Youth and Family Counseling

It’s not easy being a kid these days.

Growing up is a complex process of learning, overcoming challenges, and gaining experience. For some people, this process is complicated by experiences of abuse, loss, stressful or difficult transitions, divorce, anxiety, depression, identity concerns, conflict, and self-esteem issues. It’s not always easy to tell if you should seek therapy for your young person. When a child or teen’s thinking or behavior begins to interfere with their ability to learn, overcome challenges, and function well and/or the problem is not going away, it’s usually time to seek help.

No one will be denied access to services due to inability to pay. CCMH offers a discounted/sliding fee schedule based on family size and income for Oregon residents. (link to sliding scale on forms page)

Getting help early on makes a difference.

Mental, emotional, and behavioral disorders in childhood can cause long-term problems that may affect the health and well-being of children, families, and communities. Early intervention in treating a child’s mental health problems can help children reduce problems at home, in school, and in forming friendships. It can also help with healthy development into adulthood. If your child or teen is experiencing any of the following signs, it might be a good time to seek professional help from a therapist:

  • Difficulty sleeping
  • Unwarranted aggression
  • Persistent anxiety and worry
  • Social isolation
  • Alcohol or drug misuse
  • Self-harm
  • Suicidal thinking or repetitive thoughts of not wanting to be here anymore
  • Sudden unexplained emotional or behavioral changes
  • Persistent changes in appetite

What kinds of issues
do you treat?

Our outpatient clinical staff is trained to treat most mental and behavioral health disorders that can occur in children and teens. Some of the disorders that we treat include depression and anxiety, PTSD and other trauma and stressor related disorders, obsessive compulsive disorder, ADHD, and adjustment disorders.

What kinds of treatment do you offer?

The services offered include assessment, diagnosis, treatment planning, individual and family therapy, care coordination, safety planning, and skills training. We offer a variety of treatment modalities including cognitive behavioral therapy (CBT), brief solution focused therapy, group therapy, and systems based therapy. When children are young, it is common for therapy to include the parent or primary caregiver. Sometimes therapists work with the caregivers alone. Older children may meet with a therapist alone as well. Some types of therapy and many of our supportive services include working with the whole family or other important adults in the child’s life (for example, a teacher). In some cases, a combination of therapies and services is the best way to help a child or family.

If you would like more information about any of our youth and family programs, any of the services offered, or have questions about how to help your child or teen, please call our Youth and Family Department outpatient clinic at 503.397.7919.


No one plans for a crisis; they
happen, and we are here to
help you.

We have trained professionals standing by to assist you or someone you know. Please call us, anytime of the day or night.

Phone or community based crisis support available at:
Crisis winding road

Report Abuse

*If at any time you feel an individual is being hurt or is in
immediate danger, please call 911

Child Abuse

To Report child abuse,

Contact Us:

Report child abuse to the Oregon Child Abuse Hotline by calling 855-503-7233 .The Oregon Child Abuse Hotline receives calls 24 hours a day, 7 days a week, 365 days a year.

This toll free number allows you to report abuse of any child or adult to the Oregon Department of Human Services. You can also report child abuse by calling a local police department, county sheriff, county juvenile department, or Oregon State Police.

Abuse of an adult

Abuse of an Adult,

Contact Us:

To report the abuse of an adult please contact our Adult Abuse Investigator at (503) 438-2195

Hope and Healing Begin Today

Columbia Community Mental Health is a
non-profit agency dedicated to excellence in behavioral healthcare.

This moment right now might be difficult, but there’s a lifetime of better moments to
look forward to. It takes courage to ask for help – and sometimes the
problem isn’t always clear.