Dr. Macayla Richards offers primary care in Tigard for children, teens, and adults, with a focus on mental health and personalized treatment plans that reflect the way each individual body works.
It Starts with You
Dr. Macayla Richards loves the full spectrum of primary care. She sees patients for routine visits, new concerns, and follow-up after urgent care. But whatever brings someone through the door, her goal is the same: to understand the person in front of her and find a plan that fits their body and their life.
That matters because people can respond very differently to the same treatment. One person may metabolize a medication slowly. Another may process it so quickly that even a modest dose causes side effects. Dr. Macayla pays attention to those differences rather than assuming there is one standard answer for everyone.
Considering the Whole Patient
Dr. Macayla provides primary care alongside extensive mental health support. She works with patients experiencing anxiety, depression, ADHD, autism, and bipolar disorder. These are not separate from physical health, she explains. They can shape how someone processes information, moves through the day, relates to other people, and experiences the world.
Her work is also trauma-informed, particularly during sensitive exams. For Dr. Macayla, that means helping patients feel informed, respected, and in control of what happens during a visit.
She also provides gender-affirming care. It is work she finds especially meaningful: “I love working with someone and helping them feel more okay in their own body every day.”
A Passion for Learning and Mindful Living
Outside the clinic, Dr. Macayla loves games (board games, tabletop games, and video games). She enjoys the chance to become absorbed in the moment and share an experience with other people.
She is also, by her own description, “a massive crier,” a devoted dog person, and a member of a family that takes hugging very seriously. “I do give wonderful hugs,” she says. “I come from a long line of excellent huggers.”
That openness is part of what patients can expect from her: a physician who takes the medicine seriously without becoming distant or overly formal. Dr. Macayla wants patients to feel comfortable being honest with her, because good care starts with understanding what someone is actually experiencing not simply what appears in the chart.
Schedule an Appointment Today
If you’re looking for a naturopathic doctor who accounts for how biology, experience, and environment interact, Dr. Macayla Richards is seeing patients at Northwest Integrative Medicine!
Because it’s easier with a little help
We blend conventional medicine with the natural options you’ve been waiting for your doctor to bring up — herbal medicine, nutrition, supplements, unique therapies, mind-body, and lifestyle.