Create Change LLC is one of the few counseling offices in Portland, OR
with a Psychiatric Nurse Practitioners on staff.

Psychiatric Nurse Practitioners diagnose and treat mental illnesses and addiction using medication in addition to health coaching and counseling.

Learn more about how medication and therapy work together
to help you create lasting positive change.

At Create Change, we treat a variety of conditions with medication, along with psychotherapy. Here are a few of our specialties:

Managing Anxiety

Everyone feels nervous or anxious from time to time. Anxiety is a normal human reaction to stress. But for people with anxiety disorders, their fear and anxiety persists and may even intensify over time.

Anxiety disorders can interfere with normal work, school, and social life. They can also negatively impact a person’s relationships. The good news is there are effective treatments for managing anxiety and learning to reduce its overall impact in one's life.

In some cases, medications—along with psychotherapy—may have a role in treating anxiety disorders.

Medication can help prevent anxiety from ruining your life, your relationships, or your future. Contact us to start creating a positive, more peaceful way of being.

Relief from Depression

Everyone feels sad or down from time to time, and they may even say they're “depressed”, but true clinical depression is a mood disorder that is very different than the occasional bout of the blues. Beyond simply feeling sad, when you have depression, you can’t function the way you normally would.

Depression alters the brain's chemistry in a way that reduces a person's energy level, lowers motivation, reduces the ability to sustain attention, impairs critical thinking, and heightens feelings of pain. It may also increase feelings of anxiety, making it difficult to engage in social activities; even well-loved hobbies and past times are put aside when depression takes hold.

When following a good diet, adequate sleep, and exercise fail to turn a bout of depression around, medication can help restore a happier, more functional life. Depression medication helps with brain function, resulting in improved mood, perception, energy, and cognition.

While some with depression respond very well to psychotherapy or medication alone, a combination of the two is often the most effective approach to treating depression.

Get help with depression. Contact us to set up an appointment to discuss all your options for treatment and start feeling better now.

Reproductive Mood Stabilization

During pregnancy, a woman's hormones fluctuate wildly, causing mood swings and other emotional difficulties. When feelings of sadness or anxiety persist or become extreme, it may be a sign of pregnancy-related depression.

Depression can interfere with a woman's ability to care for herself or her family during the pregnancy experience.

Medication and therapy can help expectant moms regain their equilibrium and strength.

Let us help you maintain a positive outlook to improve your own wellbeing as well as that of your child. Contact us to schedule an appointment.

Insomnia Reversed

Insomnia is a difficulty falling asleep or staying asleep. Many people experience short-term, occasional insomnia as a reaction to a stressful life event. When insomnia becomes chronic, happening night after night for weeks or even months, it becomes a health problem with far-reaching implications.

Life changes, environmental changes, shift work, poor sleep hygiene, hormonal imbalances, and even certain medications could lead to a long-term pattern of insufficient sleep. The long-term effects of chronic insomnia include fatigue, low energy, difficulty concentrating or paying attention, unstable mood, and decreased performance at work and school.

Professional counseling and behavioral techniques can be helpful for treating insomnia, while some may benefit from medication support. Often, a combination of the two is the best strategy.

Don’t lose (more) sleep worrying about your insomnia. Create Change is here to help you get the quality rest you need to be at your best. Contact us to get started.

Smoking Cessation

At Create Change, we appreciate how hard it can be to quit smoking. With professional support and the right tools, it is possible to quit—for good. Breaking the cycle of nicotine addiction takes courage, strength, and stamina.  After identifying your personal motivation for quitting, our clinicians can assist you to tackle both the emotional and physical challenges o quitting smoking. Studies show that attempts to quit smoking are more successful when therapy and medication are used in conjunction.

Let us help YOU create a smoke-free life that is healthier for you…and everyone you love.

create change, llc
Providing Counseling, Coaching and Consultation in Oregon and Washington