Our Staff at Cascade Child & Family Center

Dr. Nathan F Osborn is a board certified psychiatrist, practicing in Bend OR. He completed medical school at the University of California, Davis. A residency in general psychiatry at the University of Arizona in Tucson and a Fellowship in Adolescent & Child Psychiatry, Children’s National Health System Medical Center in Washington DC.

Prior to entering medical school, Dr. Osborn was a high school English teacher, water polo and swimming coach in Palo Alto, California. His experience as a teacher and coach is an invaluable resource in interfacing with the schools, as well as understanding the challenges faced by our students navigating the challenge of learning in today’s educational environment.

“Mental health problems in children (or anyone!) never occur in isolation, they always appear in the context of other stresses.  Physical sickness, sleep and diet disruption, family illness or discord, trauma, school related difficulties, social challenges with peers, or even just normal developmental can result in serious disruptions to learning, growth, and happiness. Together, we will seek understanding, balance, and practical solutions that best return your child and family to its proper developmental course.”

Tricia Couture, NP, is a Nationally Certified Nurse Practitioner, she brings 18 years of clinical experience with her to CCFC. She completed her BS in Biology at Oregon State University, then received both her BSN and MSN at Oregon Health Sciences University, graduating with honors from both programs.

She has a broad clinical background, including family practice, pediatrics, and urgent care settings. She gained most of her pediatric experience during her years working for the Deschutes County Health Department, where she provided care to underserved children, many with mental health concerns. It was there, that she developed her passion for pediatric mental health, particularly within the adolescent population. Prior to entering nursing school, Tricia was an assistant volleyball coach at Oregon State University, where she previously competed as a student-athlete. She continues to enjoy being active; when not working, she can often be found hiking, trail running, mountain biking, or camping with her son.

Dr. Erin Sutton, I am a board-certified psychiatrist and I have had the pleasure of working with adults and children with a variety of diagnoses, including depression and other mood disorders, anxiety disorders, attention deficit/hyperactivity disorder, oppositional defiant disorder, post-traumatic stress disorder, substance use/addiction, and people on the autism spectrum. I enjoy working with gender dysphoria and with those that are gender non-conforming, as well as those identifying as LGBTQ. I understand that individuals do not always fit perfectly into a specific diagnosis and we should allow for personalized variation among people with careful consideration.

I sincerely appreciate the bravery of individuals that initiate help for themselves or a loved one, often in their most vulnerable moments. I believe each patient is the expert on themselves and their family. I strive to implement a collaborative approach between the individual, myself, and others that play a significant role in that person’s life which may include family members/caregivers, teachers, and/or therapists.

I support incorporating medication management and psychotherapy, depending on a person’s individual needs and goals. I have experience in cognitive behavioral models of therapy, collaborative problem solving, motivational interviewing, and psychodynamic applications. I am also skilled in family therapy, parenting strategies and other supportive therapies. The addition of medication should always be a thoughtful decision that considers the risks and benefits in each unique case.

I value working with patients and their families. I believe mental health is of utmost importance in living a fulfilling and meaningful life. I have had the opportunity to travel across the country and outside of the country for my education and training, and I am happy to have returned with my family to my hometown of beautiful Bend, Oregon.

Dr. E Merritt Schader is a board certified child and adolescent psychiatrist who joined Cascade Child and Family Center in 2017.

Merritt was born in Klamath Falls and raised on her family’s alfalfa farm just south of the Oregon border. After majoring in music and piano performance at Princeton University she studied piano for two years in Vienna, Austria, followed by medical school at Stanford University, psychiatry residency at the San Mateo County Psychiatry Program, and a fellowship in Child and Adolescent Psychiatry at Stanford University. Following training she worked in community psychiatry and group practice settings in Gilroy, CA and Portland, OR prior to moving to Bend with her husband and two sons in 2016.

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