Therapists in Astoria, Oregon

33 licensed mental health therapists practice in Astoria, Oregon and are listed on Oregon Counselor Directory as of April 2026, and all 33 are currently accepting new patients. Astoria is a small coastal city in Clatsop County, where access to mental health care can be limited by geography and provider availability. Among the listed therapists, 7 offer telehealth services, which may expand access for residents in surrounding rural areas. Common specialties include Trauma and PTSD, with 6 providers, Grief counseling and Cognitive Behavioral Therapy (CBT) each with 4 providers, and Couples therapy with 3 providers. One provider accepts Oregon Health Plan (OHP/Medicaid). No providers in this listing currently advertise sliding scale fees. Residents seeking care can use Oregon Counselor Directory to filter by specialty, insurance type, and session format. Because the local provider pool is relatively small, some residents may also consider telehealth therapists licensed in Oregon who are not geographically based in Astoria. Listings are updated regularly to reflect current availability.