Conversational Counseling LLC

You don’t have to navigate it all on your own.

Life can feel overwhelming when work, relationships, and unexpected changes pile up. Therapy offers a supportive space to slow down, gain clarity, build practical coping skills, and move forward with confidence. I provide conversational, person-centered teletherapy for adults in Oregon, Washington, and Idaho.
Client Portal
Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

Therapy that feels like a conversation—not a lecture. Therapy with me is approachable, collaborative, and tailored to you—your goals, your values, your experiences, and your pace. Maybe you’re feeling overwhelmed or stuck. Maybe you’re navigating a major transition, struggling with stress or relationships, thinking about a career change, or simply wanting to understand yourself better. Whatever brings you to therapy, you don’t have to have everything figured out before you begin. I bring more than 15 years of experience working with people across a variety of personal, professional, and institutional settings. I understand that some people are accustomed to being the dependable one—the person others turn to—while finding it less familiar to slow down and focus on themselves. My goal is to create a calm, judgment-free space where you can talk openly, explore what’s happening, and develop practical tools for moving forward. Therapy doesn’t have to feel intimidating or overly clinical. Sometimes, it starts with simply having a conversation.
Sara Foto
MA LPC LMHC

Services

  • Coping Skills
  • Critical Incident Stress Management
  • Adjustment Disorder
  • Depression
  • Anxiety
  • Career Counseling
  • College Mental Health
  • Men's Issues
  • Personality Disorder
  • Behavioral Issues
  • Life Transitions
  • Life Coaching
  • Disability
  • Vocational Rehabilitation
  • Anger Management
  • Corrections

Approaches

  • Cognitive Behavioral Therapy (CBT)
  • Strength-Based
  • Coaching
  • Dialectical (DBT)
  • Eclectic
  • Integrative Therapy
  • Person-Centered
  • Positive Psychology
  • Motivational Interviewing
  • Clinical Supervision and Licensed Supervisors
  • Acceptance and Commitment (ACT)
  • Psychotherapy
  • Reality Therapy

Insurance Accepted

  • Out of Network
  • Out of Pocket
  • Private Pay
  • CanopyWell EAP

Fees

  • 15 min consultation: $0
  • Initial Assessment Session: $250
  • Individual Sessions: $200
  • Consult Fee per Qtr Hour: $50

Testimonials

“I’ll be honest—I was very reluctant to start therapy, like ‘I can handle it myself’, but I’m really glad I did. It’s been less about ‘fixing’ something and more like leveling up and getting back to feeling like myself again. ”

Current Client

“Working with Sara has been such a positive experience. From the start, everything felt easy and comfortable—especially with flexible telehealth options that fit my schedule.”

Previous Client

“After a good amount of sessions with Sara I have experienced significant personal growth. Sara has guided me in developing coping strategies, enhancing my emotional intelligence, and setting achievable goals. ”

Existing Client
Client Portal