Therapy, Altered

Creatively Centering Yourself

A small group practice specializing in mild to severe trauma and trauma-related symptoms,  including ancestral, systemic, and racial trauma.

Therapy, Altered always offers in-person and virtual sessions for individuals across the state.

Sliding Scale fees are available. Accepting new clients!

Email us here to make an appointment! 

Therapy, Altered text with paint splatter


You may be here because you have trauma, of any kind. You might be here because you've tried other versions of counseling and you didn't get what you needed. You might also be here because you're looking for something but you don't quite know what. You might be someone who knows something is going on for them, and that you could feel better but don't know how. You might be here because you need cost accessible treatment and/or telehealth provided by therapists who believe therapy is for EVERY body, not just those who can pay a certain amount or have a certain level of access. You might be here because you're searching for anti-racist, anti-oppressive treatment.

Therapy, Altered clients:

  • Have been through extremely difficult times

  • Have struggled to tell someone about what's happened/happening to them

  • Feel "strange" in their bodies

  • Are tired of just talking to a therapist

  • Wonder if there are other ways to feel better

  • Aren't sure why they don't feel okay, but they don't

  • Feel as though they don't fit into the dominant culture that surrounds them, maybe because of gender identity, sexual identity, race, culture, or ethnicity

  • Are worried about a child in their life because "something is up", but they aren't exactly sure what

  • Would like to find and connect with a group of people who feel like they do

  • Don't want to talk about their feelings but still want to feel better

  • Are continually impacted by ancestral, systemic, racial, or intragenerational trauma

  • Desire to use creative arts therapies to heal

  • Are looking for non-traditional therapeutic experiences

  • Haven't found a local therapist they feel connected with, and are interested in telehealth services

  • Are searching for a therapist that looks like them, and with whom they have shared experiences

  • Have been told by their past providers, "you have too much trauma for me to help you."

  • Are looking for low-cost, non-insurance based treatment options


Trauma "looks" different on different people. Here are

some less commonly known symptoms:

  • loss of fine motor skills         repetitive movements 

  • sleep paralysis                           "poor memory"

  • feeling "unreal"               excessive daydreaming

  • feelings of floating       feelings that "aren't mine"

  • paranoia                                           time loss

  • anxiety                    headaches or stomachaches

  • unexplained fear or terror                   avoidance

  • recurring dreams                                     dread

  • startling easily                              low self-worth

  • thoughts that "aren't mine"       high/low sex drive

  • zoning out                            "either/or thinking"

  • inability to play or imagine                     "ADHD" 

  • self-destructive behavior                racing thoughts


In the past, therapists and psychiatrists believed trauma was an event, either single or multiple incidents over time (aka "complex trauma"). Now we know trauma is not an event, it's an experience. We all experience trauma differently. What is "traumatic" for one person is not for another.


Maybe you've been told what happened to you "wasn't a big deal" or "wasn't as bad as what happened to me". I'm here to tell you that's not true. The way you experienced something, and the way you feel when you think about it, that tells us whether or not you have experienced trauma. If there is something you've been holding on to because you were told it wasn't important or that no one would care, maybe it's time you let it go.

Reach out.

Couples Therapy


Our Clinicians

We provide a wide range of therapeutic practices provided by individuals with a range of life and professional experiences. We value our therapists as people, not just as resumes. Here you'll find clinicians who are fully licensed for independent practice, graduates who may or may not hold interest in future licensure, and clinical students building skills. All of these therapists are well equipped to support you in achieving your goals. Check out our blog to learn more about what being "licensed" actually means, and the ways in which systems create false tiers that reduce access to care and create unnecessary divides.

Our Prices

Student Interns: $10-60 sliding scale, pro bono spots available 

Graduates and Licensed Therapists: $50-150 sliding scale, pro bono slots available

All our clinicians provide telehealth services.

Do you take insurance?

No. Our goal is to offer rates affordable enough to not navigate the industrial medical complex. Insurance companies dictate the kind of care you can receive, and put stigmatizing and often harmful labels on people and communities. We believe providing a range of fees will meet the needs of all our community members, without sacrificing quality of care.


The root of cultural appropriation...this assumption that things don't have meaning because you don't know what it is, because they don't have meaning to you.

I really mean, how can I help loosen some of this trauma that gets locked in our bodies? When I'm dealing with really really scary things...if I'm waiting for inspiration to happen, no one is gonna get healed.

I used to hate MLK Day. MLK Day is the one day a year that everyone in your class looks at you to be the representative of an entire race...When I was a kid I would wonder, "Why is everybody looking at me?"

When Creativity Is HardRebecca Davis on Everyday Creative People
00:00 / 01:04


So what if you need support immediately? Contacting Therapy, Altered is not an instant fix. 




We've also included some important numbers if you need a different kind of crisis assistance.

Local Crisis Numbers

Multnomah Co. Mental Health Crisis Line 503.988.4888

Clackamas Co. Mental Health Crisis Line 503.655.8585

Washington Co. Mental Health Crisis Line 503.291.9111

Suicide Prevention

Lines for Life 800.273.TALK (8255)

Text '273TALK' to 839863

National Suicide Prevention Lifeline 1.800.273.8255

Domestic Violence

Call To Safety (formerly PWCL) 888.235.5333

Domestic Violence Resource Center Crisis Line 866.469.8620

National Domestic Violence Hotline 1.800.799.SAFE (7233)

Rape and Sexual Assault

Sexual Assault Resource Center (SARC) 503.640.5311

National Sexual Assault Hotline 1.800.656.HOPE (4673) - online hotline chat services