Below are therapists in the Portland-area that provide affordable counseling services based on a sliding scale. If you choose not to use insurance and would rather pay out of pocket, the therapists below have committed to charging as little as $50 per session. Some counselors slide as low as $20 per session. There are many different reasons for choosing to pay out of pocket for therapy services. You may not have insurance or don't want to bother with your insurance coverage or have any medical record of counseling services. Finding a sliding scale therapist also makes sense if you have insurance but your deductible for mental health benefits is too high.
Student Counselor
CMHCI
Warm, affirming therapist grounded in neuroscience and relational work. LGBTQIA+ affirming. Helping people heal, grow, and connect.
View ProfileStudent Counselor
LMFT
Mahina Therapy PLLC envisions a world in which all underrepresented people have access to quality mental health services that honors them.
View ProfileProfessional Counselor Associate
Professional Counselor Associate
I help individuals and couples understand painful patterns, deepen connection, and move toward healing and change.
View ProfileStudent Counselor
Feeling stuck, overwhelmed, or uncertain? You don't have to navigate life's challenges alone.
View ProfileLicensed Professional Counselor
MA, MPH, NCC
Hi! I'm currently accepting new clients with OHP for October 2026.
View ProfileProfessional Counselor Associate
Professional Counselor Associate
Healing begins when you feel safe, heard, and supported. I am compassionate and dedicated Professional Counselor Associate who cares.
View ProfileMarriage and Family Therapist Associate
MFT-Associate
I have danced with the light, the dark, and the spectrum of color. Now I’d like to help you along your journey.
View ProfileHypnotherapist
I meet everyone with the root understanding that they have all the wisdom they need inside of them. My job is to simply help uncover that.
View ProfileProfessional Counselor Associate
People want an experience of healing, not just an explanation, something they can feel deeply in a therapeutic relationship.
View ProfileLicensed Clinical Social Worker
LCSW, AASECT Certified Sexuality Educator
I offer in-person and virtual therapy sessions for adults working on sexual trauma, gender, sexuality, relationships, and anxiety concerns.
View ProfileProfessional Counselor Associate
Everybody struggles with feelings of self worth or discouragement. Whether from personal loss, social difficulties or bumps in our relationships, it's easy to forget these emotions are a natural part of the human experience. It's even harder to remember it's okay to ask for help when overwhelmed.
View ProfileStudent Counselor
Providing low-cost, culturally sensitive and affirming counseling and therapy services. Proudly serving Portland and the greater metro area.
View ProfileMarriage and Family Therapist Associate
Marriage and Family Therapist Associate
I am a relational therapist with advanced training in Emotionally Focused Therapy and the clinical needs of neurodiverse clients
View ProfileLicensed Clinical Social Worker
Hey, I'm Peggy. I support people working through Big T and little t traumas: sadness, loss, disconnection, despair, and identity questions.
View ProfileLicensed Marriage Family Therapist
LPC, LMFT, Certified Sex Informed Couples Counselor
I am an LPC and LMFT who has a passion for helping couples and families strengthen their relational bonds to one another.
View ProfileLicensed Professional Counselor
Mindful Therapy Pacific NW, LLC was formed to meet the ever-growing need for high-quality therapy that is both accessible and affordable.
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