About Psygient & Our Providers

Psygient is a progressive and growing outpatient mental health company, and we understand and respect the uniqueness of each individual client. Our team of amazing providers help a wide array of people of all ages and needs regain their mental health and they can help you, too.

If you are ready for excellent care and re-establishing a healthy balance to life, great! Please contact our office to schedule an intake appointment with one of our providers where we will explore your treatment options. If you are an existing client, welcome to our new website and we look forward to seeing you soon!

We offer in-person, and online video or phone sessions for both new and established clients across Oregon and surrounding areas.

Les Scott, PMHNP-BC

We are all complex individuals, with unique lives, needs, and challenges. I take this to heart and work with my clients to develop a foundation to revitalize their lives. This effective process allows one to rediscover themselves and provide a platform for success. The most comprehensive treatment plan in the world is useless if it does not reflect the client’s individual preferences and goals. It is my role to listen, present options and discuss treatment opportunities, then, together, find the right path.

I treat a wide variety of mental health symptoms, co-occurring disorders, addictions, chemical dependencies, and relationship strengthening. I help my clients manage emotions and resolve conflict within their lives in order to create a lasting change.

Trevor Rachko, PMHNP-BC

I don’t believe in a cookie-cutter approach to mental health, but rather I consider each person in the unique context of his or her own life, and partner with each person to make a plan that leads to the best possible result. To me, the patient is the boss in that dynamic.

A focus of mine is the de-stigmatization of mental health; I feel that seeking care for your mental health should be viewed by all in the same way it is when seeing your primary care provider.

Salutations! Anxiety and depression have impacted so many of us in profound ways. Navigating the path of our mental health can be as challenging as traversing stormy seas. It is during these moments, when we become overwhelmed by stressors and struggle to cope through complicated or difficult experiences, that extra support can make all the difference. My goal is to support you in your voyage through the unknown, to provide tools that help you pilot your own ship, and to empower you to become the captain of your own journey.

My aim is to learn about you, collaborate with you, and understand your goals and priorities. I provide comprehensive assessment, medication management, and ongoing support. When appropriate, I can also help connect you with therapists and other care providers so that together we can understand your “big picture” and ensure your needs are addressed in a holistic way.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with specialized experience diagnosing and treating ADHD and related behavioral health conditions across the lifespan, with a particular focus on children and adolescents. I take a compassionate, collaborative, client- and family-centered approach, and I am dedicated to helping young people thrive at home, in school, and in their relationships. I work closely with families and care teams to develop personalized treatment plans that may include behavioral strategies, therapy coordination, and medication management when appropriate.

I strive to provide high-level, high-quality care to individuals facing mood and anxiety disorders, trauma, ADHD, insomnia, and other complex mental health challenges. Creating a supportive and approachable environment is important to me, and I want each person and family I work with to feel heard, understood, and empowered.

I earned my advanced nursing degree from the University of South Alabama and bring over a decade of experience in pediatric mental health, including both acute and outpatient care settings. I meet with clients virtually and serve individuals and families throughout Oregon and Washington.