Trauma and PTSD Therapists in Oregon

4,020 providers found

Find Oregon therapists specializing in Trauma and PTSD.

As of April 2026, 4,020 Oregon therapists on this directory specialize in trauma and PTSD. 3,957 of them offer telehealth, 1,371 accept Oregon Health Plan, 54 offer sliding-scale fees, and 174 are currently accepting new clients. Oregon's trauma specialists work across the full spectrum — single-incident PTSD (one assault, one accident, one combat deployment), complex / developmental trauma rooted in childhood, vicarious trauma in healthcare workers and first responders, medical trauma, and intergenerational trauma. The most well-established treatments here are EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Trauma-Focused CBT, Internal Family Systems (IFS), and Somatic Experiencing — and many therapists are trained in two or more so they can adapt to what your nervous system can tolerate. Phase-based pacing is the standard of care: stabilization first, then memory processing, then integration. You should not have to retell the worst day of your life in session one.

Haley Presnell
✓ VER

Haley Presnell

LCSW · Beaverton, OR

Trauma and PTSDTelehealth

Hi, I’m Haley Presnell (she/her) — a Licensed Clinical Social Worker who specializes in supporting people through chronic stress, burnout, and trauma. I provide telehealth…

AnxietyBurnoutComplex TraumaArt TherapyClinical Supervision and Licensed Supervisors$90–$180TelehealthSliding Scale
David Culver
✓ VER

David Culver

LPC · Salem, OR

Trauma and PTSDTelehealth

My name is David Culver, I am a Licensed Professional Counselor in Oregon and Arizona, and a Licensed Professional Clinical Counselor in California. I have been practicing for six…

ADHDAlcohol UseAnger ManagementAcceptance and Commitment (ACT)Cognitive Behavioral (CBT)TelehealthOHP
Natasha Lopez LLC
✓ VER

Natasha Lopez LLC

LPC · Portland, OR

Trauma and PTSDTelehealth

I work with clients that are seeking to make changes in their lives but many have been stuck in some area of their lives due to habits or hurts that block their progress that were…

AddictionADHDAnxietyAcceptance and Commitment (ACT)Cognitive Behavioral (CBT)$60–$120TelehealthOHPSliding Scale
Dr. Dylan Vas
✓ VER

Dr. Dylan Vas

PsyD · Beaverton, OR

Trauma and PTSDTelehealth

I enjoy working with adolescents and adults of all ages that are trying to make changes in their life. My approach begins with warmth, a touch of humor, and getting to know you…

ADHDAnxietyBody ImageAcceptance and Commitment (ACT)Attachment-based$180–$225Telehealth
Ruth Ralph
✓ VER

Ruth Ralph

LPC · Springfield, OR

Trauma and PTSDTelehealth

Hello it is nice to meet you. I am a Licensed Professional Counselor with almost 12 years' experience supporting people with depression, anxiety, life transitions, childhood…

CodependencyTrauma and PTSDParentingAttachment-basedCognitive Behavioral (CBT)$150–$210Telehealth
Kristin Marshall
✓ VER

Kristin Marshall

Associate Marriage & Family Therapist · Tigard, OR

Trauma and PTSDTelehealth

If you're looking for an empathetic and accepting space to work from the challenges you're currently experiencing towards the resilient person you are becoming, I would be honored…

ADHDAnxietyCodependencyAttachment-basedCognitive Behavioral (CBT)Telehealth
Tsuki Niu 梁子祈
✓ VER

Tsuki Niu 梁子祈

LMFT, RPT

Trauma and PTSDTelehealth

Hi, I'm Tsuki, a Taiwanese LMFT licensed in OR, WA, IL, IN, WI, MI, and MA. I offer therapy in English, Mandarin, and Taiwanese, and work with high-achieving, deeply feeling…

ADHDAdoptionAnxietyAttachment-basedCompassion Focused$50–$190TelehealthSliding Scale
Kaijah Bjorklund
✓ VER

Kaijah Bjorklund

LPC · Ashland, OR

Trauma and PTSDTelehealth

Healing is possible and finding the right therapist makes all the difference. I'm Kaijah Bjorklund and I bring over 20 years of experience and specialized training in EMDR,…

AnxietyChronic IllnessChronic PainAttachment-basedEMDRFrom $175Telehealth

Video Introductions

Meet these providers before you reach out.

