We ALL face challenges throughout our lives. These challenges can include anything from the everyday stressors of work, finances, and relationships to the trauma of abuse, assault, health issues, or loss. No matter how large or small our challenges may appear, I believe that our suffering is more directly related to our inner worlds, where we experience doubt, fear, guilt, anxiety, grief, anger, and hopelessness.
Believe it or not, this is actually good news, because unlike so many external events, our inner worlds can be explored, understood, and managed. By taking the time to understand our thoughts, feelings, and choices; we may begin to quiet the past and change how we meet the future. This process can reduce suffering and symptoms, as well as increase our positive potentials in life.
Psychotherapy is one of the most effective and efficient ways to facilitate personal growth, as long as we remain open and committed to the therapy process. Therapy can be challenging at times, but in return, it offers the possibility of real and lasting change, which is my goal with every client. I strive to help my clients feel better, enjoy life, practice mindful awareness, develop meaningful relationships, and find personal satisfaction.
I work as a Licensed Psychologist in Portland, Oregon, and I am a preferred or participating provider with BlueCross BlueShield, Aetna, and Moda. During the pandemic, I am seeing most of my clients using a video conferencing service. As more clients become vaccinated and local case numbers drop, I will start to see some clients in my office. I am taking the following precautions to protect my patients and help slow the spread of the coronavirus:
(1) I do not require clients to enter the waiting room. I check the atrium outside the office suite before each session time.
(2) I wear a mask during therapy sessions and maintain safe distancing.
(3) Restroom soap dispensers are maintained, and everyone is encouraged to wash their hands.
(4) Hand sanitizer with at least 60% alcohol is available in the therapy room.
(5) I operate a HEPA air purifier within my office throughout the day.
(6) I ask all patients to wait in their cars or outside until no earlier than five minutes before their appointment times.
(7) Pens and other objects that are commonly touched are thoroughly sanitized after each use.
(8) Physical contact is not permitted.
(9) Tissues and trash bins are easily accessed. Trash is disposed of on a frequent basis.
(10) The therapy office is thoroughly disinfected at the end of each day.
Thank you for your interest!
Jeffrey Noethe (pronounced “Nate”)
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The author Neil Gaiman once said, “I don’t write with answers in mind. I write to find out what I think about something.” That’s how writing works for me. This journal is a place for exploring and sharing ideas that have emerged from my own life experiences, both professional and personal. I don’t claim to have access to any special wisdom or knowledge, and nothing expressed here should be taken as professional advice or as a substitute for professional services. Enjoy!
I am often struck by the countless forms and causes of unnecessary human suffering. It seems like we are constantly getting lost in ruminations about the past and anxieties about the future. We try in vain to predict events and control their outcomes, and as a result, we often do little more than flail around ineffectually. We waste energy, make a mess of even the […]
Mindfulness is about spending more time in the present moment. It is a concept that sounds simple and perhaps not very interesting, but in practice, the present moment turns out to be an elusive thing. It does not include the present day, hour, or minute. It is only right now. It is this moment, this experience, this feeling, this action. It is only THIS… right […]
The Currency of Relationships
Every once in a while, a few of my clients will seem to become synchronized around a single theme or issue. This happened a couple weeks ago, and the theme was obligation. The quick version is this… “Appreciation and apology, not obligation, are the currency of healthy relationships.” When people in a relationship become focused on score-keeping and equity, the relationship dynamic can become adversarial […]
Row Your Boat
Row, row, row your boat, Gently down the stream. Merrily, merrily, merrily, merrily, Life is but a dream. Having a two-year-old at home, I have been revisiting a vast array of children’s nursery rhymes, song, stories, and fairy tales. Most carry no real weight as vehicles of philosophy, but “Row, Row, Row Your Boat” caught me by surprise. As simple as the words may sound, […]
The Reality of Self and No-Self
I belong to a book group focused on Buddhism and psychotherapy, and one of our recurring discussions is about whether or not there is a self. Buddhist teachings often focus on the idea that there is no such thing as the self, but clinical work in Psychology tends to deal directly with the self. It can be confusing. Is there a self? Do I exist? […]
Every once in a while, I come across an anxious or depressed client whose symptoms appear to be grounded in a particular belief system, which I will call deconstructionism. The deconstructionist sees the inherent flaws in everything and uses this awareness to reject everything as worthless. Religion, career, community, culture, relationships, politics, philosophy, morality, and even life itself… To the die-hard deconstructionist, it’s all crap. […]
A Story About Stories
Stories are powerful. At their most basic, stories are simply ideas or collections of ideas, and they can be as big as an epic novel or as small as a single thought, like “life is hard” or “I am fat.” There are stories we take in through books, movies, TV, advertising, other people, and our own experiences. There are also stories we tell ourselves in […]
Lessons from Water
Water knows no fear, anticipation, or surprise. Remaining calm, clear, and true, It suffers not the future And reflects beauty in tranquility. Water neither seeks nor resists conflict. Flowing with simplicity and efficiency, It suffers not the present And reflects beauty in turbulence. Water dwells not on drama or regret. Resuming the original condition, It suffers not the past And reflects beauty in equilibrium. Water […]
A Foundation of Self-Care
During the intake process with a new client, I always ask about five areas of self-care: nutrition, sleep, exercise, pleasurable activities, and supports. Self-care provides a foundation for physical and mental health, and I believe that everything we do in therapy is built upon this foundation. With a more solid foundation, progress comes easier and outcomes are more sustainable. The same is true for everything […]