Addiction therapists & psychiatrists in Portland, OR

Hi there, I'm Jena, and I'm here to help! I've been a therapist for over 20 years, primarily specializing in crisis intervention. At this point in my career, I'm ready to collaborate with my clients and help them grow to their greatest potential. I understand how hard life can be and I'm ready to walk beside you in your journey.

Hi, I'm Collin — and I'm glad you found your way here.

We might be a great fit if you're a parent struggling to connect with, understand, or feel confident in parenting your child. Or perhaps you're part of a couple caught in a cycle of conflict, searching for healthier ways to communicate and reconnect. I also work with teens (and their parents) who are feeling stuck, disconnected, or simply in need of a safe space to process and build coping skills.

I believe that the healing space happens when someone feels safe, seen, and respected. My approach is warm, direct, and grounded, while also being able to challenge and empower my clients. I bring both clinical and real-world understanding into sessions. So, whether you are feeling stuck, over-whelmed, or just ready for a change, we will move at a pace that not only honors you, but provides you with the tools you will need to continue on your personal healing journey.

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.

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.

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 a world class education, but there is more to me than that: There have been many iterations of "Alan" over the long years of my life. There is the drug addict that has walked the clean and sober path for 33 years. There is the truck driver and the tattoo artist, the husband (married 31 years), the father, the grandfather, the great grandfather, the foster father, the step-father. There is the Buddhist and the philosopher. I am reaching out to you. There is nothing you can tell me that will offend me.

And I can write a darned good introduction too! LOL!

I hope to meet you soon!