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Welcome to the website
of Dr. Karen Hixson,
Licensed Professional

Karen Hixson has been a mental health counselor in Portland, Oregon since 2002 with a focus on social justice and anti-oppression based perspectives. She supervises early career counselors working in community mental health and private practice. Karen completed her PhD in Counseling at Oregon State University in 2016. Her dissertation is entitled Understanding Power in the Therapeutic Relationship. She is currently focused on organizing local mental health providers following the election with a group in Portland Empathy Riot! (formerly Mental Health Providers Unite!). Karen was deeply honored to be the recipient of the 2018 Leona Tyler Award from the Oregon Counseling Association which recognizes counselors who have made outstanding contributions to the profession and whose work has had statewide implications for counseling.


Boy Scout Trail, Jedediah Smith Redwoods State Park

Boy Scout Trail, Jedediah Smith Redwoods State Park



I strive to provide politically informed psychotherapy that utilizes a strong therapeutic relationship and solid interventions to help people heal from interpersonal, family, and sociopolitical trauma. I am a down to earth, collaborative, and engaged counselor. I’m glad to tell you more about me when we have our initial phone consult.

I do individual, couples, and group counseling with adults. I also do family work with adult multi-generational families.

To ground, my work with couples, I use the Gottman Method + Emotion Focused Therapy,

I am In Network with PacificSource, Legacy, Regence BCBS, &  Aetna. I am no longer in network with Providence/Optum/United.

Fall 2019:

Temporary hold on new clients for September/early October. My office will also be moving to East Portland in October. More on that soon!


*Interpersonal and Social Rhythm Therapy Support Group for folks with Bipolar & Schizoaffective Disorder (Co-facilitated with a peer with lived experience)

*Narrative Exposure Therapy 2-Day training

* Rupture & Repair in Supervision training 3 hour (3 CE’s)

*The Ethics of Power and Pathologizing in Clinical Practice 6 hours (6 Ethics CE’s)

Supervision & Consultation

I have a couple spots open for individual or group supervision Spring 2019!

I do individual and group supervision (LPC & LMFT Oregon Interns) and consultation (any licensed provider) from a relational, systemic, and social justice framework. I believe early career professionals deserve strong support to build the foundation of their careers in counseling. While supervision is primarily meant to strengthen your clinical skills, we will also work on issues of systemic dysfunction in institutions, vicarious trauma, your areas of privilege and oppression and cultural humility.

I also believe experienced and licensed providers need truly safe, engaging spaces to address their own mental health in supportive consultation relationships. I am open to one-time consultation appointments or ongoing support.

$80/hour for individual supervision
$50/hour for group supervision
$100/hour for consultation with licensed providers

Consultation available on:

  • Difficult Cases/Feeling Stuck

  • Dealing with Whiteness/White Fragility/Cultural Humility

  • Group Counseling/ Group Facilitation Support

  • Systemic Struggles and Burnout

  • Narrative Exposure Therapy

  • Professional Development & Mentoring


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Karen Hixson LPC LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6897. Programs that do not qualify for NBCC credit are clearly identified. Karen Hixson LPC LLC is solely responsible for all aspects of the program.

The policies for this ACEP can be found here.


ACEP #6897

2019 Training Schedule


  • The Ethics of Power and Pathologizing in Clinical Practice (6 ethics CE’s)

  • Narrative Exposure Therapy (2-Day Training)

  • Rupture & Repair in Clinical Supervision (2 credit CE)

  • 30 Hour Clinical Supervision Training (Spring 2020 + Fall 2020)

I have done teaching, workshops, training, and facilitation on a variety of topics including:

  • Clinical Supervision for Counselors

  • Reclaiming Self-Care with a Harm Reduction Framework

  • Interrupting Oppression in Public Spaces

  • Power in the Therapeutic Relationship

  • Day-long retreats for Social Justice Organizations

I strive to provide training and facilitation that advances competence in relational ethics and social justice in the field of counseling.