Life transitions · Washington telehealth
Care when life has changed faster than you can adjust.
Changes after illness, separation, a move, or a demanding role.
You can need support without having a lifelong diagnosis.
A serious illness, separation, move, career change, or the end of a demanding role can unsettle routines and relationships. You may feel unlike yourself and be unsure what kind of help makes sense.
Begin with what changed
We review the timing of the change, what you are experiencing, your medical and psychiatric history, and the supports available to you. We consider whether this is an adjustment concern, another condition, or a situation where therapy and practical support should take the lead.
A proportionate plan
If medication is considered, we discuss what it is intended to help and how we will review whether it remains useful. It does not replace the process of adapting to a changed life.
My service is psychiatric evaluation and medication management, rather than therapy-only care. The free consultation can help establish whether that is the right kind of support for you.
Read about life after a demanding role
Common questions
Does a hard life change mean I need medication?
Not necessarily. Therapy and practical support often take the lead after a major change. If an evaluation identifies a condition that medication may help, we discuss what it is intended to change and how we will review it.
Do I need a diagnosis before contacting you?
No. We can begin with what you have noticed and what you want help with. The free consultation checks fit; a paid psychiatric evaluation is where assessment and treatment planning take place.
How do fees and insurance work?
The first conversation is free, for 15 minutes by video or phone. Insurance participation is not yet active. If you hope to use insurance for future care, you can join the insurance interest list. For appointments before participation is active, see current fees and payment details.