Grief counselors and therapists in Portland, OR

I strive to create a warm and welcoming environment where it feels safe to lay all your cards out on the table without fear of being judged. Our lives can sometimes be brutal, or exceedingly beautiful, and everything in between. I'm here for all of it. I find that I work particularly well with people who are struggling with major life transitions, grief, and managing chronic conditions.

I provide precision psychiatric care focused on identifying what’s actually driving your symptoms—not just managing a diagnosis. I provide psychiatric evaluation and medication management for adults with anxiety, depression, ADHD, mood disorders, and related concerns, with a focus on clear treatment plans and measurable progress. I will provide you with the tools you need to support bringing your whole body into balance. From weight loss to longevity stacks, ketamine inspired transformation sessions, testosterone to B12 shots, you'll finally get what works, not what's common.

With over a decade of experience supporting youth and families, I have experience in developmental disabilities and LGBTQIAA+ issues. I have worked in crisis stabilization, substance use treatment, and group homes. Using evidence-based practices like CBT and Solution-Focused Therapy, I provide telehealth and in-person therapy. My strengths-based approach helps clients build resilience, navigate challenges, and achieve lasting positive change in a supportive environment.

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I believe every person deserves to be heard, understood, and treated as more than a diagnosis. I take the time to understand the whole person, considering the biological, psychological, social, and lifestyle factors that influence mental health. I provide compassionate, evidence-based care for children, adolescents, adults, and older adults, creating personalized treatment plans that support lasting wellness. My goal is to help you feel supported, empowered, and confident throughout your mental health journey.

I love working with clients to feel less uncomfortable with the unknown, less anxious, and more fully engaged in life and relationships.