Rooted in curiosity and compassion. Moving toward balance and healing.
Dave Macomber, Licensed Professional Counselor
Equinox Integrative Counseling is an independent private practice in Bend, Oregon, where I work as the owner and sole therapist. I bring decades of life experience and a background in both education and clinical mental health to sessions — offering in-person and telehealth care that honors your unique story, experiences, and needs rather than a one-size-fits-all approach.
I work with individuals, couples, and families around:
Anxiety (including panic disorder), depression, and emotional regulation
Acute and complex/relational trauma
Cycles of shame and/or addiction
Relationship and couples counseling
ADHD support and neurodiversity-affirming care
Youth and adolescents (ages 10+)
Parent coaching
Men’s mental health
LGBTQ+ and culturally affirming care
Whatever brings you in — steadying an overwhelmed nervous system, repairing a rupture in a relationship, or working through shame that's been around a long time — my goal is to offer a space that's collaborative, steady, and genuinely professional. I'm an IFS Level 1-trained clinician, polyvagal-informed, trained in Emotion-Focused Therapy (EFT), and an ADHD-Certified Clinical Services Provider (ADHD-CCSP).
About Me
I believe a good therapeutic space is built on curiosity, warmth, and real human connection first — being a clinician comes second. Showing up as a steady, present person is the foundation everything else rests on.
Before becoming a therapist, I spent 17 years as a middle school educator, designing student-centered, experiential learning environments. That same philosophy shapes how I practice counseling now. I don't think of therapy as a set of scripted interventions — it's a collaborative exploration that helps you understand your patterns, recognize your strengths, and see what's been getting in the way of the life you want. And it's not just talk: insight is an important beginning, but meaningful change happens when we can bring that awareness into everyday life and practice responding differently. In our sessions, you get to actually feel and experience shifts as they happen, which is often where real healing and integration take root.
I also believe therapy should offer both compassion and gentle challenge. Feeling understood and supported creates the foundation for meaningful work, while new perspectives can help us see ourselves and our relationships differently. My role isn't to tell you what decisions to make, but to help you develop greater clarity, self-awareness, and confidence in making those decisions for yourself.
Who I am as a person shapes how I show up for you as a counselor. I've been married for 22 years, I'm raising two teenage boys, and, alongside my two older brothers, I try to be a good son to aging parents. I have an international background, and one of the most formative decisions I've made was leaving a comfortable, predictable life in Portland in 2015 — my family and I spent three years living, teaching, and adventuring in the Central Valley of Costa Rica.
What matters most to me outside of work is the people and pets I love, time in the outdoors, and staying curious about the world. I bring that same curiosity and warmth into the room with you.
Let’s Connect
Finding the right therapist is all about the right fit. To help you decide, I offer a free 15-minute phone or video consultation. It’s a completely casual, low-pressure space for us to chat, talk about what you're looking for, and see how we align.
Crisis Support & Emergencies
If you are experiencing a mental health crisis or emergency, please note that this practice is not a crisis center and cannot provide immediate, round-the-clock emergency care. Please reach out directly to the following free, confidential, 24/7 resources for immediate support:
Deschutes County Stabilization Center: For 24-hour crisis services by phone or in person.
Call: (541) 322-7500, ext. 9
Suicide & Crisis Lifeline: A national network of crisis counselors available 24 hours a day by phone or text.
Call or Text: 988
Medical or Mental Health Emergency: If you or someone you love is in immediate danger.
Call: 911 (or go to the nearest emergency room)