Loss and change reshape a life. Therapy gives you room to feel it, make sense of it, and figure out who you are on the other side.
Grief doesn't follow a schedule, and it isn't only about death. The end of a relationship, a health diagnosis, losing a home, a role, a version of your future you were counting on: all of it is loss, and all of it deserves more than "you should be over this by now."
Life transitions carry their own weight even when they're chosen. A career change, a move, becoming a parent, leaving a faith community, watching your identity shift under you. Our therapists walk alongside you through it, without rushing you toward silver linings you're not ready for.
A quick note: therapy is not an emergency service. If you are in crisis right now, call or text 988 for the Suicide & Crisis Lifeline, available 24/7, or visit our crisis resources page.
Grief work isn't about getting over anything. It's about building a life that can hold the loss, at whatever pace that takes. Some people need to tell the story many times. Some need help with the practical weight of a changed life. Some mostly need one hour a week where they don't have to perform being okay.
Transitions work is similar: part processing what's ending, part finding your footing in what's beginning. Your therapist will follow what you need rather than a script. Sessions are available in person in Portland, Milwaukie, Bend, and Redmond, and across Oregon via telehealth.
Approaches you may work with here:
These therapists focus on loss, change, and the identity questions that come with both.
Professional Counselor Associate and Marriage and Family Therapist Associate
Faith-integrated, culturally sensitive support for trauma, family systems, and generational healing.
Works with: Adolescents (12–18) · Adults · Couples · Families
Professional Counselor Associate
Bilingual, culturally sensitive support for eldest daughters, anxious adults, and couples in Spanish or English.
Works with: Adolescents (14–18) · Adults · Couples
Licensed Professional Counselor
Insight-driven therapy for adults and couples navigating anxiety, caregiver stress, and relationship patterns.
Works with: Adults · Couples
Licensed Professional Counselor
Person-centered therapy for adults and couples through anxiety, life transitions, and high-conflict relationships.
Works with: Adults · Couples
Sessions are $175 per hour for individuals, including children and adolescents, and $200 per hour for couples and family sessions. We accept several major insurance plans, including Aetna, Providence, Regence, Anthem, and Blue Cross Blue Shield. We are not currently able to accept Oregon Health Plan (OHP). Before you begin care, you also have the right to a written Good Faith Estimate of your expected costs.
No. Grief follows any significant loss: a relationship, your health, a job, a home, a future you'd planned on. If it feels like loss to you, it qualifies. You don't need to justify it.
There's no standard timeline, and we won't pretend there is. Some people come for a few months around an acute loss. Others work longer, especially when a loss stirs up older ones. You and your therapist will check in regularly about what you need.
Individual sessions are $175 per hour. We accept several major insurance plans, including Aetna, Providence, Regence, Anthem, and Blue Cross Blue Shield. We are not currently able to accept Oregon Health Plan (OHP). See our insurance and pricing page for details.
That uncertainty is common, and it's welcome in the room. Plenty of people arrive saying some version of "I don't know why this is hitting me so hard." Figuring that out together is a completely legitimate place to start.
Start with a relaxed 20 to 30 minute video consultation. There's no need to have the words for it yet.