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Steps to ChangeMichelle Sprouffske, LCSW · Oregon telehealthContact

Inclusive mental health care · Telehealth across Oregon

You are already whole. Therapy adds tools.

A collaborative, brave space to explore your life, your beliefs and how societal structures affect your well-being, rooted in an anti-racist, abolitionist and feminist foundation.

Email to get started
  • Telehealth only
  • Adults 18+
  • Insurance or private pay
  • Sliding scale
Michelle Sprouffske, LCSW
Michelle Sprouffske, LCSW (photo from their site)

Meet the clinician

Michelle Sprouffske, LCSW (they/them)

Owner/Clinician · MSW, University of Southern California · BA Sociology/Anthropology, Eastern Oregon University

I come from an anti-racist/abolitionist foundation and believe in calling out how systems of racism and oppression affect mental health. As an AuDHD, Queer, disabled therapist, I know how important a judgment-free environment is, and how rarely systems provide one.

I use neuro-affirming, feminist and systems approaches, acceptance and commitment therapy, solution-focused therapy, relaxation and guided imagery. Each session is unique to the person, with your cultural identity, values and strengths in mind.

Desiree, our Administrative Assistant, is the first person new clients reach. She can discuss openings, verify insurance benefits and help you find the right service.

Services

For adults 18 and up

All services are provided by telehealth on a secure, confidential platform.

01

Individual therapy

Weekly, every other week or monthly, for current obstacles or older patterns showing up in everyday life.

02

ADHD & Autism assessments

Neuro-affirming, culturally and trauma-informed adult assessments, from a consultation to a formal assessment with a full report and accommodations letter.

03

Gender-affirming letters

Letters of support for HRT or gender affirmation surgery, offered whether you want a single session or long-term care.

04

Consultations

For individuals or agencies: trauma-informed care, LGBTQ inclusivity, neurodivergence, grief support and de-escalation.

Attending therapy does not mean you are broken or need to be “fixed.” You are already a whole, valuable person exactly as you are.

From their site

Specialties

Identities & topics

  • LGBTQIA2S+
  • Gender identity
  • Autistic / ADHD
  • Chronic illness & disability
  • Medical gaslighting
  • Familial estrangement
  • Grief
  • Religious trauma
  • DV / IPV

Fees

Fees & insurance

Individual therapy$250 (sliding scale $185–$250)
First session$300
Assessment consultation$300
Informal assessment$700
Formal ADHD/Autism assessment$1,100 (sliding scale $800–$1,100)
Assessment + 4 sessions package$1,800 (saves $200)
PaymentIn-network insurance or private pay; major cards or HSA via the therapy portal

Assessments are by an LCSW: no neuropsychological or IQ testing, and no medication management.

Get in touch

Email is the best first step.

Because all of us work remotely, email works best for first contact. Please mention your insurance, if you want to use it.

Email

In crisis? Call or text 988 (Suicide & Crisis Lifeline), or call 911.

Hours
Telehealth across Oregon

My work

Sites I've built for care providers

Eric Richers, Ulric Studio, Eugene. Real, live projects.

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