Therapy & Counseling in Corvallis, Oregon
Two Rivers Integrative Health offers therapy and counseling in downtown Corvallis. Our therapists work with anxiety, depression, trauma, grief, boundaries, and the kind of stress that has stopped feeling temporary. Sessions run 55 minutes, in person or by telehealth, and we see clients from age 16 and up, depending on the therapist.
Session Length
Ages Seen
Therapists
Telehealth
Available
Kate Boase, Aileen Tedrow, and Julie Smircic
16 and up
55 minutes
Working with a Therapist at Two Rivers
Most people who reach out have been thinking about it for a while. That is normal, and you do not need to arrive with your problem neatly defined.
The first session is mostly orientation. You and your therapist go over practice policies and some of your history, talk about what you want to be different, and start sketching a direction. Julie Smircic, one of our therapists, likes to schedule the first three or four sessions close together so the work gets some traction early, then settle into a rhythm that fits your life. Your plan is built around what you want to work on rather than a standard protocol.
What We Help With
Our therapists work with adults, teens, and elders on:
Anxiety, worry, and overwhelm
Depression and low mood
Trauma and post-traumatic stress, including trauma from years ago
Grief and loss, including grief about a change in your own health
Struggles with interpersonal boundaries
Stress that has become chronic rather than situational
Life transitions
Relationship concerns
Reactivity you do not like in yourself
ADHD support
First Responders and Law Enforcement
Rebecca Moyes, PMHNP, works specifically with law enforcement, fire, EMS, dispatch, and corrections personnel. That work sits on our psychiatry side rather than here. Read about first responder mental health at Two Rivers.
Types of Therapy We Offer
Therapy is not one method. Psychotherapy covers a wide range of approaches, and our therapists work across several of them, adjusting based on what is actually helping you.
In practice, these are rarely used in isolation. Our therapists blend elements from across these approaches, tailoring as they learn what works for you.
| Approach | Often used for | What a session looks like | Who provides it |
|---|---|---|---|
| Cognitive Behavioral Therapy (CBT) | Anxiety, depression, rumination, stress management | Structured. Identify thought patterns, practice different responses. Foundational to all therapy. | Aileen Tedrow Julie Smircic Kate Boase |
| EMDR | Trauma, PTSD, memories that still carry a charge | Guided attention while holding a memory in mind. Less talking through it. | Kate Boase Aileen Tedrow |
| Somatic and experiential (Hakomi) | Patterns held in the body that insight has not shifted, anxiety, stress, trauma impacts | Exploring mind-body patterns in real time. Applying mindful awareness to the therapy process. Developing deeper connection to self. | Julie Smircic |
| Parts work with Internal Family Systems and Voice Dialogue | Internal conflict, boundaries, self-criticism, trauma impacts | Dynamic process working with the complexity of competing needs in the psyche. Re-patterning unhealthy family programs. | Julie Smircic Aileen Tedrow |
| Mindfulness-based approaches | Stress, reactivity, overwhelm, anxiety, depression, trauma | Self-awareness training you can practice between sessions. | Aileen Tedrow Kate Boase Julie Smircic |
| Self-acceptance and self-compassion training | Harsh inner critic, shame, perfectionism | Structured practice, often alongside another approach. | Kate Boase Julie Smircic |
| Acceptance and Commitment Therapy (ACT) | Anxiety, avoidance, feeling stuck between what you want and what you fear | Elements woven into other work rather than used on its own. | Aileen Tedrow Kate Boase Julie Smircic |
Cognitive Behavioral Therapy (CBT)
CBT works on the link between what you think, how you feel, and what you do. You learn to catch the thought patterns that keep a mood in place and practice different responses. It is structured, practical, and well studied, and it is often where the work starts for anxiety and depression.
Aileen Tedrow, Julie Smircic, Kate BoaseEMDR
EMDR, or Eye Movement Desensitization and Reprocessing, is used for trauma and for memories that still carry a physical charge when you think about them. Rather than talking a memory through repeatedly, EMDR uses guided attention while you hold the memory in mind, which for many people helps the nervous system process it further.
