Therapy Options for Lake Oswego Residents

Choosing a Format You Will Keep

Both formats use the same approach and the same 50-minute sessions, usually weekly, so the more useful question is which one you will keep up once life gets crowded. Picture an ordinary week, not your calmest one. If a set trip to an office helps you show up, in person may suit you. If a full week is more likely to squeeze out the trip, a session from a private room may be easier to protect.

When a Turning Point Unsettles Things

Working with adults at a turning point is something Marie especially enjoys. A change can be one you chose and still knock loose the habits that held your week together. Parts of life that used to run on their own, like when you see friends or who handles dinner, may suddenly need a plan. A new role can come with expectations no one has spelled out. It does not have to become a crisis first; the turning point itself is reason enough.

Notice, Question, Try, Review

An example shows how Marie's four CBT steps work. Say a break-up has you rereading old messages, sure you will never get this right. First you notice one specific moment: what set it off, the thought it brought, and what you did next. Then you question that thought as you would if a friend said it. Next you try one small experiment, such as calling someone you trust instead of scrolling back through the old thread. Finally you review it together, without judgment, and adjust.

Looking for Help for a Teen

If your teen overthinks every assignment or carries school pressure home, you can make the first contact. A parent or guardian is part of the first conversation whenever the client is a minor. The details of consent and privacy for teens are covered at the consultation. Sessions use the same four steps, with examples from your teen's own week, like a group chat that went quiet or a project that keeps sliding. Marie has worked with teenagers throughout her career, and she really enjoys it.

Starting the Conversation

Start with the free 15-minute consultation, by phone or video, to talk through what is going on and which format fits. A few lines on the contact page are enough; sensitive details can wait. Fees are $200 for an individual session and $225 for couples or families, each 50 minutes. Office sessions are held at 1125 SE Market St, Portland, OR 97214, once Marie has confirmed in-person scheduling with you. To cancel, please allow at least 48 hours' notice.

Questions You May Have