Threshold Integrative Mental Health for the Whole Person
Not just treatment. Transformation.
Psychiatric mental health care, medication management, and psychotherapy for adolescents and adults in Oregon & Washington
This is support for the moments when something is changing, ending, or wanting to begin anew.
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A comprehensive assessment that looks beyond symptoms to understand the full context of your life, health, and experiences. We clarify diagnosis, assess safety, and develop a thoughtful, individualized treatment plan. This is the foundation of care that is both precise and personal.
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When appropriate, this is collaborative, evidence-based medication care focused on effectiveness, safety, and long-term well-being. My expertise is at your service as we co-create a path toward a better quality of life.
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Care grounded in affirmation, cultural competence, and lived understanding. We address identity-related stress, gender-affirming needs, relationships, and mental health concerns without pathologizing who you are. This is a safe space to explore themes we encounter in our community: coming out, aging & saging, ethical non-monogamy, and the impact of minority stress.
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Thoughtful preparation and skilled integration are essential to reducing risk and supporting meaningful outcomes. I offer my specialized training to support harm-reduction guidance, intention setting and—when clinically appropriate—careful coordination or tapering of certain medications to enhance safety. Integration sessions provide a grounded space to process insights, emotions, and spiritual material, helping translate powerful experiences into lasting, sustainable change.
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Psychiatric mental health care for those standing at profound thresholds—individuals living with serious or terminal illness, loss, caregiving or working in healthcare. This work integrates psychiatric expertise with meaning-centered therapy, addressing depression, anxiety, anticipatory grief, moral distress, and identity shifts. Rooted in extensive experience in end-of-life settings, this is grounded support for times when life feels fragile.
Unfolding. Healing. Becoming.
You don’t have to cross life’s thresholds alone.
Welcome
I’m Asher.
I’m a nurse practitioner who is dual board-certified in both psychiatric mental health and palliative care. My approach integrates evidence-based psychiatric care, existential psychotherapy, and specialized training in psychedelic-assisted therapy to support people navigating trauma, identity shifts, serious illness, and all the major transitions of life.
I came to this work through years of caring for people at some of life’s most vulnerable thresholds—serious illness, grief, uncertainty, and profound change. Those experiences shaped how I understand suffering, resilience, and what truly matters when life no longer feels the way it once did or the way we feel it should.
As a Jewish gay clinician, I understand personally and professionally how identity, belonging, and meaning shape mental health. Care here is steady, affirming, compassionately directive, and deeply human — grounded in both science and meaning.