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      <image:title>Blog - Navigating Existential Dread and Political Stress: How to Find Stability in Uncertain Times - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>About Scott Fletcher | Portland Therapist &amp; KAP Provider - About Me — A Portland Therapist for Adults Ready to Go Deeper</image:title>
      <image:caption>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.</image:caption>
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      <image:title>About Scott Fletcher | Portland Therapist &amp; KAP Provider - How I approach the work</image:title>
      <image:caption>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.</image:caption>
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