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 solo 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, depression, and emotional regulation
Acute and complex trauma
Relationship and couples counseling
ADHD support and neurodiversity-affirming care
Youth and adolescents (ages 10+)
Parenting coaching
Men’s issues
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 build awareness of your own strengths and what's been getting in the way of the life you want. And it's not just talk: in our sessions, you get to actually feel and experience shifts as they happen, which is often where real healing and integration take root.
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 animals 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)