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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
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)

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.
Individual counseling
A safe, judgment-free space for anxiety, depression, grief, self-esteem, identity or life transitions, for teens and adults.
$125 per session TogetherFamily & collaborative sessions
Improve communication, work through conflict with compassion, rebuild trust and support a teen's mental health within the family.
$125 per session From homeTelehealth counseling
Secure video sessions with the same care as in the office. Convenient, private and comfortable.
$125 per sessionWhat we help with
- Depression
- Anxiety and stress
- PTSD and trauma
- Postpartum depression
- Grief and major life changes
- Relationship and family conflict
- Addiction recovery support
- Bipolar disorder
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.

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.
Counseling
Individual, family or telehealth sessions with our licensed counselor.
UnitedHealthcare / Optum
We accept UnitedHealthcare and Optum insurance for counseling.
Insurance via Thrizer
Thrizer lets you use your insurance benefits for counseling. We can help you get set up.
KAP
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
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.
