Our Team

Compassionate Experts in Mental Health Care

Our team of dedicated behavioral health professionals is committed to delivering exceptional, client-centered care. Each clinician brings specialized expertise and a shared focus on meeting you where you are. We encourage you to explore our team to find the right fit—because a strong therapeutic relationship is essential, and your experience matters.

Meet Our Leadership Team

Megan Geary

Megan Geary

Specialty Services

Megan is experienced providing counseling and coaching across the lifespan. Megan now provides ...

  • Assessment and Diagnostic Consultation 
  • Clinical Behavioral Health Consultation
  • Clinical Licensure Supervision 
  • Corporate Change Management
  • Equine Facilitated Therapy (individual and groups)
  • Leadership and Executive Coaching
  • Team Building Workshops
  • Trainings (clinical, documentation, compliance)

Megan Geary, LCSW, CADC-R

Chief Executive Officer
Licensed Clinical Social Worker
Pronouns: she/her

Megan brings extensive experience and expertise to the fields of mental health and executive leadership with a Master of Social Work (MSW) from SUNY at Buffalo and a Graduate Certificate in High-Performance Leadership from Cornell University. She is a Licensed Clinical Social Worker in the state of Oregon and is also registered as a Clinical Supervisor for students and new graduates working towards LCSW, LPC and LMFT licensure. Her career is marked by a dedication to improving mental health services and empowering leaders to achieve their highest potential, which is a cornerstone of both her leadership and advocacy to change how behavioral healthcare is provided.

As the CEO of Cascade Counseling and Wellness, Megan has successfully led a team of dedicated professionals, delivering exceptional mental health services and fostering a supportive and inclusive environment for both clients and staff. Her leadership has been instrumental in expanding the services and enhancing the overall impact of our organization within our community.

In addition to her role at Cascade Counseling and Wellness, Megan has served as an expert mentor and coach on The Blox, where she provided business and leadership coaching to emerging leaders and entrepreneurs. Her approach combines practical strategies with a deep understanding of human behavior, enabling her clients to overcome challenges and excel in their professional endeavors. Megan's extensive background in mental health, combined with her experience in healthcare executive leadership and business coaching, allows her to offer a unique perspective and a comprehensive approach to leadership development. She is passionate about helping individuals and organizations thrive, and is committed to fostering growth, resilience, and innovation in all of her endeavors.

In her free time, Megan enjoys spending time with her husband and children, coaching sports and traveling.

Megan is not currently accepting new clients for therapy.

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Prentice Geary

Prentice Geary

Specialty Services

Prentice is experienced providing individual counseling and coaching to support you with ...

  • Adult Education and Training.
  • Business Coaching and Development.
  • CADC clinical supervision.
  • Change Management and Consultation.
  • Compliance Management for Behavioral Health Providers.
  • Conflict Resolution & Mediation.
  • Equine Facilitated Learning Sessions and Workshops.
  • Leadership Coaching and Mentorship.

Prentice Geary, DHA, MBA, CADC III

Chief Operating Officer
Consultant
CADC Supervisor
Pronouns: he/him

Growing up in an inter-racial family with a single mother, Prentice learned the benefit of mentorship and knew early on that his passion was serving others. Now, with nearly 20 years of experience in mental health and substance use, he has dedicated his career to supporting communities and driving positive change in the healthcare sector. Trained as a psychiatric nurse in British Columbia, he has a solid clinical foundation that complements his advanced education and leadership roles.

Prentice holds a Master of Business Administration (MBA) and a Doctorate in Healthcare Administration (DHA), which have equipped him with the skills to navigate the complexities of healthcare management and drive strategic initiatives. His experience as an adult educator allows him to effectively share knowledge and empower others to improve their practice and achieve their goals. Throughout his career, Prentice has been committed to providing business coaching and facilitating change management within organizations. His approach is rooted in evidence-based practices and a deep understanding of human behavior, enabling him to deliver impactful solutions that enhance organizational performance and support individual growth. Prentice's expertise spans a wide range of areas, including mental health services, substance use treatment, healthcare administration, and adult education. He is passionate about fostering resilience, innovation, and excellence in all of his professional professional endeavors.

Prentice is also skilled in providing trainings, clinical consultation and change management solutions to individuals, small businesses and executive teams - both in the office and in the field with our horses. In his free time, Prentice enjoys spending time with his wife and children, traveling and sports.

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Lupita Makowski

Lupita Makowski

Specialty Services

She is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Depression
  • Family of Origin Dynamics
  • Grief and Loss
  • Life transitions
  • Parenting

She provides services in English and Spanish

Lupita Makowski, LCSW

Clinical Director
Licensed Clinical Social Worker
Pronouns: she/her/ella
Yo hablo español

Lupita was born in Mexico City and immigrated to a rural town in Oregon in 1991. As an immigrant and first generation college graduate, Lupita understands the importance and value of a person’s story. Lupita received a Bachelor’s of Sociology and Masters of Social Work from Portland State University. She has spent the majority of her career working with individuals and families in a healthcare setting, supporting women during their pregnancies in a outpatient clinic, in a hospital setting and supporting women after their birth. Most recently, Lupita has been supporting families connected to a Neonatal Intensive Care Unit (NICU) requiring hospitalizations of their newborns. She has gained experience in building relationships and coordinating supportive services to clients while reducing systemic and individual barriers to healthcare and community services. Lupita provides compassionate, client-centered, trauma informed care and she believes that everyone can reach their potential when being approached with respect and unconditional positive regard. As a Licensed Clinical Social Worker (LCSW), her therapeutic modalities are rooted in family systems, crisis intervention, motivational interviewing, solution focused and narrative therapy. She enjoys working with families, young adults and adolescents with a strong aim at culturally specific BIPOC populations, with an emphasizes towards first generation Latinx.

