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Compassionate Mental Health Therapy Services in Salem
Valley Mental Health is a licensed outpatient clinic dedicated to providing compassionate therapy services to Medicaid clients across Marion, Polk, and Yamhill counties. Our team of qualified mental health professionals, including licensed clinical social workers, professional counselors, and psychiatric providers, specializes in addressing mental, emotional, and developmental needs through individual, group, and family therapy. We prioritize patient-driven care, emphasizing collaboration, equity, and inclusivity in all treatment approaches. With decades of combined experience in mental health services, our clinicians utilize evidence-based therapies such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and trauma-informed care to support clients of all ages.

Our commitment to excellence is reflected in our structured treatment plans, 24/7 emergency support, and adherence to strict confidentiality standards. We maintain transparent communication, detailed patient rights policies, and flexible scheduling options, including telehealth appointments, to ensure accessible care. Our practice integrates medical records management, prescription coordination, and specialized programs for diverse populations, including LGBTQ+ individuals and those with developmental disabilities. By maintaining partnerships with local hospitals and crisis centers, we provide comprehensive care continuity for clients requiring specialized interventions.
Services
Cognitive Behavioral Therapy Family Therapy Medication Management Trauma-Informed Therapy Telehealth Counseling Dialectical Behavioral Therapy Play Therapy Couples Counseling EMDR Therapy Geriatric Mental Health
Highlights and features
  • Specialized Medicaid mental health services since 2009
  • 24/7 psychiatric crisis support available
  • Multidisciplinary team of 30+ licensed clinicians
  • Telehealth appointments for remote access
  • Trauma-informed care with evidence-based therapies
Services
Cognitive Behavioral Therapy
Our Cognitive Behavioral Therapy program helps clients identify and modify negative thought patterns and behaviors. This evidence-based approach effectively treats anxiety, depression, and trauma-related disorders through structured sessions focusing on skill development and cognitive restructuring. Our licensed therapists tailor treatment plans to individual needs while maintaining strict confidentiality and ethical standards.
Medication Management
Our psychiatric providers offer comprehensive medication management services for mental health conditions. This includes initial evaluations, prescription monitoring, and dosage adjustments conducted through in-person or telehealth appointments. Our team ensures safe medication use while coordinating with therapists for holistic treatment approaches.
Trauma-Informed Therapy
Specialized trauma-informed therapy addresses effects of past traumatic experiences using evidence-based modalities like EMDR and Brainspotting. Our clinicians create safe therapeutic environments while recognizing trauma's impact on mental health and implementing recovery-focused treatment strategies.
Telehealth Counseling
Secure telehealth counseling provides accessible mental health services through video appointments. This option maintains treatment continuity for clients facing transportation barriers or requiring flexible scheduling while ensuring HIPAA-compliant communication and documentation.
Family Therapy
Family therapy sessions improve communication patterns and resolve conflicts within family systems. Our therapists address intergenerational dynamics, parenting challenges, and relationship issues while maintaining professional boundaries and confidentiality protocols.
People
Ayako Garduque
Psychiatric Mental Health Nurse Practitioner
Joined Valley Mental Health in 2017 with specialized training in psychiatric care. Provides medication management services using evidence-based practices while maintaining board certification through the American Nurses Credentialing Center.
David Wear
Psychiatric Mental Health Nurse Practitioner
Board-certified provider with experience in psychiatric evaluations and treatment planning. Joined the clinic in 2013 after completing nursing education at Oregon Health & Science University, focusing on integrated mental health care approaches.
Tymberly Seim
Psychiatrist
Child and adolescent psychiatrist specializing in LGBTQ+ youth care. Holds dual board certification in general and child & adolescent psychiatry, implementing treatment plans that align with patients' value systems and developmental needs.
Allison Poletti
Licensed Professional Counselor
Trauma specialist utilizing integrative therapy approaches including EMDR and Dialectical Behavioral Therapy. Holds a Master of Arts in Counseling from George Fox University, focusing on trauma recovery and women's issues.
Anna Sieber
Licensed Clinical Social Worker
Experienced therapist providing EMDR and mindfulness-based therapies. Specializes in treating ADHD, anxiety, and complex trauma while maintaining a strengths-based approach to client care and recovery.
Questions
How do I schedule a first appointment?
Contact our intake department at 503-589-4046 or submit an online request form. Our team will match you with an appropriate clinician based on your treatment needs and location preferences.
What insurance plans do you accept?
We accept Medicaid through PacificSource Community Solutions, Medicare, MODA, Blue Cross, Regence, and several other commercial insurance plans for therapy and medication management services.
Are emergency services available?
Yes, our 24/7 psychiatric crisis center at 1118 Oak Street SE provides immediate mental health support. Call 503-585-4949 for urgent assistance after regular business hours.
Do you offer telehealth options?
Yes, we provide secure video appointments for therapy and psychiatric evaluations. Patients must be physically located in Oregon during telehealth sessions to comply with state regulations.
How are medication refills handled?
Refills are managed during scheduled appointments. For urgent needs, contact your pharmacy at least four business days before medication runs out. Schedule II medications require direct provider communication.
What therapy approaches are available?
We offer Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, EMDR, play therapy, family systems approaches, and other evidence-based modalities tailored to individual client needs and treatment goals.
Reviews (6)
Wendy Smalley
May 24, 2022 Report
I feel so blessed to have been referred to Valley Mental Health. My councilor, Carmen, is amazing. I feel like I truly have a supportive partner to help me move through this tough time in my life. I recently met with a phycologist at this clinic, Dr Ayoko, who was patient with me and worked with me even though we had a few technical issues and I was melting down lol. I feel cared for! Thank You Wendy
Chelsea K.
Apr 13, 2022 Report
They will randomly give you a therapist and you have to hope for the best because they do not fire people who are incompetent. Between the two therapists that I've seen I would rate one a 0 and the other a 5. You can get lucky and have a great therapist or possibly see someone who will make you much worse.
Christina Reid
Jun 24, 2021 Report
This is solely for my therapist & psychiatrist - not for the office itself as I have been doing tele-appointments due to COVID. I was incredibly lucky to get Natasha B. as my therapist, she has been so beyond wonderful and easy to talk to. With her techniques, I was able to really reflect and change myself for the better as well as curb the majority of my anxiety. I came to her about ADHD, anxiety and depression and we mostly used CBT therapy.

