Brandy Gillihan (she/her), LMHC

If you grew up thinking that having painful inner experiences meant you were doing something wrong—or were fundamentally wrong or broken—you’re not alone.

I am providing only telehealth services at this time.

My greatest hope as a clinician is to help you be at peace with your own experience. I’ve found that if we can let go of struggling with our painful thoughts and feelings and focus on what we care about—our values—we can live a meaningful, fulfilling life. This work isn’t easy, but it’s worth it. I can help you learn to embrace all the experiences that occur in your mind and body, and in so doing, have the freedom to be more fully yourself, living the life you would choose to live.

I am passionate about working with people living with anxiety and stress, health anxiety and health behaviors, and shame and self-criticism. I also help people looking for support in building community, pursuing balance in work/life, and clarifying values. I also have experience working with those who have non-dominant religious and spiritual beliefs.

I also provide a size-friendly therapy environment for all bodies to explore non-food related concerns and struggles. As a “smallfat” cis-woman who lives in a body marginalized by culture, I understand the difficulties larger bodied people have when navigating health care, work relationships and interpersonal relationships. The presumption often is that living in a fat body means that you struggle with food and/or body dissatisfaction. I know this is not the case. You deserve a space that understands this.

I also work with individuals struggling with disordered eating patterns. In this setting, my services are best matched to people who need regular, weekly therapy, rather than more intensive services.

Treatment Approach

Orientation: Acceptance and Commitment Therapy (or ACT) is my primary frame. This therapy involves increasing your ability to move toward a life full of meaning, while staying focused on what you care about even in the face of painful thoughts and feelings. I also work from a body liberation and Health at Every Size® (HAES®) informed perspective.

Modalities: Individual

Client Focus

Ages: Adult 18+


Practicing Since: 2015
Degree: Master of Arts in Counseling Psychology
Year Obtained Degree: 2015
License Number and State: Licensed Mental Health Counselor in Washington LH60827190


  • Anxiety (health anxiety, social anxiety, generalized anxiety)
  • Internalized Antifat bias & Weight Stigma
  • Body Image concerns
  • Self-compassion
  • Personal Growth & Values Exploration
  • Stress/Life Transitions
  • Marginalized Religion/Spirituality (including animism, Paganism, New Thought, etc.)
  • Disordered eating patterns
  • LGBTQIA+ affirming


Average Cost: $180 – $200
Accepted Insurance Plans: I accept most other insurance as an out-of-network provider


Email Address:
Phone: 503-281-4852

Confidential Contact Form

What Makes Us Unique

Portland Psychotherapy is a clinic, research & training center with a unique business model that funds scientific research. This results in a team of therapists who are exceptionally well-trained and knowledgeable about their areas of specialty.