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Dr. Sarah Mitchell

Licensed Clinical Psychologist • Portland, OR

A safe space
to grow

You do not need to have it all figured out to start therapy. You just need to be willing to show up. I will meet you exactly where you are.

Book a SessionAm I Ready for Therapy?

Areas of Focus

Specialties

I work with adults and couples navigating some of life's most challenging experiences.

Anxiety

Racing thoughts, excessive worry, panic attacks, and the constant feeling that something bad is about to happen.

Depression

Persistent sadness, loss of motivation, fatigue, and difficulty finding meaning or enjoyment in daily life.

Couples Therapy

Communication breakdowns, trust issues, intimacy concerns, and navigating life transitions together as a team.

Trauma & PTSD

Processing difficult experiences, flashbacks, emotional numbness, and reclaiming safety in your body and mind.

Philosophy

My Approach

I practice from an integrative perspective, drawing from Cognitive Behavioral Therapy (CBT), psychodynamic therapy, and mindfulness-based approaches. Every person is different, so every treatment plan is different.

My style is warm, direct, and collaborative. I believe therapy works best when it feels like a genuine conversation, not a clinical assessment. My goal is to help you develop the insight and tools you need to navigate life with greater confidence, connection, and peace.

Evidence-Based
Grounded in research
Trauma-Informed
Safe and compassionate
Culturally Sensitive
Inclusive and affirming

About Me

Dr. Sarah Mitchell, PsyD

I am a licensed clinical psychologist with over 12 years of experience working with adults navigating anxiety, depression, trauma, and relationship challenges. I completed my doctoral training at Pacific University and my postdoctoral fellowship at OHSU.

Outside of the therapy room, I enjoy hiking the trails around Portland, reading fiction, and spending time with my two rescue dogs. I believe therapists should be real people too.

PsyD, Pacific UniversityOregon License #PSY4521EMDR Certified12+ Years Experience

Coverage

Insurance Accepted

Blue Cross Blue Shield
Aetna
Cigna
UnitedHealthcare
Anthem
Out-of-Network

Common Questions

Frequently Asked Questions

The first session is about getting to know each other. I will ask about what brings you to therapy, your background, and what you hope to achieve. There is no pressure to share more than you are comfortable with. Think of it as a conversation, not an interview.

It varies widely. Some clients find relief in 8 to 12 sessions. Others benefit from longer-term work. We will regularly check in on your progress and adjust our approach as needed. You are always in control of how long you continue.

No. As a licensed therapist, I provide talk therapy and evidence-based interventions. If medication might be helpful, I can refer you to a psychiatrist who can work alongside our therapy sessions.

Yes, with very few legal exceptions. What you share in session stays between us. Confidentiality is the foundation of the therapeutic relationship, and I take it very seriously. I will explain all limits of confidentiality in our first meeting.

That is completely okay and very normal. Therapy is a safe space for all emotions. Tears are not a sign of weakness. They are often a sign that you are processing something important. There are always tissues within reach.

Yes. I offer both in-person and secure video sessions. Many clients find virtual therapy just as effective and more convenient. We can discuss which format works best for you.

Self-Check

Could Therapy Help?

Answer five simple questions. There are no wrong answers.

1. Do you often feel overwhelmed by your thoughts or emotions?

2. Have you noticed changes in your sleep, appetite, or energy levels?

3. Do you find it hard to enjoy things that used to bring you pleasure?

4. Are your relationships or work being affected by how you feel?

5. Have you been thinking about talking to someone for a while now?

Taking the First Step Matters Most

I offer a free 15-minute phone consultation so you can ask questions, share what is going on, and see if we are a good fit. No pressure. Just a conversation.