Kate Boase, Aileen TedrowSomatic and experiential therapy
Somatic work pays attention to the body, not just the thoughts. Julie Smircic explains it like this:
Most clients already understand an issue pretty well but that doesn't always help something resolve. More is needed to unwind the deeper nervous system patterning and core beliefs that are running our lives in the background. Julie Smircic, Licensed Clinical Social Worker
In practice that might mean slowing down mid-sentence to notice the tightness in your chest while you describe a hard conversation, then working with that directly. Julie draws on Hakomi, a somatic and mindfulness-based method.
Julie SmircicInternal Family Systems and Voice Dialogue
Parts work treats the conflicting voices in your head as real concerns worth listening to rather than noise to override. The part of you that wants to say no and the part that cannot stand to disappoint anyone are both trying to help. Julie uses Voice Dialogue and family systems approaches for exploring these challenges. Aileen is trained in Internal Family Systems.
Julie Smircic, Aileen TedrowMindfulness-based approaches
Mindfulness here is practical, not spiritual homework. It is training in self-awareness so you notice a spiral earlier, when you still have options. Aileen Tedrow, Kate Boase, and Julie Smircic combine mindfulness with cognitive-behavioral techniques.
Aileen Tedrow, Kate Boase, Julie SmircicSelf-acceptance and self-compassion training
For people whose harshest critic lives in their own head. Structured self-acceptance and self-compassion work tends to be the missing piece when insight alone has not changed anything.
Kate Boase, Julie SmircicAcceptance and Commitment Therapy (ACT)
ACT is less about arguing with a difficult thought and more about loosening its grip, so you can move toward what matters to you while the thought is still there. Our therapists use elements of it rather than running it as a standalone course, which is true of most of these approaches here.
Aileen Tedrow, Kate Boase, Julie Smircic
How Do You Know if Therapy is Working?
You feel steadier between sessions, not just during them.
That is the clearest signal, and it usually shows up before anything dramatic changes on the outside. Julie describes it as clients starting to report that they handled a stressful week better than they used to, or that they got out of a negative spiral faster, or that they feel clearer about their next step without needing to talk it through first.
Progress in therapy is rarely a straight line, and a hard session is not evidence that it is failing. Sometimes a hard session is the work. What matters is the direction over a few months.
What a Session Costs, and What Insurance We Take
A therapy session is 55 minutes. We bill $230 for a first appointment with a therapist and $200 for each session after that, and we bill your primary insurance directly. If you have secondary or out-of-network coverage, we provide a superbill you can submit yourself. We do not accept the Oregon Health Plan, Medicaid, or Medicare.
Reduced rates are available if you are uninsured or paying out of pocket. Call us and we will tell you what your visit would cost before you book anything.
Insurance networks differ by therapist, not just by plan, so check the therapist too. The full breakdown is in the therapist table below.
| Session length | 55 minutes |
|---|---|
| Billed rate | $230 first appointment, $200 each session after |
| Uninsured or self-pay | Reduced rates available. Call for details. |
| Insurance | Primary billed directly. Superbill provided for secondary or out-of-network. Networks differ by therapist. |
| Not accepted | Oregon Health Plan, Medicaid, Medicare |
| Telehealth | Available |
| Ages seen | 12 and up, depending on therapist |
| Late cancellation | $150 for less than 48 hours notice, or a missed appointment |
| Cost estimate | Good Faith Estimate available on request under the No Surprises Act |
If you want a cost estimate in writing before you start, you are entitled to one. Ask us for a Good Faith Estimate under the No Surprises Act.
