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.
Frequently Asked Questions
How do I use Oregon Counselor Directory filters to find a therapist in Astoria?
On Oregon Counselor Directory, you can filter Astoria listings by specialty, insurance accepted, and session format such as in-person or telehealth. Applying filters narrows results to providers who match your specific needs. Because Astoria has 33 listed providers, filtering by a specialty like Trauma and PTSD or CBT can help you identify the most relevant options quickly.
Do Astoria therapists accept Oregon Health Plan (OHP) or Medicaid?
As of April 2026, one provider in Astoria listed on Oregon Counselor Directory accepts Oregon Health Plan (OHP/Medicaid). If OHP coverage is a requirement, you may want to also search statewide telehealth providers licensed in Oregon, as that pool may include additional OHP-accepting therapists.
Can I see a therapist in Astoria via telehealth?
Seven of the 33 listed therapists in Astoria offer telehealth sessions as of April 2026. Telehealth may be a practical option for residents in nearby rural areas of Clatsop County who face transportation barriers. Telehealth providers must be licensed in Oregon to serve Oregon residents.
What should I expect during a first therapy session in Astoria?
A first session typically involves the therapist gathering background information about your current concerns, mental health history, and goals for treatment. It is also an opportunity for you to ask questions about the therapist's approach and determine whether the fit feels right. No specific treatment usually begins in the first session.
Do any Astoria therapists offer sliding scale fees?
As of April 2026, no providers listed in Astoria on Oregon Counselor Directory indicate that they offer sliding scale fees. If cost is a barrier, consider contacting providers directly to ask about payment options, or search for community mental health centers in Clatsop County that may offer income-based pricing.