In her free time, Lupita enjoys spending time with her family and their dog Max doing any outdoor activities (weather permitting!) that the Pacific Northwest has to offer. During basketball season, you can also find Lupita on the sidelines coaching her son’s youth basketball team. Lupita is currently working with clients 5+ and their families.

Lupita provides telehealth and in-person services at our Gladstone office.

Lupita is not currently accepting new clients for therapy.

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Alexa Wynn

Alexa Wynn

Specialty Services

Alexa is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Assessment and diagnostic clarification
  • Child & adolescent mental health
  • Depression
  • Life transitions
  • Play therapy
  • Trauma

Alexa Wynn, LPC

Clinical Supervisor
Licensed Professional Counselor
Pronouns: she/her

Alexa was born and raised in South Louisiana. She earned her Bachelor’s in English from Mississippi College before moving to Portland in 2018 to pursue and complete her Master’s degree in Clinical Mental Health Counseling at Western Seminary. During her graduate program, Alexa worked with adults and children impacted by homelessness and addiction, as well as serving individuals of all ages in a community mental health setting. Prior to joining the team at Cascade, Alexa served youth and families experiencing acute mental health needs as part of a community-based crisis service. In her work with clients, Alexa integrates attachment theory and cognitive methods with a focus on client values. Her aim is to walk alongside people in their journeys of self-discovery and collaborate with them as they work towards their goals. As a former English major, Alexa enjoys incorporating her knowledge of narrative with her counseling training to hold space for clients as they discover, process, and sometimes rewrite the story of their lives. When she’s not at work, you will likely find Alexa working on her to-be-read pile of library books, cooking new recipes with her husband, or spending time with friends over coffee. Alexa works with clients age 5+.

Alexa provides telehealth and in-person services at our Gladstone office.

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Tiara Sharpes

Tiara Sharpes

Specialty Services

Clinic ManagerClient Support Specialist
Case Management
Qualified Mental Health Associate

TIARA SHARPES

Office Manager
Pronouns: she/her

Originally from Oregon, Tiara graduated from a local high school and went on to earn her bachelor’s degree in Anthropology from the University of Oregon. She brings a deep appreciation for people, culture, and connection to her role. Tiara's compassion, reliability, and dedication to helping clients access the care they deserve is evident to those she meets. She values building meaningful relationships with clients and families and is passionate about supporting clinicians so they can focus on providing exceptional care. As she steps into her new role as Office Manager, Tiara is excited for the opportunity to deepen our clinic's connection with the community we serve and to help strengthen the systems that make care more accessible for all. In her free time, Tiara can be found outdoors—whether hiking, snowshoeing, backpacking, or exploring new trails. She brings that same sense of curiosity and grounded presence into her work each day, helping ensure that Cascade Counseling and Wellness remains a welcoming and supportive space for all who walk through our doors.

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Meet Our Team

Alex Emmert

Alex Emmert

Specialty Services

Alex is experienced providing individual and family counseling to support you with ...

Anxiety

Depression

Grief and Loss

Life transitions

Solution Focused Therapy

Trauma

Alex Emmert, LPC

Licensed Professional Counselor
Mental Health Therapist
Pronouns: he/him

Alex grew up in Clackamas County and earned his Master’s Degree in Mental Health Counseling from Lewis & Clark College. He specializes in working with grief, helping people navigate the natural emotions that come with change and loss—whether through death, divorce, or other life transitions. Alex uses an action-oriented approach that guides clients through clear steps to identify what feels emotionally unresolved and move toward healing. Alex's work is rooted in a strength-based perspective, emphasizing skill-building, confidence, and personal insight. He supports clients in developing flexible thinking, strengthening resilience, and cultivating practical tools they can use in everyday life. Above all, he believes therapy is most effective when it provides a safe space to be honest, while also offering the right amount of challenge to encourage growth. In his free time, Alex enjoys the beach and exploring nature with family and friends. Alex works with clients age 16+.

Alex provides telehealth and in-person services at our Gladstone office.

p with a Master of Social Work (MSW) from SUNY at Buffalo and a Graduate Certificate in High-Performance Leadership from Cornell University. She is a Licensed Clinical Social Worker in the state of Oregon and is also registered as a Clinical Supervisor for students and new graduates working towards LCSW, LPC and LMFT licensure. Her career is marked by a dedication to improving mental health services and empowering leaders to achieve their highest potential, which is a cornerstone of both her leadership and advocacy to change how behavioral healthcare is provided.

