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Therapy Offerings

Virtual Therapy Sessions
Virtual Video Sessions

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At The Good Practice, we offer online therapy through a HIPAA-compliant, secure video platform, allowing you to access therapy from the comfort of your own home. Virtual therapy can be a convenient, flexible, and highly effective option for many clients, providing the support you need without the need for travel or leaving your safe space.

Why Choose Online Therapy? Convenience and Flexibility: One of the biggest benefits of virtual therapy is the convenience of attending sessions from anywhere. As long as you have a secure internet connection, you can access your therapy session wherever you are. This flexibility can make scheduling easier and reduce barriers to therapy, especially for those with busy lives, mobility challenges, or other constraints. Comfort and Safety: Being in your own space can help you feel more relaxed and open during sessions. For some clients, the comfort of their own home makes it easier to express themselves and engage in deeper conversations. You may also feel safer and more at ease discussing sensitive topics when you're in a familiar environment, which can foster a greater sense of emotional safety and connection with your therapist. Privacy and Confidentiality: Our online therapy platform is HIPAA-compliant, ensuring that your privacy and confidentiality are maintained at all times. Using a secure virtual platform can give you peace of mind knowing that your personal and sensitive information is protected, while still having the flexibility to engage in therapy remotely. Access for Clients in Remote Areas: Online therapy eliminates the need to live near a specific therapist’s office. For those who live in remote areas or who have limited access to in-person mental health services, virtual therapy opens up opportunities for high-quality care that may otherwise be inaccessible. Reduced Stigma: For some, the idea of walking into a therapist’s office can feel intimidating or stigmatizing. Online therapy removes the need to physically enter a clinical space, which can help reduce any anxiety about being seen or judged. This can be especially helpful for people who feel nervous about starting therapy or who have experienced stigma around mental health care in the past.

Equine-Assisted Psychotherapy
Equine-Assisted Psychotherapy
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At The Good Practice, we are proud to offer equine-assisted therapy as a transformative approach to mental health and personal growth. Since 2012, our founder, Monica Provence, has been dedicated to providing innovative therapeutic services, having completed EAGALA certification and gained extensive experience in various settings and modalities that utilize horses as co-therapists. She has continued her formal education with Natural Lifemanship to integrate trauma-informed practices into her equine-assisted therapy.

Equine-assisted therapy utilizes the unique bond between humans and horses to facilitate emotional healing and self-discovery. Our serene facility, located just 25 minutes outside of Northeast Portland, provides an ideal setting for clients to engage in individual, couple, family, and group therapy sessions.​​​

Why Choose Equine-Assisted Psychotherapy? Equine-assisted psychotherapy (EAP) offers a unique and powerful alternative to traditional talk therapy. Working with horses in a therapeutic setting allows for deeper somatic awareness, movement-based healing, and a profound connection with nature. Here’s why you might consider EAP: Somatic Healing: Horses are highly attuned to nonverbal communication and can help individuals develop greater body awareness. This makes EAP particularly beneficial for those working through trauma, anxiety, and stress-related conditions. Eco-Therapy Benefits: Being outdoors in a natural setting provides an added therapeutic element. Fresh air, open space, and connection with the environment can reduce stress, improve mood, and enhance overall well-being. Movement and Regulation: Unlike traditional therapy, which often takes place in an office, EAP incorporates movement, which can support emotional processing and self-regulation. The Unique Role of Horses: Horses provide immediate, honest, and nonjudgmental feedback, helping clients gain insight into their emotions, behavior patterns, and relationships. Interacting with them can cultivate trust, confidence, and emotional resilience. Proven Psychological Benefits: Research has shown that equine-assisted therapy can significantly reduce symptoms of PTSD, depression, and anxiety while improving emotional regulation, social skills, and self-esteem. For those who feel disconnected from traditional talk therapy or are seeking a holistic, embodied approach to mental health, equine-assisted psychotherapy offers a transformative and deeply healing experience.

Gender-Affirming Letters
Gender Affirming Letter Writing Services
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If you're seeking hormone replacement surgery or gender confirming surgery, there's a good chance that you've been told you need to submit a letter (or two!) from a mental health professional before making an appointment with your provider.

To reduce gatekeeping and lower financial barriers to gender-confirming care, I offer letter-writing services on pay-as-you can basis for residents of Oregon and California.

With a few exceptions, these letters can be usually be written after a single assessment session.

Your donation for this service offsets the costs of pro-bono and sliding scale sessions for those who the fee presents an unfeasible barrier to gender confirming care.

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Donations for the service range from $100-$150, but no one is turned away for lack of funds. 

©2025 by The Good Practice LLC

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