A Bit About Audrianna

About Audrianna

Audrianna Joy Gurr is currently in her 20th year of being a therapist and 16th year in private practice as a licensed, professional counselor, seeing individuals and groups, telehealth and some in person. She has conducted over 14,000 therapy sessions in her practice. She has worked in community mental health since 2005 and has received official citations of thanks from Portland Police and the FBI for her work in stopping human trafficking. Since 2009 she has been a Certified Addictions Therapist (CADCI) and a Daring Way™ Facilitator (Brené Brown) since 2013. 

Since becoming a mother, she has done specialty focused work in the perinatal communities using Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI) among other methods.

Now that she is officially in the perimenopause cusp—whew, pass that fan please—she is leaning into becoming the support she wishes she had as she experiences her menopause journey. 

Audrianna was born in a small town in Idaho. She studied at University of Idaho, in Moscow, Idaho for her BA in International Studies, Minor in Economics. She studied abroad at Groningen University, Tilburg University and Leiden University (all the Netherlands) for two years during her undergraduate years. Previously, she worked for several years, stateside and overseas (the Netherlands, Hong Kong) in international education. She received her MA in International Relations from the University of Essex, UK and her MS in Counseling from Portland State University.

She became a mental health therapist in the early 00s. She currently lives in Portland, Oregon with her teen sons, chef husband and pandemic pet twin cats.

Audrianna Gurr, Therapist

Professional Background

  • Licensed Professional Counselor (LPC) with 20 years of experience
  • Over 14,000 therapy sessions conducted
Schedule an Appointment

A Safe Space for LGBTQAI+ Individuals

Your identity, experiences, and story matter. At Therapy by Audrianna, inclusivity isn’t just a value—it’s a commitment. This is a space where LGBTQAI+ individuals and gender-diverse clients can access therapy free from judgment, bias, or barriers.

Audrianna is a dedicated ally who understands the unique challenges that LGBTQ+ individuals may face, from identity exploration to relationships, mental health concerns, and systemic barriers. Her approach is rooted in empathy, evidence-based support, and the belief that everyone deserves to be heard and affirmed.

Additionally, for those engaged in ethical non-monogamous relationships, this space is poly-secure, offering understanding and support for diverse relationship structures.

You are welcome. You are respected. You are enough.

Embracing Menopause: Mental Health & Empowerment

In this featured conversation, Audrianna Gurr discusses the emotional impact of menopause, cognitive behavioral therapy (CBT), and how women can reclaim clarity, confidence, and calm during midlife transitions.

This episode offers practical insight, validation, and tools for navigating anxiety, sleep changes, and identity shifts with strength and self-trust.

Listen to the Full Episode on Apple Podcasts
Lewis & Clark Graduate School
Upcoming Event
JUL
10

Understanding, Exploring, and Supporting Perimenopause

Lewis & Clark Graduate School | Portland, Oregon
Time 6:00 – 7:30 PM
Format In-person community event
Facilitated by:
Audrianna J. Gurr, LPC, CADC I
Psychotherapist specializing in women’s mental health, anxiety, and midlife transitions.

This event explores the emotional, psychological, and relational impact of perimenopause — a phase that is often misunderstood or overlooked.

Through a compassionate and evidence-informed lens, this conversation offers clarity on mood changes, anxiety, sleep disruption, and identity shifts.

Designed as both an educational and reflective space, this event centers validation, understanding, and practical tools for navigating this transition.

View Full Event Details

Stay Connected with Our Newsletter!

Join our community and receive:

  • Educational insights on menopause & mental well-being
  • Thoughtful self-care strategies to support your journey
  • Updates on groups, workshops, and resources

Your privacy matters.

This newsletter is for informational purposes only and does not replace professional therapy. Your email will remain confidential, and you can unsubscribe anytime.

    I want to be part of the Newsletter and I agree to receive emails from Audrianna Gurr Therapy
    Built with Kit

    Services

    Therapy For Every Stage of Life

    I offer individual and group counseling in Portland, Oregon, creating a safe and supportive space for healing, growth, and transformation. Whether you’re navigating personal challenges, life transitions, or seeking a deeper understanding of yourself, therapy can be a powerful step toward emotional well-being

    Schedule an Appointment
    new clients info
    https://www.therapyden.com/therapist/audrianna-gurr-portland-or

    Specialized Treatment Areas

    My approach is tailored to meet your unique needs, with expertise in:

     Support for substance abuse and gambling recovery journeys.

    Overcoming burnout, workplace challenges, and career shifts.

    Including perinatal mood and emotional health support.

    Support for all forms of personal and profound loss, providing a path toward healing.

    Emotional support for chronic illness and life-changing diagnoses.

    Guidance for parents navigating transitions and new roles.

    Navigating emotional, physical, and identity shifts with care.

    Healing from past wounds in a compassionate, safe space.

    Support for navigating communication and personal relationship dynamics.

    Tools to navigate life’s pressures with resilience.

    Start your Therapy Journey with Audrianna

    Every journey begins with a first step—and you don’t have to take it alone.

    Starting therapy can feel overwhelming, but we’re here to walk with you. Audrianna provides compassionate, experienced care in a nurturing environment. Whether you’re seeking support for a specific challenge or simply want space to grow, you are welcome here.

    To schedule your first session, you’ll need to complete a few simple forms. This helps us provide the best support for your needs.