Our Therapists
Three therapists; you can be seen from age 16 and up. All three are currently accepting new clients.
| Therapist | Credential | Ages | New clients | In network with |
|---|---|---|---|---|
| Kate Boase | Licensed Professional Counselor | 16 to 65 | Accepting | PacificSource, Regence BCBS, Providence, Collective Health, Aetna, MODA |
| Aileen Tedrow | Licensed Professional Counselor | 18 to 65 | Accepting | PacificSource, Regence BCBS, Providence, Collective Health, Aetna, MODA |
| Julie Smircic | Licensed Clinical Social Worker | 21 and up | Accepting | Regence BCBS, Aetna, MODA. PacificSource and Providence coming soon. |
Kate Boase
Licensed Professional Counselor
Kate holds a master's degree in counseling and is a Certified Clinical Trauma Professional, a Certified Clinical Anxiety Treatment Professional, and an ADHD Clinical Services Provider. She provides EMDR for trauma and structured self-acceptance and self-compassion work. Ages 16 to 65.
Read Kate's full bioAileen Tedrow
Licensed Professional Counselor
Aileen holds a master's degree in counseling from Covenant Seminary and has trained through the International Institute for Trauma and Addiction Professionals. She works with mindfulness and cognitive-behavioral techniques and takes the whole picture into account rather than one symptom at a time. She grew up here in the Willamette Valley. Ages 18 to 65.
Read Aileen's full bioJulie Smircic
Licensed Clinical Social Worker
Julie earned her master's in social work from Portland State University in 1997 and has been in practice since 2001. She works with adults and elders on stress management, anxiety, healthy boundaries, grief, and the longer-term effects of trauma. She practices from a synthesis model drawing on applied mindfulness, somatic and experiential work from Hakomi, parts work from Voice Dialogue, energy psychology and family systems theories. She teaches clients about their own nervous systems and offers a variety of tools to address stress and overwhelm. Ages 21 and up.
Read Julie's full bioFrequently Asked Questions
What is the difference between a therapist, a counselor, and a psychologist?
In everyday use, therapist and counselor mean the same thing, and both describe our clinicians. What differs is the license behind the title. Julie Smircic is a Licensed Clinical Social Worker. Aileen Tedrow is a Licensed Professional Counselor. A psychologist holds a doctorate and often does psychological testing. Two Rivers does not have a psychologist on staff.
How do I know if therapy is right for me?
You do not have to be certain before you start. Julie's advice to anyone undecided is to treat it as an experiment: run a short series of sessions and see what happens. If it is helpful, great, you have already begun. If it is not useful, be curious about why not. Wrong fit? Wrong approach? Either way you have more data based on your own experience to consider.
What is a therapy session like?
Fifty-five minutes, sitting down, mostly talking, sometimes learning and practicing a specific tool or exploring patterns of concern. The first session covers policies, some history, and what you want to work on. After that it depends on you and the approach you and your therapist choose. Anything you practice between sessions is something you and your therapist decided on together.
What is EMDR?
EMDR, or Eye Movement Desensitization and Reprocessing, is a structured therapy for trauma. It uses guided attention, often side-to-side eye movement, while you hold a distressing memory in mind. For many people that helps the nervous system move a memory that has stayed stuck. It is used for single traumatic events and for longer histories, and Kate Boase and Aileen Tedrow provide it here.
How long do people usually stay in therapy?
It varies with what you are working on. Some clients come for a few months to handle one specific challenge. Julie says six to eighteen months is a common range for the deeper pattern work she does. It is common for someone to return for a short refresher later when life throws a curveball.
Can I see a therapist and a psychiatric provider at the same practice?
Yes, and it is one of the best reasons to choose Two Rivers. Psychiatry, therapy, women's health, and integrative medicine all sit in this one building in downtown Corvallis. If you are working with a therapist and medication becomes worth discussing, you do not need a referral to another office or a new intake somewhere else.
When it would help your care, and with your agreement, your providers can coordinate. Julie describes clients feeling "really held" by having their mental health providers in the same place and on the same team.
Ready to Start, or Still Deciding?
If you are ready, fill out our contact form, and we will be in touch to match you with a therapist and get you scheduled. If you are still deciding, that is fine too. You can call and ask questions first, including about cost.
Clinically reviewed by Julie Smircic, Licensed Clinical Social Worker, Aileen Tedrow, Licensed Professional Counselor, and Kate Boase, Licensed Professional Counselor · August 2026