Self-Harming Therapists in Portland, OR

I specialize in helping clients recover from complex trauma, and the behaviors that often go with it, such as self-harming, self-medicating, and a lack of self-compassion.
I am a licensed therapist (LPC) and I have been working in mental health in various roles since 2012. I have done a little bit of everything, including mobile crisis therapy out in the community with law enforcement and in ER’s, and this experience has given me a unique opportunity and ability to understand the needs and experiences of my clients.
I specialize in helping clients recover from complex trauma, and the behaviors that often go with it, such as self-harming, self-medicating, and a lack of self-compassion.
I am a licensed therapist (LPC) and I have been working in mental health in various roles since 2012. I have done a little bit of everything, including mobile crisis therapy out in the community with law enforcement and in ER’s, and this experience has given me a unique opportunity and ability to understand the needs and experiences of my clients.

I combine cutting-edge therapeutic approaches with deep empathy to help you understand and transform challenging patterns.
My ideal client recognizes that while they may be successful in many areas of life, they're struggling with anxiety, depression, or complex trauma that's holding them back from their full potential. They seek more than symptom relief – they want deep, meaningful change and personal growth. These individuals are ready to engage in therapy actively, willing to explore their patterns and beliefs, and committed to their healing journey. Whether dealing with childhood wounds, relationship challenges, or professional stress, they're prepared to invest the necessary effort to create lasting positive change in their lives.
I combine cutting-edge therapeutic approaches with deep empathy to help you understand and transform challenging patterns.
My ideal client recognizes that while they may be successful in many areas of life, they're struggling with anxiety, depression, or complex trauma that's holding them back from their full potential. They seek more than symptom relief – they want deep, meaningful change and personal growth. These individuals are ready to engage in therapy actively, willing to explore their patterns and beliefs, and committed to their healing journey. Whether dealing with childhood wounds, relationship challenges, or professional stress, they're prepared to invest the necessary effort to create lasting positive change in their lives.

I combine creative, holistic approaches with proven treatment modalities such as Eye Movement Desensitization and Reprocessing (EMDR), a cutting edge brain re-programming treatment to clear anxiety and troubling emotions linked to painful past experiences quickly.
Integrating a person centered approach and techniques shown to improve outcomes, I synthesize clinically informed interventions and art therapy to facilitate symbolic communication, insight and healing. Making art about your current life circumstances honors the integrity of who you are and allows you to see your current feeling state. My role is to be a guide in the creative process, providing an avenue for expression and exploration. I will listen in a non-judgmental way, ask questions, provide feedback and collaborate with my clients to cultivate skills and foster the growth of mindfulness, frustration tolerance, creative problem solving and healing from complex trauma.
I combine creative, holistic approaches with proven treatment modalities such as Eye Movement Desensitization and Reprocessing (EMDR), a cutting edge brain re-programming treatment to clear anxiety and troubling emotions linked to painful past experiences quickly.
Integrating a person centered approach and techniques shown to improve outcomes, I synthesize clinically informed interventions and art therapy to facilitate symbolic communication, insight and healing. Making art about your current life circumstances honors the integrity of who you are and allows you to see your current feeling state. My role is to be a guide in the creative process, providing an avenue for expression and exploration. I will listen in a non-judgmental way, ask questions, provide feedback and collaborate with my clients to cultivate skills and foster the growth of mindfulness, frustration tolerance, creative problem solving and healing from complex trauma.

Let's shoot straight to the point. You're here because you; A) at a loss with your kid; B) can't stand your parents; or C) don't know what to do about yourself. I'm here to help you, your child, or your family feel more human.
Let's shoot straight to the point. You're here because you; A) at a loss with your kid; B) can't stand your parents; or C) don't know what to do about yourself. I'm here to help you, your child, or your family feel more human.

I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.
I see our work together as a team that balances putting in the hard work while understanding you have to have some laughs along the way! Above all modalities, the therapeutic relationship is what I value most in our work together. I primarily use Dialectical Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Art Therapy. Despite my degree in art therapy, my dual license allows me to provide more traditional talk therapy, too.

