Home / Counseling

Counseling · Salem, Oregon

Counseling for teens and adults, in person or online

A confidential place to work through anxiety, depression, trauma, grief or big life changes, with practical tools that help day to day. Meet in our Salem office or by secure telehealth.

  • 5.0 from 48 Google reviews
  • $125 per session
  • UnitedHealthcare/Optum accepted
Counselor listening to a client in a bright office with a view of evergreen trees

Our approach

Evidence-based therapy, matched to you

Counseling at Onward is led by Krystal, LPC. Sessions are personalized: we set realistic goals together, use proven techniques and track your progress over time. It's more than talk. It's a partnership, with clear steps toward feeling better.

Counseling works well on its own, and it's also a strong partner to ketamine therapy or Exomind TMS when you're receiving those treatments here.

Methods we use

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Collaborative Problem Solving (CPS)
  • Collaborative Assessment & Management of Suicidality (CAMS)
  • Motivational Interviewing
  • Ketamine-assisted psychotherapy (KAP)
Teen and parent talking together in a calm, cozy therapy room

Ways to work with us

Support for every stage of life

Whether you're starting therapy for the first time or coming back to it, we'll find the format that fits.

What we help with

Bipolar disorder: we treat bipolar patients, but they are not always good candidates for ketamine or TMS therapy. Counseling is a good fit for most bipolar patients, and we'll help you decide what's right at your visit.

Calm private treatment room with a recliner, blanket, eye mask and headphones

Ketamine-assisted psychotherapy

When therapy and ketamine work together

Ketamine-assisted psychotherapy (KAP) pairs carefully dosed, medically supervised ketamine with counseling. Ketamine can help you step back from rigid thought patterns, which often makes it easier to work through trauma, grief or long-standing habits in therapy.

KAP includes preparation before treatment and integration sessions afterward, so the insights carry into everyday life. It may be a fit for PTSD, treatment-resistant depression or addiction recovery. Ketamine for these uses is off-label.

  • Preparation, a monitored ketamine session and integration counseling
  • Someone must drive you home after an in-clinic ketamine session
  • Pricing depends on your plan and is discussed at your consultation

Cost & insurance

Simple pricing, insurance-friendly

We accept major cards, PayPal and cash. More insurance options are coming soon.

Per session

Counseling

$125

Individual, family or telehealth sessions with our licensed counselor.

In-network

UnitedHealthcare / Optum

Accepted

We accept UnitedHealthcare and Optum insurance for counseling.

Other plans

Insurance via Thrizer

Accepted

Thrizer lets you use your insurance benefits for counseling. We can help you get set up.

Ketamine + therapy

KAP

Custom

Based on your treatment plan. We go over cost and financing at your consultation.

Patient stories

Care that patients trust

"Eric and Krystal are exceptional in every way. Compassionate, skilled, generous."

T.Google review

"He listened to my experiences, explained everything well, answered my questions, and let me know how treatment would go and what to expect. Very comfortable, safe space."

Alicia P.Google review

"This therapy has been life changing in itself, and made all the more meaningful by the professionalism, kindness and down to earth manner of Dr. Fillmore."

Laurie P.Google review
Read all 48 reviews on Google

Questions

Counseling FAQs

How much does counseling cost?

Counseling is $125 per session, whether you meet in person or by telehealth. We accept major cards, PayPal and cash.

Can I use insurance for counseling?

Yes. Counseling accepts UnitedHealthcare/Optum insurance. If you have another plan, Thrizer can help you use your insurance benefits. More insurance options are coming soon.

Do you see teens?

Yes. We counsel teens and adults, and we offer family and collaborative sessions to support a teen's mental health.

Is telehealth available?

Yes. You can meet in our Salem office or by secure video, whichever fits your life.

What is ketamine-assisted psychotherapy (KAP)?

KAP pairs medically supervised ketamine with counseling, including preparation and integration sessions. It may help with PTSD, treatment-resistant depression or addiction recovery. Someone must drive you home after an in-clinic ketamine session.

Can counseling help with bipolar disorder?

Yes. We treat bipolar patients, but they are not always good candidates for ketamine or TMS therapy. Counseling is a good fit for most bipolar patients.

What if I'm in crisis?

Counseling is not an emergency service. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.

You don't have to wait for things to get worse

Book a counseling session in Salem or by telehealth. $125 per session. UnitedHealthcare/Optum accepted, other insurance via Thrizer.