Therapy should be practical, compassionate, and grounded in science. At Cura Mind and Wellness, patients in Portland and across Oregon receive individual psychotherapy by secure telehealth, led by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Oregon. Vivian blends hospital and outpatient experience with a whole person approach, pairing evidence based therapy with, when appropriate, careful medication management, sleep, nutrition, and stress strategies.
All Oregon sessions are virtual, encrypted, HIPAA compliant, and never recorded. You must be physically in Oregon during the appointment, which keeps care fully compliant with state rules.
Who we help
- Students and trainees balancing coursework, rotations, and exam pressure,
- Professionals navigating deadlines, remote work, and leadership demands,
- Parents and caregivers seeking steadier routines and communication,
- Adults processing trauma, loss, identity, or major life transitions,
- Individuals wanting culturally sensitive, stigma free support.
We treat anxiety, depression, panic, PTSD, OCD, ADHD related challenges, bipolar spectrum conditions, insomnia, adjustment difficulties, and co occurring concerns, with warm referrals for higher levels of care when needed.
What a first course of therapy looks like
- Session 1, map and focus: We review history, stressors, sleep, medical contributors, and strengths. You leave with written goals and two simple practices.
- Session 2, build skills: CBT framework, DBT skills, or ERP outline introduced. We pick micro actions under ten minutes to build quick wins.
- Session 3, refine: We track what worked, remove friction, and add one targeted challenge. If medication is part of care, early effects and safety are reviewed.
- Ongoing sessions: Weekly or biweekly meetings reinforce skills, expand exposure ladders, and align routines with goals. As symptoms improve, we taper to maintenance and relapse prevention.
Telehealth that fits Oregon life
Therapy works best when you can attend consistently. Telehealth makes that possible statewide.
- Portland metro patients avoid traffic and parking, making weekly sessions realistic,
- Students in Eugene, Corvallis, Ashland get support around exam seasons and campus stress,
- Rural communities receive specialty care without driving hours into the city,
- Families schedule without disrupting work shifts or child care.
Sessions are private and flexible, with clear homework and measured outcomes between visits.
Therapies we use, matched to your goals
Cognitive Behavioral Therapy, CBT
Identify thought patterns, test predictions, and build behavior plans that move life forward.
Dialectical Behavior Therapy skills, DBT skills
Emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness taught in clear, practice ready steps.
Exposure and Response Prevention, ERP
Gradual, collaborative exposure for OCD and anxiety, paired with response prevention that reduces rituals and avoidance.
Trauma informed therapy
Paced processing that emphasizes safety, stabilization, and skills for hyperarousal and dissociation.
Behavioral Activation
Structured activity scheduling that restores motivation and meaning during depression.
CBT for Insomnia, CBT-I
Stimulus control, consistent wake times, wind down routines, and light timing to repair sleep.
Acceptance and Commitment Therapy elements
Values work, mindful defusion, and committed action for sticky worries and ruminations.
Portland specific strategies that actually help
The region rewards practical plans, not perfection. We design tools that survive busy weeks, rain, travel, and deadlines.
- Commute rituals, brief breathing cycles at stoplights, safe voice notes for worries and to dos,
- Presentation loop, outline, rehearse, recover, a simple three step structure for meetings and talks,
- Sleep anchors, consistent wake times, caffeine timing, and light exposure during darker months,
- Exam structure, short focused blocks, planned recovery, reward scheduling,
- Boundary scripts, clear phrases for email, meeting load, and workload limits.
Therapy plus medication, one integrated plan
Many patients benefit from both therapy and medication. Because psychotherapy and psychopharmacology are offered within the same practice, you avoid mixed messages and delays. Examples include:
- CBT for anxiety while starting an SSRI,
- ERP for OCD with careful dose adjustments,
- DBT skills while stabilizing mood in bipolar depression,
- CBT-I alongside optimizing timing of existing medications.
When prior medications caused side effects or limited benefit, we can coordinate gene testing to inform safer choices. Results guide decisions, they do not replace clinical judgment.
Note for Oregon, TMS and IV ketamine are not part of our Oregon program. If an advanced in person option is indicated, we will discuss trusted referral pathways transparently.
What progress looks like in real life
- Less dread at the start of the day,
- Fewer avoidant choices, quicker recovery after spikes,
- Better focus at work or school, more completed tasks,
- More honest communication and healthier boundaries,
- Improved sleep continuity and steadier morning energy,
- A written plan that still works when the week is not perfect.
We track symptom scales, exposure steps completed, sleep windows, task initiation time, and quality of life markers such as connection and enjoyment.
A 10 to 12 week roadmap
- Weeks 1 to 2, clarify and commit: Evaluation, goals, first skills, sleep and stress anchors, written plan.
- Weeks 3 to 4, activate: Behavioral activation, CBT thought records, or initial exposure items, brief check ins on progress.
- Weeks 5 to 6, expand: DBT emotion regulation and distress tolerance, ERP steps move from easier to moderate, adjust plan as data accumulates.
- Weeks 7 to 8, consolidate: Skills become habits, we troubleshoot high risk times, travel, interviews, exam weeks, darker months.
- Weeks 9 to 12, maintain: Relapse prevention, early warning signs, reset steps, tapered visit schedule as gains hold.
Collaboration, documentation, and privacy
With written consent, we coordinate with primary care, therapists, or specialists. Updates are concise, diagnosis, current plan, medication list if applicable. If documentation for school or workplace accommodations is appropriate, we provide clear, professional language that reflects clinical findings and state requirements. All visits are encrypted, HIPAA compliant, and never recorded.
What we do not do
- One size fits all plans,
- Unlimited use of sedating medications without reassessment,
- Pressure to choose a specific treatment path,
- Promises of instant results. We focus on steady, sustainable change.
If you are ever in immediate danger, seek emergency care right away. In non urgent situations, use portal messaging for brief questions and scheduling.
FAQs, Psychotherapy in Portland, OR
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Yes. Research shows outcomes comparable to in person care when sessions are consistent and methods are evidence based.
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Our focus is individual therapy. When family participation would support your goals, we can include brief sessions or coordinate referrals.
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Typically forty five to sixty minutes. Frequency is weekly or biweekly at first, then tapers as progress holds.
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Yes. Many patients begin with therapy only. When medication could help, we discuss options and make a shared decision.
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Yes. Sessions use encrypted, HIPAA compliant platforms, and are not recorded. Choose a quiet, private space and consider headphones.
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Yes. We use ERP for OCD and exposure based CBT for panic, with stepwise plans you can practice between visits.
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Yes. Every evaluation ends with a documented plan that includes goals, session focus, practices between visits, and follow up timing.
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TMS and IV ketamine are not part of our Oregon program. When appropriate, we discuss referral options.
Start therapy anywhere in Oregon
With telehealth available statewide, Cura Mind and Wellness delivers psychotherapy that is compassionate, practical, and measurable. Whether you live in Portland, Salem, Eugene, Bend, or a rural community, you will leave each session knowing what to practice, how to measure progress, and when to level up.