For the mind that won't stop running.
Therapy for anxiety, overthinking, and burnout — for people who are tired of holding it all together on their own.
Maybe this sounds familiar.
Hi, I'm Elena — licensed marriage & family therapist.
I work with adults who look fine on the outside but feel like they're quietly unraveling — the overthinkers, the ones who can't switch their brains off at 2am, the high-functioning anxious.
Before private practice, I spent six years at a community mental health center working primarily with anxiety and stress-related concerns. I started this practice because I wanted more time with each person than a 20-minute slot allows.
- License Licensed Marriage & Family Therapist, OR #LMFT-48213
- Education M.A. Counseling Psychology, Lewis & Clark College
- Experience 9 years practicing, 4 in private practice
- Training CBT, ACT, Somatic Experiencing (Level 2)
How we'd actually work together.
Therapy works best when it's not just talking in circles. Here's what shapes our sessions.
Cognitive Behavioral Therapy
We identify the specific thought patterns that fuel anxiety and practice interrupting them — not with toxic positivity, but with more accurate thinking.
Somatic awareness
Anxiety lives in the body as much as the mind. We work with breath, tension, and nervous system regulation alongside the talking.
Acceptance & Commitment Therapy
Not every anxious thought needs to be fixed. Sometimes the goal is learning to act despite it, in line with what actually matters to you.
Where we'd focus our work.
Every session is tailored, but most people I see are working through one of these.
Anxiety & overthinking
Racing thoughts, constant what-ifs, the mental loop that won't quit.
Burnout & overwhelm
Running on empty while still trying to hold everything together.
Perfectionism
The exhausting pressure to get everything right, all the time.
Life transitions
Big changes — career, relationships, identity — that have knocked you off balance.
Starting therapy, without the guesswork.
Free 15-minute consult
A short call to see if we're a good fit — no commitment, no pressure.
First session
We map out what's going on and what you want to be different.
Weekly sessions
50 minutes, in-person in Portland or online — consistent, steady pace.
Check in & adjust
Every few months we review what's working and reset goals together.
The practical details.
Session fees
Insurance accepted
- Regence BlueCross BlueShield
- Providence Health Plan
- Out-of-network superbills provided
- HSA / FSA accepted
"You don't need to have it figured out before you start. That's what the sessions are for."
— Elena Marsh, LMFTBefore you reach out.
How long does therapy usually take?
It varies. Some people come for a specific issue and feel resolved in a few months; others prefer ongoing support for a year or more. We'll check in regularly on what's working and whether it's time to space sessions out or wrap up.
Is what I say confidential?
Yes, with the standard legal exceptions around safety (risk of harm to yourself or others, or abuse of a child or vulnerable adult). I'll walk through the full details in our first session.
Do you prescribe medication?
No — as a therapist I don't prescribe, but I can refer you to a psychiatrist or your primary care provider if medication feels worth exploring, and can coordinate care with them.
What if it doesn't feel like a fit?
That happens sometimes, and it's okay. If after a few sessions it doesn't feel right, I'll help you find a better match rather than keep you in something that isn't working.
Ready for things to feel quieter?
Send a message and I'll get back to you within one business day.