Live your truth. . . be a little weird

Therapy with Mariena

Meet Mariena

I am a neurodiverse (AuDHD), intersex, plural, queer therapist living on the Oregon coast. I am a person living with a dissociative disorder and happily functions as system of parts. We are queer educators, speakers, and community advocates. It's my joy to provide affirming care in Oregon to many ages and demographics, but especially clients who are: neurodiverse, LGBTQIA+, experiencing dissociation, kink, poly, or anyone who is struggling to trust themselves and live their truth.
I am survivor who found my voice and internal compass again through parts work and exposure therapies. I am privileged to walk along with my clients as they go through their own journeys of healing and falling in love with all parts of themselves.
I believe in strength based, holistic, somatic, and attachment-based care. Much of what I do is EMDR based and, depending on the needs of the client, may involve somatic processing (dancing/movement), sandtray (PLAY with sand and figures), art, grounding, mindful meditation, collaborative problem solving, parts work, and more.
In my own work the things I find useful are grounding, dancing, art, and mindfully communicating with the different parts of myself. I look forward to helping you explore what works for you or your family member.
-Mariena Joy, LCSW (she/her/we)

Specializations

LGBTQIA+

Dissociative Disorders

Attachment trauma

Parts work

Gender identity

Family issues related to lgbtqia+

Gender affirmation care referral letters

PTSD

Traumatic Incidents

Anxiety/panic attacks

I also work with

Abuse/neglect

ADHD

Autism spectrum

Depression

Domestic violence survivors

Family issues

Grief/loss/mourning

Medical trauma

Moral Injury

Motor Vehicle Accidents

Non-epileptic psychogenic seizures

Personality disorders

Phobias

Self-harm

Social anxiety disorder

Somatic issues

Stress management

Suicide risk

Survivor's guilt

Therapy for Therapists

I have limited professional experience working with adoption, encopresis, and more.

I have life experience and limited professional experience with: adult survivors of Munchausen by proxy (factitious disorder imposed on another), survivors of sexual assault, sex therapies, kink, poly, divorce, domestic violence, chronic pain or illness, religious based trauma, spiritual trauma, family relational issues, and selective mutism.

Non-specialty area clients to be accepted on a case by case basis.

Modalities

EMDR

Somatic

TF-CBT

Tier 2 collaborative problem solving

Solution focused therapy

CAMS Suicide Prevention

Play therapy

Gender affirmation care

Art-based mindfulness

Sandtray

Populations served

Youth age 4-17
Adults
Seniors
LGBTQIA+
Sex-work positive
Kink

Poly

Insurance

Private pay
HSA/FSA Accepted
Advanced Health OHP

If you have Advanced Health and need assistance getting to appointments, check out Bay Cities Brokerage, which can provide free transportation and gas reimbursement options for those with Advanced Health insurance.

Superbills provided on request for clients who wish to seek reimbursement from their insurance companies for out of network services.

Telehealth & In-person

Serving all of Oregon

Click here for pricing and billing information for therapy

What is EMDR?

I am an EMDR S.A.F.E. model certified therapist. I am also an EMDR consultant-in-training which means that I can provide consultation for new EMDR clinicians who are seeking certification and to learn more about the EMDR process.

Visit EMDR International Association to learn more about what EMDR is.

I am a WPATH trained provider. I believe it’s my role to reduce barriers between transgender individuals and potentially life-saving gender affirmation care.

Visit Standards of Care - WPATH World Professional Association for Transgender Health to learn more about the informed consent process.