10 Pier One Suite 204
Astoria, OR 97103
main number with menu- 971-350-3737
new referrals - 971-350-6474
billing inquiries- 971-257-9053
fax - 888-971-4017
New Client Inquiry - click here
The link below is for current clients who needs a letter written:
*****We provide services both in person in Astoria, Oregon and via telehealth in OR and WA*****
Jackie Welborn, PHMNP is licensed in both Oregon and Washington has immediate openings. She is in network with CareOregon, Columbia Pacific CCO, HealthShare, Moda, Providence, BCBS, UHC, UMR, Cigna, Aetna and Medicare.
Services Provided
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Medication Management
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Counseling
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Assessment for ADHD, Autism and Differential Diagnosis
Approach to client specific treatment
The approach to treatment in this practice is one of openness and empathy. The goal of counseling is to help process current or future areas of your life that you would like to change. Much of the work done in counseling is through conversation, education and being in a space where you are able to be open about your feelings and hopes for the future.
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Dim lighting and reduced external sound at in person meetings
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Cognitive Behavioral Therapy
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Cognitive Behavioral Therapy for Insomnia - Sarah von Colditz
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Collaborative Problem Solving
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Dialectical Behavioral Therapy
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EMDR - Carrie, Bryce and Stephanie
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Grief Counseling
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Internal Family Systems
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Family Systems
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Fragrance Free in person meetings
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Mindfulness Based Therapy Approaches
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Motivational Interviewing
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Solution Focused Therapy
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Trauma Focused Cognitive Behavioral Therapy
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Trauma Informed Care
The above listed therapeutic approaches are used in this practice on a regular basis. Since no person is the same, each approach to therapy is different. We work together to find the right fit for you.
Counseling is not a sprint to the finish. By having continual counseling the goal is for you to see incremental steps by processing through the past and being giving tools in order to continue to move forward into the future.

Children and Families
No age is too young to start repairing and rebuilding a good foundation for moving forward. Teresa, Stephanie, Denise, Brooke and Jackie utilize Cognitive Behavioral Therapy, Collaborative Problem Solving, mindfulness based practices and are highly skilled in working with children and families of all ages.
This work can help with trauma (Trauma Focused CBT), anxiety, anger, depression, low self esteem and lots more. Denise, Brooke and Teresa have extensive experience working with children who are neurodivergent.
EMDR
EMDR (Eye Movement Desensitization and Reprocessing) is type of treatment used in therapy that directly works with how memories are stored within the brain. With this type of therapy clients are enabled to heal from the emotional and physiological symptoms that are the result of disturbing and traumatic life experiences.
During a structured EMDR session clients focus briefly on their trauma while utilizing bilateral stimulation. This allows for a reduction in the physical and emotional responses associated with the even that occurred.
The following therapists have training in EMDR and utilize it within their sessions when appropriate. Carrie, Zoe and Bryce.

PTSD. TRAUMA. ANXIETY. DEPRESSION. OCD. TRANSITIONS.
Every transition big or small is a change. In this practice we have compassion for who you are and where you are at in your life. Our goal is to help you get more clarity in your life and learn to be in both a better internal and external space. Our therapists are all trained in trauma informed care and offer a space for you to explore your life and make supported changes while moving through the future at your own pace.
SLEEP...WHERE ARE YOU???
One of the biggest complaints we hear from people has to do with being unable to fall asleep, stay asleep or feel rested in the morning.
Sleep is a necessity in order to have you functioning at your fullest.
Sarah has a certification in Cognitive Behavioral Therapy for Insomnia (CBT-I) and works with people on a structured 4-8 week program to help them learn to sleep naturally again.
This program is clinically proven to work. Isn't it time for you to get some zzz's again?

GRIEF. LOSS. BEREAVEMENT.
These three words are powerful. You never know how you will react to the loss of a loved one until is happens. Several of our therapists are trained in helping support people who have lost a significant person in their life. Through therapy your clinicians can help you process your feelings and get a better understanding of what your world is like now. Sarah, LeAnn, Sharmy and Carrie all have extensive experience in this area.

Psychological testing for ADHD and Autism
Psychological testing involves the use of standardized tools and techniques to assess various aspects of a person’s mental health, behavior, cognitive abilities, and personality. It can help diagnose conditions, guide treatment, and provide insight into strengths and challenges.
The testing process may include:
- Interviews to gather background information and history.
- Standardized questionnaires or surveys.
- Cognitive tests to measure abilities like memory, problem-solving, and attention.
- Behavioral assessments to understand patterns of action and reaction.
- Other specific tools depending on the referral question or concerns.