Online quarterly updates on midlife topics of interest to you. newsletter

Programs are designed for strengthening midlife relationships. See events calendar for planning your retreat. Prices are based on date and location.

Counseling for couples with a positive, brief therapy approach to growth and change, in Astoria office. 503-338-9423

Individual counseling with either Pam or Rich. A brief, positive approach is used for personal growth and change. Appointments in Astoria office with Rich or Pam. Call for appointment time, or to ask questions. 503-338-9473

Pam will provide PMHNP services to include psychiatric evaluations, therapy, and medication management. Call for appointment 503-338-9423

Speaking engagements, information sessions, and support groups; prices subject to availability, and type of session. Check our events page for offerings.

Coaching by phone with Rich by appointment. Billed in 15 minute increments, prepaid. Call for appointment time, or to ask questions. 503-338-9473