Related Articles

From Oregon providers writing about this topic.

What to Do After Your Client Uses Psychedelics

What to Do After Your Client Uses Psychedelics

Most clinicians were never trained for this moment. Now it’s happening in session. A client mentions a recent psilocybin experience through Oregon’s legal services. Another discloses they’ve been using ketamine recreationally, and something shifted. A third describes a profound, disorienting experience from years ago that they’ve never shared with anyone — until now.

Psychedelic Affirming Education
Preparing for a Psilocybin or Ketamine Session in Oregon: You Don't Need to Feel Ready. You Need to Feel Steady.

Preparing for a Psilocybin or Ketamine Session in Oregon: You Don't Need to Feel Ready. You Need to Feel Steady.

Feeling anxious before your session is more common than people admit You might be looking forward to it. And also feeling unsure, overwhelmed, or quietly afraid. Both things can be true at once. Maybe you’ve been thinking about this for months — researching, talking with a facilitator, weighing options. You’ve read, made the appointment. Now, with the date approaching, you won

Psychedelic Affirming Education
SEO, AEO, and GEO for Beginners — and How OR Counselors Wins All Three

SEO, AEO, and GEO for Beginners — and How OR Counselors Wins All Three

Three acronyms decide whether clients find your therapy practice in 2026: SEO (Google), AEO (answer engines), and GEO (AI-generated answers). Here's what each one means, why all three matter now, and how the Oregon Counselor Directory engineered every page to rank in all three. If you are a therapist trying to grow your caseload in 2026, the rules of search have changed. Three acronyms now decide

OR Counselors
I'll Always Trade My Rook to Keep My Knight. On why we need to stop pathologizing the people-pleasers of this world.

I'll Always Trade My Rook to Keep My Knight. On why we need to stop pathologizing the people-pleasers of this world.

I want to talk about people-pleasing, but not in the way it usually gets talked about. I'm tired of the version that frames it as a personality quirk, a boundary problem, or a self-esteem issue we just need to do the work on. That framing skips over the most important thing, which is that people-pleasing is a survival strategy that worked. It equated to safety, and sometimes to love, which kind of

Wholehearted Counseling LLC
What We Lose When We're Not Believed

What We Lose When We're Not Believed

There's a kind of tired I want to talk about, because I don't think it gets named enough, and because I've lived inside of it, and because the people who walk into my office almost always know exactly what I mean before I finish the sentence. It's the tired that comes from being the one who notices. It's exhausting being the one who feels the shift in the room, who registers the tightness in som

Wholehearted Counseling LLC
The Middleman’s Toll: My War Against the Venture Capital Siege on Mental Health

The Middleman’s Toll: My War Against the Venture Capital Siege on Mental Health

The Silicon Valley land grab for the human soul didn't happen overnight. It was a slow, calculated siege, masked by the friendly blue-and-white interfaces of platforms promising to "democratize" mental health. But as we move into 2026, the sleek UX of these multi-billion-dollar intermediaries has revealed a cold, extractive reality. This is the industrialization of intimacy, a structural disruptio

Eric Richers
View all resources →

Frequently asked questions

Common questions about this coverage in Oregon.

