1.Shane Knox, LMFTVerified
400 E 2nd Ave, Ste 104E, Eugene, OR 97401
Addiction · ADHD · Alcohol Use
shaneknoxtherapy.com · orcounselors.com/provider/shane-knox-eugene-1
Grief and Loss Therapy in Oregon
3,781 providers found
Oregon therapists specializing in grief, bereavement, prolonged grief disorder, traumatic loss, pregnancy loss, suicide loss, ambiguous loss, and end-of-life work.
As of April 2026, 3,781 Oregon therapists on this directory specialize in grief and loss — including death of a partner, parent, child, sibling, or friend; pregnancy loss and infertility grief; grief after suicide or sudden / violent death; ambiguous loss (a loved one with dementia or addiction); pet loss; and the layered grief of major life transitions. 78 offer telehealth, 27 accept Oregon Health Plan, 49 offer sliding-scale fees, and 102 are currently accepting new clients. Effective treatments include Complicated Grief Therapy (the gold-standard for prolonged grief disorder), Meaning-Centered Grief Therapy, narrative therapy, EMDR for the specific traumatic moments that often anchor grief, and grief-specific group therapy where appropriate. Modern grief work has moved past the "five stages" model — most therapists now use the dual-process model (oscillating between loss-orientation and restoration-orientation) and continuing-bonds frameworks that don't require you to "let go."
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Grief and Loss Therapy — key facts & evidence
Researched data on this topic, every figure links to its source.
U.S.
Prolonged grief disorder was added to the DSM-5-TR in 2022. It applies when intense grief and yearning persist and impair daily life beyond 12 months after a loss (6 months for children).
Source: Killikelly et al., ANZJP (PMC) (2022)U.S.
Most bereaved people adapt within about a year, but prolonged grief disorder is estimated to affect as many as 7% of bereaved individuals (NCBI StatPearls).
Source: NCBI StatPearls (2024)Oregon
Cancer and heart disease have been Oregon's two leading causes of death every year since 1999. In 2022 the rates were about 200 (cancer) and 192 (heart disease) deaths per 100,000 (CDC/NCHS, via USAFacts).
Source: USAFacts (CDC/NCHS) (2022)Oregon
Oregon recorded 19,868 total deaths in 2022; cancer, heart disease, and accidents together accounted for 45% of them (CDC/NCHS, via USAFacts).
Source: USAFacts (CDC/NCHS) (2022)Oregon
Under Oregon's Death with Dignity Act, 367 people died from ingesting prescribed medication in 2023 (up from 304 in 2022); 82% were 65 or older and 66% had cancer (Oregon Health Authority).
Source: Oregon Health Authority (2023)U.S.
Grief therapy can help: in a JAMA randomized trial, 51% of people with complicated grief responded to targeted complicated-grief treatment versus 28% with standard interpersonal psychotherapy (Shear et al., 2005).
Source: JAMA / PMC (2005)Frequently asked questions
Common questions about this coverage in Oregon.
How many Oregon therapists specialize in grief?
As of April 2026, there are 108 grief therapists in Oregon who specialize in providing support for individuals dealing with loss and grief.
Do Oregon grief therapists accept OHP / Oregon Health Plan?
Yes, as of April 2026, 27 grief therapists in Oregon accept the Oregon Health Plan (OHP), allowing clients with Medicaid coverage to access therapy services.
Is telehealth available for grief in Oregon?
Yes, as of April 2026, 78 grief therapists in Oregon offer telehealth services, expanding access to grief counseling for clients across the state.
Do Oregon grief therapists offer sliding scale fees?
Yes, as of April 2026, 49 grief therapists in Oregon offer sliding scale fees, which can help make therapy more affordable for those with limited financial means.
Are Oregon grief therapists accepting new clients?
Yes, as of April 2026, 102 grief therapists in Oregon are currently accepting new clients, ensuring that individuals seeking support for grief can find a therapist in a timely manner.
