Focused, evidence-based sessions with a psychologist who has been doing this for nearly 20 years. You will leave every session with something useful: a new strategy, a clearer perspective, or a concrete next step. Not just insight for insight's sake.
This is not the kind of therapy where someone nods quietly while you talk for an hour. Every session has direction.
No three-session intake process. We dive into what brought you in during the first session. You will leave your first appointment with a clear understanding of what we are working on and a plan for how we are going to get there.
Luke names patterns when he sees them and offers direct guidance. He is not going to sit back and wait for you to figure it out alone. He will tell you what he thinks, explain his reasoning, and make sure the feedback lands in a way you can use.
Understanding why something happens is step one. Learning what to do about it is the whole point. Every session includes practical strategies you can put into practice between sessions. Therapy is not just 50 minutes a week. It is what you do with the other 167 hours.
We track your progress with real data, not just a vague sense that things are improving. If something is not working, we know it quickly and adjust. You should be able to see and feel the change over time, and so should we.
Dr. Dowling specializes in these areas and the ways they overlap. Most people come in with more than one.
ADHD-informed therapy helps you build real systems for executive function, time management, task initiation, and follow-through. We work with your brain, not against it. If you are already diagnosed, we get straight to strategy. If you are wondering whether it is ADHD, we can evaluate it in-house.
Evidence-based approaches (CBT and ACT) that give you real tools to manage worry, quiet the overthinking, and handle the physical symptoms. Whether it is generalized anxiety, social anxiety, health anxiety, perfectionism, or panic, therapy helps you respond differently instead of just coping.
Therapy helps you rebuild momentum when everything has slowed down. We use behavioral activation to get you moving, CBT to address the thought patterns keeping depression in place, and interpersonal strategies to strengthen the connections that matter. Especially effective when depression overlaps with ADHD.
Career changes, relationship shifts, parenthood, retirement, loss, relocation. Therapy gives you an unbiased, clear-headed guide through the change. Luke helps you sort through the emotional side and make decisions you are confident in.
ADHD, anxiety, and depression overlap more often than they do not. A psychologist who treats all three together, and has diagnostic tools in-house, means you get a complete picture instead of a narrow one. We treat what is actually going on, not just the most obvious symptom.
All evidence-based. All tailored to you. Here is what they mean in plain language.
The most researched therapy approach in the world. CBT helps you identify the thought patterns and behaviors keeping a problem going, and replace them with more effective ones. It is structured, practical, and has strong evidence for anxiety, depression, and ADHD.
Instead of fighting difficult thoughts and feelings, ACT helps you build a different relationship with them. You learn to take action toward your goals even when discomfort shows up. Especially effective for anxiety and avoidance patterns.
Practical tools adapted for how ADHD brains actually work: task initiation techniques, time management systems, executive function support, and accountability structures. Not generic advice, but specific strategies designed for the ADHD experience.
The evidence is clear: motivation follows action, not the other way around. Behavioral activation helps you rebuild momentum gradually, starting small and building up. The gold standard for depression.
Everything you need to know about how sessions work.
Individual therapy (one-on-one with Dr. Dowling)
Telehealth via secure, HIPAA-compliant video. Available to anyone physically located in Oregon during their session.
Weekly or biweekly, depending on your goals and what works for your life. We adjust the cadence as you progress.
50-55 minutes per session. Long enough to do real work, structured enough to stay focused.
In-network with Providence Health Plan. Regence and Moda coming soon. Superbills provided for out-of-network reimbursement. HSA/FSA accepted.
Flexible scheduling with daytime and evening availability. No waitlist. Most people start within a week of their consultation.
What makes therapy here different from a large group practice or a therapy marketplace.
You see the same psychologist every session. No rotating therapists, no repeating your story, no starting over with someone new. Dr. Dowling knows your history and tracks your progress over time.
If a question comes up during therapy, like "could this be ADHD?", we can answer it right here with a comprehensive evaluation. No referral to a separate provider, no months-long wait for testing. Your therapist is also your diagnostician.
Dr. Dowling holds a PsyD and has nearly 20 years of experience across community mental health, university settings, and private practice. He can do things most therapists cannot, including advanced assessment and complex differential diagnosis.
ADHD, anxiety, depression, and life transitions rarely show up in isolation. Luke treats all of them and understands how they interact. You get a complete picture instead of a narrow one.
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.