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Marie Sarte
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You don't have to untangle it alone.

Practical therapy for teens and adults navigating anxiety, ADHD, and difficult relationship patterns.

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Marie Sarte, LCSW · Cognitive Behavioral Therapy · Portland, Oregon

Marie Sarte, LCSW

Your mind is busy. You don’t have to figure it all out alone.

I’m a licensed clinical social worker with over 20 years of experience and in private practice since 2009. I trained at the University of Chicago, and I’m a second-generation Filipino American.

Clients tell me what’s really going on, and I tell them what I notice. That honesty, inside a relationship you can trust, is where the practical work begins.

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Maybe some of this sounds familiar.

  • Overthinking

    It's 1 a.m. and you're still replaying what you said at dinner.

  • Executive functioning

    The task has been on your list for three weeks. Tonight it's suddenly urgent.

  • Relationship recovery

    You left the relationship, but you still check whether your needs are reasonable.

  • Stuck on your own

    You know you're self-aware. You've analyzed this a hundred times. It still isn't moving.

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We start with the moment that keeps repeating, not with a label.

Where We Can Focus

Three places people usually start.

I see teens, young adults, and adults, and I welcome BIPOC, LGBTQ, and neurodiverse clients.

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Anxiety

Anxiety and Overthinking

For the loop that won’t switch off at night, the what-ifs you know aren’t rational, and the body that stays braced anyway.

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ADHD

ADHD and Executive Functioning

For plans that fall apart at the starting line, the panic the night before, and the shame that builds when things slip.

Read more
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Relationship Recovery

Recovery From Emotionally Abusive Relationships

For rebuilding trust in your own read on things after a partner spent years telling you it was wrong.

Read more

How I Work

We work on it together.

You bring what is happening; I bring structure, practical tools, and honest feedback. Progress looks different for everyone, and we adjust as we go.

Warm
Care, not a clipboard. Hard things get said here without judgment.
Direct
If I notice a pattern, I name it kindly. You can always push back.
Collaborative
You are the expert on your life. We set goals together and check them.
Read how CBT works here
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What to Expect

The first few weeks.

  1. 01

    A free 15-minute consultation

    A short conversation to talk about what’s going on and whether working together makes sense.

  2. 02

    Getting a clear picture

    Early sessions focus on understanding your patterns, your history, and what you want to be different.

  3. 03

    Practicing what helps

    We try specific skills between sessions, review what worked, and change what didn’t.

Portland, Oregon

Online across Oregon. In person in Portland.

After years of full-time practice in Oakland, California, I relocated to Portland in 2025. Online sessions are available for clients in Oregon. In-person sessions are offered at 1125 SE Market St, Portland, OR 97214.

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In person

Portland, Oregon

  • Office: 1125 SE Market St, Portland, OR 97214
  • Contact to confirm before scheduling.
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Online

Online in Oregon

  • Online sessions for clients in Oregon
  • Contact to discuss your location before scheduling

FAQ

Questions People Ask First

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All questions

Who do you work with?

Teens, young adults, college students, and adults. Most of my clients come in for anxiety and overthinking, ADHD and executive functioning, or the aftermath of an emotionally abusive relationship. BIPOC, LGBTQ, and neurodiverse clients are welcome here.

What is a session with you actually like?

Conversational. You tell me what is going on, I tell you what I notice, and we pick something concrete to try before next time. Clients have told me it feels like talking to a good friend who happens to be a therapist and will say it like it is.

Where do sessions happen?

Online sessions are available for clients in Oregon. In-person sessions are offered at 1125 SE Market St, Portland, OR 97214.

I've tried therapy before and it didn't help. Why would this be different?

Fair question. CBT is practical: we track what sets a pattern off, test the thinking behind it, and practice a different move between sessions. If something is not working, you say so and we change it.

How do I start?

With a free 15-minute consultation. You describe what is going on, ask how I work, and decide whether it feels right. There is no pressure to book.

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Sessions and Fees

Clear sessions. Clear fees.

Sessions are 50 minutes, usually weekly, online, or in person at 1125 SE Market St, Portland, OR 97214. The first few appointments build a clear picture before we pick what to practice.

Please give 48 hours’ notice to cancel. If you can reschedule within the same week, it counts as a reschedule rather than a late cancellation.

See services and rates

When you’re ready, start here.

A free 15-minute consultation is the usual first step. Read how we would work together, or see services and rates first.

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