the team at fractal consists of licensed, degreed providers with a demonstrated track record of delivering the highest level of client care. we have combined average of 18 years experience in CLINICAL therapy, MEDICINE, coaching & consulting.
OUR TEAM
Kat Thompson leads Fractal Health with over 20 years of strategic and operational experience from Fortune 500 companies including Nike, Twitter, and Intel. After discovering how psilocybin therapy transformed her own mental health—addressing chronic anxiety, childhood trauma, and executive burnout that traditional approaches couldn't reach—Kat pivoted her career to bring this breakthrough treatment to other professionals.
As a former licensed facilitator who personally guided dozens of clients through transformative sessions, Kat combines deep personal experience with professional expertise to create Oregon's leading psilocybin therapy programs. Her unique background in corporate strategy and lived experience with psychedelic healing allows her to design services specifically for busy professionals who need results-driven mental health solutions.
Kat is a sought-after public speaker and educator, passionate about bringing science-based psychedelic therapy into mainstream professional wellness. She regularly presents to corporate audiences, healthcare organizations, and industry conferences, helping to destigmatize and democratize access to legal psilocybin therapy. When she's not facilitating breakthroughs for clients, Kat enjoys traveling, spending time in nature, and continuing her own journey of growth and healing.
education
Bachelor's of Computer Science, Master's of Science in Tech & Healthcare Business Mgmt
specialties
Professional & Leadership Development, Business Entrepreneurship, Intentional Solohood, Single Parenting
AVAILABILITY
Available for complementary public speaking & workshops globally.
Taking limited facilitation clients as of mid-July. Specializes in women with anxiety, corporate professionals and single moms.
Hilary Rappaport has over a decade experience with psilocybin as her preferred plant medicine and leads programs in depression, anxiety, substance abuse and trauma work. She particularly enjoys working with women in midlife and beyond, women with anxiety, clients struggling with alochol dependence, and clients with relational trauma. Her gentle, compassionate personality makes her a great choice for those new to legal psychedelic medicine. She has advanced specialty training with Internal Family Systems, Shadow Work, and Somatic Experiencing - which is a movement-oriented method of helping people find healing from trauma and grief. Hilary has prior experience in the business world and enjoys working with corporate-employed clients as well as retirees.
education
Bachelor's Business Mgmt, Master's Clinical Mental Health Counseling (in progress)
specialties
Depression, General & Social Anxiety, Grief & Loss, ADHD, Substance Abuse, Self-Love & Shame, Highly Sensitive Clients
AVAILABILITY
Works with 6-8 Fractal clients per month
Elana Kananykhina has a decade experience with psychedelics and leads our women and anxiety program along with Hilary. She has particular training in breathwork, and while she works with clients across the range of common mental health concerns (depression, anxiety, and trauma) her specialty interests include embodied liberation, peeling back layers of intergenerational trauma, and tuning into our intricate connections to the web of life. Elana is a queer woman, a second-generation immigrant, and a lover of exploring the forgotten corners of our inner landscapes. She has completed additional trainings on End of Life Care, Somatic Psychedelic Facilitation, and Somatic EMDR. Due to her business background she also works with many of our corporate and executive clients.
education
Bachelor's Degrees in Psychology, Philosophy & Neuroscience
specialties
Clients with General & Social Anxiety, Intergenerational & Childhood Trauma, Somatic Work, Boundary Work, Immigrants, BIPOC Support
AVAILABILITY
Works with 6-8 Fractal clients per month
Karin Calde brings nearly 20 years of experience working with individuals and couples within an IFS-informed context. She's dedicated to creating a safe, supportive, compassionate space where clients feel seen and understood. Her strong scientific background combined with her spirituality help her connect to a wide range of clients so they can overcome depression, anxiety, OCD, PTSD, or explore other ways to grow. She specializes in working those in midlife. Whether you're looking to heal, get unstuck, find your purpose and direction, increase your self-understanding, strengthen relationships, or connect spiritually, Karin can help you through this work. Karin practiced psychotherapy for years before switching to a coaching modality, which she prefers.
education
PhD, Psychotherapy
specialties
Those in Midlife, Relationships & Marriage, Post Traumatic Stress, Family & Parenting, Multiracial Families, LGBTQIA Families
AVAILABILITY
Works with 6-8 Fractal clients per month
Kara Crisp has been working with psilocybin for 20 years and works with clients who wish to alleviate treatment-resistant depression, addiction/substance misuse and trauma. She has specialized training in Naturopathic Medicine, gender-affirming care, trauma-informed care, and working with veterans with PTSD. Kara also has experience and training working with people living with chronic disease, including Lyme and co-infections, mycotoxin and mold Illness, autoimmune disease, cancer, and chronic digestive disorders such as inflammatory bowel disease. Due to her medical background, Kara also typically works with or screens any individuals who may have complex or high-risk medical factors identified during screening. Kara does not provide licensed medical services at Fractal.
education
Bachelor's Microbiological Sciences & Immunology, Doctorate Naturopathic Medicine
specialties
Treatment-Resistant Depression, Substance Misuse, Healthcare Worker Trauma, Burnout & Grief, Chronic Disease, LGBTQIA+ Identity & Support
AVAILABILITY
Works with 6-8 Fractal clients per month
Angela Ybarra is a first-generation Indigenous Mexican American and a Licensed Marriage and Family Therapist practicing in California and Oregon. With 18 years of experience, she integrates therapeutic modalities such as EMDR, Somatic Awareness, and Internal Family Systems (IFS) to support clients in healing from trauma, anxiety, depression, generational burdens and more. As a facilitator, Angela provides a safe, trauma-attuned and informed space for deep exploration and healing. She is BIPOC, Ageism, and LGBTQ+ affirming, committed to supporting individuals from diverse backgrounds in their journeys toward wellness.
education
Bachelor's in Social Work, Master's in Counseling Psychology
specialties
Marriage & Family, C-PTSD, Attachment Disorders, Generational Burdens, Depression & Anxiety, BIPOC & Immigration Support
AVAILABILITY
Works with 3-4 Fractal clients per month
Arah Gould is a psychotherapist, a mother, and a lifelong learner, exploring various paths of healing and development over decades in a variety of professional and personal ways. She has postgraduate training in secular Buddhist psychology, humanistic/existential therapy, specialized therapy with adoptive families, trauma training, couples therapy, and more. Other areas of Arah's work include parenting, life transitions, and emotional neglect. Curiosity and compassion are Arah's trusted companions and she strongly believes that each of us has a healing capacity within.
education
Bachelor's & Master's Degrees in Counseling Psychology
specialties
Depression & Anxiety, Childhood Trauma, Attachment Wounds, Personal Growth, Parenting, Spirituality, Mental Health Worker Care
AVAILABILITY
Works with 3-4 Fractal clients per month
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