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Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA

Cassandra Miasnikov

Professional Counselor Associate, MA, LPCA

Verified by Psychology Today Verified by Psychology Today
3 Endorsed
Portland, OR 97209
(971) 385-5780
Let's Connect (971) 385-5780
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
As an LGBTQ+ neurodivergent therapist, I know it’s not easy living in a world that wasn’t built for you. Are you sick of being overlooked by doctors because you don’t match their outdated image of someone with ADHD, autism, OCD, or bipolar? Does your brain oscillate between overstimulated and understimulated? Are you tired of getting brushed off because you’re not struggling "enough,” but you’re still struggling with tasks like hygiene, grocery shopping, navigating the airport, or feeling lonely?
I specialize in therapy empowering neurodivergent people who don't fit the outdated, "traditional" picture of neurodivergence, including people of color, women, nonbinary, and trans individuals. Together, we create a therapeutic space that honors individuality, promotes resilience, and fosters growth in a safe, understanding environment.
You are worthy of the support and understanding you've spent your life looking for. You deserve flexibility, whether that's telehealth sessions or Dungeons & Dragons therapy. Together, we’ll help you better understand your needs, collaboratively identify and advocate for supports, and dismantle shame to help you thrive.
Call or Cassandra Miasnikov now for a free 15 minute consultation - (971) 385-5780

My Practice at a Glance

Available online only

Portland, OR 97209

(971) 385-5780
I offer online therapy to neurodivergent individuals & families across Oregon. Weekday, weekend & evening appointments are available.
I specialize in ADHD, Autism and Obsessive-Compulsive (OCD) 
$179 Per Session  
I see individuals, couples and families  
Hey, I'm Cassandra! I provide compassionate online therapy to neurodivergent people across Oregon. Weekend & evening appointments available.
Cassandra Miasnikov
Let's Connect (971) 385-5780
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA

My Practice at a Glance

Available online only

Portland, OR 97209

(971) 385-5780
I offer online therapy to neurodivergent individuals & families across Oregon. Weekday, weekend & evening appointments are available.
I specialize in ADHD, Autism and Obsessive-Compulsive (OCD) 
$179 Per Session  
I see individuals, couples and families  
Hey, I'm Cassandra! I provide compassionate online therapy to neurodivergent people across Oregon. Weekend & evening appointments available.
Cassandra Miasnikov

Finances

Fees

  • Individual Sessions $179
  • Couple Sessions $200
  • Sliding scale: apply if you may be eligible

Payment Methods

ACH Bank transfer, American Express, Cash, Check, Discover, Mastercard, Paypal, Venmo, Visa

Insurance

  • Out of Network
"
My fee reflects both the value of my investment in acquiring the training, skills, and experience necessary to offer you truly effective neurodivergent therapy and your investment in creating the support, understanding, and skills to help you live the life you're most proud of.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780
"
My fee reflects both the value of my investment in acquiring the training, skills, and experience necessary to offer you truly effective neurodivergent therapy and your investment in creating the support, understanding, and skills to help you live the life you're most proud of.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780

Qualifications

  • Verified by Psychology Today Prelicense by State of Oregon / R10187 Supervised by Brad Byrum (Oregon / 2185) Cassandra Miasnikov

    • Education and Years In Practice

  • In Practice for 1 year
  • Attended Pepperdine University, MA in Clinical Psychology, Graduated 2024

    • Additional Credentials

  • Prelicense by State of Oregon / R10187
"
I earned my MA in Clinical Psychology. I've also served as a lead presenter for the National Alliance on Mental Illness (NAMI), a writer for the International Bipolar Foundation, & a mental health journalist for Insider. Before that, I was a tutor for children with ADHD, ASD, & dyslexia.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780
"
I earned my MA in Clinical Psychology. I've also served as a lead presenter for the National Alliance on Mental Illness (NAMI), a writer for the International Bipolar Foundation, & a mental health journalist for Insider. Before that, I was a tutor for children with ADHD, ASD, & dyslexia.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780

Specialties and Expertise

Top Specialties

  • ADHD
  • Autism
  • Obsessive-Compulsive (OCD)

