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Best Family Therapists in Lake Oswego, OR (2026)

240 family therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Lake Oswego: Vana O'Brien Marriage & Family, RP Score 69/100; 3.6★ from 5 Google reviews.

  2. 17

    Most-reviewed: LifeStance Therapists & Psychiatrists Gladstone, 217 Google reviews at 4.5★, the most of 240 ranked; ranked #17.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

240 Lake Oswego family therapists are ranked here by RP Score, from eight published factors. 30 open Saturdays and 11 open Sundays, based on posted hours. The median Google rating is 4.8★ across 240 rated practices.

Most of this list also appears on the Family therapists in Portland ranking. See Family therapists in Portland

Top 10 family therapists in Lake Oswego at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 family therapists in Lake Oswego at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Vana O'Brien Marriage & Family693.6★ (5)Portland, 7 mi away—Overall
2Owls Nest North Collaborative Therapy Space674.3★ (34)Portland, 9 mi awaySat · Evenings—
3Jackie Paris, LMFT, RDT, BCT664.3★ (6)Portland, 5 mi awayEvenings—
4Kathleen A. Zumpano, MA, LMFT654.0★ (4)Portland, 5 mi awayEvenings—
5Douglas Counseling654.9★ (31)Lake OswegoSat · Sun · Evenings—
6Willamette Health & Wellness, LLC643.8★ (22)Portland, 8 mi away——
7Dr. Misha Kleronomos , Counselor645.0★ (4)Portland, 8 mi away——
8Brightways Counseling, Portland - Kerns632.9★ (7)Portland, 7 mi away——
9Beauchene Family Therapy634.2★ (5)Beaverton, 8 mi away——
10Living Wholehearted, LLC634.8★ (20)Lake Oswego——

The 240 best family therapists in Lake Oswego, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  3. #3 Jackie Paris, LMFT, RDT, BCT

    Based in Portland, 5 mi away

    66/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.3★ from 6 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.3★ from 6 Google reviews
    Hours
    Mon–Wed 7 AM–5 PM · Thu 7 AM–9:30 PM · Fri 7 AM–5 PM · Sat–Sun closed
    Address
    0224 SW Hamilton St Ste 201, Portland, OR 97239
    View profile for Jackie Paris, LMFT, RDT, BCT(503) 528-4406

  4. #4 Kathleen A. Zumpano, MA, LMFT

    Based in Portland, 5 mi away

    65/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.0★ from 4 Google reviews
    Hours
    Mon 1 PM–7 PM · Tue 9 AM–7 PM · Wed 9 AM–6 PM · Thu 9 AM–5 PM · Fri 9 AM–1 PM · Sat–Sun closed
    Address
    4800 S Macadam Ave, Portland, OR 97239
    View profile for Kathleen A. Zumpano, MA, LMFT(971) 352-5129

  5. #5 Douglas Counseling

    Based in Lake Oswego

    65/100RP Score

    Ranked #5 because of its Google rating and proximity: 4.9★ from 31 Google reviews, based in Lake Oswego.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 31 Google reviews
    Hours
    Mon–Sun 9 AM–8 PM
    Address
    16325 Boones Ferry Rd Ste 209, Lake Oswego, OR 97035
    View profile for Douglas Counseling(503) 388-6611

  7. #7 Dr. Misha Kleronomos , Counselor

    Based in Portland, 8 mi away

    64/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 5.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2525 NW Lovejoy St, Portland, OR 97210
    View profile for Dr. Misha Kleronomos , Counselor(503) 563-3420

  9. #9 Beauchene Family Therapy

    Based in Beaverton, 8 mi away

    63/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.2★ from 5 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 5 Google reviews
    Hours
    Mon–Thu 10 AM–6 PM · Fri 1 PM–6 PM · Sat–Sun closed
    Address
    12250 SW 2nd St # B101, Beaverton, OR 97005
    View profile for Beauchene Family Therapy(503) 469-9666

  13. #13 LifeStance Therapists & Psychiatrists Lake Oswego

    Based in Lake Oswego

    60/100RP Score

    Ranked #13 because of its Google rating and proximity: 4.8★ from 138 Google reviews, based in Lake Oswego.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 138 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    5 Centerpointe Dr Suite 320, Lake Oswego, OR 97035
    View profile for LifeStance Therapists & Psychiatrists Lake Oswego(971) 213-2837

  16. #16 Base Behavioral Health

    Based in Beaverton, 7 mi away

    60/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 4.9★ from 39 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 39 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun 10 AM–4 PM
    Address
    8196 SW Hall Blvd #230, Beaverton, OR 97008
    View profile for Base Behavioral Health(541) 638-0830

