Anxiety and depression therapists and psychiatrists in Salem, OR

“Like a lotus flower, we too have the ability to rise from the mud, blossom out of the darkness, and radiate into the world.” I believe meaningful therapy begins with a space where you feel safe enough to show up as your full, authentic self. I work with adults, and some of the areas I have experience with include trauma, anxiety, depression, grief, relationships, and life transitions, among others. I offer LGBTQIA2S+ affirming care and warmly welcome clients exploring body image, sexuality, ethical non monogamy, polyamory, and other parts of authentic self expression.

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I believe every person deserves to be heard, understood, and treated as more than a diagnosis. I take the time to understand the whole person, considering the biological, psychological, social, and lifestyle factors that influence mental health. I provide compassionate, evidence-based care for children, adolescents, adults, and older adults, creating personalized treatment plans that support lasting wellness. My goal is to help you feel supported, empowered, and confident throughout your mental health journey.

I’m warm, down-to-earth, and genuinely invested in the people I work with. I want therapy to feel like a safe, comfortable conversation where you can show up exactly as you are—even on the days when you don’t quite know what to say.

I use empathy, honesty, and humor in my sessions, and I’m not afraid to be direct when I think it will help you grow. I’ll validate what you’re feeling, but I’ll also gently challenge you to look at patterns, consider different perspectives, and recognize the things that may be keeping you stuck. I’m not the kind of therapist who will simply nod for an hour while you do all the work.

I believe you are the expert on your own life. My job is to listen, help you make sense of what you’re experiencing, and give you practical tools to create meaningful change. We can talk about the hard things, celebrate the wins, laugh when we need to, and work together toward helping you feel more like the person you want to be.

As a board-certified psychiatric mental health nurse practitioner, my path to psychiatry was shaped by over eight years as a bedside nurse. I watched patients face fear and uncertainty that often went unaddressed — and I knew those feelings deserved their own dedicated space. That's what brought me to outpatient psychiatry. I work with children, adolescents, adults, and older adults, and I have experience treating depression, anxiety, bipolar disorder, ADHD, PTSD, OCD, trauma, substance use, and more — including LGBTQ+ individuals and those navigating maternal mental health, grief, and chronic illness.

My experience is centered on collaborating with youth, adults, and families. During these developing years and shifting dynamics, additional care for our health is needed. I work with emotional regulation, relational rifts, enhancing communication, and acceptance of self.

With attachment focused therapy as my base, I utilize mindfulness and experiential approaches in our work together. Our conversations and therapeutic activities are guided by your experience and goals.

I became a psychiatric nurse practitioner because I did my own work first — after years in a career that looked fine from the outside and felt hollow on the inside, something finally clicked. I live with ADHD and ASD myself, and I'll be direct: it makes me better at this. I'm wired to hold fine details and the big picture simultaneously, connect patterns across a history, and notice what other providers might miss. I work especially well with children and adolescents (ages 6+), perinatal and antepartum folks, LGBTQIA+ individuals, and people who are AFAB or identify as women — many navigating ADHD, autism, PTSD, PMDD, OCD, mood disorders, or a diagnosis that never quite fit. If previous providers didn't get the full picture of you, that's exactly the gap I'm here to close.

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.

My name is Francesca DeBiaso, I am a Licensed Professional Counselor, licensed and board certified Creative Arts Therapist and certified yoga instructor.

Hi there-may name is Fiona Standen and I am a psychotherapist, practicing since 2001 and specializing in Autism Spectrum Disorder.