Rebecca X Casanova

Rebecca X Casanova (she/her)

Licensed Clinical Social Worker


I am a seasoned trauma-informed therapist with a down to earth approach who focuses on supporting people to access their own wisdom to heal

Client Status

not accepting clients




At a Glance


Rate: $145-$210

Provides free initial consultation

Practicing Since: 2011

Languages: English


  • Individual
  • Group

Insurances Accepted

  • Out of Pocket
  • Out of Network
  • First Choice Health
  • MODA
  • OHP Open Card
  • PacificSource
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My Ideal Client

I use a variety of compassion-focused techniques to empower adults who have anger, anxiety, depression, trauma and/or experience of marginalization (i.e. Veterans, LGBTQ+ people, BIPOC folks, women) to learn to trust themselves, move forward, and use new tools for personal growth. People who I work with report feeling more accepting of and connected to themselves and others, less troubled by physical and emotional symptoms, and more able to make decisions that reflect their own values.

My Approach to Helping

My work with the people who I am privileged to serve is trauma-informed, strengths-based, client-centered, collaborative, and supportive. Many of us have been hurt and have adapted in ways that may keep us safe, but also keep us feeling stuck and disconnected from other people. I emphasize meeting people where they are at and creating a safe environment to grow and try new things. Through our work, you can become more adept at recognizing and responding to difficult emotions (including not feeling anything or nothing but anger or anxiety), and how your past trauma is showing up in your body; building resilience through skills development and practice; and feeling more comfortable in your own skin. It is my hope that everyone I serve as a therapist experiences liberation and/or is able to transcend past difficulties in order to be able to be more fully present in their lives and relationships. I encourage open communication between myself and the people I serve and welcome feedback.

My Personal Beliefs and Interests

I have a lifelong commitment to serving people who have experienced many forms of trauma and have specialized training and deep experience in serving LGBTQ+ people and Veterans. I see relationships as the most important element in healing and am also trained in multiple modalities/evidence-based therapy protocols for trauma, anxiety, depression, and related issues. I earned my MSW and MPH from Portland State University in 2013, worked at the Portland VA for nine years, and am a first-generation college graduate. Before graduate school, I was in New York for many years, where I did international and domestic human rights and public health work, including direct action and advocacy. When I’m not working, I ride my bike, hang out in nature, look at art, putter around making art, listen to music, cook, and tease my pets.

Techniques I Use


  • Cognitive Behavioral (CBT) External link

    I have been certified in Cognitive Processing Therapy for PTSD since 2018 and also have several years of experience using other CBT methods.

  • Motivational Interviewing External link

    I have been certified in Motivational Interviewing since 2019 and have been using this form of therapy for several years.

  • Anger Management Therapy External link

    I have been serving people who identify anger as a problem in their lives since 2013. I have training in using Acceptance and Commitment Therapy (ACT) for Anger and have worked with people on their anger in group and individual therapy settings since 2017. My approach is not to "manage" your anger, but to help you understand where it comes from, what it could be masking, how to move through it without it making your decisions for you, and, most importantly, to live a meaningful life.

Issues I Treat


  • Veterans/Military Service External link

    I am not a Veteran myself, but I come from a family with a proud tradition of military service and have worked hard to understand the impact of military service and support Veterans and their families to heal. I was privileged to serve at the Portland VA (including internship) from 2012-2021, where I provided therapy and case management; initiated the LGBTQ+ Veteran Care Coordinator program; and served on the MST Task Force and the Intimate Partner Violence Advisory Board.

  • PTSD External link

    I have been serving people impacted by trauma for several decades. As a clinician, trauma--and how people adapt to trauma--has been an area of focus since the beginning of my graduate training. I am certified in three trauma-specific modalities: Cognitive Processing Therapy for PTSD, Strength at Home, and TREM (Trauma Recovery and Empowerment). I also have experience using DBT and ACT to support people with trauma histories to learn skills to be more calm and present.

Contact Rebecca X

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