Sometimes it is Important to get Sick by Julie Foster, Nurse Practitioner in Portland, Oregon




I had felt something coming on the week before I left. I was not on track with listening to myself and getting my remedies in. The day I left should have been a day in or slowly paced. Instead I woke at 3am against natural rhythms. After arriving in Denver, Colorado I had agreed to wait for colleagues. The day ended up extending even longer when we had to pick another colleague up on the way and missed turn-offs more than once. I was though filled with contentment for seeing friends.

I was able to avoid altitude sickness. Having both would have been fretful.

I looked to this time of gathering to reset. Although ill I was grateful for it.

I soon became humble to exhibit this vulnerability in front of others. I could not conceal it. I was embarrassed though it would be the last thing I would have thought to judge another who was ill. This stems from my upbringing where being sick was not allowed partially because my parents could not take off work and the attitude was ‘get up you will feel better.’ When my father was sick my mother would be angry. It is not to say I was not addressed during illness but this was a gesture I took forward for my life.

I softened this attitude with my partner and children but these subconscious beliefs take up house once in awhile. I think if you interviewed my children they would tell you of the elaborate nursing care and remedies I would administer. I harbored guilt when most times I left for work and had others care for them with these instructions.

I was well aware I had some virus and didn’t sense any imminent danger. I have been taught Illness comes when something about you and your life seeks Balance, a reckoning. I thought of my patients with chronic illness and wondered how best can we face these states of being?

Over 3 days I I felt an inability to connect with others fully, I was fuzzy with a less defined border. I was dropping and bumping into things.

To be in Crestone, Colorado with my colleagues was deeply meaningful and I think it is why I was able to transform in 3 vs. 7-10 days.

Here is a list each of them offered:

Tiffany- Asked to rub my neck and back. She checked on me, offered Berberis/Prunus and Cuprum /Kali Aceticum. She Suggested I sit in the sun Silent on the deck.

David- offered me Sambuchol, hoped I could create a fever, offered lemons, and described why Chelidonium Curcuma would be beneficial as my lower pole was surging to my upper pole.

Daci- Bought 3 different kinds of tea for me-Tulsi Rose, Valerian, and Gypsy Cold Care

Glenda- I showed up to Eurhythmy each morning and we worked with the idea of guardian hierarchies and later she offered me Echinadoron.

Jennifer S- checked on me and asked about the stressors in my life.

Jennifer T- made such delicious healing food and said ‘you should tell Philip’ Then Philip gave me Infludo, Ferrum Phosphoricum, and Levisticum and said ‘this is good to see what wants to work through you’

Bob- My sickmate shared a resting room at breaks with me.

Debra- shared her knowledge of sweet insights.

Carmen- Said ‘I missed you’ when I turned the corner from Illness to recovery.

All my colleagues were much like having me for a caretaker. I allowed myself to welcome it.
They held such an amazing space to heal through.

I, myself took much care drinking water, minerals, tea, yoga, meditation and ultimately SURRENDER!!

Being perimenophsal while taking initially my usual remedies of warming herbs was very discomforting. I was coughing every time I was overheated. I had to stop them. The Anthroposophic remedies were gentle and supportive helping to shorten the illness.

During the illness I was not allowed to ponder ‘why?’ I could just slow down. I touched a place I see in my dying patients of release and acceptance. Illness does require you die a part of yourself in order to cleanse and make new.

Compassion upgraded through personal suffering.

How do you manage and reflect on the times you face illness in your life?

At Pohala we take the time to understand you and how your health can be care for through illness.

Seed Cycling to Support Hormonal Health for Women by Julie Foster Nurse Practitioner in Portland, Oregon

Have you heard of Seed Cycling to Balance Hormones and Ease PMS and Menopause Symptoms?

It involves eating flax, pumpkin, sesame, and sunflower seeds at different times of the month to balance certain hormones.

Seed cycling is a nutritional and naturopathic remedy that is claimed to balance hormones by regulating the hormone estrogen in the first half of your menstrual cycle and the hormone progesterone in the second half.

Potential health benefits include helping regulate periods, reducing acne, treating polycystic ovarian syndrome (PCOS), endometriosis, and infertility, and easing symptoms of menopause, such as hot flashes, night sweats, fatigue, and mood swings.

Here is how to apply seed cycling:

Day 1-14 of 🌜menstrual (follicular phase) cycle add 1-2 tablespoons each of freshly ground FLAX and PUMPKIN seeds per day.

