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Addiction therapists & psychiatrists in Portland, OR


Top addiction and substance use disorder therapists and psychiatrists in Portland, OR
Addiction support in Portland connects you with 446 licensed providers experienced in recovery, relapse prevention, and evidence-based modalities like motivational interviewing and cognitive behavioral therapy. Virtual and in-person sessions offer flexibility while working with your insurance to minimize costs.
I know that you expected your life to be fulfilling and enjoyable, but instead you just feel tired, discouraged, anxious, and stuck in patterns you can’t seem to break. Maybe you avoid conflict in your marriage just to keep the peace, going through the motions in public while feeling disconnected in private. Or perhaps the weight of stress, a job you don’t enjoy, or a sense of being stuck has drained the energy and meaning from your life.
Deep down, you want to laugh again, feel close to your partner, and truly be teammates instead of adversaries. You don’t have to settle for this version of your life or your marriage—change is possible, and something better is within reach.
I am excited to help guide you along your journey. I enjoy observing the transformation that occurs in my clients lives over time. Perhaps your seeking a deeper understanding of your emotions or simply a feeling of peace and contentment. Changes can occur through therapy. Lets collaborate and discuss your goals that support the life your are seeking to change or improve.
Board-certified Psychiatric-Mental Health Nurse Practitioner with over 16 years of experience in mental health providing holistic psychiatric evaluations, thoughtful medication management and supportive care for adults (18-65) across Oregon.
Over my nursing career I have worked supporting adults and veterans across the psychiatric care continuum, I’ve worked in high-acuity emergency rooms, inpatient units, outpatient clinics, and substance use recovery programs. This breadth of experience provides me with a rare, 360-degree view of mental wellness. It allows me to pinpoint root issues quickly, integrate thoughtful medication management with real-world coping strategies, and partner with you to build lasting stability.
I am offering treatment for Anxiety, Depression, Trauma, PTSD, Mood disorders, Identify and life transitions. LGBTQ+/, Queer Latina & Hispanic.
Cub Larkin is a Licensed Mental Health Counselor (FL & MA), and is a Licensed Professional Counselor (IL, ME, OR). Cub specializes in working with clients who identify as LGBTQIA+. Cub also enjoys working with clients who have interest in kink, BDSM, dominant/submissive relationships, and those who are trying to navigate in polyamorous or ethical / consensual non-monogamous relationships.
I have 26 years of experience dealing with individuals, couples, families in therapy. We will work together to develop plans that are unique and right for you.
For over eight years, I have provided individual and group therapy to clients addressing problematic sexual behaviors and intimacy issues. As a Licensed Professional Counselor and OR SOTB Certified Clinical Sex Offense Therapist, I deliver client-centered therapy, encompassing a broad spectrum of mental health challenges, with a specialization in sexual dysfunction and antisocial behaviors.
Everyone deserves to have a trusted support or guide along life’s journey––counseling can be a place to find just that. Counseling can be like a cool drink of water in a desert oasis, helping you rejuvenate and find rest for your soul, while you’re working towards where you want to be.
My practice is intended to help individuals, couples, and families navigate and effectively adapt to life cycle stages of change and transition. With adults I strive to help them address past trauma and associated symptoms of mal-adative coping mechanisms so that they can reach their fullest desired potential. I also specialize in working with children, teens, and parents to address behavior challenges, promote skill development, and assist kids experiencing positive self esteem and confidence.
I provide precision psychiatric care focused on identifying what’s actually driving your symptoms—not just managing a diagnosis. I provide psychiatric evaluation and medication management for adults with anxiety, depression, ADHD, mood disorders, and related concerns, with a focus on clear treatment plans and measurable progress. I will provide you with the tools you need to support bringing your whole body into balance. From weight loss to longevity stacks, ketamine inspired transformation sessions, testosterone to B12 shots, you'll finally get what works, not what's common.
Hi, I’m AJ. I’m a licensed therapist with over 20 years of experience supporting individuals, couples, youth, and families.
You might be feeling anxious, depressed, stuck or overwhelmed. Maybe you're facing something painful—loss, addiction, past trauma—or finding it hard to connect with others. Whatever you're carrying, you don’t have to carry it alone.
About our therapists who can help with addiction and substance use in Portland, OR



- 100%Substance use / addiction
- 99%Anxiety
- 97%Depression
- 87%PTSD
- 86%Stress management

- 98%Aetna
- 95%Regence BlueCross BlueShield of Oregon
- 94%Cigna
- 92%Carelon Behavioral Health
- 54%Providence Health Plan

- 98%English
- 5%Spanish
- 2%Swahili
- 1%French
- 1%Igbo

- 90%Online only
- 10%In-person or online

- 67%Woman
- 32%Man
- 1%Non-binary

- 33%Advanced Practice Registered Nurse - Nurse Practitioner
- 28%Licensed Clinical Social Worker
- 28%Licensed Professional Counselor
- 9%Licensed Marriage/Family Therapist
- 1%Psychologist

- 99%Individual therapy
- 32%Family therapy
- 23%Couples therapy
- 11%Child or adolescent therapy
Frequently asked questions


Find the right addiction counselor for you
Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing an Addiction Therapist in Portland
Finding addiction therapists in Portland starts with knowing what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, substance use concerns, compulsive behaviors, and recovery maintenance. As you compare therapists, look for training that matches what you want to work on, such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, relapse prevention, or coordination with medication-assisted care. Some people also work with a prescriber as part of their care team.
Portland has many addiction counselors across neighborhoods like Northwest Portland, Southeast Portland, and the Pearl District, which can make it useful to narrow your search by format, schedule, and approach. In-person sessions may fit well if you prefer a local office near work, home, or transit. Virtual sessions can expand access when schedule, commute, or provider availability matters. Read therapist bios before booking to see how they describe their work with addiction, whether they mention harm reduction or recovery experience, and whether their communication style feels like a fit.
Therapy in Portland can be a significant cost without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway makes that process simpler by showing therapists who are accepting new patients, offering upfront cost estimates after insurance verification, and letting you book directly when you’re ready. This makes it easier to compare addiction therapists in Portland by specialty, availability, location, and insurance fit.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
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