Addiction therapists & psychiatrists in Salem, OR

I have 31 years of experience working in inpatient, outpatient, academic, and community counseling settings. My work has focused on trauma (PTSD), SUD, and how they affect relationships within individuals, couples, and families.

My approach is holistic, using both Eastern and Western philosophies and a solution-oriented approach.

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.

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.

Are you facing a life transition, mental health challenge, or addiction struggle that feels overwhelming to navigate on your own?

You're not alone. As a Licensed Clinical Social Worker (LCSW/LICSW) and Certified Alcohol and Drug Counselor, I specialize in helping individuals find stability, clarity, and hope during some of life's most difficult moments. Whether you're coping with anxiety, depression, substance use, grief, major life changes, or the challenges of co-occurring mental health and addiction concerns, I provide a supportive space where healing and growth can begin.

For more than 12 years, I've worked across mental health, addiction treatment, crisis intervention, medical settings, and community-based care. I've supported individuals and families through recovery, psychiatric crises, cognitive decline, and significant life transitions. These experiences have taught me that resilience exists even in the hardest circumstances—and that meaningful change is possible.

My approach is compassionate, practical, and nonjudgmental. Very little surprises me, and nothing is too complex to discuss. Together, we'll build on your strengths, develop effective coping strategies, and create a path forward that feels achievable and authentic to you.

Throughout my three decades as a therapist, I have discovered that one of the most important skills I have developed is the ability to listen deeply. Along the way, I have gained a broad range of therapeutic tools and approaches, but I have learned that meaningful change begins when people feel truly heard. My mentors are the horse whisperers. I believe they listen with their whole body. They trust the intuitive nature of their horse. I like to think that I use some of this as I work with each client, trusting their intuitive nature. Together we are learning what is present in the room, gaining new insights and feeling more empowered.

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 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!

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.