Gianna Russo-Mitma


Gianna Russo-Mitma


Not Accepting New Clients
Professions: Marriage & Family Therapist, Counselor
License Status: I'm a licensed professional.
Primary Credential: Licensed Marriage and Family Therapist
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: $135 per hour
Free Initial Consultation


5319 SW Westgate Drive
Suite 211B
Portland, Oregon 97221

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My Approach to Helping

Congratulations on taking the first step! This is one of the harder steps of therapy. Welcome! My approach in therapy is to allow people to feel heard in a safe and non-judgmental environment. While working collaboratively with you, we can find ways to work through your journey through processing, using various tools, and creating pathways for your future.

I genuinely love to help others, so part of coming into sessions is gaining a genuine client-based experience. You deserve to be healthy and happy again! Many of the reasons for seeking therapy with me include, but are not limited to: life transitions, dealing with family members, couples communication, teens and their stressors, kids and their stressors, the elderly and grief, co-parenting after separation or divorce, self-esteem, anxiety, and more. Therapy can be many things, and being nervous is completely normal. I will do my best to make you feel safe and secure. Sometimes therapy can be uncomfortable, but that is when great and positive change and growth can happen! You have come this far in your search, I believe in you to take the next step!

More Info About My Practice

Please visit my website for more information, or email or call me for more specific information and any questions that you may have. I AM CURRENTLY ACCEPTING NEW CLIENTS!

What I Usually Need to Know to Help

Most people see therapy scenes in movies and it appears that the client just sits and vents and nothing ever really gets accomplished. That is not my type of therapy. The first session is pretty simple: we meet, exchange names and info, talk about why you want to come to therapy, what you hope to achieve, what have you tried in the past, your thoughts and emotions, and some talk about family and current environment. After that first session, the client and therapist have started to build the therapeutic relationship, which is the most important part of therapy. If you can trust your therapist and feel comfortable and safe around them, then therapy will be an easier journey. I like to pride myself on this therapeutic trust because I am extremely ethical, as well as kind and understanding; I feel that safety and trust are keys to a good therapy relationship and future sessions. I like to work WITH my clients; this means that I don't sit in sessions and tell you what you should do. You know what is best for you; I know what healthy people do. We talk about and process issues, thoughts, and emotions, then I give you tools from my metaphorical therapy toolbox, and we talk about how to use them specifically in your life. If you don't like a certain route, we will discuss and process a better route for you. I am direct when I need to be, especially when it comes to educating you about therapy practices. I like to work together to find the best route of treatment and go from there.

On the Fence About Going to Therapy?

There is no question that going to therapy can be daunting; don't forget that old rule "don't knock it until you try it." Maybe you have heard that only certain people go to therapy. The truth is, therapy is great for everyone, and there are more people going than you think. What YOU are dealing with is difficult to YOU, and what the person next to you is dealing with is difficult to THEM. Everyone's issues and ways of handling those issues are different. Coming to therapy is having an extra person to talk to, except this person is more skilled, trained, and experienced in helping you. Support systems are great! Going to a professional with the education and experience is even more helpful because it is an unbiased person who can help with great tools and empathetic listening. You have to want to help yourself and change to be ready to go to therapy. I will be honest, it might be difficult at times. Yet it also might be amazing at times! You won't know until you try it. Also, remember that not every therapist is the same. If you try your first session and dislike it, try someone else, don't give up. Never give up on yourself because you deserve to be healthy and happy! Either way, you are trying something new to better yourself! Going to therapy does not make you weak, flawed, stupid, or "crazy" (therapists dislike this word, anyways). Going to therapy means you love yourself enough to help yourself, and that is pretty amazing!

Services I Provide

  • Family Therapy
  • Group Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Premarital Counseling

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Client Concerns I Treat

  • Abandonment
  • Abortion / Post Abortion Issues
  • Academic Concerns
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Blended Family Issues
  • Body Image
  • Breakup
  • Bullying
  • Career Choice
  • Caregiver Issues / Stress
  • Child and/or Adolescent Issues
  • Communication Problems
  • Control Issues
  • Depression
  • Divorce / Divorce Adjustment
  • Emotional Abuse
  • Emotional Overwhelm
  • Emptiness
  • Family of Origin Issues
  • Family Problems
  • Fear
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Habits
  • Health / Illness / Medical Issues
  • Inadequacy
  • Individuation
  • Irritability
  • Jealousy
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Midlife Crisis / Midlife Transition
  • Money and Financial Issues
  • Multicultural Concerns
  • Narcissism
  • Other - Not Listed Here
  • Panic
  • Parenting
  • Perfectionism
  • Phobias
  • Pre-Marital Counseling
  • Prejudice / Discrimination
  • Rejection
  • Relationships and Marriage
  • Self-Care
  • Self-Compassion
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Love
  • Sensitivity to Criticism
  • Sexuality / Sex Therapy
  • Shame
  • Social Anxiety / Phobia
  • Stress
  • Trust Issues
  • Values Clarification
  • Women's Issues
  • Workplace Issues
  • Worry
  • Worthlessness
  • Young Adult Issues

Types of Therapy

  • Cognitive Behavioral Therapy (CBT)
  • Emotion Focused Couples Therapy
  • Family Attachment Narrative Therapy
  • Family Systems Therapy
  • Feminist Therapy
  • Integration of different therapy models
  • Journal Therapy
  • Narrative Therapy
  • Parent Work
  • Parent-Child Interaction Therapy (PCIT)
  • Person-Centered Therapy (Rogerian Therapy)
  • Play Therapy
  • Psychodynamic
  • Relational Psychotherapy
  • Solution-Focused Brief Therapy (SFBT)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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