As the CEO of Cascade Counseling and Wellness, Megan has successfully led a team of dedicated professionals, delivering exceptional mental health services and fostering a supportive and inclusive environment for both clients and staff. Her leadership has been instrumental in expanding the services and enhancing the overall impact of our organization within our community.

In addition to her role at Cascade Counseling and Wellness, Megan has served as an expert mentor and coach on The Blox, where she provided business and leadership coaching to emerging leaders and entrepreneurs. Her approach combines practical strategies with a deep understanding of human behavior, enabling her clients to overcome challenges and excel in their professional endeavors. Megan's extensive background in mental health, combined with her experience in healthcare executive leadership and business coaching, allows her to offer a unique perspective and a comprehensive approach to leadership development. She is passionate about helping individuals and organizations thrive, and is committed to fostering growth, resilience, and innovation in all of her endeavors.

In her free time, Megan enjoys spending time with her husband and children, coaching sports and traveling.

Megan is not currently accepting new clients for therapy.

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Andrew Roetcisoender

Andrew Roetcisoender

Specialty Services

Andrew is experienced providing individual and family counseling to support you with ...

  • Adolescent mental health
  • ADHD
  • Anxiety
  • Depression
  • Executive functioning
  • Mindfulness
  • Trauma

Andrew Roetcisoender

Professional Counselor Associate
Mental Health Therapist

Pronouns: he/him

Hailing from the Seattle area, Andrew graduated with his Bachelor’s degree in Psychology and Business from Calvin University in Grand Rapids, Michigan in 2019 before returning to the Pacific Northwest. Since then, he has supported adolescents and adults as an ADHD & Executive Function Coach while pursuing his master’s degree in Clinical Mental Health Counseling at George Fox University. Andrew also has experience working with children as a teacher in sports and day-camp settings.

Andrew believes the capacity for healing and growth dwells within everyone, and that this potential is best nurtured through attentive listening, curiosity, and self-discovery. In counseling, he uses a person-centered, strengths-based approach which values the experience of the client and relies on collaboration.

In another life, Andrew would be a professional tennis player. He is a true racquet sport enthusiast and plays ping pong, tennis, pickleball, touchtennis, and badminton. Beyond the court, Andrew enjoys slow walks, good food, audiobooks, trees, lakes, and the company of friends and family. Andrew is currently a Professional Counselor Associate and working toward independent licensure while under supervision. April is currently working with ages 12+ and their families.

Andrew provides telehealth and in-person services at our Gladstone office.

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April Schein

April Schein

Specialty Services

April is experienced providing individual and family counseling to support you with…

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Domestic Violence and Intimate Partner Violence
  • Life Transition

April Schein

Professional Counselor Associate
Mental Health Therapist
Pronouns: she/her

From an early age, April was fascinated by the ways space and place shape the human experience. What began as an interest in architecture and interior design soon turned into a deeper calling—the sacred places within people’s stories and the desire to create a safe, supportive space for healing. As a military spouse for over fifteen years, April has lived in many different places, each with its own culture and community. Those years opened her eyes to both the beauty and challenges of change, transition, and resilience. They also deepened her compassion for the struggles people face and strengthened her commitment to walk alongside others in their journeys. In 2022, after her husband’s retirement, April and her family settled in Portland and she pursued her passion for counseling, and graduated from Western Seminary. April’s approach to counseling is trauma-informed and rooted in Acceptance and Commitment Therapy (ACT), which emphasizes the power of language and its influence on thoughts, beliefs, and behaviors. She values evidence-based tools and strategies, while also utilizing creativity and flexibility to meet the unique needs of each client. She believes healing happens best when the cultural, social, and lifestyle contexts that shape each person’s story are acknowledged and honored. Above all, she strives to provide a space where people feel seen, heard, and valued. April’s goal is to walk with clients in a way that respects their experience, fosters healing, and supports lasting growth. April is a big fan of her husband, kids, and outdoor adventures, preferably all together. She enjoys the creative process, a good story, supporting her community, and the power of gathering around the table for a meal. April is currently a Professional Counselor Associate and working toward independent licensure while under supervision. April is currently working with ages 5+ and their families.

April provides telehealth and in-person services at our Gladstone office.

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Erin Sloan

Erin Sloan

Specialty Services

Erin is experienced providing individual and family counseling to support you with ...

  • Anger Management
  • Anxiety
  • Burnout & Stress
  • Child & adolescent mental health
  • Depression
  • Trauma

Erin Sloan, MSW

Clinical Social Work Associate
Mental Health Therapist
pronouns: she/her

Erin grew up in Portland as a dedicated student‑athlete, playing basketball, soccer, swimming, and water polo. Through her relationships with her teams and their families, she saw early on how our environments shape who we are and how we heal. She studied Psychology at the University of Oregon, discovering her passion for using therapeutic tools not only to enhance performance but also to help people live fuller, more meaningful lives. Erin went on to earn her Master of Social Work from Portland State University and has found deep fulfillment in walking alongside others in their healing journeys ever since.

Rooted in social work values, Erin approaches therapy as a real human first. Her experience in schools, juvenile justice, and foster care continually reminds her that therapy is most effective when it starts with safety, honesty, and authenticity. She is warm, direct, and collaborative—creating space where clients don’t have to filter themselves or have it all figured out to belong.