When is grief "too long"? What is prolonged grief disorder?
Prolonged grief disorder (PGD) was added to the DSM-5-TR in 2022 as a distinct diagnosis. It applies when intense grief continues for more than 12 months in adults (6 months in children) AND significantly interferes with daily functioning — not because you still feel sad, but because you cannot adapt to the loss. About 7–10% of bereaved adults develop PGD, and it is more common after a sudden, violent, or traumatic loss. Specialized treatment (Complicated Grief Therapy, CGT) is more effective than general therapy for this — ask any prospective grief therapist whether they have specific PGD or CGT training.
Is it normal to feel relief after someone dies?
Completely normal, especially after a long illness, an addiction, a difficult relationship, or caregiving exhaustion. Relief is one of the most common — and most under-talked-about — grief emotions. It does not mean you didn't love the person, didn't do enough, or are a bad person. It means your nervous system is responding to the end of a sustained stress. Many grievers feel guilt about the relief itself, which can compound the stuckness. A good grief therapist will normalize relief as part of the picture and help you hold it alongside the loss.
Do I need a grief specialist or will any therapist do?
For uncomplicated grief in the first 6–12 months, most well-trained therapists can provide excellent support. For prolonged grief disorder, traumatic grief (sudden / violent loss), child loss, suicide loss, or grief layered with pre-existing trauma, a specialist is worth seeking out — they have specific protocols (CGT, narrative reconstruction, dual-process model work) that move stuck grief in ways general therapy often cannot. Oregon has growing networks of grief-specialized therapists, and many offer telehealth so you are not limited to your city.
Are the "five stages of grief" actually real?
Not as Elisabeth Kübler-Ross intended. The five stages were originally observed in terminally ill patients facing their own death — not in bereaved survivors — and Kübler-Ross herself never claimed people grieve in linear order. The framework became cultural shorthand and got distorted along the way. Modern grief research uses the dual-process model (you oscillate between confronting the loss and re-engaging with life, both are needed) and continuing-bonds theory (the goal isn't to detach from the deceased; it's to find a new kind of relationship with them). Most Oregon grief therapists work from these contemporary frameworks.
It's been years and I'm still grieving. Does that mean something is wrong?
Not necessarily. Grief doesn't have a deadline; many people experience grief waves on anniversaries, around birthdays, or triggered by similar life events for years or decades. What matters is whether grief is integrating (it shows up, you ride it, you return to functioning) or stuck (it stays at acute intensity, you can't engage with life, the loss feels as raw as week one). The latter pattern — when it persists past 12 months and significantly disrupts daily life — meets criteria for prolonged grief disorder and responds well to specialized treatment.
I lost someone to suicide. Do I need a different kind of therapist?
Suicide loss has specific features — intense and complicated guilt, intrusive imagining of the death, social stigma and isolation, often trauma symptoms layered on top of grief. Not every grief therapist has training in suicide bereavement specifically; it's worth asking directly. Several Oregon practices specialize in suicide loss, and groups like Friends for Survival and AFSP-affiliated peer support are valuable adjuncts. The American Association of Suicidology maintains a list of clinicians with formal suicide-loss training.
Is it normal to need therapy for grief?
Grief itself isn't a disorder, but therapy helps when loss feels unbearable, gets stuck, or disrupts daily functioning for an extended time. There's no 'right' timeline — support is valid whether the loss was recent or years ago.
How is grief counseling different from just talking to friends?
A grief counselor offers a confidential, judgment-free space and evidence-based tools, and won't get overwhelmed or change the subject. They can also recognize complicated or prolonged grief and tailor support, including for sudden loss, suicide loss, or anticipatory grief.
When should I see a grief therapist?
Consider professional support if, months after a loss, you're unable to function, feeling persistent hopelessness, using alcohol or drugs to cope, or having thoughts of not wanting to be here. If you're in crisis, call or text 988 first.