Making care simple and clear

We provide psychiatric care for adolescents and adults. If you're seeking care for a child or aren't sure whether we're the right fit, give us a call — if we can't help, we'll do our best to point you in the right direction.

All visits happen over secure video from wherever you are in Washington State — home, work, or anywhere private. You'll receive a link before each appointment; all you need is a phone, tablet, or computer with a camera.

Your first visit is a comprehensive diagnostic evaluation — an in-depth conversation about your symptoms, history, physical health, and goals. You'll leave with a clear picture of what's going on and a realistic treatment plan you helped shape.

A personalized, root-cause approach that considers how physical health, sleep, hormones, nutrition, inflammation, and stress can worsen or mimic psychiatric symptoms. Care may combine medication, psychotherapy, targeted supplements, adaptogens, nootropics, and evidence-based non-medication treatments when appropriate.

An emerging field connecting mental health to metabolism — how the brain produces and uses energy. Research by pioneers like Dr. Christopher Palmer (Harvard) suggests metabolic dysfunction can drive or worsen psychiatric symptoms. In practice, this means we assess metabolic health (blood sugar, insulin resistance, inflammation, sleep) and may recommend nutrition strategies, movement, and behavioral changes alongside standard treatment — always evidence-informed, never instead of proven care.

Yes. When medications haven't worked well or you want a smarter starting point, we offer pharmacogenomic (genetic) testing that shows how your body metabolizes psychiatric medications — helping guide choices that are more likely to work with fewer side effects. Functional lab work (thyroid, vitamins, hormones, inflammation markers) is also available when clinically indicated.

No. Medication is one tool among many, and the decision is always made together. Some patients benefit from medication, others from therapy, lifestyle changes, or targeted supplements — most often, a thoughtful combination works best.

Yes — for those interested. As part of whole-person care, we're glad to integrate your faith into treatment, including Christian care: prayer, scripture-informed perspectives, and goals that honor your values. It's entirely optional and patient-led — we ask about your preferences at intake and never assume. Patients of every faith and of no faith receive the same warm, evidence-based care.

Absolutely. With your permission, we're glad to coordinate with your therapist, primary care provider, or other members of your care team so everyone is working from the same plan.

Out-of-pocket visits are available — call us for current rates. We can also provide a superbill you may submit to your insurance for possible out-of-network reimbursement.

Yes — we regularly welcome patients stepping down from partial hospitalization or intensive outpatient programs who want to keep building momentum with whole-person outpatient psychiatric care.

Often the next day. We hold openings for new evaluations and can frequently schedule within 24 hours; when the schedule is fuller, it's usually a matter of days rather than weeks.

You need to be physically located in Washington State at the time of your appointment. That's a licensing requirement rather than a preference — telehealth care is delivered where the client is sitting, not where the provider is. You don't have to live here permanently: a student home for the summer, or someone who travels for work, is fine as long as you're in the state during the visit.

Yes — and we'll start by telling you honestly what we think. Sometimes people do feel better on less medication. Sometimes the medication was the wrong one from the beginning. Sometimes something was missed entirely, and the right answer is different treatment rather than no treatment. We'll do a full evaluation and give you our real assessment, not the one we think you want to hear. What we won't do is help anyone stop abruptly. Coming off psychiatric medication carries genuine risks — withdrawal, relapse, and destabilization are all real — and you'll hear about them plainly before anything changes. If tapering makes sense, we go slowly and collaboratively, and we stay with you through it as your care team. If we think stopping is a bad idea, we'll say that too.

Yes. You'll work with the same provider throughout your care. The only exceptions are the ordinary ones — if your provider is on vacation, out of the office, or unwell, another member of our team may see you so you're not left waiting. Everyone here works from the same record and the same treatment plan, so you won't have to start over.