"Your pain is the breaking of the shell that encloses your understanding."
Kahlil Gibran

Individual Therapy

I believe that we are all seeking wholeness. Yet, internal conflicts can arise which cause crisis, sometimes immobilizing us in confusion, fear, anxiety or depression, and impairing our ability feel wholly well and to form and maintain healthy interpersonal relationships. Viewed another way, these conflicts and challenges are our teachers. Drawing on my training and experience in a variety of modalities including psychodynamic psychotherapy, cognitive-behavioral interventions, family systems theory, interpersonal neurobiology, sensorimotor/somatic therapies, and mindfulness interventions, I use a strengths-based approach, with a direct and nurturing style, to address each client's needs.


I offer individual therapy with a particular focus on interpersonal relationship issues. I specialize in the resolution of childhood physical, sexual and emotional abuse, childhood and family trauma, grief and loss, identity development (in particular, adolescent identity development, gender identity development, cultural identity development, and sexual orientation identity development), mood disorders including depression and anxiety, parent and adolescent struggles, and living with a mentally ill family member, I help individuals develop deeper awareness of their patterns of behavior, emotions and thought and how these may be supporting or impeding your growth and personal development. Together with you, I can then help you set goals and design a plan of action for the resolution of internal conflicts which will aid in the development of healthy relationships - with others as well as with yourself.

Couple's Therapy

We are hurt in relationship, and we can be healed in relationship. Whether you are seeking to improve your understanding of what is happening in your relationship, build communication and empathy skills, or have descended into a downward spiral of fighting or conflict avoidance and believe that there is little hope for the relationship to be saved, couple's therapy can help.


As a Certified Imago Therapist, and drawing on training and study in a variety of different techniques and schools of thought including family systems theory, The Gottman Institute 's research on marriage, Non-Violent Communication , clinical hypnosis/hypnotherapy and current thinking in neurobiology and human relationships, I assist couples in solving the mysteries of their difficulties. I help partners discover their individual areas of growth and tasks to complete, stop hurting each other and learn how to get their mutual needs met. In so doing, partners learn to see themselves and their relationship clearly, with greater compassion for their partner and for themselves, and can journey forward toward authentic connection and wholeness.


When we meet and partner with another person, we are often deeply in love and swept up in the early, romantic phase of relationship. Eventually, however, most relationships reach the stage of power struggle, in which we see the other person as hurting us in ways we have previously been hurt, or frustrating us in our desire to have our needs met. Some partners are able to pass through the power struggle stage and learn skills to help them resolve future conflicts. Many others, however, can benefit from the caring, sensitive assistance of a knowledgeable and experienced therapist.


Couples' therapy is not individual therapy with two people; it is a process in which the individual histories, motivations, wounds and strengths of each person are considered, with a focus on how those factors are playing out in the dynamic relationship of the partners, and interventions are suggested at the level of the relationship.


I provide respectful, accepting, and non-judgmental therapy to adult partners in intimate relationships, in whatever ways loving partners choose to form and define those relationships.  

Family Therapy

Family Therapy:  Many times one member of a family engages in behaviors that are overtly disruptive, which causes the family to seek treatment for individual member; however, often that behavior can be best addressed when considering how each family member is functioning and how their respective roles and behaviors interrelate. Using a family systems approach, with the full participation of all involved family members, therapy can shed light on the current difficulties and help transform family functioning. 



If you are an adult and have been estranged from one or more of your family members for some time, and wish to explore reconnecting, family therapy can help. Often this form of therapy involves meeting with the individual family members one or more times in preparation for joint meetings. Sessions with two or more family members present will work toward establishing common agreements for interactions going forward, as well as exploring the causes of the rupture, offering an opportunity for healing, accounting, understanding, and re-established connection.


If you are looking for court-connected family therapy for families in which there has been a ruptured relationship between a child and a parent, please see the Family Reintegration Therapy page.

Notice Regarding No Surprises Act for Self-Pay Psychotherapy

Section 2799B-6 of the Public Health Service Act, also known as the “No Surprises Act,” aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided. This is now referred to as a “Good Faith Estimate” which gives uninsured and self-pay clients an estimated projection of costs for services when scheduling care or when the client requests an estimate. This was specifically designed and helpful for receiving care through emergency services and facilities. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises, call Health and Human Services: 1-800-985-3059 or the Oregon Division of Financial Regulation @ 888-877-4894.

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Lauren M. Mac Neill (she)

3310 SE Division

Portland OR