Therapy should
be meaningful.

People rarely seek out therapy preemptively. Many arrive in the midst of a crisis or after trying for a long time to make sustainable changes that haven’t materialized. I routinely tell clients that change often occurs when the pain of remaining the same exceeds the pain of change. I also believe we make time for what matters most. If you’re here, perhaps you’ve reached that point and are ready to prioritize your own well-being. That is a tremendous first step and perhaps a hard realization.

I don’t have a curtain to pull back. I will listen carefully, challenge thoughtfully, and do my best to support you as we address what brings you in. Therapy often begins with recognizing what’s within your control, what isn’t, and how you respond to both. Together, we’ll look for opportunities to make meaningful changes and work toward acceptance or closure when that’s the most pragmatic path forward.

Willamette Falls and the river above Oregon City
Willamette Falls · Oregon City

Rooted in Oregon City.

PNW Counseling Alliance logo featuring Mount Hood, the Oregon City bridge, forest, and waterfalls

Telehealth throughout Oregon and Washington.

Insight matters.
What you do with it matters more.

My approach is direct and encourages honest conversation, introspection, and a willingness to examine difficult truths. We’ll explore the patterns and choices that shape your relationships, with an emphasis on self-accountability. This includes how you handle difficult conversations, set boundaries, and weigh competing priorities as you approach complex decisions with intention, clarity, and confidence. The goal is to show up differently outside my office—in your relationships, how you see yourself, and the choices you make every day.

The Oregon City Arch Bridge spanning the Willamette River

At the confluence of history, industry, and the Willamette.

Services

A collaborative process.
An intentional way forward.

Individual Counseling

A place to work through anxiety, burnout, grief, relationship concerns, and major life or career decisions. We examine recurring patterns, clarify your priorities, and identify changes you can put into practice.

Collaborative Couples Counseling

Individual support and coordinated couples sessions for recurring conflict, loss of physical or emotional intimacy, unhelpful communication patterns, and damaged trust. When your partner begins to feel more like an adversary than a source of support, we look beyond the latest argument to understand each perspective, strengthen communication, and make clearer decisions about the relationship.

Family Therapy

Support for unresolved conflict, strained communication, difficult transitions, and recurring family dynamics. We work toward greater understanding, healthier boundaries, and more constructive ways of relating.

EAP Counseling

Through Employee Assistance Program partnerships with Canopy EAP, Optum EAP, and other providers, I offer short-term, solution-focused therapy for work stress, relationship challenges, career questions, and difficult decisions.

Taylor Bachman, licensed clinical social worker and founder of PNW Counseling Alliance

A practical approach,
grounded in experience.

I’ve worked in behavioral health since 2008, including on a hospital-based inpatient psychiatric unit, in dual-diagnosis treatment and residential programs, in homeless shelters and correctional healthcare, and in private practice. Across these settings, I’ve worked with other healthcare providers and people from a wide range of backgrounds facing complex circumstances. That experience shapes how I listen, assess a situation, and support people in finding a way forward.

Today, I primarily work with executives, business owners, and professionals, as well as retirees, first responders, and couples. As part of a military family and the spouse of a law-enforcement professional, I understand personally the importance of service to others and the community—and how demanding schedules, responsibility, and personal sacrifice can affect life at home.

My style is direct, thoughtful, and collaborative. I work well with people who want more than a place to be heard: they value candid feedback, practical recommendations, and seeing the work lead to meaningful change beyond our sessions. I build on your strengths and what’s already working, keeping the focus on your goals and what matters most to you.

Garrett “Taylor” Bachman LCSW, LICSW · Founder

More about my background
Independently licensed in Oregon & Washington
Historic Main Street in Oregon City, looking south from Seventh Street
Main Street, Oregon City Looking South from Seventh Street · c. 1910

Practice details

Consultation

Complimentary, 15 minutes

A brief conversation to discuss what brings you in and whether working together makes sense.

Availability

In-Person & Telehealth

Weekday hours are 8 AM–7:30 PM.

Insurance & Fees

In network with
many major plans.

Aetna

Canopy EAP

Cigna / Evernorth

Curative

First Choice Health Network

Humana

Kaiser Permanente

MHN

Moda Health

Optum

PacificSource

Providence Health Plan

Regence BlueCross BlueShield

UnitedHealthcare

EAP services are also available through Canopy, Optum, and other programs.

Private-pay fees

Initial diagnostic evaluation75 minutes
$275
Family therapy60 minutes
$275
Collaborative couples counseling60 minutes
$275
Individual therapy60 minutes
$200
EAP counseling45 minutes
$100

A sliding fee may be available—please feel welcome to ask.

I can help you review your coverage and estimate out-of-pocket costs before we begin. Final responsibility depends on your plan and how your insurer processes the claim. View insurance and coverage details.

It begins with
a conversation.

A complimentary 15-minute consultation is a chance to discuss what brings you in and whether working together feels like a good fit.

Inquiries are generally answered within one business day.

Please provide at least one way to reach you: phone or email.

Please don’t include sensitive clinical information.

This form is not monitored for emergencies. For immediate danger, call 911. For crisis support, call or text 988.

(971) 389-7218 Taylor@pnwcounselingalliance.com 511 Main Street, Suite 203 · Oregon City, OR Monday–Friday, 8 AM–7:30 PM
Historic photograph of the Oregon City Municipal Elevator decorated with flags and bunting, with its original handwritten caption
Oregon City, OregonMunicipal Elevator · Built 1955