I highly recommend her. I also saw Ayako for my medicine and she also was so incredibly kind and patient. Both made me feel very comfortable and listened to me. For anyone reading, please remember therapists can't read your mind, you have to be open and honest with them in order for them to be able to help you, you also have to want help. I was not asked to do this review, I'm just very thankful for the help i've received from these two wonderful women! :
M. S.
Jun 21, 2021 Report
Absolutely terrible service at this clinic. I had two different therapists act unprofessional in their dealings with me. They didn't make appropriate notes, they didn't transfer me appropriately, and the second of the two therapists dropped me in the middle of the session. Do not recommend.
Meli S.
Aug 27, 2020 Report
I was misquoted repeatedly by both of the therapists I saw at Valley MH. They wrote down incorrect information and their treatment of me as a result repeatedly retraumatized me. I spent the majority of my sessions feeling belittled, ignored, and invalidated because they had incorrect assumptions about my history, which was never even fully taken by either therapist. It usually takes four to five sessions to tell my history, which has much more than the four or five traumatic events listed in the therapists' notes.

Every single session was misreported to some degree by each of the therapists in their notes. Several things they said in session that were troublesome were omitted in their notes. I would never recommend this business to anyone.
Marilyn Soriano
Jul 22, 2019 Report
Two stars, because I came here with hopes that I would get help. Really all I got were venting sessions where I could just word vomit. But to be honest I wish they had gone more into depth with my struggles, and my "real" problems that had me reach out for services. It was a big thing for me to do that, and now I just feel as I almost wasted my time. Not my counselors fault though, she was always very kind. But I did get the vibe that she was tired of my venting.