Day 15–28 or start of 🌛menses (luteal phase)the second half of cycle, add 1-2 tablespoons each of ground SUNFLOWER and SESAME seeds per day.

For menopausal and postmenopausal women without a regular menstrual cycle, it’s recommended to use the phases of the moon as a guide to dates, with day one of falling on the new moon and day 15 on full moon.

Since it takes 90 days from when a follicle is released until it becomes an egg it is suggested to give it 3 months to notice effects.

Different seeds can promote or synergistically work with the hormones estrogen and progesterone.

Hormones in a normal cycle:

In a regular cycle, estrogen is produced/released during the first 14 days of the follicular phase as eggs in the ovaries ripen.

Levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) increase just before ovulation, and estrogen levels drop just after ovulation and then progesterone alternately rises.

Once an egg has been released, the luteal phase starts, and progesterone and estrogen levels gradually increase and decrease in a careful balance to support conception and implantation. They drop again before the next period if no implantation or pregnancy occurs.

Causes of hormonal imbalance:

With our stressful lifestyles, poor nutrition, environmental toxins, plastics off gassing chemical that change our hormones, and hormones added to our dairy and meat can lead to hormonal imbalances. They lead to certain health conditions, such as PCOS and hypothyroidism, as well as over-exercising and being under- or overweight, depression, etc.

Additionally, during menopause, levels of estrogen and progesterone decrease and intermittently go on a roller coaster ride, which increases your risk of heart disease and osteoporosis and can lead to symptoms like hot flashes and truncal weight gain.

Seed cycling not only supports those with hormonal imbalances but also those with healthy cycles.

How seeds influence hormones:

During the follicular phase, the phytoestrogens in flax seeds can help increase or decrease estrogen levels as needed.

Phytoestrogens are compounds in plants that can mimic or support the action of estrogen

Additionally, zinc from pumpkin seeds is claimed to promote progesterone production in preparation for the next phase of the cycle.

During the luteal phase, lignans — a type of polyphenol — in sesame inhibit estrogen levels from increasing too much. Meanwhile, the vitamin E in sunflower seeds is thought to help boost progesterone levels.

Seeds in general give women and men alike a healthy dose of essential fatty acids (EFAs) that help with hormones, fuel the nervous system for thinking, and decrease overall inflammation hence reducing arthritis and heart disease.

All four seeds are rich in fiber, manganese, magnesium, copper, thiamine, vitamin E, and healthy fats. These nutrients are vital to good health, including reproductive health.

Furthermore, flax, sesame, and sunflower seed intake has been linked to improvements in heart disease risk factors, such as high cholesterol and blood pressure.

Additionally, flax, pumpkin, and sunflower seeds may protect against breast cancer.

What’s more, flax seeds are also associated with improved blood sugar control, while pumpkin seed oil may aid prostate and urinary disorders.

Seed cycling can support a healthy hormone balance. Including seeds in your diet boosts your intake of vitamins and minerals and is associated with a lower risk of certain cancers, as well as reduced inflammation, cholesterol, and blood sugar levels.

Many seeds are highly nutritious and offer a number of health benefits.

Eating seeds is a great way to improve the quality of your diet and overall health.

Improve your nutrition and improve YOU!

Call Pohala Clinic today to review your Hormonal Health (503) 572-4196

Welcome Joy Cleaver Licensed Massage Therapist in Portland, Oregon

Pohala Clinic would like to introduce our newest addition for Healing to our patients!

We are excited Joy Cleaver, LMT has joined our collective.

Here is a message from her:

‘I believe yoga and massage therapy improve lives through awareness and balance. When we feel our best, we live at our optimum potential for experiencing life to it’s fullest.

I have been a licensed massage therapist since 2003. My original 1200 hour program was completed at The Hawaiian Island School of Massage and focused on medical treatment massage. I also have training in Thai massage, prenatal massage, Hawaiian lomi lomi, reflexology, infant massage, and yoga therapy.

I have been practicing yoga asana since 1997. At first yoga was a way for me to recover from a back injury due to a car accident. At the time I was a gymnast and I needed a way to maintain strength and flexibility during my recovery.
Yoga became an important tool for me as a young adult. I struggled with the transitions of life and my own anxiety. Today, yoga remains a key part of my lifestyle, helping me to maintain balance and awareness in both my body and mind. Yoga plays a large role in my self care, which helps me in all aspects of my day to day life.