  19. #19 Discover Counseling

    Based in Tigard, 4 mi away

    58/100RP Score

    Ranked #19 because of its Google rating and specialty focus: 4.8★ from 22 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 22 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat 9 AM–5 PM · Sun closed
    Address
    7320 SW Hunziker Rd #204, Tigard, OR 97223
    View profile for Discover Counseling(971) 222-8166

  20. #20 Pamela Gates, Counselor

    Based in Lake Oswego

    58/100RP Score

    Ranked #20 because of its Google rating and proximity: 4.8★ from 18 Google reviews, based in Lake Oswego.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 18 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    5 Centerpointe Dr Suite 320, Lake Oswego, OR 97035
    View profile for Pamela Gates, Counselor(971) 213-2837

  21. #21 Anne O'Donnell, Counselor

    Based in Lake Oswego

    58/100RP Score

    Ranked #21 because of its Google rating and proximity: 4.9★ from 15 Google reviews, based in Lake Oswego.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 15 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    5 Centerpointe Dr Suite 320, Lake Oswego, OR 97035
    View profile for Anne O'Donnell, Counselor(971) 213-2837

  22. #22 Breakthrough Family Counseling

    Based in Gladstone, 5 mi away

    58/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 3.7★ from 3 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.7★ from 3 Google reviews
    Hours
    Mon–Thu 8 AM–7 PM · Fri 8 AM–2 PM · Sat–Sun closed
    Address
    510 E Berkeley St, Gladstone, OR 97027
    View profile for Breakthrough Family Counseling(503) 830-7856

  23. #23 Brian Ranger, Counselor

    Based in Lake Oswego

    58/100RP Score

    Ranked #23 because of its Google rating and proximity: 4.8★ from 16 Google reviews, based in Lake Oswego.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 16 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    5 Centerpointe Dr Suite 320, Lake Oswego, OR 97035
    View profile for Brian Ranger, Counselor(971) 213-2837

  24. #24 Ed Worsman, Psychiatric Nurse Practitioner

    Based in Vancouver, 17 mi away

    58/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.8★ from 17 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 17 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    7507 NE 51st St, Vancouver, WA 98662
    View profile for Ed Worsman, Psychiatric Nurse Practitioner(360) 906-1190

  25. #25 Janelle Adams, MA, LMFT, ATR

    Based in Camas, 16 mi away

    58/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 5.0★ from 12 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 12 Google reviews
    Hours
    Mon–Thu 10 AM–5 PM · Fri–Sun closed
    Address
    2005 SE 192nd Ave Ste 200, Camas, WA 98607
    View profile for Janelle Adams, MA, LMFT, ATR(360) 953-8740

How we ranked Lake Oswego family therapists

We scored 240 Lake Oswego family therapists on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Lake Oswego data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a family therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure family therapy is a regular part of their work, and ask what approach they use and why.
  3. Marriage and family therapists (LMFT) are trained to work with families as a whole; psychologists and counselors may also offer family sessions, so ask about their training.
  4. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a family therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How much of your work is family therapy?
  • Who would you want to attend the first session?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Family therapists in Lake Oswego: frequently asked questions

Who is the best family therapist in Lake Oswego?

By RP Score, the highest-ranked family therapist in Lake Oswego, OR is Vana O'Brien Marriage & Family with an RP Score of 69/100. It has 3.6★ from 5 Google reviews. Owls Nest North Collaborative Therapy Space (#2) and Jackie Paris, LMFT, RDT, BCT (#3) follow. We ranked 240 family therapists on eight factors, last updated November 9, 2026.

How many family therapists are there in Lake Oswego?

RankedPsychologists ranks 240 family therapists serving Lake Oswego, OR. 6 of them are based in Lake Oswego; the rest serve it from nearby towns. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which family therapists in Lake Oswego work on weekends?

30 of 240 ranked family therapists post Saturday hours and 11 post Sunday hours. The highest-ranked open Saturdays are Owls Nest North Collaborative Therapy Space (#2), Douglas Counseling (#5) and Oak Hills Counseling Center, LLC (#11). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Lake Oswego family therapists have?

The median Google rating among 240 rated family therapists in Lake Oswego is 4.8★, with a median of 6 reviews. LifeStance Therapists & Psychiatrists Gladstone has the most, 217 reviews, and ranks #17. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank family therapists?

Each family therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do family therapists outside Lake Oswego count in this ranking?

Yes, if they are within 20 mi of the Lake Oswego city center, our service radius for family therapists. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can family therapists pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are family therapists in Lake Oswego ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on family therapy and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Who attends family therapy?

It depends on the concern. Sessions may include the whole household, a parent and one child, or adult family members. Ask the practice how it decides who comes and whether it also sees people individually.

Can I see a family therapist online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Lake Oswego

  1. November 2026: RP Scores recalculated for 240 family therapists serving Lake Oswego.
  2. November 2026: 2 duplicate listings merged.

More family therapists and Lake Oswego pages