Erin draws from trauma‑focused CBT, DBT, motivational interviewing, and family systems approaches, always tailoring therapy to the unique needs of each person or family. She’s especially passionate about working with adolescents, young adults, and neurodivergent clients, and she brings a strong social justice and racial equity lens into her practice. Clients can expect her to be fully engaged, compassionate, and willing to offer gentle challenges that promote growth. Her goal is to help you feel grounded, understood, and connected—to yourself and the world around you. When she’s not in the therapy room, you can find Erin enjoying the outdoors (especially near water), snowboarding, exploring Portland’s food scene, and spending time with her beloved dog, Senay. Erin is currently a CSWA and working towards independent licensure while under supervision. She is currently working with clients ages 10+ and their families.

Erin provides telehealth and in-person services at our Gladstone office.

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Faith Patten

Faith Patten

Specialty Services

Faith is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Mindfulness
  • Stress
  • Trauma

Faith Patten

Student Intern
Pronouns: she/her

Born and raised in Portland, Faith earned her bachelor’s degree in psychology and American Sign Language at Portland State University before starting her master’s degree in clinical Mental Health Counseling at Grand Canyon University. During her undergraduate program, Faith completed her senior capstone with SMYRC, a queer resource center in Portland, Oregon focusing on culturally specific support for LBGTQIA2S+ youth. Faith brings a compassionate, person-centered approach to her work as a student intern, emphasizing collaboration, authenticity, and respect for each client’s lived experience. She integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to help clients understand their thoughts, emotions, and behaviors while building psychological flexibility and meaningful coping skills. Faith focuses on clients’ strengths and values, using a trauma-informed lens to create a supportive and affirming therapeutic space. She is especially mindful of how personal, cultural, and social contexts shape an individual’s story, and she works collaboratively with clients to explore identity, increase self-awareness, and foster resilience. In her free time, she loves spending time with her dog, Clementine, or painting. Her heartfelt goal is for clients to feel seen, heard, and empowered as they move toward healing and meaningful change. Faith is a student intern, completing requirements for her master's degree in Mental Health Counseling, and works under direct supervision. She currently works with individual clients ages 5+ and their families.

Faith provides telehealth and in-person services at our Gladstone office.

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Genét Friess

Genét Friess

Specialty Services

Genét provides individual counseling to support you with...

  • Anxiety
  • Depression
  • Grief and Loss
  • Life Transitions
  • Navigating Midlife
  • Mindfulness
  • Relationship Challenges
  • Faith Transition/Religious Trauma

Genét Friess, MSW

Licensed Clinical Social Worker
Mental Health Therapist
Pronouns: she/her

Genét grew up in the suburbs of Chicago, but has lived in the Portland area for more than 20 years and definitely considers the PNW to be home. After graduating with a Masters in Social Work from Brigham Young University, she took a break to raise her children. She later returned to the mental health field to work as a certified coach, and is now coming back to the clinical space. Genét utilizes a variety of therapeutic approaches specifically tailored to the client’s individual needs, with a specific emphasis on mindful presence, acceptance, and commitment to values. She works collaboratively with clients to uncover a deeper, more meaningful relationship to self and others. She believes that we are each experts in our own journey. The role of a therapist is to create a safe container where one can explore the wisdom of the body and mind with openness and curiosity, and to provide new tools that will allow us to more deeply access that inner knowing. Genét has a personal passion for helping parents navigate the journey of raising LGBTQIA+ kids, as well as supporting those moving through a faith deconstruction/expansion within high demand religion. Outside of her practice, she enjoys playing board games with her family, spending as much time in the forest as possible, and eating delicious food. Genét is currently working with clients age 18+.

Genét provides telehealth and in-person services at our Gladstone office.

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Heather Baeckel

Heather Baeckel

Specialty Services

Heather is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Depression
  • Life transitions
  • Parenting
  • Perinatal and Postpartum Mental Health
  • Trauma 

Heather Baeckel, LCSW

Licensed Clinical Social Worker
Mental Health Therapist
Pronouns: she/her

As a young girl, Heather lived in multiple military towns before her family settled in Alabama. This is where she grew up and received her Bachelors in Social Work. Heather moved to Oregon in 2000 and received her Masters in Social Work from Walla Walla University in 2001. Heather has worked with families and individuals for more than twenty years as a social worker. Heather is a Licensed Clinical Social Worker (LCSW) and is certified in Perinatal Mental Health. She enjoys working with new parents and supporting families with young children. She has worked for non-profits, in schools and hospital settings, and has experience with young parents involved with foster care, juvenile courts, and survivors of intimate partner violence. She is passionate about life and the power within all individuals and families to live the life they desire. Whether your experiences are rooted in rural or urban settings, she provides a therapeutic space that is non-judgmental and compassionate. Heather uses multiple treatment modalities that are individualized to meet your needs. Heather is a mother and grandmother and enjoys spending time with her family and friends outdoors, exploring new and familiar places, and being near water. Heather is currently working with clients 16+ and their families.

