Michelle Sprouffske,LCSW
LCSW
they/them
Steps to Change LLC
Accepting new clients
Contact provider
Licensed states
Oregon
At a glance
Services Provided
Individual Therapy
Ages Served
Adults (18+)
Older Adults (65+)
Older Adults (65+)
Languages Spoken
English
Gender Identity
Non-binary
Faith Communities Served
Agnostic
Atheist
Catholic
Interfaith
Jehovah’s Witness
Multifaith
Secular and Non-Religious
Spiritual
The Church of Jesus Christ of Latter-day Saints
Unitarian Universalist
Wicca/Paganism
Atheist
Catholic
Interfaith
Jehovah’s Witness
Multifaith
Secular and Non-Religious
Spiritual
The Church of Jesus Christ of Latter-day Saints
Unitarian Universalist
Wicca/Paganism
Telehealth Availability:
All services are via Tele-Health, which gives the Client the comfort of their items and space during the sessions, often helping to feel more secure.
Please email to schedule an appointment as written communication works best. Hours of availability are Monday-Wednesday with no evening availability. Our hope is that we are able to work together towards reaching your goals and creating change through interpersonal growth.
About this provider
Clients I Work With
I frequently work with people around life transitions, neurodivergence, anxiety, depression, gender and sexuality, acute and chronic trauma issues, self empowerment, parenting, chronic illness (invisible and visible) as well as grief and loss. I also provide support to those still practicing Covid precautions.
I have specialized training with domestic violence/intimate partner violence and sexual assault.
Approach
A Little About My Approach:
I come from an Anti-Racist/abolitionist foundation and believe in calling out how systems of racism and oppression affect mental health. As a Queer disabled therapist, both invisible and visible disabilities, I am aware of the importance of a judgment free environment and the way that systems do not often provide this. I use various approaches when working, such as feminist theory, systems, acceptance and commitment therapy, solution-focused therapy, relaxation/guided imagery and others. Each session is unique to the person, and I am always in consideration of client's values in regard to cultural identity as well as the client's strengths.
Beliefs & Lived Experience
My pronouns are they/them. I have one adult child and raised her as a single parent beginning at age five, after their father passed suddenly. Desiree is an integral part of this therapy practice and the first person new clients come in contact with.
Along with being a parent, I am proudly Queer and Disabled. As someone with hEDS (hypermobile- Ehlers Danlos Syndrome) my abilities fluctuate from day to day or even moment to moment. Some days my disabilities will be visible (whether through various braces, skin coloring or difficult finding the correct word from brain fog), other days they will be invisible. I provide this information upfront, not because it limits my ability to be present in the space with clients, but rather to raise awareness/model that disabilities are a spectrum. For this reason as well, I try to make sessions as accommodating for any body/experience as I can.
More About My Practice
If you choose to use your insurance, it does require a qualifying mental health diagnosis and documentation of our work together. In my documentation, I am meticulous and intentional, focusing on broad themes—such as "navigating family dynamics," "exploring interpersonal relationships," or "processing systemic stressors"—rather than using direct quotes or highly specific personal details. This allows me to meet billing requirements while still honoring the personal nature of your story and minimizing sensitive information in your clinical record.
For Private Pay:
To safeguard this deeply personal work, our practice allows for private pay. This choice provides the highest level of confidentiality by not involving insurance companies. When utilizing Private Pay, a mental health diagnosis is not needed, which for some adds the extra level of privacy. Private pay ensures that your personal information and the intimate details of our sessions remain entirely confidential, allowing us to focus on your goals without external constraints.
Specialties & approaches
Specialties
ADHDAutismBurnoutCaregiver SupportChronic Pain and IllnessConsensual Non-MonogamyDisabilityDomestic AbuseGender IdentityGriefHighly Sensitive People (HSP)Life TransitionsOlder Adults & AgingRelationship IssuesReligious Trauma & Spiritual AbuseSpiritual AbuseSpiritualityTrauma & PTSDWomen’s Mental Health
Therapy approaches
Acceptance and Commitment (ACT)Attachment-BasedCompassion Focused TherapyCulturally Responsive TherapyFeminist TherapyHumanistic TherapyIntegrative TherapyLifespan IntegrationMindful Self CompassionNarrative TherapyPerson-Centered TherapySomatic TherapySystemic TherapyTrauma-Focused Cognitive Behavioral (TF-CBT)
Specialized Experience
Body-positive / Health at Every SizeCaregiversDisability-informed careEducatorsEntrepreneurs & ExecutivesFirst Responders & Medical ProfessionalsLGBTQ+ AffirmingNeurodiversity-affirmingOpen relationships / non-monogamyRace & cultural identityRacial justice frameworkSelf-Employed & Freelance ProfessionalsSex work-affirmingSex-positive / kink friendlyTherapists & Mental Health ProfessionalsTrans-affirming care
Fees & insurance
Session Fees
$185
$250
Payment Accepted
Credit
Health Savings Account (HSA)
Private Pay (Superbills Not Provided)
Insurance Notes
For Clients Using Private Pay
To safeguard this deeply personal work and your autonomy, our practice allows for private pay. This intentional choice provides the highest level of confidentiality by not involving insurance companies. When utilizing Private Pay, a mental health diagnosis is not needed, which for some adds the extra level of privacy. Private pay ensures that your personal information and the intimate details of our sessions remain entirely confidential, allowing us to focus on your goals without external constraints.
Insurance Accepted
Blue Cross Blue Shield (BCBS)Moda HealthPacificSourceRegence