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What we do.

Breakwater Psychology provides therapy and comprehensive ADHD assessments via telehealth to clients across Oregon. Some clients come to us for therapy and discover along the way that an ADHD evaluation would help. Others start with an assessment and want ongoing support once they have answers. Either way, you're in the right place — both services are delivered by the same licensed psychologist, so your care stays connected and you never have to explain yourself to someone new.

Therapy and assessment services at Breakwater Psychology

Our services.

Individual Therapy

Therapy with a psychologist who has worked across crisis care, trauma, gender-affirming treatment, and integrated health settings — so whatever you're bringing in, it's likely familiar ground. Sessions are focused on you and what you're actually trying to change, not a one-size-fits-all approach. You work directly with Luke every session, no handoffs, no rotating staff, and no having to start over with someone new. Telehealth across Oregon, weekly or biweekly, with evening and weekend availability.

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ADHD Assessment

A comprehensive ADHD evaluation conducted across multiple sessions, incorporating a structured clinical interview, standardized psychometric testing, and observer ratings. You receive a detailed written report documenting findings, a clear diagnostic conclusion, and specific recommendations for next steps.

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What we treat.

These are the areas where we have the most experience and deliver the strongest results. Many of them overlap, and we treat the full picture together.

Anxiety

Generalized anxiety, social anxiety, health anxiety, perfectionism, panic, and work-related anxiety. Evidence-based treatment using CBT and ACT that gives you tools to use right away.

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Depression

Low energy, lost interest, emotional flatness, difficulty concentrating. We use CBT, behavioral activation, and interpersonal strategies to rebuild momentum step by step.

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ADHD

Executive function, time management, emotional regulation, the knowing-doing gap. ADHD-informed therapy built around how your brain actually works, whether you were diagnosed last week or 20 years ago.

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Why people choose us.

We built this practice around the things that matter most when you are choosing a therapist.

Start This Week

No waitlist. We intentionally keep openings available so you can start therapy when you are ready, not months from now. Most people have their first session within a week of their consultation.

Therapy Across the Spectrum

All ages welcome. ADHD, autism, anxiety, depression, life transitions: we work with the full picture of who you are. Whether you are figuring something out for the first time or managing something you have known about for years, we meet you where you are.

Everyone Is Welcome Here

We are LGBTQIA+ friendly, trans affirming, and culturally responsive to minority and women's experiences. Therapy works best when you do not have to explain who you are before you can talk about what you are going through. You belong here as you are.

Insurance Accepted

Accepting major insurers. We also accept HSA/FSA and offer CareCredit. No matter which option you choose, we handle all the billing for you through courtesy billing. We verify your benefits before your first session so there are no surprises.

Telehealth from Anywhere in Oregon

Every session happens over secure, HIPAA-compliant video. You do not need to be in Portland. Rural Oregon, the coast, Bend, Eugene, Medford. If you are in the state, we can see you. All you need is a private space and an internet connection.

Trauma-Informed Care

Every session is grounded in a trauma-informed approach. That means we go at your pace, respect your boundaries, and never push you somewhere you are not ready to go. Whether you are processing something recent or something you have carried for years, you are in control of the work we do together.

Ready to get started?

Choose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.

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