Heather provides telehealth and in-person services, both in our Gladstone office and eco-therapy services.

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Ian McHugh

Ian McHugh

Specialty Services

Ian is experienced providing individual and family counseling to support you with ...

  • Adolescent mental health
  • ADHD
  • Anxiety
  • Depression
  • Mindfulness
  • Somatic work
  • Trauma

Ian McHugh, LPC

Licensed Professional Counselor
Mental Health Therapist
Pronouns: he/him

Ian grew up in Texas, where he earned his bachelor's degree in Psychology from Texas A&M University in 2018. Soon after, he answered the call of the Pacific Northwest and moved to Oregon where he earned his Master’s degree in Mental Health Counseling, with a focus on addiction work, from Lewis and Clark College. Ian has experience supporting adults and teens through a variety of challenges, including addiction recovery, grief, ADHD, trauma, depression, and anxiety. He believes in making the therapeutic process transparent and collaborative—centered on building a relationship where you feel safe, seen, and respected.

Ian integrates brain science, metaphors, mindfulness, art, and humor to help facilitate therapeutic goals, make complex ideas stick, and ease the natural awkwardness that can arise in therapy. He works from a trauma-informed, social justice-oriented, and strengths-based perspective, recognizing that we develop survival skills to navigate life’s challenges—yet sometimes, those same skills can get in the way of growth and healing. Whether you're facing a major life transition, feeling overwhelmed by circumstances, or you’re ready to make a change but are unsure where to start, Ian believes that counseling can help. Outside of work, Ian enjoys spending time in nature, playing video games with friends, attending concerts, and exploring new hobbies sparked by his curiosity. Ian is a Licensed Professional Counselor in the process of completing requirements for his CADC, and currently works with clients ages 14+ and their families.

Ian provides telehealth and in-person services at our Gladstone office.

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Jenni Conley

Specialty Services

Coming Soon

Jenni Conley

Student Intern
Pronouns: she/her

Jennifer was born and raised in Burlington, Vermont, where she developed a love of snowboarding and all things maple. She earned her undergraduate degree in Psychology at the University of Vermont, and shortly after, she spent time working in a hospital diversion program that sparked her interest in adolescent mental health and crisis stabilization. Jennifer also has experience working in children’s education, both in a school setting, as well as through the Boys & Girls Club. These experiences have shaped her understanding of children and adolescents, as well as their families and how to thoughtfully approach their care.

During the pandemic, Jennifer began a graduate program to explore her interest in psychology and mental health. In 2022, she and her partner moved across the country to Oregon with their chocolate lab mix, Mikey. They settled in Portland, where she continued to pursue her Masters of Science in Psychology from Southern New Hampshire University, which she completed the following spring. As she works to complete her Masters of Science in Clinical Mental Health Counseling through Walden University, Jennifer hopes to expand her current therapeutic approach which is primarily person-centered and cognitive behavioral techniques, while providing a safe space for all ages. Jennifer is a student intern, completing requirements for her master's degree in Clinical Mental Health Counseling, and works under direct supervision. She currently works with individual clients ages 5+ and their families.

Jennifer provides telehealth and in-person services at our Gladstone office.

Specialty Services
Jennifer is experienced providing individual and family counseling to support you with ...

  • ADHD
  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Stress
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Jessie Vandeberghe

Jessie Vandeberghe

Specialty Services

Coming Soon

Jessie Vandeberghe

Admin Assistant
Pronouns: she/her

Jessie is Clackamas County native and enjoys supporting clients and families as they navigate access to care and is committed to helping create a welcoming and organized experience from the first point of contact. Outside of work, Jessie loves spending time with her family, staying active, and supporting others in reaching their health, nutrition, and fitness goals. She brings that same energy and care into her role each day, helping ensure smooth operations and positive client experiences.

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John Rower

John Rower

Specialty Services

Psychiatric Evaluation

John Rower, PMHNP

Psychiatric Mental Health Nurse Practitioner
Pronouns: he/him

Originally from Grand Rapids, Michigan, John Rower’s path to the Pacific Northwest began with a quiet curiosity about the West. After reading David James Duncan’s The River Why, a seed was planted that eventually drew him to the Oregon landscape. He arrived with a steady work ethic and a sense of service that has remained the foundation of his professional life.

John’s clinical approach is shaped by years of practical, hands-on experience. Before becoming a PMHNP, he spent fifteen years working in general labor, retail, and food service roles that grounded him in everyday realities and human connection. These experiences laid the foundation for his belief in showing up for one another. He began his healthcare career as an Air Force medic and later served as a Nurse Corps Officer in the Oregon Air National Guard. His civilian career has included work as a community health worker, an ED medic, an RN at the Oregon State Hospital, and an RN leader at PeaceHealth Sacred Heart Medical Center. Throughout these roles, John has worked closely with individuals navigating addiction, acute psychiatric crises, and incarceration.

John’s philosophy is rooted in faith and the conviction that every person deserves to be seen and valued. He views the provider-patient relationship as a partnership built on trust and respect. He challenges the narrative that clinicians must remain emotionally distant, believing instead that presence, curiosity, and genuine engagement foster meaningful healing. His goal is to help individuals reconnect with themselves and take tangible steps toward recovery, however small those steps may begin.

