1.Tirzah Jacob, LPCVerified
(503) 407-9232
6129 NE Skidmore Street, Portland, OR 97218
ADHD · Anxiety · AuDHD
sites.google.com/site/tirzahjacob/Home · orcounselors.com/provider/tirzah-jacob-portland
Codependency Therapists in Oregon
145 providers found
Codependency therapy helps you break patterns of excessive caretaking, people-pleasing, and losing yourself in relationships. Oregon codependency therapists guide you toward healthier boundaries and a stronger sense of self.
As of April 2026, 145 Oregon therapists on this directory specialize in codependency, people-pleasing, fawning trauma responses, and the loss-of-self that often comes from growing up around addiction, untreated mental illness, or chronic dysfunction. 98 offer telehealth, 26 accept Oregon Health Plan, 28 offer sliding-scale fees, and 90 are currently accepting new clients. Effective approaches include attachment-based and relational therapy, Internal Family Systems (the parts that learned to caretake to stay safe), schema therapy, trauma-informed work for the early experiences that wired in the pattern, and group therapy or 12-step programs (CoDA, ACA) as adjuncts. Codependency rarely shifts through willpower or new boundaries alone — sustainable change usually involves understanding what the pattern was protecting you from and what it would take to feel safe being more separate.
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CodependencyRelated: Family ConflictRelated: Narcissistic Personality
I enjoy working with children, teens, and their families to achieve their goals. I enjoy working with families to support healthier and happier relationships. I believe in finding humor in the absurdity of…
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CodependencyRelated: Recovery from dealing with narcissistic abuseMentions Boundaries
*Accepting new clients as of 6/20/2026. Are old patterns stuck on repeat in your relationship that you’ve tried to change but can’t seem to? Is relationship stress or anxiety in general getting in the way of…
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Frequently asked questions
Common questions about this coverage in Oregon.
How many Oregon therapists specialize in codependency?
As of April 2026, there are 59 therapists in Oregon who specialize in codependency. This number includes a variety of practitioners who can address the specific needs of individuals dealing with codependent relationships.
Do Oregon codependency therapists accept OHP / Oregon Health Plan?
Yes, 145 therapists specializing in codependency in Oregon accept the Oregon Health Plan (OHP), which is the state's Medicaid program. This can help eligible clients access therapy at a reduced or no cost.
Is telehealth available for codependency in Oregon?
Telehealth is available for codependency treatment in Oregon, with 47 therapists offering online sessions. This allows clients to access therapy from anywhere in the state, increasing accessibility and convenience.
Do Oregon codependency therapists offer sliding scale fees?
Yes, 145 therapists specializing in codependency in Oregon offer sliding scale fees. This makes therapy more accessible to clients with varying income levels, ensuring that financial constraints do not prevent access to care.
Are Oregon codependency therapists accepting new clients?
As of April 2026, 145 therapists specializing in codependency in Oregon are currently accepting new clients. This high number indicates a strong availability of care for individuals seeking assistance with codependency issues.
Is codependency actually a recognized diagnosis?
Codependency isn't a DSM diagnosis — it's a clinical concept describing a pattern where your sense of self, mood, and worth depend heavily on managing or rescuing someone else (often someone with addiction, untreated illness, or volatility). The concept came out of the addiction-recovery world in the 1980s. While the term is informal, the underlying patterns are very real and respond well to therapy that addresses attachment templates, fawning trauma responses, and the loss of self that happens in chronically unsafe relationships.
What's the difference between being kind and being codependent?
Kindness comes from a place of choice and abundance — you give because you want to, you have enough left over for yourself, you can say no without guilt. Codependency is compulsive — you give because you can't tolerate the feeling of someone being upset, you deplete yourself, saying no triggers anxiety or shame. The same external behavior can be either, depending on what's driving it underneath. Therapy doesn't make you less caring; it makes the caring sustainable.
I keep saying I'll set boundaries and I never do. What's wrong with me?
Nothing's wrong — willpower-based boundary-setting fails for almost everyone with a codependent pattern. The reason: boundaries that haven't been internalized at a nervous-system level get overridden by the deeper learning ("if I disappoint them, I won't be safe"). Effective work usually goes underneath the boundary itself — to the parts that fawned, what they were trying to prevent, and what needs to shift before the boundary can hold without 12 hours of guilt afterwards.
Oregon Counselors Directory lists a total of 145 therapists specializing in codependency. These providers offer a range of treatment options, with 47 therapists offering telehealth services, ensuring accessibility across the state. 15 of the therapists accept Oregon Health Plan (OHP), Oregon's Medicaid program, which can provide therapy sessions at low or no cost. Additionally, 46 therapists offer sliding scale fees, catering to clients with varying income levels. The majority, 54 therapists90 are currently accepting new clients. Therapists in Oregon employ evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Family Systems Therapy to address codependency issues.