Jacob Germany has been in practice 14 years and is licensed in Oregon. Jacob lists stress, Anxiety, LGBT and relationship issues among 37 subjects on the BetterHelp roster.
Everything below is either quoted from Jacob's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
14years in practice
37subjects listed
3approaches listed
01 · Who Jacob works with
Jacob works with stress, Anxiety, LGBT and relationship issues
Jacob lists 15 specialisms and 22 further focus areas. Specialisms are the subjects Jacob chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
Stress, Anxiety
LGBT
Relationship issues
Coping with life changes
ADHD
Family conflicts
Trauma and abuse
Intimacy-related issues
Sleeping disorders
Parenting issues
Self esteem
Career difficulties
Depression
Coaching
Compassion fatigue
Also experienced with
Autism and Asperger Syndrome
BDSM, kink, and alternative sex culture
Chronic pain, illness, and disability
Co-morbidity
Communication problems
Dissociation
Family problems
Gender dysphoria
Guilt and shame
Hoarding
Immigration issues
Impulsivity
Intellectual disability
Life purpose
Multicultural concerns
Obsessions, compulsions, and OCD
Panic disorder and panic attacks
Personality disorders
Polyamory / non-monogamous relationships
Prejudice and discrimination
Sexuality
Young adult issues
02 · In Jacob's own words
What Jacob says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I'm a therapist that focuses on techniques and strategies that work, and I see progress with my clients pretty quickly.
I'm licensed in Oklahoma with 14 years of experience as a therapist and over 17 years of experience in mental health. I have experience in helping clients with executive functioning (ADHD and autism), stress and anxiety, queer/lgbtq+ issues, Dissociative Identity Disorder (DID/multiple personalities), & coping with life changes.
I use many therapeutic models or perspectives, primarily focusing on how systemic and institutional barriers affect mental, emotional, and behavioral health and well-being. I'm queer-friendly. I strongly believe anyone and everyone can benefit from therapy. I do not use or believe in the "medical model" of mental health, so I do not attempt to "cure" "mental illness", but recognize that mental health is complicated and "mental illness" is mostly a survival response.
Jacob Germany, on the BetterHelp listing · read 7 Oct 2026
03 · How Jacob works
The 2 approaches Jacob lists, in plain English
These are the clinical methods Jacob lists. The descriptions are Maker Therapy's, not
Jacob's - a general explanation of what each method is, so the list means something before
you have spoken to anybody. They are not a claim about how Jacob runs a session.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Eye Movement Desensitisation and ReprocessingEMDR
A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.
Also listed
Somatic Therapy
04 · What happens next
From this page to a first session
Jacob practises through BetterHelp, so the route in is BetterHelp's. This is that sequence,
written by Maker Therapy from the platform's published process - not a description of
Jacob's own practice, and not a promise about how quickly anything happens.
A questionnaire, not a booking form
BetterHelp opens with a set of questions about what you are dealing with, what you want from
therapy, and any preferences on the therapist. You are not booking Jacob at this point.
Naming Jacob specifically
BetterHelp matches algorithmically by default, so asking for Jacob is a step you have to
take. There is a field for requesting a specific therapist during sign-up, and you can switch
afterwards from your account. Starting from a link on this page does not by itself assign you to
Jacob.
If the caseload is full
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is
easy to assume a match is the person you asked for.
The first conversation
A first session is typically history and orientation: what brought you, what has been tried,
what you want to be different. It is also where the questions in the next section belong.
If the fit is wrong
Changing therapist on BetterHelp does not need a reason. A first session that does not click is
common and is not a verdict on therapy. That option existing is the main practical difference
between a platform and a private practice.
05 · Before you commit
3 questions worth asking Jacob
Built from what Jacob actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Jacob's - Jacob has not seen them and is under no obligation to answer
any of them.
“You list both Eye Movement Desensitisation and Reprocessing and Client-Centred Therapy. Which do you lean on with someone like me?”
Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.
“How do you decide when someone is ready to work on a traumatic memory itself?”
Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
06 · Practical details
Credentials and licensing
Credential
LPC
Licensed in
Oregon
Licence
OR LPC C9331
Licence number
C9331
Licence expires
31 May 2027
NPI
1487973178
Years in practice
14
Gender
Non-binary
Languages
English
International clients
Accepted
Listed since
15 May 2026
07 · Provenance
Where every line on this page came from
Jacob's name, credential, state, subjects, approaches and biography
are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are
written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Jacob. There are no reviews
or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
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