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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.
100% virtual telehealth counseling provided! Currently accepting clients who are physically located in Massachusetts, North Carolina, Arizona, or Oregon. (I am unable to see clients residing in Virginia at this time. If you’re located in one of the other states, I welcome the chance to work with you.)
I work with adults who have noticed their use of substances becoming disruptive to their life. They want to change their patterns and habits before other areas are affected. My approach is practical and evidence-based. Understanding that changing habits can be deeply challenging, I provide a safe, straightforward place where sustainable habits can be built, without judgment.
Accepting new patients. I am a board-certified psychiatric mental health nurse practitioner at Holsan Behavioral Health who provides medication management with psychotherapy to ages six and older. I offer in-person appointments in Raleigh, NC, and telehealth services across the state of North Carolina. I specialize in attention difficulties, behavioral challenges, mood challenges, anxiety, psychosis, personality disorders, sleep, military issues, and trauma.
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.
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.
Hi! I’m Camille. Thank you for being here. For more than 15 years, I’ve had the privilege of caring for individuals and families across many different healthcare settings—from emergency nursing and the COVID-19 pandemic response to travel and concierge nursing, Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), and outpatient psychiatry. After years of living and working in major cities, including New York and Los Angeles, I eventually found my way to California’s Sierra Nevada foothills. My own experiences shape the way I connect with people. I’m a mother, a first-generation immigrant, part of a multicultural family, and a member of a rural mountain community. A meaningful part of my work is with high-achieving adults—professionals, executives, graduate students, entrepreneurs, healthcare workers, and others who may appear to be doing well by every external measure while privately feeling overwhelmed, disconnected, burned out, or simply not quite like themselves. I also understand the unique weight that can come with intergenerational expectations, cultural identity, and learning to navigate more than one world at once.
Extensive background and highly skilled in working with individuals who have experienced trauma, anxiety, depression. Expertise in family systems, generational trauma and its impact, healing attachment disruptions, healing shame, trauma-informed, and interpersonal trauma recovery.
Hi there, my name’s Ephraim and I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses.
Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Looking forward to meeting with you soon!
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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