Nicole Altstadt

Serving children, teens, adults, and seniors in Gresham, Oregon, Nicole Altstadt is a dedicated counselor providing comprehensive mental health support. She works with a wide range of age groups, including children as young as 6, adolescents, and adults through the geriatric stage. Nicole utilizes an array of evidence-based therapeutic modalities to help her clients navigate complex emotional and behavioral challenges, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). Her clinical practice also incorporates specialized approaches such as Exposure Therapy, CBT for Insomnia, and Mindfulness techniques. Nicole offers support for individuals and couples, providing services that include parenting skills development and gender-affirmative medical readiness evaluations. Committed to accessible care, she offers both in-person and remote services to patients throughout Oregon. Her practice is inclusive of diverse needs and she provides all services in English.