Online Therapy for Clients in Salem

The Replay, the What-Ifs, the Bracing

Anxiety and overthinking do not always show from the outside. You might go to work, answer messages, and get through the day while your mind runs a second track: going back over a conversation, predicting the worst version of next week, or preparing for a problem nobody else has noticed. Your body can stay braced long after the moment passes. Marie's CBT approach starts with one specific moment like that, because a real example gives you both something concrete to examine.

A Therapist Outside Your Circle

You might want therapy to stay separate from the rest of your life, with someone you are unlikely to run into at work, at a friend's party, or in line at the store. Wanting that distance is a reasonable preference, and it needs no justification. Because Marie's office is in Southeast Portland, meeting with her online from Salem keeps your sessions apart from your local routines. You decide who knows you are in therapy and what you tell them.

Small Experiments With the Worry

Once the pattern is clearer, the work turns to practice. During the week, you might catch one what-if and ask what actually happened the last time you expected the worst. You might let a worry wait until morning instead of answering it in the dark, or notice your shoulders rising before a call and let them drop. Each experiment is deliberately small. Next session, Marie goes over how it went with you, without grading you, and you choose the next step together.

The First Three Appointments by Video

Starting online does not change how Marie builds the foundation. The first appointment is an intake about what is happening now at home, in your relationships, with your health, and at work or school. The second is your story, told at a pace you choose, so she can see the experiences behind what brought you in. The third turns that picture into goals: what you want to be different, and the signs that will show the plan is working. Then weekly practice begins.

Fees, Format, and a First Step

Individual sessions are $200, and couples or family sessions are $225, each 50 minutes and usually weekly. Marie is licensed in Oregon (L16802), and you need to be physically in the state for each online session; setting up for video has its own guide. If the trip north suits you, in-person sessions are also offered at 1125 SE Market St, Portland, OR 97214; confirm that option before you schedule. Plan on giving at least 48 hours' notice if you need to cancel. A free 15-minute consultation, by phone or video, comes first.

Questions You May Have