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What we do.

Two core services: therapy and ADHD assessments. Both delivered by the same licensed psychologist and available via telehealth anywhere in Oregon. Often during therapy we find that an assessment for ADHD may be needed. Instead of referring you out, we take care of it in-house with the same doctor you already know and trust.

Therapy and assessment services at Breakwater Psychology

Our services.

Individual Therapy

One-on-one sessions with a psychologist who brings nearly 20 years of clinical experience across ADHD, anxiety, depression, and life transitions. Every session is structured around your goals and uses proven approaches like CBT and ACT. You leave with practical tools you can use right away, not just insight you need to decode on your own. Weekly or biweekly, telehealth from anywhere in Oregon, with evening availability.

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ADHD Assessment

A multi-session evaluation that goes well beyond a questionnaire. You get a clinical interview, standardized testing, observer ratings, and a comprehensive written report with a clear diagnosis and practical recommendations. Our proprietary CAST scoring method uses age-adjusted thresholds for more accurate results, especially for adults over 40. This is the evaluation that answers the question for real.

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What we treat.

These are the areas where we have the most experience and deliver the strongest results. Many of them overlap, and we treat the full picture together.

Anxiety

Generalized anxiety, social anxiety, health anxiety, perfectionism, panic, and work-related anxiety. Evidence-based treatment using CBT and ACT that gives you tools to use right away.

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Depression

Low energy, lost interest, emotional flatness, difficulty concentrating. We use CBT, behavioral activation, and interpersonal strategies to rebuild momentum step by step.

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ADHD

Executive function, time management, emotional regulation, the knowing-doing gap. ADHD-informed therapy built around how your brain actually works, whether you were diagnosed last week or 20 years ago.

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Life Transitions

Career changes, retirement, relationship shifts, parenthood, empty nest, relocation, loss. Therapy helps you navigate change with clarity and confidence instead of just surviving it.

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Older Adults and Aging

ADHD evaluation, cognitive changes, ADHD vs. dementia differentiation, retirement adjustment, grief, and the unique concerns that come with aging. Clinical expertise across the full adult lifespan.

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Women's Mental Health

ADHD in women, hormonal mood shifts, burnout, imposter syndrome, high-functioning anxiety. We understand how these patterns present differently in women and treat accordingly.

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Diverse Communities

Culturally responsive care for BIPOC, LGBTQ+, immigrants, and first-generation Americans. Your identity and cultural context are part of the treatment, not an afterthought.

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Why people choose us.

We built this practice around the things that matter most when you are choosing a therapist.

Start This Week

No waitlist. We intentionally keep openings available so you can start therapy when you are ready, not months from now. Most people have their first session within a week of their consultation.

Therapy Across the Spectrum

All ages welcome. ADHD, autism, anxiety, depression, life transitions: we work with the full picture of who you are. Whether you are figuring something out for the first time or managing something you have known about for years, we meet you where you are.

Everyone Is Welcome Here

We are LGBTQIA+ friendly, trans affirming, and culturally responsive to minority and women's experiences. Therapy works best when you do not have to explain who you are before you can talk about what you are going through. You belong here as you are.

Insurance Accepted

Accepting major insurers. We also accept HSA/FSA and offer CareCredit. No matter which option you choose, we handle all the billing for you through courtesy billing. We verify your benefits before your first session so there are no surprises.

Telehealth from Anywhere in Oregon

Every session happens over secure, HIPAA-compliant video. You do not need to be in Portland. Rural Oregon, the coast, Bend, Eugene, Medford. If you are in the state, we can see you. All you need is a private space and an internet connection.

Trauma-Informed Care

Every session is grounded in a trauma-informed approach. That means we go at your pace, respect your boundaries, and never push you somewhere you are not ready to go. Whether you are processing something recent or something you have carried for years, you are in control of the work we do together.

Ready to get started?

Choose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.

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