Outside the clinic, John finds balance through manual labor inside and outside the home he shares with his wife and six children. He values the grounding nature of hands-on work and believes it mirrors the healing process itself. Meaningful change, in both life and practice, requires patience, presence, and a willingness to listen.

JOHN IS ACCEPTING NEW PATIENTS

He provides telehealth and in-person services at our Gladstone office.

* John is in the process of being credentialed with all insurances accepted at Cascade Counseling and Wellness. Due to insurance restrictions, until his credentialing is complete with your insurance, you may have out-of-network costs.

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Joscelyn Beebe

Joscelyn Beebe

Specialty Services

Client Support Specialist
Case Management
Qualified Mental Health Associate

Joscelyn Beebe

Client Support Specialist
Pronouns: she/her

Born in Northern California, Joscelyn graduated from Reed College with her bachelor’s degree in psychology and creative writing and hopes to begin her graduate studies in social work soon. In the meantime, her role as Client Support relies on compassion, patience, and consistent advocacy for client ease of mind. In her free time, Joscelyn loves spending time with her senior chihuahua Gizzy, cooking meals for her family, writing poetry, and scrapbooking. A couple of fun facts, Joscelyn wrote her undergraduate thesis about problematic smartphone use and has been an early riser for her entire life.

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Maggie Truelove

Maggie Truelove

Specialty Services

Maggie is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Depression
  • Family systems & Relationship distress
  • Mindfulness
  • Stress
  • Trauma

Maggie Truelove

Student Intern
Pronouns: she/her

Maggie grew up in Portland and is completing her Masters degree in Marriage and Family Therapy (MFT) at Capella University, where she also earned a BS in Psychology. She has a professional background in clinical bodywork, secular and Buddhist mindfulness, and Empowerment Self-Defense. Maggie is passionate about helping her clients develop a positive relationship with their bodies, boundaries, identities, and intuition. She believes that expanding the capacity for joy, simple pleasure, and presence also expands the capacity to process and grow from life’s challenges. As an student therapist, she applies these principles to couples and family relationships and is developing a specialization in couples therapy. Her primary therapeutic lenses are Emotionally Focused Therapy (EFT), Somatic Experiencing, Brief Solution Focused Therapy, and Narrative Therapy. Maggie has experience working with the LGBTQ community and is passionate about issues of equity and justice. In her free time, Maggie loves hiking and backpacking, being an amateur ceramicist, hosting game nights, and spending time with her toddler and husband.

Maggie is a student intern, completing requirements for her master's degree in Marriage and Family Therapy, and works under direct supervision. She currently works with individual clients ages 14+, their families and couples.

Maggie provides telehealth and in-person services at our Gladstone office.

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Michelle Watanabe

Michelle Watanabe

Specialty Services

Michelle is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Depression
  • Life Transitions
  • Relationship Challenges

Michelle Watanabe

Student Intern
Pronouns: she/her

Michelle has a background blending arts, education, and social work, centered on intergenerational community building. She focuses on strengths, utilizes asset mapping, and employs a trauma-informed approach, which helps her create safe and nurturing spaces. Drawing from her experiences at the crossroads of healing arts and social justice, she finds inspiration as she studies social work at Portland State University. Her passion is empowering BIPOC and Asian American communities, acknowledging their specific histories, challenges, and resilience. Michelle aims to help individuals discover their story and voice, embracing their identity while honoring their cultural, social, and personal backgrounds to foster healing and growth. Her heartfelt goal is for clients to feel seen and heard, collaborating together to support healing and meaningful life changes. Outside of the office, Michelle can often be found tending her urban backyard garden, spending time with her dog, Kuma, volunteering at the Oregon State Penitentiary, advocating for the arts, or playing and teaching taiko with her ensemble and partner across the Northwest. Michelle is a student intern, completing requirements for her MSW program under direct supervision. She currently works with clients ages 16+ and their families.

Michelle provides telehealth and in-person services at our Gladstone office.

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Natalie Arakelian

Natalie Arakelian

Specialty Services

Natalie is experienced providing individual and family counseling to support you with…

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Life Transitions
  • Parenting Support
  • Social Skill development with kids and teens

Natalie Arakelian, MFT

Marriage and Family Therapy Associate
Mental Health Therapist
Pronouns: she/her

Natalie is originally from Lake Oswego, Oregon. She did her undergrad at Oregon State University where she studied Human Development and Family sciences in addition to her elementary education studies. She earned her Masters degree in Marriage and Family Therapy from Capella University. Natalie has a particular interest in working with teens and young adults, using age-appropriate approaches to create a safe, relatable, and supportive environment. As a trauma-informed therapist, she understands the unique challenges that young people face, especially during critical stages of identity and relationship development. As a systemic therapist, Natalie specializes in understanding and transforming relationships by viewing individuals within the context of their families, social networks, and communities. Drawing primarily from Structural Therapy and Emotionally Focused Therapy, Natalie emphasizes the importance of family structure, boundaries, and hierarchies, helping clients to identify and realign patterns that may hinder connection and well-being. Together, these modalities empower individuals and families to create healthier, more connected relationships and navigate change with resilience. By meeting her clients where they are emotionally and developmentally, she helps them build resilience, navigate complex emotions, and develop healthy relational skills that support long-term well-being. Natalie lives in Clackamas County with her dog, Moose and her cat, Timber. In her free time, she enjoys spending time with friends and family, watching TV/movies, and weightlifting. Natalie is currently a Marriage and Family Therapy Associate and working toward independent licensure while under supervision. Natalie is currently working with ages 6+ and their families.

