1.Laura Birchard MA LPC Depth Psychotherapy, MA, LPC, CADCIVerified
1318 NW 20th Ave., Portland, OR 97209
Addiction · ADHD · Alcohol Use
laurabirchard.com · orcounselors.com/provider/laura-birchard-ma-lpc-depth-psychotherapy-portland
Treatments
Psychedelic Integration in Oregon
Oregon therapists supporting integration of psychedelic, ketamine, and other non-ordinary-state experiences into lasting growth, healing, and meaning-making.
RelatedPsychedelic Integration (8)Integration (5)Integration (4)Psychedelic Integration (3)Psychedelic Preparation and Integration (2)Faith Integration (1)Integration of extreme states (1)Life Span Integration (1)
Psilocybin services in Oregon are legal only through a licensed Service Center under Measure 109. Other psychedelics (LSD, MDMA, ayahuasca, ibogaine, DMT, etc.) remain illegal under both Oregon and federal law. This page lists licensed Oregon mental-health professionals who provide integration therapy — they support clients metabolizing psychedelic experiences (legal Service Center sessions, ceremonial settings, or past experiences) but do not administer or recommend any controlled substance.
For Oregon Psilocybin Services information, see Oregon Health Authority — Psilocybin Services. If you're considering MDMA-assisted therapy, note that MDMA is currently in FDA review and is NOT an approved or legal treatment.
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Accepting new patients across Oregon! Are you an adult in Portland or anywhere in Oregon seeking psychedelic-informed, trauma-focused psychiatric care via telehealth? I specialize in complex PTSD, anxiety, and…
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Related Articles
From Oregon providers writing about this topic.
How to tell your therapist about a psychedelic experience
People ask me this more than almost anything else, and usually in a lowered voice: should I tell my therapist, and what happens if I do. It is a fair question. The person asking has often spent years building a…
The preparation and the integration matter more than the session
The most common misunderstanding I meet about ketamine-assisted work is that the session is the treatment. People book expecting the appointment to do the work, the way an antibiotic does the work once you have…
What to Ask a Psilocybin Facilitator Before Your First Session in Oregon
A practical, no-hype checklist for vetting a licensed Oregon psilocybin facilitator: screening, safety planning, what your first session covers, and the questions that separate a careful practitioner from a casual one.
You can integrate an experience you had years ago
A common assumption about integration is that it has a shelf life: that it belongs to the fortnight after an experience, and once that window closes the opportunity has gone. That is not how it works. A significant…
Integration after ketamine: what to do with the week that follows
Most of what is written about ketamine covers the appointment. Far less covers the seven days after it, which is where people tend to decide, quietly and without noticing, whether anything is going to change. The…
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…
Frequently asked questions
Common questions about this coverage in Oregon.
What is psychedelic integration therapy?
Integration is the talk-therapy process of making meaning from a psychedelic experience and translating insights into sustained change. It's standard psychotherapy delivered by a licensed mental-health professional — there's no controlled substance involved in the integration session itself. Common approaches: Internal Family Systems (IFS), somatic experiencing, depth psychology, trauma-informed therapy. Sessions typically run 50–90 minutes weekly for 4–12 weeks following an experience.
Which psychedelics are legal in Oregon?
Only psilocybin, and only through a licensed Service Center with a licensed Facilitator under the Oregon Psilocybin Services Act (Measure 109, services live since January 2023). Ketamine is FDA-approved Schedule III and can be prescribed off-label by medical providers. All other psychedelics — LSD, MDMA, DMT, ayahuasca, ibogaine, mescaline, 5-MeO-DMT — remain illegal under federal and Oregon law. Possession and use carry real legal consequences regardless of therapeutic intent. MDMA-assisted therapy is in FDA review but not yet approved or legal.
Can I do integration therapy for past experiences I had outside legal channels?
Yes — integration therapists work with clients metabolizing experiences from any context: legal Oregon Service Center sessions, ceremonial / Indigenous traditions, past recreational experiences, or experiences from years ago. The integration work itself is standard talk therapy and is legal everywhere. A trauma-informed therapist won't ask for legal disclosure beyond what helps treatment, and confidentiality protections apply to therapy conversations the same as any other clinical content.
Is psychedelic integration therapy covered by insurance?
Often yes — when delivered by a licensed mental-health therapist for a covered diagnosis (depression, PTSD, anxiety, etc.), integration therapy bills as standard psychotherapy. The administration of any psychedelic substance is separate and typically NOT covered (Spravato esketamine is the exception — it's covered with prior auth).
Who shouldn't pursue psychedelic experiences?
Personal or family history of psychosis, schizophrenia, or bipolar I are common contraindications across all psychedelics. Active substance-use disorders, severe heart conditions, certain medications (SSRIs, MAOIs, lithium can interact significantly with serotonergic psychedelics), pregnancy, and uncontrolled mental health conditions warrant medical screening first. A licensed Oregon Psilocybin Facilitator must conduct a screening session before any administration. Integration therapists also flag concerns; some clients benefit from stabilization work before any psychedelic exploration.
Is this directory recommending psychedelic use?
No. This directory lists licensed Oregon mental-health professionals who provide integration support. Listing a provider does not constitute medical, legal, or therapeutic advice, an endorsement of any psychedelic, or a recommendation that any specific person pursue psychedelic therapy. Psychedelic experiences carry real medical, psychological, and legal considerations, and decisions should be made in close consultation with your healthcare team and (for legal Oregon services) a licensed Facilitator.
How many Oregon therapists specialize in integration therapy?
there are several therapists specializing in integration therapy. This approach aims to combine various therapeutic methods to cater to the unique needs of each client.
Is telehealth available for integration therapy in Oregon?
Yes, several Oregon therapists specializing in integration therapy offer telehealth options. This allows clients to access therapy from the comfort of their homes or any other preferred location.
Do Oregon integration therapists offer sliding scale fees?
several integration therapists offer sliding scale fees. This can help clients with financial constraints access therapy services at a reduced cost.
What specific concerns do Oregon integration therapists treat?
While specific concerns may vary by provider, integration therapists in Oregon may address a range of issues. Given the holistic nature of integration therapy, these might include stress, anxiety, relationship issues, and other mental health concerns, utilizing various therapeutic techniques to meet individual client needs.
Oregon Counselors Directory lists several therapists specializing in the integration therapy approach across Oregon. This approach combines various therapeutic techniques to provide a holistic treatment experience. All therapists offer in-person sessions, ensuring accessibility to clients across the state. Several therapists listed on Oregon Counselors provide telehealth options, allowing for remote access to their services. While no therapists listed accept the Oregon Health Plan (OHP), several of them offer sliding scale fees, which can be a financial relief for clients with limited means.