Every clinician at Inner Compass has at least one area of deep specialty training. Not just a generalist credential. Below: what we treat, the modalities we use, and how each kind of work tends to unfold.
Anxiety is the most common reason people come to us. And one of the most treatable. Our anxiety clinicians use evidence-based approaches (CBT, ACT, exposure work where appropriate) combined with the somatic and relational depth that makes the change actually stick.
Most clients see meaningful reduction in symptoms within 8–12 sessions. Some stay longer to build something deeper. Both are right.
Depression has a way of convincing you it's permanent and personal. It is neither. Our depression-focused clinicians combine evidence-based modalities with the warmth and patience that depression actually responds to.
We coordinate with your primary care provider if medication is part of your plan. We do not push medication, and we do not dismiss it.
We treat both single-event trauma (accidents, assaults, medical events) and complex/developmental trauma (sustained childhood adversity, attachment wounds). Our trauma specialists are trained in EMDR, Internal Family Systems, and somatic approaches.
This work moves at the pace your body can metabolize. We never push past your window of tolerance. Resourcing comes first, processing comes when you're ready.
Our couples lead Maya Nakamura is Gottman-trained, and we have additional clinicians in EFT. Sessions are 55 minutes, not the 50 the industry has normalized. Couples work needs the time.
Most couples come during a rupture. Some come during a calm season to fortify before kids, before retirement, before a hard transition. Both are good uses of this work.
Aisha Khalil leads our adolescent work. She actually likes teenagers. Which sounds like a low bar, but in a field that often defaults to pathology-talk about young people, it isn't. Sessions are with the teen alone, with periodic parent check-ins that the teen helps design.
We treat anxiety, low mood, identity work, school refusal, social media stress, and the small but heavy thing that's hard to name. We work especially well with BIPOC and queer youth.
Dr. Elena Foster is PSI-certified (Postpartum Support International) and leads our perinatal work. We see clients through fertility, pregnancy, postpartum, loss, and the long tail of matrescence. The identity transformation of becoming a parent.
We hold space for partners too. We're equally comfortable with birth and non-birth parents, adoptive parents, and parents through surrogacy.
Tasha Williams leads our grief and loss work. We hold space for bereavement, complicated grief, ambiguous loss (a person who is still here but lost to addiction, dementia, estrangement), anticipatory grief, and pet loss.
We don't move you through stages. We don't time you out. Grief integrates on its own clock, and we are here for as much of that clock as you need.
Sometimes nothing is wrong, exactly. You just sense that the shape of your life is shifting and you don't have a vocabulary for it. New job, new city, end of a long chapter, the slow ache of midlife, the recalibration after a child leaves home.
Several of our clinicians specialize in this. It tends to attract people who don't fit the diagnostic boxes and aren't sure they "need" therapy. They do. It just looks different.
You don't have to. That's our intake coordinator's job. In a 15-minute call we listen to what you're working on, what you've tried before, what your schedule and budget look like, and what kind of energy feels right. Then we make a recommendation. You always have the final say.
We're in-network with Aetna, BCBS, Cigna, Optum, Pacific Source, and Regence. We'll verify your benefits before your first session so you know your exact copay. For out-of-network plans we provide a "superbill" each month that you can submit for reimbursement.
We hold a number of sliding-scale slots open every month, $85–$145 depending on what's sustainable for you. There's no income verification or paperwork. We ask you to self-attest. If the slots are full we'll let you know honestly and help you find good alternatives.
It depends on the work. Anxiety and acute issues often resolve in 8–16 sessions. Trauma, complex grief, and longer-pattern work can take a year or more. Couples work is usually 12–20 sessions for an acute repair, sometimes more for ongoing maintenance. We'll talk about pacing openly, often.
Honestly, the research shows they're equivalent for most issues. In-person tends to feel slightly deeper for trauma work and couples therapy. Telehealth is often better for clients with chronic illness, parents of young kids, and anyone outside Portland proper. Many clients alternate.
Yes, with the few legal exceptions all therapists must follow (imminent danger to self or others, child or elder abuse, court orders). We do not share notes with insurance beyond the minimum diagnosis code required for billing. We will never discuss your case with anyone. Including your spouse or family. Without your written consent.
Tell us. We'd rather you switch therapists than lose months pretending. We'll rematch you, share notes (with your consent) so you don't have to restart from scratch, and absorb the cost of the transition. About 1 in 12 new clients switches at some point. It's not a failure. It's the system working.
No. We are not a psychiatry practice. If medication is part of your plan, we coordinate with your primary care provider or refer you to a trusted psychiatric prescriber. We work alongside medication regularly and have strong opinions about its responsible use.
24 hours notice, please. We charge the full session fee for late cancellations or no-shows because that hour was held for you and can't be filled. Life happens. If it's a one-time emergency, we always waive it. We're not in this to nickel-and-dime you.
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