Pauline Picco

Pauline Picco

Licensed Clinical Social Worker

Welcome! I am a Licensed Social Worker and Master's Level Certified Alcohol and Drug Counselor. My specialty is working with people who are struggling with addiction issues along with mental health disorders such as depression, anxiety, and PTSD.

Client Status

accepting clients



At a Glance


Rate: $100-$120

Provides free initial consultation

Provides telehealth services

Practicing Since: 1998

Languages: English


  • Individual
  • Relationship
  • Family
  • Teen
  • Group

Insurances Accepted

  • Out of Pocket
  • Ceridian
  • MHN
  • Medicare
  • Optum
  • PacificSource
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I provide my clients with a safe, healing environment to work on problems and goals that they want to address in counseling. My orientation to counseling includes cognitive-behavioral and strength-based therapies. This approach enables clients to realize that they can improve their thinking to make better choices in life and learn to build confidence in their capacity to change.

I have been working in the field of addiction and mental health for 20 years, and obtained a Masters of Social Work in 1998 from PSU. I have continued to improve my education through participating in trainings on a yearly basis in areas including couples relationship therapy, mindfulness awareness, and Dialectical Behavioral therapy.

Techniques I Use


  • Couples Counseling External link

    see above statement on Gottman Relationship Therapy

  • Addiction Therapy External link

    I have been studying and working with clients with addiction problems for 20 years. I believe in a medical theory of addiction that explains addiction as a disease that is progressive, genetic, incurable but treatable. I also have studied extensively about recovery from addiction and worked with multiples of clients that are trying to live life clean and sober with purpose and honesty.

  • Cognitive Behavioral (CBT) External link

    My primary therapeutic orientation is cognitive behavioral therapy because I believe that our thinking can influence how we feel and how we behave. I have found this approach to be very successful in working with an array of problem areas including addictive denial, negative self-esteem, deflated thinking involved in depression, catastrophic thinking with anxiety, and relationship conflict.

Issues I Treat


  • Drug Dependence / Abuse / Addiction External link

    My primary specialty over the past 20 years has been working with people who are in the grips of alcohol and/or drug addiction or struggling with substance abuse that is beginning to cause problems in their lives. As a recovering addict myself, I have a great affinity toward helping others with these kinds of problems.

  • Relationship / Marriage Issues External link

    I work with clients who are dealing with relationship or marital problems through Gottman Relationship Therapy tools and training experience. This approach is very successful in helping people get beyond their complaints and find a sense of renewed admiration and love with their partners.

  • PTSD External link

    My education regarding trauma and PTSD, as well as my experience working with numerous female and male clients who have suffered from abusive histories and chronic symptoms that hinder their personal development and relationships has been very rewarding.

  • Codependency External link

    I have extensive education and experience helping clients who struggle with seeking esteem and love through things outside themselves, and who have tendencies toward controlling and enabling those in their lives who are alcoholics and addicts.

Contact Pauline

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