Natalie provides telehealth and in-person services, both in our Gladstone office and eco-therapy services.

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Nicole Carter

Nicole Carter

Specialty Services

Weight Loss, Weight Management and GLP-1 support *

* Due to insurance restrictions, * services are NOT covered by insurance. Cash rates apply.

Nicole Carter, MN, APRN

Board-certified Advanced Practice Nurse
Pronouns: she/her

Nicole Carter MN, APRN, AGCNS-BC, CNS-PP, CMSRN is a board-certified advanced practice registered nurse dedicated to providing high-quality, patient-centered care for individuals seeking weight loss support. Nicole began her nursing career in 2003 and went on to earn her Master of Science in Nursing from Purdue University in 2013. With two decades of experience, she brings both clinical expertise and a deep understanding of the real-world challenges people face on their health and wellness journeys. Nicole recognizes that starting or maintaining new treatments can feel overwhelming and often leads to questions or uncertainty. Nicole partners closely with her patients—listening to their concerns, addressing questions, and finding practical, sustainable solutions together. Passionate about the transformative potential of GLP-1 therapy, Nicole believes these medications can be truly life-changing when approached safely and thoughtfully. Her goal is to help patients access treatment that is personalized, effective, and empowering—supporting not only weight loss outcomes but also improved confidence, energy, and overall quality of life. A native Oregonian, Nicole enjoys spending time outdoors exploring the beauty of the Pacific Northwest with her family. They love camping, hiking, and discovering new adventures together. Nicole strives to maintain a meaningful balance between career, family, and fun.

NICOLE IS ACCEPTING NEW PATIENTS FOR GLP-1 SUPPORT.

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Rochelle Rakowski

Rochelle Rakowski

Specialty Services

Rochelle is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Eating Disorders
  • Grief and Loss
  • Trauma 

Rochelle Rakowski, PhD, LPC

Licensed Professional Counselor
Mental Health Therapist
Pronouns: she/her

Rochelle has been a Licensed Professional Counselor in Oregon since 2000 and has enjoyed working in the mental health field since 1994. She believes everyone has an ability to overcome life’s challenges and focuses on building trusting relationships with those who are open to working together towards growth, fulfillment, and well-being. She has successfully helped children, teens, and adults meet their therapeutic goals through multiple treatment modalities tailored to each individual’s comfort level and interest. Former clients have reported feeling accepted, safe, and free to be fully themselves in a supportive and non-judgmental therapeutic relationship. Along with her career in the helping profession, Rochelle also enjoys being outdoors and will often take long walks, regardless of the weather. Her hobbies are watching surf and skateboard competitions, daydreaming of tropical beaches, and searching for opportunities to laugh. Rochelle is currently working with clients 5+ and their families.

Rochelle provides telehealth services only.

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Sam Landis

Sam Landis

Specialty Services

Sam is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child & adolescent mental health
  • Depression
  • Trauma

Sam Landis, MSW

Clinical Social Work Associate
Mental Health Therapist
Pronouns: she/her

Sam grew up in Portland OR, and attended Portland State University where she obtained her Bachelor’s degree with focuses in criminal justice and child and family studies, and then her Master’s in Social Work. Most of Sam’s experience in this field has been in residential and in-patient settings with children, adolescents, and adults. Sam is committed to tailoring therapeutic modalities to meet the unique needs of each individual, ensuring that therapy is as effective and personalized as possible. Sam’s approach emphasizes the strengths of clients, fostering a non-judgmental and supportive environment where clients can work towards achieving their goals with confidence and clarity. Outside of work, Sam enjoys spending time with her family, twin sister, and dog Sadie. Sam can often be found immersed in a good book or tv show, experimenting with watercolors, going for walks or swimming at the pool. Sam is currently a CSWA and working towards independent licensure while under supervision. Sam is currently working with clients ages 10+ and their families.

Sam provides telehealth and in-person services at our Gladstone office.

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Sarah Giles

Specialty Services

Sarah is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • LGBTQ+ Support
  • Mindfulness
  • Stress
  • Trauma

Sarah Giles

Student Intern
Pronouns:  she/her

Sarah spent her early years living in various parts of the United States before eventually putting down roots in Oregon, where she has lived and raised her family for the past 23 years. She holds an undergraduate degree in Art Education and has returned to school to complete her master's degree in Clinical Mental Health Counseling at Antioch University.

After dedicating 15 years to raising her children, she returned to her professional path with a deepened perspective on growth, resilience, and human connection.

