Family therapy and counseling in Oregon

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.

I’m a therapist that wants you to feel more at home in your life and emotions. I know reaching out can feel scary, especially when life feels uncertain or suddenly different, so I focus on creating a space that feels calm, safe, and truly supportive. I speak English and Spanish, and I deeply respect each person’s story, culture, and values as we work together.

Welcome. Thank you for taking the first step toward wholeness. I am a licensed marriage and family therapist who focuses on systemic and relational healing. This includes journeying with my clients through ancestral, childhood, and adulthood life challenges to help them access and address pain.

In today’s world, many of us are carrying more than just personal stress. Climate concerns, the pandemic, economic instability, political division, and rapid cultural change have created a sense of collective trauma that deeply impacts our mental health. In my work, I recognize that individual struggles don’t exist in isolation—they are shaped by the larger systems and environments we live in.

My goal has always been to support people navigating trauma, personality disorders, depression, and anxiety by exploring the deeper layers of the psyche. Together, we work to build self-awareness, understand unconscious patterns, and develop practical tools that support meaningful and lasting change. I work with a diverse range of clients, from adolescents to older adults (ages 13–65+).

My therapeutic style is eclectic, integrative, and holistic. I draw from a variety of approaches to meet each client where they are, while also acknowledging how societal structures can influence mental health. Areas of particular interest in my work include complex trauma, the psychological impacts of modern economic systems, eco-anxiety, non-dogmatic spirituality, and emerging perspectives in psychedelic-assisted therapy.

Above all, I believe healing happens in a space of safety and authenticity. I strive to create a judgment-free, inclusive environment where clients are met with unconditional positive regard, empathy, validation, and genuine care.

If you’re feeling overwhelmed, searching for deeper understanding, or simply looking for support, you are welcome to reach out.

I am a Licensed Clinical Social Worker (LCSW) with over 25 years of experience providing compassionate, trauma-informed care across diverse clinical settings. Licensed in both California and Oregon, my career has been dedicated to supporting individuals and families navigating complex life challenges, including trauma, anxiety, depression, addictions, relational difficulties and serious mental illnesses. My background is uniquely broad, ranging from mental health facilities–both inpatient and outpatient–to medical social work and home health. I have extensive experience working with my own and other Tribal communities in rural Alaska, California, and Oregon, providing culturally relevant psychotherapy and advocacy.

Prior to earning my Master of Social Work in 2000, my foundational mental health experience spanned intensive inpatient, outpatient, day treatment, and residential mental health programs.

As a social worker, I understand individuals, families, tribes, and communities as both composed of, and embedded within complex systems. I work to help clients plan for and adapt to change, striving to offer a safe, supportive environment in which clients will not just experience relief, but become their best selves ready to flourish in a welcoming future.

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!

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

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.