What's the difference between EMDR and CBT for trauma?
CBT for trauma (specifically Cognitive Processing Therapy or Trauma-Focused CBT) works by examining and reworking the beliefs you formed about yourself, others, and the world after the trauma. EMDR works at a more bodily / memory-network level, using bilateral stimulation (eye movements, taps, or tones) to help the brain reprocess stuck memories. For single-incident trauma, both are equally effective in research; for complex / developmental trauma, many Oregon trauma therapists combine them or add IFS or somatic work. Of the 4,020 trauma specialists on this directory, most are trained in at least two of these approaches.
How do I know if I have PTSD or "complex trauma"?
PTSD typically follows a discrete event (assault, accident, combat) and presents as intrusive memories, hypervigilance, and avoidance. Complex PTSD (C-PTSD) follows prolonged or developmental trauma — childhood neglect, ongoing domestic abuse, captivity — and adds difficulties with emotional regulation, self-concept, and relationships. The treatment differs: PTSD often resolves in 12–20 sessions of EMDR or CPT; C-PTSD usually requires a longer phased approach (stabilization → memory work → integration). Almost every trauma specialist here can assess which category fits.
Can therapy retraumatize you?
A poorly-paced trauma therapy can make symptoms worse temporarily — that's why phase-based treatment matters. Reputable trauma therapists spend the first 4–8 sessions on stabilization (grounding skills, window-of-tolerance work, safety planning) before doing any memory processing. If a therapist pushes you to "tell the whole story" in session 1 or 2, that's a red flag. EMDR and CPT specifically build in pacing protocols; ask any prospective therapist how they decide when a client is ready to do trauma processing.
Does Oregon insurance cover trauma therapy?
Yes — trauma and PTSD are covered diagnoses under both OHP and commercial insurance in Oregon. 1,371 of our trauma specialists accept OHP. EMDR sessions are billed as standard 90837 / 90834 psychotherapy codes, so insurance doesn't treat them differently. Veterans should also know that the Oregon VA system covers EMDR, CPT, and Prolonged Exposure for service-connected PTSD; many private trauma therapists here also accept TRICARE.
Can EMDR or trauma therapy be done online?
Yes — EMDR adapted to telehealth uses on-screen bilateral stimulation tools and works as well as in-person for most clients. 3,957 of our trauma specialists offer telehealth. Online trauma therapy is often preferable when leaving the house feels overwhelming or when the trauma involved being in a clinical setting. The exception: dissociative clients who lose grounding easily often do better in-person early on.
How long does trauma therapy take?
Single-incident trauma (one car accident, one assault) typically resolves in 8–12 sessions of focused EMDR or CPT. Complex / developmental trauma is a longer arc — usually 9–18 months of weekly work, sometimes longer. The pace depends on how much stabilization is needed before memory processing can start safely. Most trauma therapists set 90-day check-in points to review progress and adjust the plan.
Can I combine ketamine with EMDR for trauma?
Yes, and it is a fast-growing model in Oregon in 2026. The pairing — ketamine-assisted psychotherapy (KAP) plus EMDR — uses ketamine's neuroplasticity window to make trauma memories more workable, while EMDR's bilateral-stimulation protocol does the actual reprocessing. Early clinical reports show clients tolerate trauma processing more easily and progress faster than with either alone. The model is most often used for treatment-resistant complex PTSD or trauma that has stalled in standard EMDR. Look for an Oregon therapist who is both EMDRIA-trained and KAP-certified — see /treatments/ketamine-assisted.
What is somatic trauma therapy, and is it actually evidence-based?
Somatic therapies (Somatic Experiencing, Sensorimotor Psychotherapy, the body-based parts of IFS) work with the trauma response stored as body sensation rather than narrative memory. The evidence base is younger and smaller than CBT or EMDR but growing — randomized trials show meaningful PTSD symptom reduction for Somatic Experiencing in particular. Most Oregon trauma therapists now blend body-based work with cognitive or EMDR processing rather than choosing one. If you have tried "talk it out" therapies and they haven't reached the part of the trauma you can feel but can't articulate, somatic work is often the missing piece.
I had a bad therapy experience that made my trauma worse — how do I find a safer therapist?