I believe that everyone can achieve a balanced and healthy life. Everyone has the capacity to learn new behaviors and skills, and ways of being that are aligned with their values and beliefs. I will collaborate with you to find strategies that best fit your needs, help you achieve your goals, and address what brought you to counseling.
I believe that everyone can achieve a balanced and healthy life. Everyone has the capacity to learn new behaviors and skills, and ways of being that are aligned with their values and beliefs. I will collaborate with you to find strategies that best fit your needs, help you achieve your goals, and address what brought you to counseling.

I have been counseling for over twenty years, and working with people is truly my passion. I work primarily with teens, adults, and couples, with an emphasis in working with first responders . I specialize in self-harm behaviors, eating disorders, relationship conflict, depression, anxiety, PTSD, self-esteem, and abuse issues. As a Christian counselor I integrate Biblical truths with psychological principles. I believe it is the job of the counselor to provide a safe, supportive, challenging, and collaborative environment for each client that enters the office. I work with many insurance companies as an out-of-network provider only.
I have been counseling for over twenty years, and working with people is truly my passion. I work primarily with teens, adults, and couples, with an emphasis in working with first responders . I specialize in self-harm behaviors, eating disorders, relationship conflict, depression, anxiety, PTSD, self-esteem, and abuse issues. As a Christian counselor I integrate Biblical truths with psychological principles. I believe it is the job of the counselor to provide a safe, supportive, challenging, and collaborative environment for each client that enters the office. I work with many insurance companies as an out-of-network provider only.

The greatest joy comes when clients break free of painful patterns and move to feeling comfortable with life. I've been a counselor for 30 years, with extensive experience helping those struggling with depression, anxiety, trauma, and addictions. Getting at underlying issues of shame, loss of control and grief changes lives. When therapy works there's more than just insight; clients feel it in their heart as well as their head. Those around them see that they have a life worth living with more happiness and better handling of the inevitable potholes.
The greatest joy comes when clients break free of painful patterns and move to feeling comfortable with life. I've been a counselor for 30 years, with extensive experience helping those struggling with depression, anxiety, trauma, and addictions. Getting at underlying issues of shame, loss of control and grief changes lives. When therapy works there's more than just insight; clients feel it in their heart as well as their head. Those around them see that they have a life worth living with more happiness and better handling of the inevitable potholes.

I have over 20 years of experience and specialty in working with teens, young adults, and caregivers. As teenagers and young adults navigate through changes of life, there are often struggles such as anxiety, depression, and self-esteem. Parenting can be accompanied by stress, confusion, and moments of doubt while supporting children of any age. We will work together to identify and build upon your strengths, improve communication, learn new coping skills, and create lasting changes. I will actively support you as you learn to navigate life stressors more effectively and and improve your overall sense of well-being.
I have over 20 years of experience and specialty in working with teens, young adults, and caregivers. As teenagers and young adults navigate through changes of life, there are often struggles such as anxiety, depression, and self-esteem. Parenting can be accompanied by stress, confusion, and moments of doubt while supporting children of any age. We will work together to identify and build upon your strengths, improve communication, learn new coping skills, and create lasting changes. I will actively support you as you learn to navigate life stressors more effectively and and improve your overall sense of well-being.

Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.
Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.

Hello, my name is Rachel Ravarra, and I am a Licensed Clinical Social Worker. Our work together will center on self-exploration and the development of skills to preserve a connection to one's identity in difficult times. Employing a client-centered approach, I assist individuals in building resilience, increasing self-awareness, and developing practical coping skills to manage life's challenges with a healing, grounded, and reflective sense of self.
Hello, my name is Rachel Ravarra, and I am a Licensed Clinical Social Worker. Our work together will center on self-exploration and the development of skills to preserve a connection to one's identity in difficult times. Employing a client-centered approach, I assist individuals in building resilience, increasing self-awareness, and developing practical coping skills to manage life's challenges with a healing, grounded, and reflective sense of self.

If you are thinking about starting therapy, you've already taken the first step toward making a change. I strive to help you grow into your best self, to feel validated and heard, and have increased self-compassion. I work with adolescents and adults who struggle with eating disorders/disordered eating, compulsive exercise, anxiety, depression, trauma, relational stress, and life transitions. I also specialize in working with members of the LGBTQIA+ community. It is my belief that having an accepting, respectful, and collaborative relationship is necessary for the healing and change process to occur.
If you are thinking about starting therapy, you've already taken the first step toward making a change. I strive to help you grow into your best self, to feel validated and heard, and have increased self-compassion. I work with adolescents and adults who struggle with eating disorders/disordered eating, compulsive exercise, anxiety, depression, trauma, relational stress, and life transitions. I also specialize in working with members of the LGBTQIA+ community. It is my belief that having an accepting, respectful, and collaborative relationship is necessary for the healing and change process to occur.

