Elizabeth Sylvester

I've spent years working in some of the most demanding mental health environments — acute psychiatric care, community mental health, hospital psychiatric units — and what I learned is that people are far more resilient than they realize, even when it doesn't feel that way. I bring that perspective into every session: deep respect for where you've been and genuine confidence in where you can go. I work with adults across Oregon via telehealth, which means consistent, high-quality care is available wherever life has you.

I don't believe in one-size-fits-all therapy. My approach blends evidence-based methods — including EMDR for trauma, Mindfulness-Based Cognitive Therapy (MBCT) for anxiety and depression, Prolonged Exposure, and Solution-Focused Brief Therapy — depending on what actually fits you. I'm also trained in Positive Psychology and Narrative Therapy, so we're not just working through problems; we're identifying your strengths and building the story you want to live. The therapeutic relationship matters most to me. When trust is real, real change follows.

Our first session is a conversation, not a checklist. I'll ask about your history and what's bringing you in, but I'm equally interested in what you're hoping for and what's felt impossible to say out loud. We'll set a direction together. By the end, you should have a real sense of what working with me looks like — and whether it feels right. There's no pressure. Just an honest start.