Brian Pilecki, Ph.D.

Brian Pilecki, Ph.D.
By combing the findings of science with compassion and nonjudgment, I work to create a safe space in which real, meaningful change is possible.


I am providing telehealth services at this time and can help you check whether your insurance will provide coverage. 

Using evidence-based methods, I specialize in the treatment of anxiety disorders (OCD, generalized anxiety, social anxiety, panic disorder), trauma and PTSD, and matters related to the use of psychedelics.  I also have experience treating depression and mood disorders, LGBTQIA+ populations, and general life problems. 

My therapy approach centers on Acceptance and Commitment Therapy (ACT), a mindfulness-based psychotherapy that emphasizes behavior change and uses a client’s own values to guide treatment.  This kind of therapy is an active process that goes beyond simply “talking.”  I also incorporate tools from other cognitive behavioral therapies such as exposure therapy and Dialectical Behavioral Therapy (DBT).  As an active researcher, I also value keeping up to date with the most recent developments in therapy technologies so that I can bring the best treatment that science has to offer.

At the start of therapy and throughout treatment, I work with clients to identify and implement skills, exercises, and out-of-session activities to address their unique problems.  Time is spent carefully understanding each client’s needs and goals, and then collaborating on ways to help address them.  Clients are encouraged to think about what is most meaningful to them in life and are supported in pursuing whatever that is.  Using a compassionate and nonjudgmental stance, I work with clients to help them break out of old habits and rigid thought patterns that are keeping them stuck.  Ultimately, I wish to draw upon all of my training and experience to help clients live a meaningful and vital life.  

Mindfulness has been shown to be effective for the treatment of anxiety, depression, and other psychological problems, and is a foundational aspect of ACT and my therapy approach.  While I integrate mindfulness principles throughout all my sessions, I also have experience with teaching meditation for clients interested in a more serious study of mindfulness or who are interested in developing a regular mindfulness practice to obtain psychological benefits. 

I am also passionate about the potential for psychedelics such as psilocybin, MDMA, and ayahuasca to be used as tools for personal growth. As someone who is well-informed about and does scientific research on the positive potential of psychedelics, I want to help clients who have used psychedelics integrate any wisdom or insight gained from these experiences into their daily lives. Additionally, I am interested in helping clients cope and make sense of any difficult psychedelic experiences they may have had.  While I cannot facilitate access to or provide psychedelic substances due to their illegal nature, I offer a harm reduction approach for individuals who are seeking psychedelic experiences by providing accurate information about risks and benefits and then supporting clients to make informed choices that are right for them.  In the future, Portland Psychotherapy hopes to offer psychedelic-assisted therapy, based on scientific evidence, once legalization occurs. You can learn more about my psychedelic harm reduction and integration services here. 

Things I’ve Written

Treatment Approach

Orientation: Evidence-based treatments that include: Acceptance and Commitment Therapy, Exposure Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness
Modalities: Individuals

Client Focus

Ages: Adults
Special Populations: LGBTQIA+ Affirmative


Practicing Since: 2007
Degree: Ph.D.
Year Graduated: 2014
License Number and State: Licensed Psychologist in Oregon #3144.


      • Generalized anxiety
      • Obsessive-compulsive disorder
      • Panic disorder
      • Social anxiety
      • Trauma and post-traumatic stress disorder
      • Specific phobia
      • Psychedelics
      • Mindfulness
      • LGBTQIA+ populations
      • Depression


Average Cost: $155-$220
Accepted Insurance Plans:  My services would be billed under out of network benefits. I am not in-network with any insurance panels at this time.

How I can help:

If you are interested in working with me, feel free to call or submit an online message.  I will contact you for a brief 5-10 minute phone screen where I can also answer any questions you may have.  Typically, we will meet for 1-2 consultation sessions to fully assess your needs and discuss how we might work together.  In therapy, it is important to trust your provider.  Therefore, it is important to me that you feel comfortable with our working relationship and if you decide that we are not a good match, I am more than happy to provide referrals for other options.
Email Address:
Phone: (503) 281-4852 ext. 211

To contact me, call me at 503-281-4852 x211, or use the confidential contact form below.

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.