Oregon Clients

Philosophy & Approach

Dream River Counseling takes an eclectic approach to creating treatment plans, viewing the counseling process as a journey. Paul sees his role as walking alongside you — working together to set goals and facilitate meaningful change. It is important to use interventions and modalities that best serve your needs, and to adapt as those needs evolve over time.

Modalities used include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution-Focused Therapy, Narrative Therapy, Motivational Interviewing, and EMDR for trauma therapy. Our approach is grounded in a holistic perspective, honoring the biological, psychological, social, and spiritual dimensions of the therapeutic process. We also offer Ketamine-Assisted Psychotherapy (KAP) for clients who may have been resistant to other forms of treatment.

Teletherapy

Dream River Counseling offers teletherapy — psychotherapy conducted remotely via computer, tablet, or smartphone. Teletherapy is beneficial for a wide range of clients and mental health services. Sessions function much the same as traditional in-person therapy, with the only significant difference being that the therapist and client are not in the same room.

Training & Education

Paul Randak holds a Master's in Marriage and Family Therapy from Northcentral University, a Master's in Transpersonal Psychology from the Institute of Transpersonal Psychology (Sofia University), and a Bachelor of Social Work along with a Certification in Addiction Counseling from the University of Utah. He has over two decades of experience in individual, couples, family, and group therapy, with specialties in anxiety, depression, addiction, mood disorders, LGBTQ+ issues, trauma, and personality disorders. Paul also works extensively with Ketamine-Assisted Psychotherapy (KAP) and integration.

Relevant coursework includes Human Growth and Development, Personality and Counseling Theories, Marriage and Family Therapy, Psychopathology, Human Sexuality, Ethics, LGBTQ+ Counseling, and Counseling Supervision.

Licensure

Paul is licensed as a Marriage and Family Therapist (LMFT) by the State of Oregon Board of Licensed Professional Counselors and Therapists and abides by its Code of Ethics. To maintain this license, Paul participates in continuing education relevant to the profession and engages in professional supervision and consultation groups with other licensed therapists and counselors.

Therapy is a unique type of relationship. People grow where they feel safe, and Paul abides by professional boundaries to protect clients. This includes not initiating contact outside the therapy context and not interacting with clients on social media to protect confidentiality.

Client Bill of Rights

As established by the Board's Code of Ethics, you have the right to:

• Expect that your therapist has met the qualifications of training and experience required by state law
• Examine public records maintained by the Board and have the Board confirm a licensee's credentials
• Obtain a copy of the Code of Ethics (Oregon Administrative Rules 833-100)
• Report complaints to the Board
• Be informed of the cost of professional services before receiving them
• Be assured of privacy and confidentiality while receiving services as defined by rule or law, with the following exceptions:
  1. Reporting suspected child abuse
  2. Reporting imminent danger to you or others
  3. Reporting information required in court proceedings or by your insurance company or other relevant agencies
  4. Providing information concerning licensee case consultation or supervision
  5. Defending claims brought by you against the therapist
• Be free from discrimination based on age, color, culture, disability, ethnicity, national origin, gender, race, religion, sexual orientation, gender identity, marital status, or socioeconomic status

Fees

Service	Duration	Cash Rate
Individual Therapy	60 minutes	$200
Couples Therapy	90 minutes	$300
Ketamine-Assisted Psychotherapy	90 minutes	$300

A sliding fee scale is available for clients in need, based on ability to pay. Most major insurance plans are accepted at their allowable rates.

Termination

If at any point during psychotherapy it becomes apparent that treatment is not effectively helping you reach your therapeutic goals, this will be discussed openly. If appropriate, treatment may be terminated with referrals provided to other qualified professionals. Other reasons for termination may include a conflict of interest, failure to pay fees on a timely basis, needs falling outside the scope of Paul's experience or training, or mutual agreement.

Termination is a significant part of any treatment process. While clients have the right to end therapy at any time, discussing termination in at least one final session is encouraged to ensure a healthy and constructive conclusion.

For more information about this counselor, please visit the Board's website. If you have any questions, please direct them to your therapist.