A solo telehealth practice for adults in Washington. Sixty-minute initial evaluations. Thirty-minute follow-ups. The time your care actually requires.
No card required. The first step is only a short fit call.
Modern psychiatry is often rushed. I've chosen a different model, one that moves at a human pace. This practice is built for the kind of careful, sustained attention most adults can't get elsewhere.
§ 02 The practice
A small, deliberate practice. One provider. Measurement-based care. No assembly line.
I see adults in Washington State by secure telehealth. Initial evaluations run a full sixty minutes. Follow-ups are thirty. You will have time to tell your story, and I will have time to understand it.
Operating on an unhurried model of care with a strong veterans focus, the practice specializes in treating depression, anxiety, trauma, and PTSD (including when sleep disruptions are a factor), as well as supporting adjustment after military service, serious illness, or loss.
The work is integrative. I prescribe when medication is indicated and helpful, but I also take the rest of your life seriously, looking closely at your sleep, relationships, work, history, and sense of meaning. Most of what I treat has a narrative; I try to listen to it.
Right now, the practice is cash-pay, and I do not accept or bill insurance. I do not prescribe controlled substances, including stimulants, benzodiazepines, and controlled sleep medications. That is not part of this practice. Everything else that a thoughtful outpatient psychiatric provider does within that scope, I do.
§ 03 Who I work with
The focus areas below describe where my practice is strongest. They are not the whole picture. If what you're carrying isn't named here, the free consultation will tell us both whether we are a fit.
Veterans
Washington veterans: if private telehealth psychiatry might fit, the next step is a short, no-card consult; then we decide together whether to move forward.
If you are unsure whether we are a fit, that is precisely what the free fifteen minutes are for.
§ 04 How it goes
A clear sequence. No labyrinth of portals, no surprises on the bill, no vague "we'll see what happens next."
We talk briefly to make sure I'm the right provider for what you're carrying. No pressure, no cost. If another provider or type of care would serve you better, I'll say so.
You complete a small set of screening instruments before we meet so we can use the full hour for what matters: your history, your symptoms, your goals. You leave with a working formulation and an initial plan.
Spaced according to clinical need, not a template. We review, adjust, and titrate with the benefit of measurement-based care. Most people are seen every two to four weeks at first, then less often.
Non-urgent questions go through the patient portal. Prescriptions are sent electronically to your pharmacy of choice. I respond within one day.
Requesting a consultation starts with a free 15-minute phone call. No card is required to ask.
§ 05 About
I spent my formative years in Ghana, growing up there before coming to the United States as a young adult. I later served in the U.S. Air Force, completing my time with an honorable discharge. Nursing came after. I built my clinical foundation in the intensive care unit before transitioning to an inpatient psychiatric ward. These experiences shaped my clinical philosophy and culminated in my board certification as a Psychiatric-Mental Health Nurse Practitioner.
The pieces of that path are not decorative. The ICU taught me what matters when the stakes are highest. The military taught me about systems that ask a great deal of people. Inpatient psychiatric work taught me that most of what looks like dysfunction is, on closer inspection, a life asking to be understood. I bring all of that here.
I'll never pretend to have all the answers. I will, however, bring genuine attention, honest thinking, and the full hour we scheduled.
§ 06 Pricing
No insurance billing, no surprise balance a month later. Cash, HSA, and FSA cards all work. A superbill for possible out-of-network reimbursement is available on request.
Appointments canceled with less than 24 hours' notice are subject to the full session fee.
View the patient handout for fees, out-of-network reimbursement, and who this practice fits best.
Payment is processed securely through your patient portal at the time of service. Cards are saved on file for convenience with your consent. If cost is the only thing standing in the way of care, tell me on the consultation, and we'll talk about it directly.
Under the federal No Surprises Act, patients who are uninsured or who choose not to use insurance have the right to receive a written Good Faith Estimate of expected charges before a scheduled service. You will be offered one when you schedule your initial evaluation, and you may request one at any time.
If you receive a final bill that exceeds your Good Faith Estimate by $400 or more, you may dispute the charges through the federal patient-provider dispute resolution process.
Learn more at cms.gov/nosurprises or call (800) 985-3059. To request a Good Faith Estimate now, call (509) 356-2424.
§ 07 Questions
Tap a question to expand. If yours isn't here, send it. A short, direct answer is usually a message away.
No. I do not accept or bill insurance; the practice is cash-pay. This lets me offer the time each visit actually needs without an insurance company dictating length, frequency, or who qualifies for care.
If you have out-of-network mental health benefits, I can provide a superbill after each visit, a receipt you submit to your insurer for potential reimbursement. Coverage varies; call the member-services number on your card and ask about your out-of-network outpatient mental health benefit for psychiatric evaluation (CPT 90792) and medication management follow-up (CPT 99214).
No. I do not prescribe controlled substances. That means I do not prescribe stimulants for ADHD (Adderall, Vyvanse, Concerta, Ritalin), benzodiazepines (Xanax, Ativan, Klonopin, Valium), or controlled sleep agents (zolpidem / Ambien).
I do prescribe across the rest of outpatient psychiatry: SSRIs, SNRIs, bupropion, mirtazapine, trazodone, buspirone, hydroxyzine, antipsychotics, mood stabilizers (including lithium, lamotrigine, and valproic acid), prazosin, and more. If stimulants or benzodiazepines are central to your care, I will help you find a provider who can prescribe them.
We find a way. Most psychiatric medications have inexpensive generics that often cost under $10 a month with GoodRx or Mark Cuban Cost Plus Drugs. For the ones that don't, manufacturer patient-assistance programs can make them affordable or free. Cost is part of the prescribing decision, not an afterthought.
I will let you know respectfully and clearly. From there, I'll help you find a provider who is a better match. That is kinder than pretending otherwise, and it is what I would want a provider to do for me.
For outpatient adult psychiatry, the evidence consistently shows comparable outcomes for diagnosis, treatment, and patient satisfaction. Telehealth is also more accessible for many. It eliminates the commute, reduces disruption to your day, and allows you to receive care in a space where you already feel safe.
The main cases where telehealth isn't appropriate are acute psychiatric emergencies and situations requiring a physical examination. I'll tell you directly if in-person care would serve you better.
Telehealth is not designed for psychiatric emergencies. If you are in crisis, or having thoughts of harming yourself or someone else, please call or text 988 (the Suicide & Crisis Lifeline) or go to your nearest emergency department. I can be a good provider for ongoing, scheduled care, but I am not the right resource for acute danger.
Physically located in Washington State, in a private space where you won't be overheard, with a stable internet connection. A car in a parking lot counts, if that's where the privacy is. Headphones are strongly encouraged.
Your records live in a HIPAA-compliant electronic health record (CharmHealth) with end-to-end encryption. I don't sell data and don't use your information for marketing. Full details are in the Notice of Privacy Practices you'll receive before your first visit.
I manage the psychopharmacology while you maintain the primary therapeutic relationship. Initial evaluations are available within days and include a pre-built bidirectional ROI to ensure seamless, closed-loop communication. Please visit my Clinical Referral Portal for my clinical scope, direct scheduling links, and secure contact methods.
§ 08 Get Started
Fifteen minutes. Free. No card on file, no obligation to continue. If we are a fit, we will schedule an initial evaluation before we hang up.
No card required for the consultation request. We use the call to decide whether the fit is right.