I love to share my knowledge of asana (poses), pranayama (breath work), and mindfulness. I often call yoga “self massage”. Yoga is a tool which will build body awareness as well as calm your nervous system and create a general sense of balance in your entire being.

I have studied many styles of yoga including vinyasa, restorative yoga, and yoga therapy. I have studied with Baron Baptiste, Joseph LePage and SarahJoy Marsh. In my teaching I integrate an active flow with alignment and breath awareness, offering plenty of modifications, enabling each student to find the power of subtlety in their practice.

My teaching and massage utilize an eclectic blend of my years of practice and study. I approach yoga and bodywork with a holistic view, aiming to treat the entire person to create balance and health. I look forward to being a part of your journey towards optimal health and well-being.’

If you would like to schedule with Joy Cleaver visit her website at

Health is not an Endpoint: What does it mean to be Healthy? by Julie Foster Primary Care Provider in Portland, Oregon

Health is not an endpoint.

Every person has their own health. ⭐️⭐️⭐️

Health is not the absence of disease. It exists on a spectrum. Because a person is born of hereditary we reflect the 7 generations above and below us.
In essence we are born ill. If made possible as a child we live through childhood illnesses like fevers and burn through our genetic karma and lay a new foundation for our life and though still carry our past. We also have the goodness of our ancestors in spirits reach.

Health is between the places of building up/(making new) and breaking down (killing off). Because if there were too much of either we would be sick. We are fine tuned instruments. Even in illness you can find health as not everything falls to ill health at once.

Steiner mentions the following:

‘One hears it quite often said, that there is only one health, but a multitude of diseases. This statement, which many believe to be correct, cannot be upheld in the light of a genuine knowledge of the human being. Because each human is so individual, so particularly formed, that everyone, every child, already has a very specially suited health. We can therefore say that there are as many states of health and diseases as there are people. This reminds us of the necessity to continually focus on understanding the individual nature of the human.’

Source (German): Rudolf Steiner – GA 303 – Die gesunde Entwickelung des Menschenwesens -Eine Einführung in die anthroposophische Pädagogik und Didaktik – Dornach, December 28, 1921 (page 100)

One size does not fit all for health care. Humans do exihibit patterns but each illness is slightly different. Even in each particular person we are always metamorohisizing so one form of illness or transformation shows itself different each episode.
You really cannot step into the same river twice.

Exploring how each person comes to health is essential for improving our world.

A small thing is to observe yourself and how your physical has processed various illnesses and comes back to health. Look to your biography and patterns will emerge. We change when our thoughts change, when something significant happens in our lives and so on. Illness too is not a bad thing. When it comes hold on for the ride and see what it has to teach you. See what it is that you have wanted to change is working through you. It may not be easy but can bring meaning.

How wonderful and what magnificent beings we are with such ability to heal! 🌟🌎

Tobacco: A New Perspective by Julie Foster Family Nurse Practitioner


This is a Tobacco plant dated from 700 year old seeds found in a burial cave near the islands off of Washington. I was gifted 1 plant about 4 years ago.

In my time and experiences with indigenous ceremonies I have come from despising this plant (my upbringing and medical training taught me how bad it is) to earning a greater respect to the actual being of the plant.

I don’t believe it is the Tobacco that has harmed the people. I think it is what they did to the Tobacco out of greed and ignorance that does.

I was instructed to get to know the plant. The natives taught it is a gift for the people to be used in Ceremony as a way to pray and find one’s place in the tribe for instance. The word Tobacco can also mean a general term for various plants that can be used to pray with.

Tobacco contains nicotinic acid which is also a neurotransmitter in our brain. It helps us to relax at first and then creates an anxiety for motivation to get going. Think about when it is over used, day in and day out? That is overkill and sets up a disconnect with the real purpose. It is not to say that the 100+ toxins added to keep people addicted is a tragedy.

This plant being has sticky thick leaves, shoots up towards the sun ☀️. It then concentrates it forces to clusters of small cupped shaped yellow flowers. When it goes to seed the seeds are the size of a pinpoint and grossly abundant.

The natives have coveted this plant for hundreds of years for a good and sacred reason.

I think it is important to look past the usual knowledge of our times. Your life or situation may not be exactly what you think it is. Step back and give it a chance to teach you something more.
This is what Tobacco has taught me.

I am in a much better relationship with it now and this plant being deserves my awakening to its true nature.

What a 🎁 gifting!!!!