Expertise

  • Anxiety
  • Asperger's Syndrome
  • Bipolar Disorder
  • Bisexual
  • Chronic Illness
  • Chronic Pain
  • Codependency
  • Developmental Disorders
  • LGBTQ+
  • Life Transitions
  • Mood Disorders
  • Neurodivergence
  • School Issues
  • Self Esteem
  • Sleep or Insomnia
  • Transgender
  • Women's Issues
"
I have extensive training in assessing & treating neurodivergent people, including conducting independent clinical research & presenting my findings at research conferences in California, Oregon, & Washington. My primary areas of focus are ADHD, autism, anxiety, obsessive-compulsive, & bipolar disorders.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780
"
I have extensive training in assessing & treating neurodivergent people, including conducting independent clinical research & presenting my findings at research conferences in California, Oregon, & Washington. My primary areas of focus are ADHD, autism, anxiety, obsessive-compulsive, & bipolar disorders.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780

3 Endorsements

Brad Byrum
Brad Byrum
Marriage & Family Therapist, MA, LMFT
I am delighted to recommend Cassandra! I have had the opportunity of working with her for sometime and I am so impressed with her clinical expertise, her flexible and effective use of evidence based therapy models, and commitment to client well-being.
Maple Leaf Counseling
Maple Leaf Counseling
Marriage & Family Therapist Associate, AMFT
Cassie creates a warm, empowering environment for her clients. Her expertise with ADHD, autism, and bipolar disorder underscores her belief in neurodivergence as a strength. Known for her genuine empathy and understanding, Cassie makes clients feel valued.
Clifford Henry
Clifford Henry
Professional Counselor Associate, MA
Cassandra is a uniquely skilled and affirming therapist for neurodivergent individuals and couples seeking supportive, integrative therapy. Their unique use of Dungeons & Dragons therapy helps clients with ADHD, anxiety, and autism build confidence.

Client Focus

Age

Children (6 to 10) , 
Preteen , 
Teen , 
Adults

Participants

Individuals , 
Couples , 
Family

Communities

Bisexual Allied , 
Gay Allied , 
Immuno-disorders , 
Lesbian Allied , 
Non-Binary Allied , 
Queer Allied , 
Racial Justice Allied , 
Transgender Allied

Ethnicity

Hispanic and Latino

Age

Children (6 to 10) , 
Preteen , 
Teen , 
Adults

Participants

Individuals , 
Couples , 
Family

Communities

Bisexual Allied , 
Gay Allied , 
Immuno-disorders , 
Lesbian Allied , 
Non-Binary Allied , 
Queer Allied , 
Racial Justice Allied , 
Transgender Allied

Ethnicity

Hispanic and Latino

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Art Therapy
  • Attachment-based
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • Exposure Response Prevention (ERP)
  • Internal Family Systems (IFS)
  • Multicultural
  • Narrative
  • Play Therapy
  • Strength-Based
  • Trauma Focused
"
I tailor interventions to meet the unique needs of each client, helping you develop self-esteem, emotional regulation, & effective coping strategies. My approach draws from Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and play therapy. I also use Exposure and Response Prevention (ERP) to assist individuals experiencing obsessive-compulsive disorder (OCD).
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780
"
I tailor interventions to meet the unique needs of each client, helping you develop self-esteem, emotional regulation, & effective coping strategies. My approach draws from Dialectical Behavioral Therapy (DBT), Acceptance and Commitment Therapy (ACT), and play therapy. I also use Exposure and Response Prevention (ERP) to assist individuals experiencing obsessive-compulsive disorder (OCD).
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call or for a free 15 minute consultation now - (971) 385-5780

Location

Primary Location

Portland, OR 97209

(971) 385-5780

Email me

My website

Nearby Areas

Cities

Counties

Zips

Neighborhoods

"
I offer online therapy to neurodivergent individuals & families across Oregon. Weekday, weekend & evening appointments are available.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call for a free consultation now - (971) 385-5780
"
I offer online therapy to neurodivergent individuals & families across Oregon. Weekday, weekend & evening appointments are available.
Photo of Cassandra Miasnikov, Professional Counselor Associate, MA, LPCA
Cassandra Miasnikov
Professional Counselor Associate, MA, LPCA
Call for a free consultation now - (971) 385-5780