Book a therapist or psychiatrist in Oregon covered by Aetna

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.

Hello! I'm glad you're here. I am a licensed therapist in Oregon, with 20 years of experience helping people of all ages recognize their own internal strengths in order to achieve the happiness, peace and potential that we all deserve in a kind, direct and thoughtful way. As a counselor, I operate from a humanistic point of view; acknowledging the benefit of self-acceptance and the importance of free-will as paramount. I will see the good and powerful in you, and help you see it too.

I’m a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work from Portland State University. I work with individuals navigating trauma, anxiety, depression, and substance use, and I bring experience from interdisciplinary behavioral health settings where care often intersects with complex life circumstances.

My approach is collaborative, direct, and rooted in the understanding that healing doesn’t happen in a vacuum. Mental health is deeply shaped by culture, community, history, and systems of power. Part of my work is intentionally engaging in a decolonizing approach to therapy—honoring lived experience, questioning one-size-fits-all models of care, and creating space for clients to define healing on their own terms.

I integrate frameworks such as American Society of Addiction Medicine and Substance Abuse and Mental Health Services Administration as supportive tools—not rigid rules—while drawing from motivational interviewing, trauma-informed care, and relational work that centers respect, autonomy, and real connection.

I offer a focused practice in ketamine-assisted psychotherapy (KAP), with careful attention to preparation, safety, and integration. This work is not just about the experience itself, but about making meaning of it in ways that align with your values, identity, and community.

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 believe healing begins with connection- to ourselves, to others, and to the world around us. As a psychiatric nurse practitioner, I create a space where you can feel seen, understood, and supported as we navigate life’s challenges together.

I am a Licensed Professional Counselor in Washington and Oregon with over 20 years of experience working with children, teens, and adults. I am EMDR-Basic Trained through an EMDRIA-approved trainer and also trained in Developmental Needs Meeting Strategy for trauma work. I also offer Christian counseling for clients whose faith is part of how they want to approach healing.

A significant part of my focus is helping people develop healthy boundaries. That shows up across the concerns I work with most: anxiety, depression, trauma, grief, codependency, and relationship difficulties. I work entirely via Telehealth and see clients across both states.