Zoe Mackay, MSW, CSWA, Therapy in Tualatin, Oregon

Zoe Mackay helps adults across Oregon feel understood, supported, and empowered as they navigate challenges related to mental health and emotional well-being. As a provisionally licensed clinician at LifeStance Health, she offers individual therapy for adults and seniors seeking relief from anxiety, depression, trauma, and eating disorders. Zoe provides a warm, grounded therapeutic environment where clients can explore their experiences, build healthier coping skills, and create meaningful change at a pace that feels safe and sustainable. Zoe is especially passionate about supporting individuals living with eating disorders, anxiety, and trauma. She understands the complex and deeply personal nature of these concerns and approaches treatment with sensitivity, curiosity, and respect. Zoe works collaboratively with clients to rebuild trust in themselves, strengthen emotional resilience, and develop practical tools that support both immediate stabilization and long-term healing. Her integrative approach helps clients address the internal barriers that keep them feeling stuck while also validating the very real challenges that come with recovery. In addition to these focus areas, Zoe provides therapy for a range of additional mental health needs. She draws upon Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness-based interventions, offering structured skills when helpful and reflective exploration when clients need space to process. Zoe also brings experience working with individuals from diverse backgrounds, including clients connected to adoption or foster care and those within the LGBTQ+ community. Zoe’s therapeutic style is collaborative, compassionate, and deeply client-centered. She prioritizes authenticity, emotional safety, and helping clients recognize their own strengths as they move toward a healthier, more connected life. Outside of her work, Zoe enjoys baking, reading, relaxing with lighthearted TV shows, and spending time cuddling with her two beloved dogs—activities that keep her grounded and bring joy into her daily life.