Tracy Trefethen

Tracy Trefethen

Licensed Professional Counselor

I am a Licensed Professional Counseling Registered Intern in the state of Oregon. I work with individuals and couples to create positive change and enduring well being.

Client Status

accepting clients



516 SE Morrison St #710

Portland, Oregon 97214

At a Glance


Rate: $80-$175

Provides free initial consultation

Provides telehealth services

Practicing Since: 2016

Languages: English


  • Individual
  • Relationship
  • Teen

Insurances Accepted

  • Out of Pocket
  • Out of Network

I work collaboratively with you to address your aims, enhance well being, and the ability to create a life you find joyfully meaningful. We will explore and transform feelings, thoughts , and behaviors that negatively limit your sense of self and relationships. I use a whole person--body/mind--approach, strengthening self-compassion and acceptance. Most clients will be asked to practice outside of session any skills they find especially useful.

I grew up on the East Coast, and for many years explored life as an painter and writer. I have degrees in painting and creative writing, and worked for years as a writing teacher in various settings. At middle age, I followed a long-held wish to become a counselor. I received excellent clinical training, including had the good fortune to learn from some of the best and brightest clinicians in the field of behavioral health at the Portland DBT Institute. Since then, I have worked in community mental health and private practice, specializing in treating anxiety, depression, and trauma. My specialized training combines the best of somatic-based trauma treatment with cutting edge cognitive-based approaches (CBT and DBT). My approach is rooted in human attachment theory, interpersonal neurobiology, emotionally focused therapy and practice of mindfulness self-compassion.

Techniques I Use


  • Attachment Theory External link

    My Masters in Clinician Mental Health and ongoing post-Masters intensive trainings feature a fundamental understanding of how our childhood attachment relationships profoundly shape our sense of self, others and the world. I am currently participating in an 18 month training intensive that focuses primarily on supporting clients to repair and transform their childhood attachment wounds.

  • Sensorimotor External link

    I am an advanced student of Sensorimotor Psychotherapy, a body-centered approach to trauma and attachment repair. I am certified as Level 1 practitioner, and am currently completing Level 2. Clients report that this method mixes quite well with more traditional talk therapy approaches and works deeply to resolve long held emotional response patterns.

  • Dialectical Behavior Therapy (DBT) External link

    I recently completed a year-long internship at the Portland Dialectical Behavioral Therapy Institute. My training includes intensive instruction from several of the most highly regarded international DBT trainers, including approaches to healing substance abuse, eating disorders, and trauma/PTSD.

Issues I Treat


  • Women's Issues External link

    Midway throug midlife, I have rich, first hand experience as a woman with many of the issues women face and embrace today. From exploring identity, sexuality, body-image, consent, harassment, to self-esteem, parenthood, single parenthood, aging and menopause, and more. 11 years as a Waldorf high school teacher also give me important insight and skill for working with female youth and young adults.

  • Relationship / Marriage Issues External link

    Being in close relationships often brings us the most joyful and yet challenging/hurtful experiences we may ever have. Many of us have big expectations, yet little training--high hopes yet heavy baggage from the past. Good relationships require skills that can be learned. I use Emotionally Focused Therapy combined with somatic-based approaches so couples may deepen love and connection.

  • PTSD External link

    I have worked intensively for several years to identify and treat the many symptoms and effects of trauma. My training includes a year-long DBT intensive at the Portland DBT Institute, and completion of Level 1 Sensorimotor Psychotherapy (Level 2 to complete in 2019). Both are proven cutting-edge approaches for successfully treating PTSD and chronic complex childhood trauma.

  • Anxiety External link

    Using tools and approaches from my special training in mindfulness and somatic-based approaches, I have supported many clients to gain the skills needed to reduce and even eliminate the overwhelming feeling of anxiety. To treat anxiety, I often draw specifically from proven techniques found in CBT, DBT, and Sensorimotor psychotherapy approaches, and will soon be learning EMDR.

  • Depression External link

    Depression effects each of us differently. Using special training in mindfulness and somatic based approaches, I work first to support clients to strengthen and broaden their inner and outer resources. Many clients I see have remarked that the tools of self-compassion have been especially helpful for reducing depression. If trauma treatment is needed, healing trauma can resolve depression.

Contact Tracy

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