Katie Playfair, LPC

Katie Playfair, LPC (she/her)

Licensed Professional Counselor

LPC (OR and Tx) LMHC (WA)

OCD is my jam! I treat OCD and related experiences and love counseling, educating, supervising, and consulting on all things OCD.

Client Status




4017 NE Flanders Street

Suite B (behind main building)

Portland, 97232

1428 SE 19th Avenue, Suite F

Portland, Oregon 97214

At a Glance


Rate: $175-$250

Provides free initial consultation

Provides telehealth services

Practicing Since: 2011

Languages: English


  • Individual
  • Group
  • Teen

Insurances Accepted

  • Out of Pocket
  • Out of Network
  • Lyra

My Ideal Client

Clients who like my practice and find it different than previous therapy experiences tell me that I'm directive, involve them as an equal partner in their treatment, I educate them about mental health concepts in general, and push them to be compassionate and loving with themselves while they push hard to change their lives. I help people feel "normal," learn to live better with their anxiety, and manage it long-term.

My Approach to Helping

I provide therapy in-person and online across Oregon and Washington and education services worldwide. Technically, my approach draws from cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and more recently, Radically Open DBT (learning & training in process). More generally, I want to be your partner in discovering a better relationship with your mental health and/or work life. I want to empower you by providing education and transparency about how I see your experiences and what the evidence says about how we can help you live better. My hope is that you walk away from our meetings together knowing what works for you and what doesn't, in terms of mental health care, so it's knowledge you can use way beyond our therapy relationship. Also, therapy can be really fun and I hope to make it that way for you!

My Personal Beliefs and Interests

I'm super passionate about OCD and intersecting experiences. I love helping folks who are neurodivergent, genderqueer, or globally-over-controlled, learn how to love themselves, find flexibility in their experiences, and live the lives they want to live.

Techniques I Use


  • Acceptance and Commitment Therapy (ACT) External link

    I use both mindfulness and values interventions from ACT to help clients develop lifelong skills to live with their own brains (that are sometimes doing super unpleasant things) more effectively.

  • Cognitive Behavioral (CBT) External link

    CBT is a very evidence-based approach to changing your behavior, thereby changing your thoughts. I rarely use CBT in isolation (I like to combine it with ACT) but CBT techniques are still my go-to approach for many common anxiety challenges.

  • Coaching External link

    Some of my clients need support in exploring their values, career directions, or simply making progress in a part of their life they feel stuck on. I use an Acceptance and Commitment Therapy approach to coaching, whether it's career coaching, ADHD coaching, or partner coaching for the loved ones of people with OCD, ADHD, Autism Spectrum Disorders, etc.

Issues I Treat


  • OCD External link

    OCD includes Illness Anxiety Disorder/HealthAnxiety/hypochondriasis, obsessions, compulsions, skin and hair picking, and some other types of more severe anxiety you might not know are in the OCD cluster. This is another area where I've done a lot of specialized training.

  • Personal Growth External link

    In addition to the career counseling training we're required to have as Nationally Certified Counselors/LPCs/LMHCs, I had a whole career in management consulting and HR before becoming a mental health counselor. I can definitely help with career and work related issues.

Contact Katie

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