Conversational Counseling LLC

Let's have a conversation

Life moves fast. The demands of work, relationships, and daily responsibilities can feel overwhelming. Therapy offers a supportive, judgment-free space to navigate stress, anxiety, life transitions, and burnout. I provide teletherapy for adults throughout Oregon, Washington, and Idaho to help you build practical skills for lasting change.
Client Portal
Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

I understand the challenges of balancing personal and professional responsibilities while carrying experiences that may be difficult to talk about. I have experience supporting people whose roles require resilience and where vulnerability can feel unfamiliar, providing a supportive, practical space to process those experiences. Therapy with me is conversational, approachable, and tailored to you—your goals, your values, and your pace. Whether you’re feeling stuck, overwhelmed, navigating change, or simply wanting to understand yourself more deeply, you don’t have to figure it out alone. Let’s chat and see if we’re a good fit!
Sara Foto
MA LPC LMHC

Services

  • Coping Skills
  • Critical Incident Stress Management
  • Adjustment Disorder
  • Depression
  • Anxiety
  • Career Counseling
  • College Mental Health
  • Men's Issues
  • Personality Disorder
  • Behavioral Issues
  • Life Transitions
  • Life Coaching
  • Disability
  • Vocational Rehabilitation
  • Anger Management
  • Corrections

Approaches

  • Cognitive Behavioral Therapy (CBT)
  • Strength-Based
  • Coaching
  • Dialectical (DBT)
  • Eclectic
  • Integrative Therapy
  • Person-Centered
  • Positive Psychology
  • Motivational Interviewing
  • Clinical Supervision and Licensed Supervisors
  • Acceptance and Commitment (ACT)
  • Psychotherapy
  • Reality Therapy

Insurance Accepted

  • Out of Network
  • Out of Pocket
  • Private Pay
  • CanopyWell EAP

Fees

  • 15 min consultation: $0
  • Initial Assessment Session: $250
  • Individual Sessions: $200
  • Consult Fee per Qtr Hour: $50

Testimonials

“I’ll be honest—I was very reluctant to start therapy, like ‘I can handle it myself’, but I’m really glad I did. It’s been less about ‘fixing’ something and more like leveling up and getting back to feeling like myself again. ”

Current Client

“Working with Sara has been such a positive experience. From the start, everything felt easy and comfortable—especially with flexible telehealth options that fit my schedule.”

Previous Client

“After a good amount of sessions with Sara I have experienced significant personal growth. Sara has guided me in developing coping strategies, enhancing my emotional intelligence, and setting achievable goals. ”

Existing Client
Client Portal