Keith Nelson , LCSW

Keith Nelson is a Licensed Clinical Social Worker (LCSW) licensed in Oregon (license #7519) and California (CA LCSW 21893). With 18 years of clinical practice, supervision of therapists, and research experience in substance abuse and emotional dissonance, he works with people facing a broad range of concerns including depression, anxiety, substance use and codependency, relationship difficulties, parenting challenges, career stress, OCD, ADHD and PTSD, as well as those who have endured physical trauma or emotional abuse.

He approaches therapy from a person-in-environment perspective, considering how physical, psychological, social and spiritual factors interact with beliefs and emotions to shape a person’s life. His practice emphasizes evidence-based methods and collaborative work - partnering with clients to identify practical processes and strategies that fit each individual’s needs and preferences.

Keith views therapy as an active process aimed at reducing suffering and building inner understanding, resilience and a more satisfying life. He works from the belief that people have strengths and the capacity for growth, and he honors personal choice and self-determination throughout the therapeutic process.

Evidence-Based Approaches Delivered Online

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take meaningful action even when difficult thoughts or feelings arise. It can be useful for stress, anxiety, mood challenges, and patterns of avoidance by encouraging acceptance and committed behavior change.

Attachment-Based Therapy focuses on how early relationships influence current patterns of connection and trust. It can assist with intimacy-related issues, relationship difficulties, abandonment concerns and trauma by exploring relational needs and building healthier bonds.

Clients and the therapist collaborate to determine which approach or combination of approaches fits best for the client’s goals, preferences and life circumstances. Finding the right therapeutic style is part of the process, and adjustments are made together as therapy progresses.

Online therapy with licensed professionals offers flexibility and accessibility - sessions can take place by video call or phone, and live chat or text-based messaging can support between-session work or different communication preferences. This range of options makes it easier for clients to maintain continuity of care while balancing work, family and other responsibilities.