How Can I Safely Reduce or Come off Psychiatric Medications? Tyler Mostul Psychiatric Mental Health Nurse Practitioner

Have you tried to stop taking your antidepressant only to experience a sudden increase in
anxiety, insomnia, irritability, “brain zaps,” or even suicidal and homicidal thoughts and urges?

Have you then been told this is the return of your mental health condition or the emergence of
a new one and that you need to take your drug indefinitely?

You may have experienced psychiatric drug withdrawal, and with a slow, gradual taper you may be able to stop taking medications. A largely unknown reality in mainstream psychiatry is that there is potential for
nearly every drug we prescribe to cause mild to severe withdrawal effects.

It is important to find support from a prescriber who is knowledgeable  in the following areas: Antidepressant withdrawal, benzodiazepine withdrawal, mood-stabilizer withdrawal, stimulant withdrawal and antipsychotic withdrawal. (Please note that some people with psychiatric concerns do choose to stay on medications and some do best utilizing medication.  This is something I discuss regularly with my clients.)

We know that when a person abruptly stops their psychiatric drug they are at increased risk for experiencing withdrawal symptoms. We also know that it can take months or even years for a person to safely withdraw from their medication, and unfortunately the standard of care in psychiatry is much faster than this which makes people
experience withdrawal symptoms at a higher rate.

A careful and slow medication taper reduces the risk of distressing withdrawal symptoms occurring.

There is also something known as protracted withdrawal where even after the drug is slowly tapered over time a person can experience various withdrawal symptoms that may last for years or possibly be permanent. These can include muscle twitches, increased anxiety, restless legs, and sensitivities to sound, light, and heat. (Citation below) This is something that many people are not aware of when they start taking a psychiatric medication and is one of the potential risks involved in choosing to take a psychiatric medication.

A complicating factor is that many of the withdrawal symptoms are identical to the original symptoms you may have been experiencing. This can make it difficult to figure out what exactly is contributing to your symptoms, and one of the reasons support from a knowledgeable prescriber is crucial.

There are many factors to consider if you are wanting to explore reducing or eventually
stopping your medication, and this is something that I specialize in and would love to discuss
with you.

I offer the following services:

  • Benzodiazepine tapering
  • Antidepressant tapering
  • Lithium tapering
  • Mood-stabilizer tapering
  • Stimulant tapering
  • Antipsychotic tapering

If you would like to discuss your current psychiatric medications and how you can make an informed decision on what works for your symptoms and your body, please schedule an appointment with Tyler Mostul PMHNP at Pohala Clinic at

(503) 572-4196

1. Healy, D. (2016). Psychiatric Drugs Explained (6th ed., p. 263). N.p.: Elsevier.

Calendula: Healing your Wounds both Psychic and Physical by Julie Foster Family Nurse Practitioner


A sweet friend has a garden full and shared her bounty.

Apparently it grows like a weed.

I will make an remedy of
Infused Oil
Calendula Essence in an alcohol tincture

Calendula helps with wound healing, both psychic and skin wounds.

The oil applied is nice for wanting to feel more secure. Great for babies getting used to being out of the womb into the world. Sometimes us adults feel vulnerable like babies.

The tincture applied to infection prone wounds after soaking and cleaning. Apply with gauze and let air dry.

The salve to help move along a healing wound to seal and make new skin (granulation).

I am drying out for a day and then will get started making medicine.

I also was gifted seeds to propagate for my home.

Let the healing begin!

As Primary Care Providers we know how to assess and treatment your most common emotional and physical wounds……….

Schedule an appointment with us Pohala anytime (503) 572-4196

Summer Loving: Keep your Cool in Fire Season by Malia Susee Licensed Acupuncturist


3 Ways to Keep Your Cool in Fire Season——

Summer’s element is fire, according to Five Element theory used in Traditional Chinese Medicine, and fire’s associated emotion, when in balance, is joy. When fire is overabundant or unchecked, it can have far-reaching effects; Too much heat, light, and activity can damage fire’s relationship with the body’s other elements, manifesting in panic, insomnia, restlessness, mania, and even urinary discomfort, fever, and physical injury. So, how do we spark summer joy without being consumed by it? These three things can help:

Nourish yin:

Drink plenty of clear fluids. Eat watermelon; Watermelon (especially the white part) clears heat, drains dampness, cools the body, and calms the spirit. Blueberries, blackberries, and huckleberries also nourish yin, as do kidney beans, tofu, and mung beans and sprouts.

