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Health at Every Size® Healthcare Provider Listing

Katie Borofka, MPH, LCSW, CST, Certified Body Trust Provider

(she/her)

Clinical Social Work & Certified Sex Therapist

Portland,
Oregon,
United States

Contact Me: 

Make an Appointment: 

Special Instructions: Email is the fastest way to be in touch with me.
Takes Insurance
Sliding Scale Available
Not currently accepting new clients/patients
Waitlist Available
In-Network Insurance Companies:
- Moda
- PacificSource
- Blue Cross
- Aetna
- Cigna
- Care Oregon
Specialties & Areas of Focus:
- Sex therapy
- Couples therapy
- Eating disorders
- Anxiety
- Trauma
- Gender identity
Modalities & Theoretical Lenses:
- Feminist therapy
- Liberation psychology
- Narrative therapy
- Acceptance and commitment therapy
- Gottman therapy
- Fat liberation
- Queer theory
- Eye movement desensitization and reprocessing (EMDR)
Age Groups Served:
- Adults (18 years old and up)
Additional Populations Served & Allied Groups:
- LGBTQIA+
- Fat folks
- Sex workers (current and former)
- Polyamorous and nonmonogamous
- Kinky folks
- People with religious trauma
- Helping professionals
Languages Services Offered In:
- English

My Philosophy of Care

My practice is informed by feminist therapy, queer theory, anti-oppressive practice, narrative therapy, and acceptance and commitment therapy. At the heart of the work I offer is the belief that a warm, non-judgmental, and compassionate relationship offers the place in which we can access healing. I believe that our realities coexist and are valid even while they may contradict one another. Issues related to power, control, privilege, and oppression intersect and inform all of our relationships and impact our mental, emotional, physical, and spiritual health. I strive to be aware of my privilege and specific identities and how they interface with my clients’ identities. I like to investigate and explore the stories that we tell ourselves about ourselves, others, and the world; learn how to sit with our emotions with care and nurturance; uncover and clarify our values and learn how to use them to guide us to places of integrity, joy, and pleasure; learn ways of accessing our bodies for healing; and offer curiosity and compassion to the parts of us that bring up shame, unsustainable thinking or behavior patterns, and other wounds.

I am passionate about offering care informed by Health at Every Size®, intuitive eating, and Body Trust principles- all bodies are welcome and are deserving of respect and care. I am here to work on issues related to body image, body liberation, and disordered eating, and how body image interfaces with sex and sexuality.

About Me & My Practice

I have navigated many facets of my sexuality since my early 20s- coming out as queer, navigating ethical nonmonogamy and polyamory, and stripping off and on for seven years have been formative and meaningful experiences for me. This all informed my journey to social work so that I could offer competent and sensitive sex therapy to my community. I am familiar with the complicated terrain that is sexuality, and the trauma and resilience that lives in our bodies when it comes to gender, sex, sexuality, fantasies, arousal, desire, body image, and emotional and physical pain. Body image and body liberation work, and therapy in general, has been close to me for many, many years. As a recovering perfectionist, recovering dieter and compulsive exerciser, and familiar to anxiety, I understand the pain and grief that accompanies rebuilding trust with one’s body, saying no and finding my yes, and leaning into uncertainty and mystery.

I am a Certified Body Trust® Provider and continue to deepen my awareness and understanding of weight inclusive and fat liberationist care. I have practiced intentionally from a HAES® framework for close to seven years.

I find deep joy, pleasure, and gratitude in cultivating a family with my partner Mara, our landmates, two cats, and our circle of friends and loved ones. My soul is filled by sunshine, being naked in bodies of water, eating delightful food, and learning to slow myself down and rest.

Accessibility Considerations

I offer telehealth services via HIPAA compliant software.

For clients desiring in person services, I have a home office I practice out of. There is ample parking on my street, and clients are welcome to park in the gravel driveway. There is no waiting room; if clients see the “In Session” sign on the door, I ask that they wait outside until I am able to let them in. There are two steps into my home office and I ask that folks are mindful of the door swinging outward. There is a bathroom clients are welcome to use if needed/wanted. The two-seat loveseat in my office is sturdy and wide, although I do not have the exact weight limit (my guess is 400-500 pounds based on a Reddit thread I found).

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