This provider does not offer counseling services. If you would like to schedule an appointment for a medical assessment/letter of support, please contact the front desk at 503.486.8936


Amy Ruff, LCSW

She/her, They/them pronouns


Philosophy and Approach:

I am a Licensed Clinical Social Worker who has practiced in community-based settings for the last 10 years. My primary areas of focus are queer and trans care, crisis intervention, and serious and persistent mental illness. I believe in harm reduction and the principles of trauma-informed care. I work hard to maintain an anti-oppressive practice and welcome feedback from clients about their own experience with power and privilege as it relates to our work together. I believe my role as a counselor is to listen without judgement, validate and acknowledge your experience while supporting your process of self-discovery.


I am excited to offer assessments for medical care at Brave Space and work from the “Trans Depathologization” model. I recognize that medical systems are often confusing, disempowering and invalidating - especially for queer, trans, and non-binary patients. My goal in doing this work is to provide an alternative experience with the medical system, one that honors your identity and celebrates your journey.