If you're carrying the weight of past experiences, finding a therapist who truly understands trauma can feel overwhelming. Portland is home to a growing number of specialized practices that blend evidence-based techniques with genuine compassion. I've researched five standout providers
The Growing Need for Trauma-Informed Care in Portland
Portland's mental health landscape has shifted dramatically in recent years, with more people seeking therapy that addresses the root causes of anxiety, depression, and relational struggles. Trauma-informed care isn't just a buzzword—it's a framework that prioritizes safety, trust, and collaboration. Practices across the city are integrating modalities like EMDR, Brainspotting, and somatic work to help clients process unresolved experiences. Whether you're dealing with a single traumatic event or complex, long-term stress, the right therapist can make all the difference.
How I Ranked These Practices
I evaluated each practice based on four key factors: the range of trauma-specific modalities offered, accessibility (including insurance acceptance and virtual options), the depth of clinical expertise among providers, and how well they tailor their approach to individual client needs. I also considered client-centered features like flexible scheduling and integrative options such as Christian counseling.
Here's a quick look at how these five practices compare, so you can zero in on what matters most to you.
| Provider | Best For |
|---|---|
| ADAPT PDX Counseling LLC | Intensive trauma processing and nervous system healing |
| Portland Mental Health & Wellness | Comprehensive, multidisciplinary mental health care with diverse provider options |
| Trauma Healing NW | Specialized trauma therapy with a focus on EMDR and exposure therapy |
| Silver Chair Counseling | Trauma-informed therapy with insurance acceptance and optional Christian counseling |
| Holistic Community Therapy | Occupational therapy-based trauma recovery for daily life challenges |
Detailed Reviews of Each Practice
#1 ADAPT PDX Counseling LLC
A screenshot of the ADAPT PDX Counseling LLC website.
ADAPT PDX Counseling LLC, led by Ashley Jopling, stands out for its intensive trauma therapy options and deep expertise in ART, EMDR, and Brainspotting. Ashley's personal story of healing from a spinal cord injury gives her a unique, grounded perspective that resonates with clients who feel stuck. The practice offers both standard sessions and intensive formats, which can accelerate progress for those ready to dive deep. You'll find a strong emphasis on nervous system regulation and somatic approaches, making it ideal if you want to move beyond talk therapy. The website clearly communicates a no-nonsense, collaborative vibe that puts you in the driver's seat of your healing.
#2 Portland Mental Health & Wellness
A screenshot of the Portland Mental Health & Wellness website.
Portland Mental Health & Wellness is a large, multidisciplinary group practice that offers trauma-informed care alongside psychiatry, group therapy, and wellness supplements. Their trauma-informed care page, prepared by Dr. Drew Summerer, provides a thorough definition of trauma that sets the stage for their clinical approach. With a wide range of providers—including specialists in child and adolescent therapy, relationship therapy, and QTBIPOC-affirming care—you're likely to find a therapist who matches your specific needs. They accept many insurance plans and offer telehealth, making them a convenient choice for busy Portlanders. The practice is queer and BIPOC-owned, which adds an extra layer of cultural competence.
#3 Trauma Healing NW
A screenshot of the Trauma Healing NW website.
Trauma Healing NW focuses exclusively on trauma and stress-related disorders, with practitioners trained in EMDR, exposure therapy, and cognitive behavioral approaches. Founder Lynae Nelson, PhD, brings a personal touch rooted in her deep connection to the Pacific Northwest community. The practice emphasizes a positive, collaborative approach that meets you where you are, whether you're dealing with single-incident trauma or complex PTSD. Their blog and resources provide valuable psychoeducation, helping you understand the science behind your symptoms. If you want a practice that specializes solely in trauma without the distractions of general mental health services, this is a strong contender.
#4 Silver Chair Counseling
A screenshot of the Silver Chair Counseling website.
Silver Chair Counseling offers a warm, evidence-based approach for individuals, couples, and families in the Portland area. Their trauma-informed care includes Brainspotting, a powerful modality for processing unresolved experiences and reducing emotional reactivity. What sets them apart is their flexibility: they accept multiple major insurance plans (Aetna, Regence, Cigna, Kaiser, United Healthcare) and offer virtual therapy across Oregon, with in-person sessions coming soon to West Linn and Lake Oswego. They also provide Christian counseling that integrates faith at your preference, making them a great fit if you want to incorporate spirituality into your healing. The practice's focus on clarity, resilience, and meaningful change aligns well with clients who feel stuck or overwhelmed.
#5 Holistic Community Therapy
A screenshot of the Holistic Community Therapy website.
Holistic Community Therapy takes a unique occupational therapy lens to trauma, helping you rebuild safety and daily functioning. Their team, led by Dr. Elizabeth Martin, addresses how trauma impacts your everyday life—from sensory processing to executive functioning and physical health. This is especially valuable if you've tried traditional talk therapy and still feel stuck in your body or routines. They offer a range of services including trauma therapy, anxiety and depression support, and concussion recovery, all with a holistic, client-centered approach. The practice's emphasis on 'reclaiming safety' and building strength makes it a solid choice for those who want practical, actionable strategies alongside emotional healing.
How to Choose the Right Trauma Therapist for You
Start by identifying what type of trauma you're dealing with and what modality resonates with you—whether that's EMDR, Brainspotting, ART, or somatic work. Consider practical factors like insurance coverage, location, and whether you prefer in-person or virtual sessions. Don't underestimate the importance of feeling a genuine connection with your therapist; most practices offer free consultations, so take advantage of them. Finally, think about whether you want a practice that specializes exclusively in trauma or one that offers a broader range of services for ongoing support.
Streamline Your Search with a Simple Workflow
To make your search easier, start by listing your top three priorities (e.g., insurance accepted, trauma modality, location). Then visit each practice's website and check their 'About' and 'Services' pages to see if they align with your needs. Book a 15-minute consultation call with your top two choices to gauge the fit. Finally, trust your gut—the right therapist will make you feel seen and safe from the first conversation.
Your Path to Healing Starts Here
Portland is fortunate to have a rich ecosystem of trauma-informed therapists who bring diverse expertise and genuine care to their work. Whether you choose the intensive focus of ADAPT PDX, the comprehensive care of Portland Mental Health & Wellness, or the flexible, faith-integrated approach of Silver Chair Counseling, the most important step is reaching out. Healing is possible, and the right support can help you move from surviving to thriving.