How Online Therapy in Oregon Works

Who Can Use Online Sessions

Because of licensing rules, online therapy with Marie is available to people who are physically located in Oregon at the time of the session. That includes people across the state, not only in Portland. If you travel or study out of state for part of the year, ask during your consultation how that might affect scheduling so there are no surprises later. Your consultation is a good time to confirm where you will be during sessions.

Setting Up Your Space

A quiet, private spot makes a real difference. Some people use a closed bedroom, a parked car, or a reserved study room on campus. Headphones can help with privacy if others are nearby. A reliable internet connection and a device with a camera are usually enough. If privacy at home is difficult, that is worth mentioning during the consultation so you can plan around it. Small adjustments like these usually make sessions feel more comfortable.

CBT Works Well Online

CBT is structured and practical, which translates naturally to video sessions. You and Marie can review thought records, plan behavioral experiments, and set practice for the week ahead just as you would in person. Some people find it easier to try new skills in their own environment, since that is where the challenges usually happen. You might practice a skill during a session and try it later that same day at home, school, or work. Sharing a screen or a notes document can also make it easy to review exercises together.

Teens and Online Therapy

For teens, online sessions can reduce missed school time and travel logistics for parents. It is helpful to talk through privacy expectations at home so a teen can speak openly. Parents can ask during the consultation how they will be involved and how communication with the family typically works. Some teens prefer to join from a familiar space where they already feel comfortable, which can make the first few sessions easier. A plan for interruptions also helps.

Getting Started

Rates are $200 for individual sessions and $225 for couples or family sessions, each 50 minutes, with a 48-hour cancellation policy. Ask about insurance and payment questions during the free 15-minute consultation. If you would prefer in person, ask about current Portland office availability and days. A short message through the contact page is enough to request a time, and there is no need to share personal details in the form.

Questions You May Have