I have learned from the best Social Work program in the country that our therapeutic alliance is the most important determinant of success for you. As a practitioner, the most important thing I can bring to a therapeutic relationship is authenticity. I am skilled in working with and helping people who are facing a variety of challenges. My therapy practice is individualized and seeks to build on your internal strengths. I am here to meet you where you are and help guide you to your mental health goals.
I have learned from the best Social Work program in the country that our therapeutic alliance is the most important determinant of success for you. As a practitioner, the most important thing I can bring to a therapeutic relationship is authenticity. I am skilled in working with and helping people who are facing a variety of challenges. My therapy practice is individualized and seeks to build on your internal strengths. I am here to meet you where you are and help guide you to your mental health goals.

I have a passion for working with adolescents and their families to navigate understanding and to promote growth as a system. My experience thus far includes a great emphasis on eating disorders and embodiment.
I have a passion for working with adolescents and their families to navigate understanding and to promote growth as a system. My experience thus far includes a great emphasis on eating disorders and embodiment.

Ever made to feel never enough? Do you fear how others would react if you were to make a mistake, share your authentic self, or reveal your family or relationship is not as picture perfect? Are you haunted by your past, worried about the future, or feel in some way “broken”? We all learn ways to cope when in an invalidating environment. Perhaps you are the supportive rock for your friends that believe you have it all together. Maybe you learned it was safest to be invisible, perfect, or take care of everyone but yourself. These strategies have at one time helped, but are now keeping you from living the life that you want.
Ever made to feel never enough? Do you fear how others would react if you were to make a mistake, share your authentic self, or reveal your family or relationship is not as picture perfect? Are you haunted by your past, worried about the future, or feel in some way “broken”? We all learn ways to cope when in an invalidating environment. Perhaps you are the supportive rock for your friends that believe you have it all together. Maybe you learned it was safest to be invisible, perfect, or take care of everyone but yourself. These strategies have at one time helped, but are now keeping you from living the life that you want.

At the heart of therapy is the soul. In my experience in counseling as participant and clinician, the question how do we address suffering and find meaning is of utmost importance. We all need connection in our stories, especially when facing hardship, pain, heartbreak, trauma, grief, loss, and broken relationships. Building rapport between you and I is of utmost importance to me. I will provide you a safe, secure, accepting, and curious space to explore where you want to take your next steps in this chapter of life. Let's explore how to find healing and to transform obstacles as a path to liberation instead of a detriment.
At the heart of therapy is the soul. In my experience in counseling as participant and clinician, the question how do we address suffering and find meaning is of utmost importance. We all need connection in our stories, especially when facing hardship, pain, heartbreak, trauma, grief, loss, and broken relationships. Building rapport between you and I is of utmost importance to me. I will provide you a safe, secure, accepting, and curious space to explore where you want to take your next steps in this chapter of life. Let's explore how to find healing and to transform obstacles as a path to liberation instead of a detriment.

Sara Beth Austin | Anxiety And Burnout Therapist
Professional Counselor Associate, MA, NCC, DARTT, RYT
3 Endorsed
Portland, OR 97205
I help stressed, perfectionistic students and health care professionals learn how to relax. Too much self-control, or overcontrol, makes it hard to enjoy life and connect meaningfully with others. It’s exhausting to feel like you’re always ‘on’, performing, or wearing a mask. Overcontrol can lead to anxiety, depression, disordered eating, obsessive-compulsive behavior, and intimacy avoidance. You don’t have to struggle alone–I’ve been a therapist helping LGBTQIA+, BIPOC, and other folx get unstuck for over 10 years.
I help stressed, perfectionistic students and health care professionals learn how to relax. Too much self-control, or overcontrol, makes it hard to enjoy life and connect meaningfully with others. It’s exhausting to feel like you’re always ‘on’, performing, or wearing a mask. Overcontrol can lead to anxiety, depression, disordered eating, obsessive-compulsive behavior, and intimacy avoidance. You don’t have to struggle alone–I’ve been a therapist helping LGBTQIA+, BIPOC, and other folx get unstuck for over 10 years.

