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Counseling Service

For Students

We offer primarily short-term individual, couples, and group therapy. Our staff consists of licensed mental health clinicians and doctoral practicum clinicians who are supervised by our licensed staff. 

On average, students receive five sessions from the Counseling Service.  If you feel you would benefit from more sessions or would like yearly counseling support, we can help you find the resources you need.  Contact the Office of Case Management to find out more.  

Please be aware that while service animals are welcome in our clinics, other animals are not allowed. This stance was adopted out of concern for students and staff with allergies

Our consulting psychiatrist can prescribe medication for mental or emotional conditions. Since she is with us only a few hours each week, her services are generally limited to students who are also engaged in counseling on campus. Students who are interested in medications without therapy can contact the Office of Case Management for off-campus referrals. Students interested in ADHD treatment can learn more about ADHD medication assessment and treatment at the Counseling Service. There are modest fees for psychiatry services.

There is a physician in the Health Service who can assess for depression and anxiety, and who will prescribe medication for these conditions when she thinks it is appropriate. For more information about those services, please contact the Health Service (503-768-7165).

Anonymous online screening for depression, anxiety, post-traumatic stress, bipolar disorder, eating disorders, alcohol use, and substance use.


Will it be confidential?

We take confidentiality seriously and follow APA (American Psychological Association) ethical guidelines on confidentiality. All our clinical services are confidential, with a few exceptions permitted or required by law. Every student who comes into the Counseling Service receives a copy of the exceptions to confidentiality before the first meeting with a counselor. In fact, you can check out all the confidentiality rules and exceptions on our confidentiality page.

Concerned about a friend?

If you are concerned about a member of our community who is having problems, we offer confidential consultation about how you can help. Link:

What services do you have for students with ADHD?

Attention deficit hyperactivity disorder is often referred to as ADD or ADHD. Symptoms can include difficulty concentrating or focusing, being easily distracted, and impulsivity. The disorder may be inexperienced either with or without symptoms of hyperactivity.

Both counseling and medical interventions have been shown to be helpful with Attention Deficit Hyperactivity Disorder (ADHD).   Some students also benefit from receiving academic accommodations for ADHD, such as extended testing time or a reduced-distraction testing environment.  At Lewis & Clark, the Student Support Service office coordinates requests for academic accommodations for ADHD, while the Counseling Service provides limited assessment and treatment resources, as well as referrals to community providers.

If you are interested in talking with a counselor about whether you have potential ADHD, and about potential counseling interventions, contact the Counseling Service at 503-768-7160.   

Because we have only a limited number of psychiatry appointments each week in the Counseling Service, we are not able to meet the needs of all students who might want to be assessed and treated with medication for potential ADHD.   At the outset of each semester, we set aside a certain number of appointments to evaluate students for ADHD. When those appointments are full, we refer students who need ADHD assessment to off-campus providers. More information about medication assessment and treatment for ADHD at the Counseling Service.

General Mental Health Resources

Anonymous online screening for depression, anxiety, post-traumatic stress, bipolar disorder, and eating disorders.

Half of Us-Based on the finding that half of all college students reported feeling so depressed that they couldn’t function, this website by mtvU and The Jed Foundation shows video stories of students and high-profile artists in order to increase awareness about mental health issues on campus and connects students to the appropriate resources to get help.

Ulifeline-is an anonymous, confidential, online resource center, where college students can be comfortable searching for the information they need and want regarding mental health and suicide prevention. has a new page that is dedicated solely for college students in need of some advice or help with their college lives.

Health 101-Health promotion by students for students

LGBTQ Resources

Coming Out as You, Information from the Trevor Project for LGBTQ to guide them in coming out

Queer Resource Center, The QRC is a resource center serving the lesbian, gay, bisexual, transgender, queer, questioning, asexual, omnisexual, polysexual, pansexual and allied community at Lewis & Clark College.

Map of Unisex Restrooms on Campus 

Other Resources:

Alcohol & Drug Support-Health Promotion and Wellness Site

Learning Disabilities & ADHD Resources

Sexual Assault Resource

Downloadable Meditation Audio

Counseling Service

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