Trauma Therapy for Adults in Bend, Oregon
Trauma ⎸ Substance Use ⎸ EMDR
Currently accepting clients for virtual appointments throughout Oregon
Support that helps you move from surviving to truly living
When hard life experiences pile up—trauma, mental health struggles, or substance use—just getting through the day can become the goal. That doesn’t mean something is wrong with you. It means you adapted to survive. I understand that, and my goal is to help you gently move from surviving to actually living again.
Do any of these feel close to home?
Feeling constantly on edge, overwhelmed, or emotionally drained
Difficulty feeling safe, calm, or present—even when things are “okay”
Emotional numbness, shutdown, or disconnection from yourself or others
Intense emotions that feel hard to regulate, or feeling very little at all
Avoidance of memories, feelings, or situations that feel threatening
Reliance on coping behaviors such as people-pleasing, perfectionism, control, avoidance, substance use, or self-criticism
Struggles with self-worth, boundaries, or relationships
These responses are not signs of weakness or failure. They are adaptive strategies your nervous system developed to protect you during overwhelming experiences.
With my support and as your trauma therapist, it is possible to gently understand these patterns, build healthier coping skills, and feel more grounded, connected, and in control. Therapy with me can offer a space to move at your own pace—helping your body and mind learn that safety is possible again.
“Childhood trauma can lead to an adulthood spent in survival mode, afraid to plant roots, to plan for the future, to trust, and to let joy in. It’s a blessing to shift from surviving to thriving. It’s not simple, but there is more than survival.”
I offer therapy services to individuals 18 years and older in Bend, Oregon, specializing in trauma and dual diagnosis. I specifically utilize EMDR, Internal Family Systems, Cognitive Behavioral Therapy, and Solution Focused, Strength Based approaches.
I am also an approved Clinical Social Work Supervisor and offer Clinical Supervision for Clinical Social Work Associates (individual and group)
Services
Trauma therapy helps you understand how past experiences may still be impacting your emotions, relationships, or sense of safety. Together, we work to reduce overwhelm, shift unhelpful patterns, and build a greater sense of stability and self-trust.
EMDR is an evidence-based therapy that helps the brain process unresolved or distressing experiences. By reducing the emotional intensity of past memories, EMDR can support healing without requiring detailed retelling of trauma.
Dual diagnosis therapy addresses mental health concerns alongside substance use or addiction. This integrated approach explores the connection between emotional pain and coping behaviors, supporting meaningful and sustainable change.
I provide clinical supervision for Clinical Social Work Associates (CSWA) seeking supportive, ethical, and trauma-informed guidance. Supervision focuses on skill development, clinical confidence, and integrating theory into real-world practice while meeting Oregon licensure requirements.
EMDR Intensives give you focused, extended therapy designed to fit your life. Instead of weekly 60-minute sessions, these longer appointments allow for deeper processing of single-event traumas or complex, long-standing trauma. Clients often find they can reduce triggers, calm emotional overwhelm, and build real momentum in their healing—leaving feeling lighter, more grounded, and more in control.
Meet Meghan Hanes, LCSW
I’m Meghan, a Licensed Clinical Social Worker (LCSW) and EMDR-trained trauma therapist offering online therapy for adults across Oregon. I specialize in trauma and dual diagnosis, supporting individuals navigating mental health concerns alongside substance use or unhealthy coping patterns.
Through EMDR, talk therapy and a compassionate, collaborative approach, I help clients process past experiences, reduce emotional overwhelm, and move forward with greater clarity and calm.
My practice is fully virtual and available to adults ages 18 and older living in Oregon.
Frequently Asked Questions
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Client Services:
I provide trauma-informed therapy for adults, specializing in trauma and dual diagnosis. This includes trauma therapy to help clients move out of survival mode, dual diagnosis therapy addressing the intersection of mental health and substance use, and EMDR therapy to process and integrate traumatic experiences.Coming Soon! EMDR Intensives - Come back to learn more!
Professional Services:
I offer clinical supervision for therapists seeking ethical, supportive, and trauma-informed consultation, with an emphasis on nervous system–aware care, complex cases, and professional sustainability. -
Getting started is simple. You can contact me by email at meghansmall.lcsw@gmail.com, call or text 541-213-9321, or fill out the contact form on my website. I’ll respond to discuss next steps and help determine whether we’re a good fit.
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I approach therapy as a collaborative, human process—not something done to you, but something we do together. I meet clients where they are, at their own pace, with curiosity, compassion, and respect for what their nervous system has learned to do to survive. I believe therapy can be deep and meaningful without feeling rigid or intimidating, and when appropriate, I bring warmth, humor, and realness into the work. You don’t have to have the “right words” or be anywhere specific to begin—just willing to show up as you are.
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You can reach me anytime via our contact page, email (meghansmall.lcsw@gmail.com), or phone (541-213-9321). I aim to respond quickly—usually within one business day.
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Individual therapy sessions are $200 for a 60-minute session.
EMDR intensives are $300 per hour (typically 2-4 hour sessions).
Clinical supervision is $150 for a 60-minute individual session or $75 per person for a 120-minute group session.If you have questions about services or want to explore whether we’re a good fit, I’m happy to discuss this during a consultation.
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Working with me is collaborative, grounded, and human. I meet clients where they are, move at a pace that feels manageable, and approach therapy with curiosity rather than judgment. Sessions are structured enough to feel supportive, but flexible enough to respond to what’s happening in real time. We focus on safety, nervous system awareness, and practical change—while leaving room for warmth, humor, and honesty. You don’t need to have everything figured out to start; we work from exactly where you are.