Phase-based pacing is the safety standard you should ask any prospective trauma therapist about directly. The questions that separate good from rushed trauma work: "How do you decide when a client is ready to do memory processing?", "What does the first phase of treatment look like for you?", "How do you handle dissociation in session?". Anyone qualified will have specific answers — stabilization (4–8 sessions of grounding, window-of-tolerance work, safety planning) before any memory processing starts. If a previous therapist pushed you to "tell the whole story" early, that was a mistake on their end, not a sign you can't do trauma work. Your nervous system can re-learn safety with the right pace.
What is the "window of tolerance" my therapist keeps mentioning?
It's a clinical term for the zone where you can feel difficult emotions and stay present enough to actually process them. Above the window: hyperarousal — racing heart, panic, rage, flashbacks. Below: hypoarousal — numbness, dissociation, shutdown, exhaustion. Trauma processing only works inside the window. The first phase of trauma therapy is mostly skill-building so you can widen the window — grounding, breathwork, identifying early signs of going outside it, and learning what brings you back. A therapist who doesn't talk about pacing is a red flag.
Is it normal to feel worse before I feel better in trauma therapy?
A short period of activation in early sessions is common — naming what happened can stir up what your nervous system has worked hard to keep contained. But "worse" should be brief, the therapist should be actively coaching you through it, and overall trajectory should bend up within 4–8 sessions. If you're sliding deeper for weeks, that's a sign the pacing isn't right or the modality isn't fitting and you should raise it directly. Reputable trauma therapists welcome that conversation.
What is IFS (Internal Family Systems) and why is it everywhere now?
IFS treats the psyche as a system of "parts" — protective parts (the inner critic, the perfectionist, the people-pleaser), wounded parts (the parts holding shame, fear, or grief from earlier in life), and a core Self that is calm, curious, and compassionate by default. The work is to build trust between Self and the protective parts so they relax their grip and let Self approach the wounded parts. It's particularly useful for complex trauma where memories aren't always accessible but the patterns absolutely are. Many Oregon trauma therapists are now Level 1 or Level 2 IFS-trained.
How many Oregon therapists specialize in trauma and PTSD?
As of April 2026, there are 4,020 Oregon therapists who specialize in trauma and PTSD. These therapists provide a range of services to address the specific needs of individuals dealing with traumatic experiences and PTSD symptoms.
Do Oregon trauma and PTSD therapists accept OHP / Oregon Health Plan?
Yes, 4,020 Oregon therapists specializing in trauma and PTSD accept the Oregon Health Plan (OHP). This can make therapy more accessible and affordable for eligible individuals, potentially covering sessions at little or no cost.
Is telehealth available for trauma and PTSD in Oregon?
Yes, as of April 2026, 4,020 Oregon therapists specializing in trauma and PTSD offer telehealth sessions. This expands access to care for individuals across the state, including those in remote areas or with limited mobility.
Do Oregon trauma and PTSD therapists offer sliding scale fees?
Yes, 4,020 Oregon therapists specializing in trauma and PTSD offer sliding scale fees. This makes therapy more accessible for individuals with limited financial resources or those without insurance coverage.
Are Oregon trauma and PTSD therapists accepting new clients?
Yes, as of April 2026, 4,020 Oregon therapists specializing in trauma and PTSD are currently accepting new clients. This high availability means that individuals seeking help for trauma and PTSD have a wide range of providers to choose from.

In April 2026, Oregon Counselor Directory lists 4,4,020 therapists specializing in trauma and PTSD across Oregon. Of these, 3,957 offer telehealth, providing accessible services for residents in both rural and urban areas. 1,371 therapists accept the Oregon Health Plan (OHP), which can cover therapy sessions for eligible individuals at low or no cost. 68 providers offer sliding scale fees, catering to those whose income or insurance situations fall outside standard coverage. 174 therapists are currently accepting new clients. These providers utilize evidence-based approaches such as Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), and Prolonged Exposure Therapy (PE) to address trauma and PTSD.