Telehealth: Online Counseling in Oregon (i.e. Distance Counseling, Internet Therapy)

Current Clients: Start Using Telehealth / Online Counseling Services

If you are a current client and want to start using telehealth sessions, you can schedule a session using your client portal or call 503-766-9083.

At your scheduled appointment time, go to to
check-in to your telehealth / online counseling session.

You will just need a computer or mobile device, Internet connection, camera, headphone set (or speakers), microphone, and Internet browser. Most devices come with all of these built in. No fancy apps or equipment required. If you have technical difficulties, we can also do a phone session.

New Clients: How to Get Started with Telehealth / Online Counseling Appointments

If you are a new client, go to the New Clients: Getting Started page and follow the instructions. Once you become a client, you can schedule telehealth counseling using your client portal.

What Is Telehealth?

Telehealth uses the Internet to allow professional healthcare providers, including counselors, and clients/patients to attend healthcare appointments electronically. This is typically done with video conferencing, which allows clients and clinicians to see and hear each other using desktop computers, laptops, tablets, and mobile phones. In many cases, you can attend a telehealth session from home, at work (in a private room), or even in your car (parked in a safe location).

Why Use Telehealth for Online Counseling?

Avoiding Allergens and Germs (e.g. Viruses, Bacteria, Fungi, etc.)

For people with compromised immune systems, it may be dangerous to be in public or in a room where other people have been. For people with severe allergies, it can be difficult to be outside. Telehealth makes it possible to receive the counseling care they need without triggering health problems.

Preventing the Spread of Germs

For people who have a contagious infection, it may be necessary to stay quarantined to protect others. We have seen this situation recently with COVID-19 (a type of coronavirus identified in 2019), but other infections are a public health hazard as well (e.g. influenza, measles, chickenpox, pollio, tuberculosis, diphtheria, etc.). By using telehealth, a person with a infection can still receive counseling.

Difficulty Getting to In-Person Sessions

Telehealth makes counseling, consulting, and therapy more accessible to clients who may have difficulty attending in-person sessions. For example, some clients may be stay-at-home parents without childcare. Other clients don’t have access to transportation or live and work far away from their counselor’s office. Some clients have physical limitations that make it difficult to leave their homes.

Living in a Rural Area

Many rural areas lack of counseling and mental health therapy providers who can meet the needs of all local residents. If you have a good internet connection online telehealth counseling may be a helpful option. If you do not have a stable internet connection, then phone telehealth counseling may be an option.

Wanting More Convenience

Some client have very busy schedules, and commuting back and forth to a counseling office for an appointment is just one more chuck of time they don’t have. Online counseling is an excellent way to fit your counseling session into your lunch break or that one free hour you have before everyone comes home school and work.

You may find that online counseling has more schedule flexibility since counselors may also be able to provide services from their homes.

Difficulty Finding a Counselor You Don’t Already Know Personally or Professionally

If you personally know or have professional connections with many of the clinicians in their area, it can be difficult to find a local mental health provider who can be an unbiased third-party. This happens frequently with smaller towns or cities. Having a client, colleague, neighbor, or friend provide counseling could create conflicts of interest and is a violation of professional ethical boundaries. Seeing a counselor online using telehealth can offer additional provider options.

Who Can Get Online Counseling from Gresham Counseling and Therapy LLC?

Issues and Mental Health Diagnoses for Telehealth Services

Telehealth counseling is often a good fit for client’s who are not in crisis and have technical skills to use video conferencing or can receive assistance from a helper or caregiver.

Many clients who successfully use online counseling are focused on issues related to family dynamics, school, work, romantic partnerships, changing habits, depression, anxiety, low-moderate severity obsessions and compulsions, and trauma.

Locations Served

Telehealth counseling is available to new clients in or near Oregon’s Portland Metro area, specifically Multnomah County, Clackamas County, and Washington County. (Additional areas may be available on a case-by-case basis.)

Established clients can continue to receive online counseling services if they are anywhere in the state of Oregon, and if telehealth counseling is appropriate for their unique situation.

You must be in the state of Oregon during your telehealth session.

Who Cannot Get Telehealth from Gresham Counseling and Therapy LLC?

Issues and Mental Health Diagnoses Not Appropriate for Telehealth at this Time

Telehealth services may not be appropriate for clients who are having suicidal thoughts, self-harm behaviors, active substance disorders (i.e. addictions), threats of violence, thoughts of harming others, an inability to manage technology used in video conferencing, high distractibility, low levels of alertness (e.g. falling asleep), or mental health symptoms that include impulsivity or psychosis.

Locations Not Served

Counseling provided by Gresham Counseling and Therapy LLC cannot be provided across state lines. Clients must be in the state of Oregon during a telehealth session due to laws varying from state to state and country to country. If you are not in Oregon, please look for a licensed or registered provider who offers online counseling in your state.

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