Individual & Couples Therapy
You don't have to carry everything alone. Whether you're struggling with anxiety, working through relationship challenges, or facing a major life change, I'm here to walk alongside you.
Anxiety · Couples · Life Transitions
Schedule a Free Consultation Learn more about my approach →Who I Help
Therapy isn't about being "broken enough" to need help. It's about giving yourself the space to breathe, to process, and to grow. Here are some of the areas where I can help.
If you're feeling overwhelmed, caught in racing thoughts, or struggling to quiet the constant hum of worry — you're not alone. Together, we'll find ways to calm your nervous system and build resilience that lasts.
If you and your partner feel disconnected, stuck in the same arguments, or unsure how to find your way back to each other — there's hope. I help couples rebuild trust, improve communication, and rediscover what brought them together.
If you're facing a career change, becoming a parent, navigating a divorce, or simply feeling lost about what comes next — transitions are hard. I'll help you find clarity and confidence in the uncertainty.
If you've been putting everyone else first and lost sight of who you are, or if the inner critic is louder than it should be — we'll work together to reconnect you with your strengths and your voice.
About Me
I became a therapist because I believe everyone deserves someone in their corner — someone who listens without judgment, who asks the questions you might be afraid to ask yourself, and who genuinely cares about your wellbeing.
My approach is integrative, which means I draw from several evidence-based methods depending on what you need. I blend Cognitive Behavioral Therapy (CBT) to help you reframe unhelpful thought patterns, mindfulness practices to ground you in the present, and attachment-based work to help you understand how your relationships shape your emotional world.
But honestly? The most important thing isn't the technique — it's the relationship. Research shows that the connection between therapist and client matters more than any specific modality. My goal is to create a space where you feel safe enough to be honest, messy, and real.
Healing isn't linear, and you don't have to do it perfectly. You just have to show up.
What to Expect
Taking the first step can feel overwhelming. Here's exactly how the process works so there are no surprises.
Fill out the contact form below or call me directly. I'll respond within 24 hours. We'll have a brief, free phone consultation (15 minutes) to make sure we're a good fit. No pressure, no obligations.
Our first meeting is about getting to know each other. I'll ask about what's bringing you in, your history, and your goals. You'll have a chance to ask me anything. Think of it as a conversation, not an evaluation.
Together, we'll create a path forward that's tailored to you. Most clients start with weekly sessions and adjust from there. Therapy is your space — we move at your pace, always.
In-Person: My office in NW Portland provides a warm, private space for our sessions.
Telehealth: Secure video sessions from the comfort of your home — available for all Oregon residents.
Everything we discuss is confidential, protected by law and by my deep commitment to your trust. I use HIPAA-compliant platforms for telehealth and never share your information without your written consent.
Practical Details
I'm in-network with these providers. Don't see yours? I can provide superbills for out-of-network reimbursement.
$150 per 50-minute session
Sliding scale rates are available for those who need them. I believe finances should never be a barrier to mental health care. Let's talk about what works for you.
NW Portland Office
Pearl District, Portland, OR 97209
Hours: Monday – Thursday, 9am – 6pm
Telehealth available for evening sessions
I'd love to hear from you. Fill out the form below and I'll get back to you within 24 hours to schedule your free 15-minute consultation.
This form is for scheduling purposes only. Please don't include sensitive health information here — we'll discuss everything in our private sessions.
📞 (503) 555-0187
📧 sarah@sarahmitchelltherapy.com