Low-cost therapy in Oregon

No insurance, and full-price therapy is out of reach? These Oregon clinics offer free, sliding-scale, or low-fee counseling. Many see clients anywhere in the state by video.

In crisis right now? These clinics do not provide emergency care. Call or text 988 (Suicide and Crisis Lifeline) any time, or go to your nearest emergency room.

Sliding-scale community clinics

Nonprofits with the deepest discounts. Most offer telehealth statewide.

No one is turned away for lack of funds.

Telehealth statewide · Portland office

One of the deepest sliding scales in the state. Not the right fit when psychosis, an unmanaged mood disorder, substance use, or an eating disorder is the main concern.

Telehealth statewide · In person in Portland

Secular counseling despite the name. Spanish- and Mandarin-speaking therapists available.

Telehealth statewide · NE Portland

Acceptance and Commitment Therapy practice whose profits fund a reduced-fee program.

Telehealth · Portland

Pay what you can, with pre-licensed master's and doctoral-level counselors.

Telehealth · Tigard

Cascadia Health

Sliding fee · OHP

Counseling, case management, and medication management. Accepts Oregon Health Plan.

Several Portland-area locations

Free sessions with supervised counseling graduate students.

Telehealth

University and training clinics

Low flat fees with supervised therapists in training. Expect a waitlist. No medication or crisis services.

Lower fees available for hardship.

Telehealth

$15 intake, then a sliding scale based on income. Phone screening: 503-768-6320.

Telehealth · SW Portland

Fees set by federal poverty guidelines. Accepts Oregon Health Plan. Veteran and student discounts.

Portland · Hillsboro

Affordable depth-psychology counseling.

Portland

Individual and couples counseling with supervised doctoral students.

SW and NE Portland · Oregon City

Directories

When the clinics above are full.

Therapists offering reduced rates. One-time membership fee covers lifetime access.

Sliding-scale therapists centering BIPOC, LGBTQIA+, neurodivergent, and disabled clients.

Portland-area therapists you can filter by sliding-scale availability and specialty.

Shared as a community resource, not a referral or endorsement of any provider. Fees and availability change, so please confirm details directly with each organization. Updated October 2026.