Balance activities, workouts, and commitments:

Heavy cardio or anaerobic (yang) workouts need more aerobic, slow-twitch (yin) activities for balance in summer. Swim leisurely. Walk in the woods. Meditate. Enjoy summer reading. Stick with healthy routines (including psych meds unless your prescriber is actively helping you wean off of them) and keep commitments in check: Summer is an excellent time to celebrate connect with friends, but it’s easy to overbook your commitments when the season’s light and heat are high.

Visit your acupuncturist:

Acupuncture can help calm the body’s sympathetic nervous responses during overactive times. It balances all the body’s systems, rendering us less vulnerable to summer’s excess heat, and less likely to engage in injurious excess. (Note: It also helps you heal after having broken your arm waterskiing.)

Schedule acupuncture with Malia Susee, L.Ac. by calling Pohala at (503) 572-4196.

Antidepressants: How to reduce or taper off your Medications by Tyler Mostul Psychiatric Mental Health Nurse Practitioner in Portand, Oregon

Nearly all psychiatric drugs can potentially cause mild to severe withdrawal symptoms. If you are interested in exploring reducing or coming off of your antidepressant it is important to have a prescriber who is knowledgeable about what can occur in the antidepressant withdrawal process and how to go about it in as safe a way as possible. NEVER ATTEMPT TO COME OFF YOUR PSYCHIATRIC DRUGS ALONE.

Most psychiatric drugs
cause withdrawal
reactions, which can
include life threatening
emotional and physical
reactions. Withdrawal
from psychiatric drugs
should be done carefully
under experienced clinical

Various studies suggest 50-86% of people experience withdrawal symptoms when coming off of
their antidepressant, making some people feel they are addicted or dependent on them.
Symptoms range from mild to severe, with some estimates of 25% of people that experience
withdrawal having severe withdrawal symptoms. 1,2,3,4,5,6,7,8,9,10, 11 Antidepressant withdrawal can
occur in those who have taken the drug for only one to two months, 12,13 and up to 78% of
people taking their antidepressant feel that they are addicting. 14 Some antidepressant users
who have also used opiates, cocaine, or other drugs of abuse say it was more difficult to get off
their antidepressant than these other drugs. 23 Fortunately, we know that a slow and gradual
antidepressant taper reduces the risk of distressing withdrawal symptoms occurring.
Some common symptoms of antidepressant withdrawal: worsened mood, irritability, anxiety,
agitation, crying spells, poor concentration, dizziness, electric shocks/head zaps, blurred
vision, burning sensations, tingling, nausea, vomiting, fatigue, muscle pain, chills or
temperature dysregulation, insomnia, vivid dreams, as well as suicidal and homicidal
thoughts and urges. As you can see, some of these symptoms overlap with things you may
have been experiencing when you originally started the drug. This is why withdrawal symptoms
are often wrongly interpreted as a return of your mental health condition or the emergence of
a new one. Careful assessment is crucial.

There are many reasons a person might be interested in reducing or stopping their
antidepressant. One reason is there is a long list of potential adverse effects, some of which are
very common. Some of the most common adverse effects of antidepressants are 60% of
people report feeling emotionally numb, apathetic, or indifferent. 15 50-90% of people
experience sexual dysfunction in a variety of forms. 15,16,17,18,19,20,21 The overall effect of
antidepressants could be described as feeling an increased distance or disconnection between
antidepressant users and their worlds. 22 These effects could be useful for some at least for a
time. It is important to continually assess whether the antidepressant is having an overall
useful effect for you or not. If you are interested in reducing or coming off of your
antidepressant, this is something I specialize in and I would love to discuss options with you
including the possibilities of a slow and gradual antidepressant taper.


