Rose and Fern Counseling

Hello, my name is Sarah Nelson (she/her/hers), I come to my work as a therapist holding tight to the knowledge that all people want to live meaningful lives with deep loving connection to others. Perhaps you are feeling a loss of meaning, a loss of connection, or are in the midst of a life transition and that has led you here. Whatever has led you to seek therapy, I am glad you are here and I welcome you as you are, as you were, and as you would like to be. I approach my work with a desire to connect and to understand, to hold hope, and to guide towards insight. As a counseling psychologist I am trained to work with a wide variety of presenting concerns and within many modalities. My approach to therapy is rooted in warmth and connection and you: who you are, where you come from, and what is meaningful to you. Our work together will be deep and relational. Within this person-centered approach I bring attention to early attachment and current relationships through the lens of feminist liberation psychology. This lens means that I see your context on a historical, local, and cultural scale as inextricable from your current mental health.

INDIVIDUAL THERAPY: I provide person-centered, holistic, and contextualized individual counseling that is rooted in attachment, connection, liberation and social justice. I am trained to work with a variety of concerns and using a variety of modalities and most often work with: anxiety, depression, identity development and transitions, grief and loss, relationship concerns, sleep concerns, transgender mental health, sexuality, and existential concerns.

COUNSELING FOR TRANSITIONS: The transitions into and out of college and into and out of careers and jobs are frequently moments of fear and anxiety. These transitions can also be seasons of growth in self-understanding and moments for powerful shifts in identity. I have specialized training in career and academic counseling as well as business consultation and leadership development. I offer person-centered, compassionate, and contextualized therapy for these seasons of transformation, whether you are: transitioning from college, moving between jobs, reentering the job-market after family leave, longing for a more balanced work and home life, or developing your ability to lead.

PSYCHOLOGICAL ASSESSMENT: I offer psychosocial affirming evaluations for gender affirming and confirming surgeries and interventions following the WPATH standards of care guidelines. I am able to provide these assessments and letters of support to any resident of Oregon. I am committed to making such assessments accessible.

PERINATAL AND PARENTING SUPPORT: The seasons of pregnancy and parenthood are marked by layered, sacred, and complex transitions and changes in identity and relationships. I offer inclusive, holistic, and holding therapy for individuals who are trying to get pregnant, are pregnant, have experienced pregnancy loss or fertility concerns, abortion, miscarriage, or for those who are transitioning to parenthood or have parenting concerns. I am particularly interested in helping individuals build intentional parenting patterns through better understanding of their own relationships and mental health. I have specialized training in life-span development, particularly in prenatal and postpartum counseling and in parenting.