Anxiety and depression therapists and psychiatrists in Oregon

I see therapy as a collaboration between two people dealing with the messiness of being human. For me, being professional isn’t about appearances—it’s about a serious commitment to the ethics of counseling, to learning the craft of therapy, and to supporting your self-understanding as it evolves in real time.

My primary goal is to understand your life and your hopes on your terms. We work from there to help you get more of what you want and less of what you don't.

While my background includes a clinical license and training in a range of approaches to therapy, I also have a longstanding interest in history, philosophy, and literature. However, I don’t bring that book learning directly into our sessions; I hold that knowledge lightly and draw on it only when it may help. Whether you’re wrestling with deeper questions about purpose or just trying to get through a stressful week, I’m interested in helping you shift your life in ways that make what you want more likely.

I work well with people from a wide range of backgrounds and belief systems. You don’t need a particular worldview—or any specific way of talking about yourself—to work with me. If you’re willing to share what’s going on for you, we can usually work together.

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.

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.

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 am a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) offering telehealth psychiatric care across Oregon and Washington.

With 12 years of nursing experience laying the foundation for my deep love of patient care, I bring warmth, clinical expertise, and heartfelt dedication to individuals navigating life's most complex mental health conditions.

Specialized Sensitivity

Expertise in hormone-related mood changes, pregnancy and postpartum care, attention-deficit hyperactivity disorder (ADHD), and menopause. I'm committed to providing a safe, supportive space .

Integrative Wellness

I weave together evidence-based psychiatry with somatic and mindfulness techniques to help clients reconnect with themselves.

Whatever mental health concerns you are navigating, my approach is always trauma-informed and heart-centered.

I speak Haitian Creole!

I am a licensed Clinical Social Worker (LCSW) with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, trauma and abuse, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage! I am here to support you in that process.