Lilyan Smith-Moore, LPC

Lilyan Smith-Moore, LPC

Licensed Professional Counselor

Welcome! I am part of a collective of LGBT-affirming therapists. Visit our website at for more information.

Client Status




4531 SE Belmont St.


Portland, OR 97215

At a Glance


Rate: $40-$55

Provides telehealth services

Practicing Since: 2012

Languages: English


  • Individual
  • Family
  • Child
  • Relationship
  • Teen

Insurances Accepted

  • Out of Pocket
  • Out of Network
  • Aetna
  • Cigna
  • OHP Open Card
  • OHP Single Case Agreement
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Our Ideal Client

We are committed to providing affordable, accessible counseling services to diverse members of the community, with a special focus on clients who identify as lesbian, gay, bisexual, transgender, asexual, queer, and questioning.

My Approach to Helping

I am systemically trained, which means I always consider the role of the family and the community in one’s life, even if that person decides not to include their family in counseling. I believe that a large part of wellness is having healthy, meaningful relationships, not just with others, but with ourselves. Change happens when we are honest with ourselves about what is missing in our lives, and what we need from ourselves and others. In therapy, I use a combination of systemic, interpersonal, and humanistic approaches to develop a meaningful relationship and alliance with my clients. I also use cognitive-behavioral interventions when appropriate. The goal of these approaches is to help my clients develop insight into the behaviors and relationship patterns that are not working for them, and to thus explore new ways of being. These approaches are all backed by several years of scientific and behavioral study.

More About the People I Treat

I hold my Master’s degree in Counseling from Indiana University. I am licensed with the Oregon Board of Licensed Professional Counselors as an LPC. Among my experience includes: -Counseling hundreds of families with a child or teen in crisis in a psychiatric hospital. -Working with teens and adults cope with the symptoms of anorexia and bulimia in a residential eating disorder facility. -Individually counseling adults with issues such as depression, anxiety, and grief. -Providing crisis intervention for LGBTAQQ identified youth who were suicidal. -Teaching coping and life skills to children and teens with autism. -Co-facilitating therapy groups for adults with depression and bipolar disorder. -Leading therapy groups for teens with histories of violence, drug abuse, and self-harm. -Leading problem solving and coping skills groups for children. -Consulting with other professionals to provide guidance on how to competently work with LGBTAQQ identified clients.

Techniques I Use


  • Attachment Theory External link

    We are creatures of love, and when we feel disconnected from others, we suffer. In therapy, I use attachment theory to help a person explore how their early family relationships (or lack thereof) shaped their ways of relating to others in adulthood. This type of therapy is especially useful for those who have been through childhood or family trauma.

  • Interpersonal External link

    Many people come to therapy because of problems in their relationships with others--such as partners, parents, children, relatives, bosses, classmates, and co-workers. We can't change these people, but we can change how we respond to them. In interpersonal therapy, we explore your relationship patterns, and try out new ways of communicating and expressing your needs.

  • Cognitive Behavioral (CBT) External link

    Our thoughts and behaviors can keep us trapped in cycles that prevent us from moving forward. I use CBT approaches to help clients recognize and change these cycles. I am also trained in trauma-focused CBT (TF-CBT). This is a treatment that has some similarities to EMDR, and is equally as effective.

Issues I Treat


  • LGBTQ Issues External link

    I am affiliated with The Association for Gay, Lesbian, Bisexual, and Transgender Issues in Counseling. I have more than 50 hours of class training on LGBTQ issues in counseling. I have worked with LGBTQ clients at every stage of the lifespan, from children to older adults. I also provide consulting to other professionals.

  • Anxiety External link

    Did you know that up to 60% of the population has experienced significant, debilitating anxiety? It's one of the most common reasons people seek therapy. If you're suffering with anxiety, there is hope, and therapy is very effective. I treat anxiety disorders, including Generalized Anxiety Disorder, PTSD, OCD, and Panic Disorder, with an approach specifically tailored for each person. I use interpersonal therapy, CBT interventions (including trauma-focused CBT), and somatic therapy in my work.

  • Child or Adolescent Issues External link

    Mental health professionals have long realized that children and adolescents need different approaches to therapy than adults do. I have worked with hundreds of children and teens and I understand their unique development, needs, and limitations. I also know that the most proven effective therapy for a young person includes the family's participation.

  • Gender Identity External link

    Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? I'm here to help. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. I've worked with hundreds of transgender and gender variant people since 2015. I am also qualified to write letters of recommendation for gender-affirming surgeries.

  • Depression External link

    Depression is our mind's way of telling us that something is not right in our lives. As an experienced clinician who has worked with thousands of people with depression, I understand that depression can have several different causes and treatments. I offer you a supportive environment where you can be honest about your suffering while experimenting with the hope for change.

Contact Lilyan

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