    Learn more about:

    • Session rates & payment options
    • Insurance & policies
    • Required forms before your first visit

    Click below to visit our New Client Info page and get started today.

    NEW CLIENT INFO

    Insurance

    Audrianna is currently on various insurance panels and is currently accepting: Aetna and Pacific Source.

    She is considered out-of-network for many plans.

    Please ask about your specific needs and coverage.

    Services may be covered in full or in part by your health insurance or employee benefit plan.

    Please check your coverage carefully by asking the following questions:

    • Do I have mental health benefits?
    • What is my deductible and has it been met?
    • How many sessions per calendar year does my plan cover?
    • How much does my plan cover for an out-of-network provider?
    • What is the coverage amount per therapy session?
    • Is approval required from my primary care physician?

    Rates

    $175 per 50-minute individual session starting 1 January, 2026. 

    Reduced Fee

    Reduced fee services are available on a limited basis.

    Payment

    Cash or credit card.

    Cancellation Policy

    If you do not show up for your scheduled appointment, and you have not notified me at least 24 hours in advance, you will be required to pay a late cancel fee of the treatment as booked.

    Schedule an Appointment
    @audrianna_joy_gurr_therapist
    Audrianna J Gurr

    @audrianna_joy_gurr_therapist

    Licensed Therapist, Women’s Advocate, Mom of 2 tween/teens, Chef’s Wife, Washi Tape Lover, Baker, Movie Buff and World Explorer
    • The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    • April is ending. And before we rush into May, let's pause. What did this month ask of you? Maybe it asked you to: Set a boundary you've been avoiding Rest when everything in you wanted to push Name a feeling you've been ignoring Show up even when you didn't feel ready Let go of something that wasn't serving you anymore Not every month is about growth. Some months are just about getting through. And that's enough. So before we close out April: What did this month ask of you? And how did you respond? Drop it below. Let's reflect together. 🌱 #AprilReflection #MonthlyCheckIn #MentalHealthJourney #SelfAwareness #IntentionalLiving
    • If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    View on Instagram
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    @audrianna_joy_gurr_therapist
    @audrianna_joy_gurr_therapist
    •
    Follow
    The stomachache of uncertainty is real. Not just emotionally, physically. Your nervous system doesn't know the difference between a real threat and an unknown one. So it activates anyway. Research on intolerance of uncertainty consistently shows it's one of the most significant drivers of anxiety, not danger itself, but not knowing. (Dugas et al., 2004) And when that activation kicks in, "just calm down" doesn't work. The part of your brain that reasons goes partially offline. You have to come back through the body. That's where sensory grounding comes in. It's not about pretending things are fine. It's about giving your nervous system a present-moment anchor, noticing what's here, right now, before the unknown pulls you back under. Swipe through for the full breakdown + a 2-minute practice to try today. 💬 What does uncertainty feel like in your body? I'd love to hear. #AnxietyRelief #NervousSystemRegulation #GroundingTechniques #MentalHealthEducation #SomaticHealing #TraumaInformed #MindfulnessTools #WomensWellness
    2 days ago
    11
    View on Instagram |
    1/3
    April is ending. And before we rush into May, let's pause. What did this month ask of you? Maybe it asked you to: Set a boundary you've been avoiding Rest when everything in you wanted to push Name a feeling you've been ignoring Show up even when you didn't feel ready Let go of something that wasn't serving you anymore Not every month is about growth. Some months are just about getting through. And that's enough. So before we close out April: What did this month ask of you? And how did you respond? Drop it below. Let's reflect together. 🌱 #AprilReflection #MonthlyCheckIn #MentalHealthJourney #SelfAwareness #IntentionalLiving
    @audrianna_joy_gurr_therapist
    @audrianna_joy_gurr_therapist
    •
    Follow
    April is ending. And before we rush into May, let's pause. What did this month ask of you? Maybe it asked you to: Set a boundary you've been avoiding Rest when everything in you wanted to push Name a feeling you've been ignoring Show up even when you didn't feel ready Let go of something that wasn't serving you anymore Not every month is about growth. Some months are just about getting through. And that's enough. So before we close out April: What did this month ask of you? And how did you respond? Drop it below. Let's reflect together. 🌱 #AprilReflection #MonthlyCheckIn #MentalHealthJourney #SelfAwareness #IntentionalLiving
    4 days ago
    View on Instagram |
    2/3
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    @audrianna_joy_gurr_therapist
    @audrianna_joy_gurr_therapist
    •
    Follow
    If you've been walking into rooms and forgetting why, losing words mid-sentence, or struggling to focus on tasks you used to do effortlessly, you're not losing your mind, you're likely experiencing perimenopausal brain fog. And it's not just annoying. It's neurological. Here's the science: Estrogen plays a key role in brain function, particularly in areas related to memory, attention, and executive function (the prefrontal cortex and hippocampus). When estrogen fluctuates during perimenopause, these cognitive processes become less efficient. Research from the Study of Women's Health Across the Nation (SWAN) found that 60% of perimenopausal women report difficulties with memory and concentration. This isn't permanent cognitive decline. For most women, cognitive function stabilizes post-menopause. But during the transition, your brain is recalibrating. Swipe through to understand what's happening in your brain, and evidence-based strategies that actually help. Have you experienced this? Let me know. 💙 #Perimenopause #BrainFog #WomensHealth #CognitiveHealth #MenopauseScience #HormoneHealth
    7 days ago
    2
    View on Instagram |
    3/3