Schedule an appt with Tyler Mostul PMHNP if you want guidance in your process at

Pohala Clinic (503) 572-4196


1. Barr, L.C., Goodman, W.K., Price, L.H., (1994). Physical Symptoms
Associated with Paroxetine
[Paxil] Discontinuation [withdrawal], American Journal of Psychiatry, 151:289
2. Black, D.W., Wesner, R., Gabel, J. (1993). The Abrupt Discontinuation
[withdrawal] Fluvoxamine [Luvox] in Patients with Panic Disorder, Journal of Clinical Psychiatry, 54:146-49
3. Fava, M., Mulroy, R., Alpert, J., Nierenberg, A.A., Rosenbaum, J.F. (1997). Emergence of
adverse events following discontinuation [withdrawal] of treatment with extended-release venlafaxine
[Effexor], American Journal of Psychiatry, 154 (12): 1760-2.
4. Giakas, W.J., Davis, J.M. (1997). Intractable withdrawal from venlafaxine [Effexor] treated with
fluoxetine [Prozac], Psychiatric Annals, 27:85-92
5. Kasantikul, D. (1995). Reversible delirium after discontinuation of fluoxetine [Prozac], Journal of the
Medical Association of Thailand, 78:53-54
6. Kessing, L., Hansen, H.V., Demyttenaeire, K., et al. (2005), Depressive and bipolar disorders: patients’
attitudes and beliefs towards depression and antidepressants, Psychological Medicine, 35:1205-13
7. Perahia, D.G., Kajdasz, D.K, Desaiah, D., et al. (2005), Symptoms following abrupt
discontinuation of duloxetine treatment in patients with major depressive disorder, J Affect Disord,
8. Pyke, R.E. (1995). Paroxetine [Paxil] withdrawal syndrome, American Journal of Psychiatry,
9. Read, J., Cartwright, C., Gibson, K., (2014), Adverse emotional and interpersonal effects
reported by 1829 New Zealanders while taking antidepressants, Psychiatry Res, 216:67-73
10. Young, A., Haddad, P., (2000), Discontinuation symptoms and psychotropic drugs, Lancet, 355:1184
11. Coming off antidepressants. Royal College of Psychiatry.
12. Coupland, N.J., Bell, C.J., Potokar, J.P. (1996). Serotonin reuptake inhibitor withdrawal, Journal
of Clinical Psychopharmacology, 16:356-62
13. Haddad, P.M. (2001). Antidepressant Discontinuation Syndromes, Drug Safety, 24: 183
14. Raven, M., (2012), Depression and antidepressants in Australia and beyond: a critical public health
analysis (PhD thesis). University of Wollongong, Australia;
15. Read, J., Cartwright, C., Gibson, K., (2014), Adverse emotional and interpersonal effects reported by 1829
New Zealanders while taking antidepressants, Psychiatry Res, 216:67-73
16. Kirsch I. (2014). Antidepressants and the Placebo Effect. Zeitschrift fur Psychologie, 222(3), 128-134
17. Baton, R. (2006). SSRI-associated sexual dysfunction. American Journal of Psychiatry, 163:1504-1509
18. Modell, J.G., Katholi, C.R., Modell, J.D., et al. (1997). Comparative sexual side effects of bupropion,
fluoxetine, paroxetine, and sertraline, Clinical Pharmacology and Therapeutics, 61:476-87
19. Montejo-Gonzalez, A.L., Llorca, G., Izquierdo, J.A., et al. (1997), SSRI-Induced Sexual Dysfunction:
Fluoxetine [Prozac], Paroxetine [Paxil], Sertraline [Zoloft], and Fluvoxamine [Luvox] in a Prospective,
Multicenter, and Descriptive Clinical Study of 344 Patients, Journal of Sex and Marital Therapy, 23:176-94
20. Montejo, A., Llorca, G., Izquierdo, J., et al. (2001). Incidence of sexual dysfunction associated with
antidepressant agents: a prospective multicenter study of 1022 outpatients. Spanish Working Group for
the study of psychotropic-related sexual dysfunction, J Clin Psychiatry, 62 (suppl 3): 10-21
21. Patterson, W.M. (1993). Fluoxetine-induced sexual dysfunction, Journal of Clinical Psychiatry, 54:71
22. Teal, Jay. (2009). Nothing Personal: An Empirical Phenomenological Study of the Experience of “Being-on-
an-SSRI”. Journal of Phenomenological Psychology. 40. 19-50. 10.1163/156916209X427972
23. Healy, D. (2016). Psychiatric Drugs Explained (6th ed., p. 261). N.p.: Elsevier.

We Accept the Following Insurance Companies at Pohala Clinic 

We know that insurance coverage is very important when you are making health care decisions. We accept a variety of insurance companies at Pohala including Blue Cross Blue Shield, Providence , United Health Care, First Choice Health, MODA  and Pacific Source. We are also willing to work with any other insurance company you may use.
Pohala is committed to providing the best care in functional and natural medicine in the Portland area. We have a variety of specialists including family care, nurse practitioners, naturopaths, psychiatric professionals, acupuncturists and body workers.
We will gladly answer any questions you have about insurance coverage. Feel free to contact Pohala with your questions.
Julie Foster- Nurse Practitioner, Owner