Women navigating the hormonal transition presenting with mood changes, anxiety, irritability, sleep disruption, identity shifts, or relational strain. Often alongside, or in place of, a primary psychiatric diagnosis. My work moves through hormonal-psychological-relational assessment, nervous system and sleep-focused stabilization, grief and identity work, and values-based reauthoring for the next life stage.

I'll loop you in when: new or unexplained physical symptoms need workup, a client isn't yet connected to a menopause-literate prescriber, or hormone therapy questions come up, those stay with your team.

Adults navigating cancer, autoimmune disease, or other serious or chronic conditions. From new diagnosis through active treatment, survivorship, recurrence, or long-term management. This work addresses medical trauma and "scanxiety," anticipatory grief, body image, and identity, paced around treatment schedules and fatigue.

I'll loop you in when: symptoms need urgent medical attention, medication non-adherence looks psychologically driven, or genetic counseling and medication management needs come up.

Adults presenting with anxiety, depression, grief, or trauma, frequently overlapping rather than isolated. Treatment moves through differential screening and risk assessment, regulation-focused stabilization, presentation-specific processing, and relapse prevention planning.

I'll loop you in when: active safety concerns arise, a manic or hypomanic episode is suspected, or trauma processing calls for EMDR/CPT-level work. I refer that specific piece to a certified specialist or trained provider.

None of the above is a fixed, manualized protocol. Each is a clinical framework I've developed for that specific population and flex to the person in front of me. While staying clear on what belongs in the therapy room and what belongs back with you.

Physical address:
298 Laneda Ave, Suite 4, Manzanita, OR 97130
Licensed for telehealth throughout Oregon & Washington
(LPC - OR, LMHC - WA)
In-network with UHC, PacificSource, MODA, Regence

Reach me at: Chrystal@holisticnw.com