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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 410 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 am a board-certified psychiatric nurse practitioner who holds a master’s degree in nursing from Frontier Nursing University. As an independent practitioner I can diagnose and treat mental health conditions with full prescriptive authority and order diagnostic labs as appropriate. With nearly 15 years of nursing experience, my passion for patient and family-centered care has evolved from working the on the front lines as an ICU RN during the covid-19 pandemic to addressing the mental health crisis impacting all of our communities as a nurse practitioner.
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.
As a PMHNP-BC, I offer medication management and therapy sessions via Telehealth Mon-Fri 0900- 19:00.
🚨 IMPORTANT BOOKING NOTE
Please email me before booking through Headway so I can help confirm the correct appointment type and availability.
📧 Email: [email protected]
📅 Calendar: https://calendar.app.google/mthW2bCyu8UjfChA9
Hi, I’m Dr. Deneice, DNP, MBA, MSN, APRN, PMHNP-BC. I am a doctoral-prepared, board-certified psychiatric mental health nurse practitioner and owner of Eden Total Care.
I provide concierge-style virtual psychiatric care for young-feeling adults at any age who are navigating anxiety, depression, insomnia, PTSD, PMDD, ADHD, autism-related concerns, mood symptoms, emotional overwhelm, burnout, and diagnostic uncertainty.
My primary role is psychiatric evaluation and medication management. I also incorporate supportive therapy, life coaching, and holistic guidance when appropriate. My goal is to help you feel heard, understood, and properly treated — not rushed, dismissed, or reduced to a diagnosis.
Appointment Guide:
• New clients: 40-minute initial assessment
• Returning clients: 20-minute follow-up
• 40-minute follow-ups: provider-approved only based on clinical need
Please email or message me before booking an appointment to ensure availability. Limited appointment times are available, and emailing directly is the fastest way to get started.
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 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.
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, OR
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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