I am a Psychologist practicing in Portland and Redmond, Oregon. My practice includes working with survivors of brain injury and their families, chronic pain management and what I call the more traditional psychological concerns. Previous experience includes: 30 years in private practice; supervision and training of clinicians in a Naturopathic Medical School and Allopathic Family Practice Residency Training Program, treating pain patients in several pain management programs and acting as Clinical Director at a Samaritan Center.  Recent settings include creating a Behavioral Health integration program at a federally funded family medical clinic and working as a Psychologist at a ‘cutting edge’ rural mental health center (focusing on traumatic brain injury and chronic pain management). I also work with post secondary concussion syndrome and functional neurologic symptom disorder.

As Certified Brain Injury Specialist (a certification created by the Brain Injury Association of America),  I believe it is important to connect patients who have experienced a brain injury to existing community services and to create services which are needed and not available. In addition to assessing and referring patients to TBI services, I work individually with patients and warmly invite their families to attend.

Traditional psychological concerns include PTSD (Posttraumatic Stress Disorder), psychological concerns as a result of a medical condition, depression, anxiety and grief to name a few.

Specialized skills include:
1) Biofeedback (Currently Available!) (heart rhythm coherence feedback training to regulate the sympathetic and parasympathetic branches of the autonomic nervous system)
2) EMDR (Eye Movement Desensitization Reprocessing)
3) DBT a skill set developed by Marsha Linehan including: distress tolerance, emotional regulation, interpersonal skills and mindfulness; and
4) Imago Couples Therapy can be used when one member of the partnership has a brain injury. 
5) Positive Psychology is developing and utilizing a special set of tools/skills for growth. Positive emotions are emphasized and support in moving from surviving to thriving.

Insurance Providers we currently accept: 

• HealthShare (All Three Counties)
• Medicare
• Moda 
• Regence 
• BlueCross
• PacificSource
• UHC (United Health Care)
Please inquire if you have an insurance you do not see listed

(We do not currently accept CIGNA Insurance)

I hope this information has been helpful. If you have further questions, please do not hesitate to contact me!

Warmly,

Nancy Irey Holmes, PsyD