About Dr. Joan Fleishman, PsyD

Clinical Psychologist

Joan Fleishman, PsyD an experienced psychologist working with professionals, physicians, and entrepreneurs in Salem, Portland, Bend, and throughout Oregon

Mental Health Support

for Professionals

My expertise is supporting the people who keep everyone else alive, afloat, and functioning.

Therapy with me is real, warm, and grounded.

A place to drop the armor and the curated competence and just be human.

I listen deeply. I ask thoughtful questions.

I’ll sit with you in the hard stuff and still somehow help you laugh again.

I’ve spent my career in spaces where people carry more than most.

I spent years in primary care clinics, medical systems, residency programs, start-ups, and fast-paced entrepreneurial environments.

My Background

Education

I earned my Doctorate at Pacific University, completed a two-year fellowship at the University of Massachusetts Medical School.

Healthcare

I then returned to Oregon to serve as Behavioral Health Clinical Director at OHSU’s Department of Family Medicine, where I trained physicians and expanded behavioral health services across multiple clinics.

Entrepreneur

Later, I co-founded Tend Health, a mental health company supporting healthcare professionals in 45 states. For five years, I worked exclusively with physicians and medical teams.

Those experiences changed me.

I saw how deeply professionals are struggling behind the scenes, how many leaders feel alone, how many professionals are quietly breaking down while still performing at a high level.

My Approach

I blend the evidence-based approaches of Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT) with somatic awareness, trauma-focused, relational, and emotional-focused modalities.

Our work won’t be about convincing you to “just practice self-care.”

It will be about understanding what’s underneath the overwhelm: the impossible standards, the old narratives, the guilt, the grief, the fear of letting people down.

And then we build something sturdier. Something truer.

A life that feels aligned, not just accomplished.

This work feels sacred to me, not because it’s perfect, but because it’s real.

I work with high-achievers who are tired of white-knuckling their way through life.

If you’ve ever thought, “I should be able to handle this,” or “What’s wrong with me?” then you belong here.

Nothing is wrong with you. You’re human.

And you deserve care, too.

I work with people who are:

burned out and bone-tired
overwhelmed by work and home demands
drowning in perfectionism and self-criticism
grieving a loss or a life transition
questioning their identity or purpose
longing to feel like themselves again

I work with:

Physicians

Entrepreneurs

Executives

Business owners

Attorneys

Therapists

Nurses

Leaders

And other deeply responsible humans who have spent years caring for everyone else.

Schedule A Free Consult

What You Can Expect

Together we’ll untangle what’s happening, strengthen what’s working, soften what’s hurting, and help you return to a life that feels whole.

Hands holding a sprouting plant in rich soil in the sunlight

Therapy with me is a place where:

you don’t have to be impressive
you don’t have to be productive
you don’t have to pretend

You can exhale. You can fall apart a little.

You can say the thing you’ve never said out loud.

Outside the Therapy Room

I’m a lover of Oregon trails, family time, good coffee, and quiet moments that replenish the soul. I believe in rest that actually restores, laughter that surprises, and the kind of conversations that change you.

If You’re Ready

If you’re tired of pushing through, tired of feeling like you’re losing yourself, tired of pretending,

I’m here.

Schedule A Consult

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