Depth-Oriented Psychiatric Care in Portland, OR
H Reid Zweifel, MD
Services Offered
I provide in-depth psychodynamic psychotherapy and psychoanalysis for adults seeking meaningful change in their lives. I am a board-certified psychiatrist, which allows me to integrate medication management when clinically appropriate, though psychotherapy forms the foundation of my practice.
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I specialize in psychodynamic psychotherapy and psychoanalysis - forms of depth-oriented treatment focused on understanding the unconscious patterns, internal conflicts, and relational dynamics that shape your emotional life and difficulties.
Psychodynamic Psychotherapy involves meeting weekly (or more frequently) for in-depth talk therapy. We work together to increase self-understanding and develop insight into the emotional patterns and internal conflicts that contribute to ongoing difficulties. The focus is on identifying and exploring the underlying issues that shape your thoughts, feelings, relationships, and overall experience of life. This work creates meaningful and lasting psychological change through understanding.
Psychoanalysis is a more intensive form of treatment for patients seeking profound psychological transformation. Analysis typically involves multiple sessions per week and places particular emphasis on exploring unconscious processes as they unfold over time, particularly within the analytic relationship itself. Over the course of treatment, we gain direct access to patterns that may be outside your conscious awareness. I am a candidate in psychoanalysis at the Oregon Psychoanalytic Institute, currently in formal training and supervision, which deepens my commitment to this work. Analysis is a long-term endeavor that supports meaningful and lasting psychological change at a deep level.
For all psychotherapy, I require a minimum of weekly sessions and conduct a consultation period to ensure mutual fit before we commit to treatment.
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As a licensed psychiatrist, I prescribe a variety of medications when clinically appropriate. These include but are not necessarily limited to:
Antidepressants
Mood stabilizers
Antipsychotics
Medications to help with substance cravings and relapse prevention
About Dr. Zweifel
Originally from the red rock country of Southern Utah, I completed my undergraduate and medical school training in Salt Lake City. Following medical school, I completed my psychiatry residency at Oregon Health & Science University (OHSU), where I also served as a chief resident. After training in Utah and Oregon, I’ve made Portland my home and now practice privately in the community.
I specialize in psychodynamic psychotherapy and psychoanalysis, with expertise in uncovering the unconscious patterns and internal conflicts that shape psychological difficulties. Because I am a psychiatrist, I can also assess for and manage psychiatric medications when they serve the deeper therapeutic work. I provide evidence-based treatment to support long-term growth.
I believe mental health and illness hold different meanings for each individual, and I strive to create a safe, respectful space where those meanings can be explored. My practice is grounded in curiosity, compassion, and a deep respect for each person’s unique story.
I work with adults experiencing a wide range of psychiatric difficulties, including anxiety disorders, depression, bipolar spectrum disorders, trauma, and personality disorders. I work with individuals from diverse cultural, spiritual, and socioeconomic backgrounds, and I welcome individuals of all genders and sexual orientations.
Education and Training
Undergraduate (B.S.): Westminster College - Salt Lake City, UT
Medical School (M.D.): University of Utah School of Medicine - Salt Lake City, UT
Psychiatry Residency and Chiefship: Oregon Health and Science University - Portland, OR
American Board of Psychiatry and Neurology (ABPN): Diplomate of the American Board of Psychiatry and Neurology, Inc., a member Board of the American Board of Medical Specialties
https://www.certificationmatters.org/
Additional Training: Oregon Psychoanalytic Institute, Candidate, Psychoanalysis, 2025-current
Practice Policies
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Consultation and Engagement: I conduct a minimum of 3 consultation visits before establishing a therapeutic relationship. This allows us to assess mutual fit, for you to experience my clinical approach, and for me to understand your needs and determine the most appropriate treatment modality.
Psychotherapy: Therapy patients are seen a minimum of once weekly, and I conduct sessions in-person for face-to-face visits (with rare exceptions for established patients).
Medication Management: Medication decisions are individualized and based on multiple clinical factors. I generally do not prescribe on the first visit. Once a therapeutic relationship is established and medication is deemed appropriate, we will develop a specific treatment plan together. I prescribe controlled substances only in specific circumstances and to well-established patients.
Prescription Refills: As a solo provider, prescription refill requests typically require up to 3 business days to process.
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In-Network Insurance: I currently accept AETNA, MODA Health, and Regence BlueCross BlueShield. Coverage and copay amounts vary by plan. Please contact your insurance to verify your benefits before your first visit.
Out-of-Network Insurance: For insurance providers I do not accept, I am out-of-network. You may submit claims to your insurance for reimbursement.
Self-Pay Rate: I charge a flat fee of $260 per 50-minute session for self-pay patients. This includes individuals who choose not to utilize insurance, as well as insured patients engaged in high-frequency treatment (such as multiple weekly sessions) where insurance does not fully cover all sessions. In the latter case, covered sessions are billed to insurance, and additional sessions are paid at the self-pay rate.Fee Adjustments: In certain circumstances, I may establish a lower fee based on individual factors. Any reduction is negotiated on an individual basis.
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Cancellations and missed appointments will be subject to a full charge if not received at least 2 business days in advance. This is necessary because a time commitment is made to you and is held exclusively for you. Please note that insurance providers do not cover late cancellation or missed appointment fees, so you will be responsible for the full appointment fee.
Any appointment that is successfully rescheduled such that there is no reduction in the number of sessions will not be counted as a cancellation, and therefore will not incur any additional fee.
Request a Consultation
Please complete the below form. I will reach out to schedule an initial 10-15 minute consultation phone call to assess your needs and discuss treatment goals. If your needs align with my services and areas of expertise, we will schedule our first in-person visit during this call.
Note that completing this form does not establish a doctor-patient relationship. If you are in need of emergent services, please call 911 or go to your local emergency department.