolve.

My educational background includes undergraduate degrees in Psychology and Nursing, followed by a master's degree in nursing specializing in psychiatric mental health. Throughout my career I've cared for patients across outpatient clinics, psychiatric and medical inpatient units, intensive outpatient programs, and community mental health settings.

My approach is rooted in whole-person care, recognizing that mental health is influenced by far more than medication alone. When appropriate, treatment may include medication, supportive psychotherapy, lifestyle strategies, and integrative approaches tailored to your individual needs and goals.

Today, I provide telehealth psychiatric care for adolescents and adults across Oregon and Washington. I welcome individuals from all backgrounds and am committed to providing affirming, individualized care for neurodivergent individuals, people with developmental disabilities, and members of the LGBTQ+ community. I commonly treat anxiety, depression, ADHD, trauma, OCD, mood disorders, stress, life transitions, and other mental health concerns. My goal is to create a space where you feel safe, supported, and empowered.

I’m warm, down-to-earth, and genuinely invested in the people I work with. I want therapy to feel like a safe, comfortable conversation where you can show up exactly as you are—even on the days when you don’t quite know what to say.

I use empathy, honesty, and humor in my sessions, and I’m not afraid to be direct when I think it will help you grow. I’ll validate what you’re feeling, but I’ll also gently challenge you to look at patterns, consider different perspectives, and recognize the things that may be keeping you stuck. I’m not the kind of therapist who will simply nod for an hour while you do all the work.

I believe you are the expert on your own life. My job is to listen, help you make sense of what you’re experiencing, and give you practical tools to create meaningful change. We can talk about the hard things, celebrate the wins, laugh when we need to, and work together toward helping you feel more like the person you want to be.

I am an outcome-driven therapist who will work with you to start feeling like your best self. If you feel like you are stuck in the same patterns that aren’t working anymore, I will help you to explore new ways of approaching goals and relationship patterns and actually implement them into your daily life. I have over 10 years working in healthcare settings including 7 years in clinical mental health settings. Outside of therapy sessions, I enjoy being in nature, spending time with my dog, running, cycling, and creative pursuits.

I want to help clients work through the issues that they are facing so that they can work towards their goals in their lives and relationships. Every person has innate strengths and I want to help clients to identify them and build on them so they can reach goals in treatment and in their lives. Ultimately, I want my clients to feel heard and supported in my practice and I hope to help them on their journey in finding positive change in their lives and relationships.