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  PSYCHIATRIC CARE IN OREGON

More context. Better care.

Context is your entire lived experience. We provide whole person care, designed to fit your life. 

Home: Welcome

Our Approach

There's no right way to show up here.

Your full, uncensored story is welcome, including the parts that may not seem like they belong in a psychiatric appointment.
 

We want to understand the full context of your life. That might mean looking at what’s happening with your physical health, connecting with other providers, or finding additional resources and support. We take the time to understand what's going on before deciding what comes next, together.

LGBTQIA+ Affirming

Neurodiversity-Affirming

HAES-Informed

Services

People come to Pivot for all kinds of reasons.

You might be looking for answers, navigating a diagnosis, going through a difficult season, or simply feeling like something isn't working. 


Whatever brings you here, you can come as you are.

We provide psychiatric care for people ages 8 and up across Oregon, virtually and in person.

Specialties include:

Chronic Illness
ADHD
Diabetes Distress & Burnout
Mood Disorders
PTSD & Complex Trauma
Pregnancy & Postpartum
Anxiety
LGBTQIA+ Care
Depression
Autism & Neurodivergence
Grief & Loss
Difficult Life Transitions
Perimenopause & Menopause
Pathological Demand Avoidance  (PDA)

Our Team

Meet the Providers

Our clinicians regularly consult with one another, so you're always supported by the perspective and experience of the larger Pivot team.

Interested in working with someone who isn't currently accepting new clients?

Please reach out. Exceptions may be possible in some circumstances.

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Psychiatric Nurse Practitioner​

Jane Unterberger

MSN APRN PMHNP-BC

ACCEPTING NEW CLIENTS

Adults & Children 14+

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Psychiatric Nurse Practitioner​

Courtney Arvizu

​MSN APRN PMHNP-BC 

ACCEPTING NEW CLIENTS 

Adults & Children 16+

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Psychiatric Nurse Practitioner​

Tricia Merritt

​MSN APRN PMHNP-BC 

ACCEPTING NEW CLIENTS,

Adults & Children 8+​

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Psychiatric Nurse Practitioner​

Julia Jansen

MSN APRN PMHNP-BC  

ACCEPTING NEW CLIENTS

Adults & Children 8+

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Family & Psychiatric 

Nurse Practitioner​

Gloria Sim Le

MSN APRN FNP-C PMHNP-BC  

ACCEPTING NEW CLIENTS

Adults & Children 10+

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Family & Psychiatric

Nurse Practitioner​

Brea Di Dato Founder & CEO

MSN APRN FNP-C PMHNP-BC

NOT ACCEPTING NEW CLIENTS

Adults & Children 8+

“I was incredibly anxious to share myself in such a vulnerable way, but I feel respected, understood, and cared for. I feel I have a space where I can truly express how I'm feeling, and the openness allows me to be truthful about my condition.”

Ben B.

What our clients say...

Take the next step when you're ready.

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©2026 by Pivot Behavioral Health LLC. 

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