How Does Inclusive, Whole-Body Wellness Care Look Like? Our House Nine Approach

We believe that inclusive wellness care means a practitioner tend to your body for what it needs, there’s absolutely not judgement toward your size, medical history, or anything that goes beyond their scope of practice. At House Nine, that looks like trauma-informed care, HAES-aligned support, and a growing circle of local Portland providers we trust enough to refer you to when your care needs live outside our studio walls. You don’t have to explain your body here. You just have to show up in it.

What Does Trauma-Informed Care Actually Mean in a Massage or Wellness Setting?

Trauma-informed care means every touch, question, and choice in a session is consent-based and paced by you, not assumed by us. It means our practitioners are trained to notice that the nervous system, not the conscious mind, often decides whether a body feels safe enough to soften.

Practically, this shows up in small, repeated moments: asking before adjusting pressure, offering options instead of instructions, checking in mid-session rather than only at intake. We think of the pause before a hand makes contact as its own kind of practice, a small version of ma, the deliberate space between actions that lets a body register what’s happening before it happens. That pause is where trust gets built or lost. Your vagus nerve doesn’t respond to good intentions. It responds to consistency.

What Is HAES, and Why Does House Nine Practice It?

HAES, or Health At Every Size, means we treat wellness as something available to every body, regardless of size, without weight loss as a goal or a condition of care. As a Registered Dietitian Nutritionist and founder of House Nine, I built our nutrition work around this framework because the alternative, treating a smaller body as the marker of health, has driven so many of our clients away from care entirely.

Our mindful eating and nutrition coaching work centers curiosity over control: what does hunger actually feel like in your body, what does fullness feel like, what happens in your nervous system when you eat in a rush versus with attention. This is weight-neutral work by design, not by omission.

What Does Whole-Body Care Mean?

Whole-body care means that we treat the body as a whole; we treat the nervous system, digestion, tension patterns, and emotional holding as one interconnected system rather than isolated problems to fix separately. A shoulder that won’t release and a gut that won’t settle are often talking to each other.

That’s why our therapeutic massage services, herbal tea offerings, and nutrition coaching exist under one roof instead of as unrelated add-ons. A session might move from bodywork into a quiet cup of tea meant to ease you back into the world, not because it’s a nice touch, but because the transition itself is part of the care. Wabi-sabi, the practice of finding integrity in what’s imperfect or in process, shows up here too. Your body doesn’t need to arrive fixed to be worthy of attention.

How Does House Nine Collaborate with Other Local Providers?

We collaborate with other local providers because no single modality, including ours, can hold everything a person needs, and pretending otherwise puts clients at risk. Over the years we’ve built working relationships with Portland-based pelvic floor physical therapists, trauma-informed counselors, acupuncturists, and other healthcare practitioners whose scope complements ours.

This means when a client’s pain pattern suggests something beyond bodywork, or their eating history calls for deeper clinical support than a single session allows, we have somewhere real to send them, not a generic referral list. It also means we’re often the ones receiving referrals from those same Portland providers, because they trust that our intake process won’t undo the careful, trauma-informed groundwork they’ve already laid with a client.

Who Is This Kind of Inclusive Care Best Suited For?

This kind of care is best suited for people in any size and shape, whether managing chronic illness or disability, and anyone who has left a medical or spa appointment feeling smaller than when they walked in. It’s also built for high-performing professionals whose nervous systems have been in a low hum of alert for so long that rest itself feels unfamiliar.

It may be less suited for someone seeking a purely spa experience or weight-focused service, since that isn’t the lens we work through. If that’s what you’re looking for, we know other great providers in Portland area that we’re happy to recommend.

What Should You Expect During Your First Visit?

You can expect an intake conversation that asks about your body’s history without asking about your weight, and a session where you choose the pressure, the draping, and the pacing. Nothing here requires you to perform comfort you don’t feel.

If you’re newer to this kind of care, our about page shares more about the philosophy behind House Nine and how we arrived at it, including why we consider this preventative care rather than a spa indulgence.

Inclusive, whole-body care isn’t a single technique. It’s a standing commitment to treat your nervous system, your history, and your body’s own pace as valid information, and to bring in the right people from across Portland when your care needs more than one set of hands. If you’re ready to experience it directly, you can book a massage or nutrition session with us. If you’d rather ease in first, join us for one of our upcoming wellness workshops or reach out for a free discovery call before committing to anything.

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Miho Hatanaka - Co-founder & owner of House Nine

Miho Hatanaka is the co-founder of House Nine Wellness & Tea — a slow, potent healing studio on SE Hawthorne in Portland, Oregon, dedicated to therapeutic bodywork, herbal medicine, and tea culture. Born and raised in Tokyo, Miho moved to the United States in 2004 and became a Registered Dietitian, drawn by Japan's belief that food and care are inseparable. When she and co-founder Sarah Shah opened House Nine in 2019 — serendipitously matched by the studio's previous owner — Miho quietly infused the space with Japanese wisdom: the quality of the air, the simplicity of the storefront, the intention behind every detail. A practitioner of Aikido and traditional Japanese music, she has always lived close to her roots. In November 2026, she brings her community to Japan for the first time — leading an intimate mindfulness retreat in Shuzenji, Izu.

https://www.housenine.com/practitioner-bios/mihohatanaka
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