Our past experiences can impact how we navigate the present. Understanding and processing our experiences can lead to healing and transformation. My priority is creating an open and safe space to explore these experiences through genuine connection, empathy and acceptance. I use a person-centered and trauma-informed approach to therapy that draws on techniques from EMDR, parts work (internal family systems therapy), attachment theory, somatic therapy, emotionally focused therapy, cognitive behavioral therapy and others that align with your unique needs, values and goals.
Our past experiences can impact how we navigate the present. Understanding and processing our experiences can lead to healing and transformation. My priority is creating an open and safe space to explore these experiences through genuine connection, empathy and acceptance. I use a person-centered and trauma-informed approach to therapy that draws on techniques from EMDR, parts work (internal family systems therapy), attachment theory, somatic therapy, emotionally focused therapy, cognitive behavioral therapy and others that align with your unique needs, values and goals.

Portland Depth Psychotherapy Laura Birchard, LPC
Licensed Professional Counselor, MA, LPC, CADCI
2 Endorsed
Portland, OR 97209
You hold a unique process of transformation within. Yet becoming your authentic self in the world can be deeply challenging. You may feel stuck, disconnected, and weighed down by something you can’t quite name. A part of you longs for change, yet the way forward feels unclear. I work with teens and adults helping them understand their emotions, build resilience, and reconnect with what feels true and whole. Using a compassionate, creative approach, I support those facing personal growth challenges, early life trauma, stressful and overwhelming experiences, and mood disorders.
You hold a unique process of transformation within. Yet becoming your authentic self in the world can be deeply challenging. You may feel stuck, disconnected, and weighed down by something you can’t quite name. A part of you longs for change, yet the way forward feels unclear. I work with teens and adults helping them understand their emotions, build resilience, and reconnect with what feels true and whole. Using a compassionate, creative approach, I support those facing personal growth challenges, early life trauma, stressful and overwhelming experiences, and mood disorders.

I see individuals, couples and families who are seeking support for things they feel are not going well in their lives. From the Family Systems perspective, any number of issues can be looked at together. My work is centered around interpersonal relationships and how we interact with each other, our selves and our communities. Relationship dynamics are constantly in and out of balance. Managing these relationships is key in helping develop healthy ways of dealing with life issues. The work we do together should feel helpful and focused on your goals.
I see individuals, couples and families who are seeking support for things they feel are not going well in their lives. From the Family Systems perspective, any number of issues can be looked at together. My work is centered around interpersonal relationships and how we interact with each other, our selves and our communities. Relationship dynamics are constantly in and out of balance. Managing these relationships is key in helping develop healthy ways of dealing with life issues. The work we do together should feel helpful and focused on your goals.
See more therapy options for Portland
Nearby Self-Harming Therapists Searches for Portland
- Aloha
- Beaverton
- Clackamas
- Gladstone
- Gresham
- Happy Valley
- Hillsboro
- Lake Oswego
- Milwaukie
- Tigard
- Tualatin
- West Linn
Self-Harming Therapists
How does therapy for self-harm work?
A person may turn to self-injury so that they can distract themselves from their stress, depression, anxiety, or upsetting circumstances. Therapy can address the cause of an individual’s suffering. A therapist can help a person understand why they may want to self-harm and help the person learn new methods of coping. A person may have poor emotion regulation, and treatment such as cognitive behavioral therapy (CBT) is helpful for breaking this behaviour. In addition, treatment such as dialectical behavior therapy can help a person manage their tolerance of distress.
Which therapies are best for self-harm?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, and mentalisation-based therapies, among others. Cognitive behavioral and dialectical behavior therapies are common approaches for people who have painful thoughts and past traumas. These therapies help an individual cope with distress, regulate emotions, and manage impulsive urges.
Does the tendency to self-harm mean the person is suicidal?
Having this urge does not mean the individual suffers from suicidal ideation. People who want to self-injure look to distract or alleviate themselves from the pain they are experiencing. People with suicidal tendencies want to end life altogether. However, this does not mean a person with the intent to self-harm will not attempt suicide.
How often and how long are therapy sessions for self-harm?
As with any type of therapy, sessions depend on the individual. Clients may see improvement within 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, maybe, a six-month period. People, especially those with co-occurring conditions like depression and anxiety, may need to continue therapy for up to 12 to 18 months.