1.Payam Ghassemlou, MFT, SEP, Ph.D.Verified
(310) 801-2927
Portland, OR
Addiction · ADHD · Anxiety
drpayam.com · orcounselors.com/provider/payam-ghassemlou
Specialties
Codependency Therapists in Oregon
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, many therapists listed on Oregon Counselors 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. Many offer telehealth, many accept Oregon Health Plan, many offer sliding-scale fees. 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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Frequently asked questions
Common questions about this coverage in Oregon.
How many Oregon therapists specialize in codependency?
As of April 2026, there are many therapists listed on Oregon Counselors 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, many therapists listed on Oregon Counselors 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 many therapists listed on Oregon Counselors 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, many therapists listed on Oregon Counselors 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.
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 many therapists specializing in codependency. These providers offer a range of treatment options, with many therapists listed on Oregon Counselors offering telehealth services, ensuring accessibility across the state. Many therapists accept Oregon Health Plan (OHP), Oregon's Medicaid program, which can provide therapy sessions at low or no cost. Additionally, many therapists offer sliding scale fees, catering to clients with varying income levels. 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.