Addiction therapists & psychiatrists in Salem, OR

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.

As your Psychiatric-Mental Health Nurse Practitioner, I want you to know that I am here for you every step of the way. You can trust that I am fully committed to your well-being and dedicated to providing you with the highest quality of care.

Something positive, warm, and uplifting about me as your PMHNP is that I genuinely believe in your strength and resilience. I see your potential for growth and healing, even during the toughest of times. Together, we'll navigate through the challenges.

I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I specialize in treating clients with trauma, relationship issues, and borderline personality disorder.

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.

Navigating your mental health journey is a brave step, and I'm here to meet you where you are. As a board-certified Psychiatric Mental Health Nurse Practitioner, I believe your story is unique and deserves to be heard. My approach is rooted in empathy, kindness, and cultural sensitivity.

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 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 am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in mental health care, supporting individuals across inpatient and outpatient settings. Through my work, I have cared for clients with a wide range of needs, including chronic and severe mental health conditions, and I understand how overwhelming it can feel to navigate symptoms while trying to maintain daily life.

My care philosophy is centered on partnership. Treatment is not about taking over your care, but about working with you to explore your symptoms, goals, and values. Together, we develop a treatment plan that feels respectful, personalized, and empowering. If you have concerns or hesitations about medication, we will discuss all available options openly and thoughtfully, moving at a pace that feels right for you.

I work with individuals experiencing depression, anxiety, trauma, ADHD, bipolar disorder, schizophrenia, OCD, and other mood and thought-related conditions. During the initial session, we focus on understanding your concerns, reviewing your history, and identifying practical steps toward improvement. Care may include psychiatric evaluation, medication management when appropriate, brief psychotherapy, education, and ongoing support.

I believe mental health care should feel supportive, clear, and collaborative—not rushed or overwhelming.

You do not have to face these challenges alone. My role is to help you reduce symptoms, strengthen coping skills, and regain balance so you can function at your best and move forward with confidence and stability.