With extensive experience working with children and adolescents as both a teacher and cross-country/track and field coach, Sarah believes in leveraging her clients’ strengths and relationships to help them enact the change they want to see. She is particularly passionate about supporting individuals experiencing depression and anxiety, helping them develop effective coping strategies and a greater sense of balance and hope. Grounded in mindfulness, she primarily utilizes Cognitive Behavioral Therapy (CBT), while also incorporating art-based interventions when working with children and adolescents.

She is passionate about walking alongside clients as they navigate life’s ups and downs, helping them ride each wave—big or small—with greater clarity, resilience, and inner peace. Outside of her professional work, Sarah enjoys distance running, exploring art and creativity, working in her yard and garden, and spending meaningful time with her family and her dog.

Sarah is a student intern, completing requirements for her master’s degree in Clinical Mental Health Counseling, and works under direct supervision. She currently works with individual clients ages 5+ and their families.

Sarah provides telehealth and in-person services at our Gladstone office.

Specialty Services
Sarah is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • LGBTQ+ Support
  • Mindfulness
  • Stress
  • Trauma
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Sessy De La Cruz

Sessy De La Cruz

Specialty Services

Sessy is experienced providing individual and family counseling to support you with ...

  • Child & Adolescent mental health
  • Anxiety
  • Depression
  • Life Transitions

* Professionally, Sessy uses her full name, Jessica De La Cruz. 

Sessy De La Cruz

Student Intern
Pronouns: she/her

Originally from Los Angeles, Sessy graduated in 2024 with a Bachelor’s degree in Public Health Studies from Portland State University and is now completing her Master of Social Work at PSU. Since moving to Portland in 2021, she has gained experience as a School Social Work Intern at a local elementary school, where she co-led groups for children, collaborated with families, and supported school-wide wellness efforts. She also has experience working with college age students, where she supported students throughout different avenues of health and wellness using a strengths-based and trauma-informed lens.

Sessy is passionate about bringing empathy and understanding into her work, helping children, teens, and young adults feel heard, supported, and empowered. She is especially interested in mental health counseling and values approaches that honor each person’s unique story and resilience. Drawing from practices such as Narrative Therapy and Acceptance and Commitment Therapy (ACT), Sessy is committed to supporting clients in building self-compassion, finding their voice, and navigating life’s challenges with confidence and care.

In her free time, Sessy enjoys cooking new recipes, playing board games and video games with her partner, bouldering, and spending time with her two cats, Safi and Hiero. Sessy is a student intern, completing requirements for her MSW program under direct supervision. She currently works with clients ages 5+ and their families.

Sessy provides telehealth and in-person services at our Gladstone office.

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Veronica Wilkinson

Veronica Wilkinson

Specialty Services

Veronica is experienced providing individual and family counseling to support you with ...

  • Anxiety
  • Child and Adolescent Mental Health
  • Depression
  • Life Transitions
  • Trauma

Veronica Wilkinson, MSW

Clinical Social Work Associate
Mental Health Therapist
pronouns: she/her

Veronica is originally from San Diego, CA, and has been living in Portland, OR for nearly 10 years. With over a decade of experience in the field, Veronica recently graduated with her Masters Degree in Social Work (MSW) and has extensive experience supporting children, transitional-aged youth, adults, and families across diverse populations and settings. Her approach is grounded in humanistic values, focusing on individual strengths, autonomy, and the capacity for growth. She believes that people are inherently good and do well if they can, and she strives to see each person beyond behaviors, symptoms, or diagnoses. Veronica offers a supportive and non-judgmental environment and is dedicated to creating a collaborative and safe space where clients can explore their thoughts and emotions. Out of the office, she is an avid sports fan, especially of baseball and football. She enjoys cooking, camping, golfing, and bowling in her free time. Veronica is currently a CSWA and working towards independent licensure while under supervision. She currently works with clients ages 8+ and their families.

Veronica provides telehealth and in-person services at our Gladstone office.

Specialty Services

Veronica is experienced providing individual and family counseling to support you with ...

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Meet Our Equine Therapy Team

Betty
Luna
Penny
Phoenix

Meet Our Farm Friends

Oreo
Popcorn
Snickers
Thunder
Daisy
Hershey
Honey
Huckleberry

Our Approach

We believe effective care is built on trust, understanding, and connection. Every member of our team is focused on creating a supportive environment where you feel seen, heard, and empowered throughout your journey.

Counseling session with a therapist and client
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Equine Partnership

In addition to traditional services, we incorporate equine-facilitated wellness as part of our holistic approach. Our horses are carefully selected and continually trained to support meaningful, experience-based therapeutic work.

The Ranch Setting

Clients participating in these services can visit Still Creek Ranch, where our eco-therapy and equine programs take place. This natural setting offers a calm, grounding environment that encourages reflection, connection, and growth.

Discover Nature-Based Healing
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Therapeutic Benefits

Horses serve as powerful partners in the therapeutic process, helping individuals build trust, strengthen relationships, and develop emotional awareness and regulation. These services can be especially beneficial for those who have experienced trauma or prefer an alternative to traditional office-based therapy.

Program Availability

Equine-facilitated wellness services are currently offered on a limited basis and are available to existing Cascade Counseling and Wellness clients.

Relaxed meeting in a modern living room.