About Scott Fletcher, LMFT
Portland therapist for adults ready to go deeper — in talk therapy or Ketamine Assisted Psychotherapy.
“Suffering is the beginning of the story. Meeting that suffering with love, compassion and joy is the rest of the story”
— Jack Kornfield
About Me — A Portland Therapist for Adults Ready to Go Deeper
Hi, I’m Scott. I’m a I am a Licensed Marriage and Family Therapist in private practice in Montavilla, Portland, Oregon. License #T1809. I work with high-achieving adults — professionals, leaders, parents, caregivers, creatives — who look fine on the outside and are quietly struggling on the inside. Most of my clients are smart, sensitive, and tired. They’re the dependable ones. They’ve held it together for a long time, and they’re ready for something deeper than coping skills.
How I approach the work
I approach therapy as a real human being, not a blank-screen expert. I trust that you are the authority on your own experience. My role is to help you slow down, get curious, and gently uncover the patterns that have been running the show — sometimes for decades. I draw primarily on Internal Family Systems (IFS), which helps you build a compassionate relationship with the different parts of yourself, including the inner critic, the perfectionist, and the parts that learned long ago to keep you safe. I also integrate cognitive-behavioral, dialectical, and acceptance-based tools (CBT, DBT, ACT) when practical skills are useful, along with mindfulness and a person-centered foundation.
For clients ready for a deeper, more accelerated path, I offer Ketamine Assisted Psychotherapy (KAP) using in-office sublingual ketamine in a warm, structured setting. KAP can be especially powerful for treatment-resistant depression, complex trauma, severe anxiety and the existential weight that sometimes settles in for people who have done all the “right” things and still feel disconnected.
You won’t get a script or a one-size-fits-all protocol from me. You’ll get a real human who listens carefully, names what others miss, and helps you find your own way forward.
Education and credentials
Specialty training
Primary modalities
Who I work with
Training, Education & Experience
I’ve been practicing therapy since 2016 and hold a Master of Arts in Marriage and Family Therapy from Chapman University and a Bachelor of Arts in Social Ecology from the University of California, Irvine. I’m licensed as a LMFT, license #T1809, in the state of Oregon.
I’m specifically trained in Ketamine Assisted Psychotherapy (KAP) through the Psychedelic Research and Training Institute, completed in 2025 and continue to deepen this work through ongoing consultation and education. KAP requires careful screening, medical coordination, and a structured course of preparation, dosing, and integration sessions — not a one-off experience. I take that responsibility seriously.
My core therapeutic approach draws from Internal Family Systems (IFS), cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mindfulness-based practices, all on a person-centered foundation inspired by Carl Rogers’ emphasis on validation, acceptance, and unconditional positive regard. I’ve also trained in attachment theory, narrative exposure therapy for trauma, and Gottman Method couples work — which I draw on as the situation calls for.
My practice is focused on adults navigating anxiety, depression, trauma, burnout, perfectionism, life transitions, and the existential weight of feeling disconnected from yourself. I welcome clients of all backgrounds, identities, body sizes, relationship structures, and spiritual traditions.
Beyond the therapy room
Outside of work, I’m a lover of the outdoors and music of all kinds. I spend my free time playing the drums, building things, taking photos, and exploring nature with my family and dog. I bring the same curiosity and care to my own life that I bring to the therapy room — because I believe doing this work well requires being a person, not just a professional.
Curious if we’d be a good fit?
If anything you’ve read here resonates, I’d love to hear from you. I offer a free 15-minute phone consultation so we can see if we’re a good match before you commit to anything — including for clients curious about Ketamine Assisted Psychotherapy. I work as a private-pay practice and provide superbills for out-of-network reimbursement. Feel free to inquire about my sliding scale.