Free consult
A 15-minute phone call to decide whether psychiatric medication management fits what is happening. No card required.
§ 01 Adjustment psychiatry
When life has already shifted.
Private psychiatric telehealth for Washington adults adjusting after military service, serious illness, or loss, when sleep, mood, anxiety, identity, or daily functioning no longer feel steady, and medication deserves an unhurried look.
No card required for the consultation request. We use the call to decide whether medication management is the right next step.
At a glance
Adjustment psychiatry here means private telehealth evaluation and medication management for Washington adults when major transitions (post-service life, medical illness, disability, caregiving, or loss) overlap with insomnia, anxiety, depression, traumatic stress, irritability, or impaired functioning. Medication does not erase the transition; it may reduce biological noise that makes carrying it harder.
§ 02 What this care is
Care for the symptoms around the change.
We look at the whole picture: what changed, how your body is responding, sleep, appetite, anxiety, mood, trauma history, medical contributors, medications you already take, and what functioning looks like day to day.
The goal is not to rush you “back to normal.” The goal is to understand whether medication can steady sleep, mood, or arousal enough for therapy, relationships, medical care, and daily life to remain possible.
This is a private cash-pay practice for adults physically located in Washington State. I do not accept or bill insurance. Superbills are available for possible out-of-network reimbursement when applicable.
$250 intake
A 60-minute psychiatric evaluation with history, medication review, transition context, target symptoms, and an initial plan.
$150 follow-up
Thirty-minute follow-ups to review sleep, mood, anxiety, functioning, side effects, and medication response.
§ 03 Common presentations
Transition can live in the body.
Service, illness, and loss can surface as insomnia, panic, numbness, irritability, depression, or feeling like your old life no longer fits.
01
Difficulty settling into civilian rhythm after military service, deployment, or mission tempo.
02
Serious illness, treatment, disability, or medical trauma that rewires sleep, mood, and threat sensitivity.
03
Loss of a person, role, health, relationship, or identity, not only bereavement in the narrow sense.
04
Insomnia, early waking, nightmares, or dread when the day or night gets quiet.
05
Anxiety, panic, hypervigilance, or feeling unable to turn the alarm system down.
06
Depression overlap: low motivation, emotional flatness, hopelessness, or loss of range.
07
Medication questions after a transition begins to affect work, relationships, parenting, or safety.
08
The sense that everyone expects you to be “fine” while your nervous system is not.
§ 04 Medication can help with
Reducing what makes adaptation harder.
Medication is considered only after clarifying the target: sleep, anxiety, depression, trauma physiology, irritability, or functioning.
Sleep disruption
Supporting rest when transition has turned nights into rumination, vigilance, or repeated waking.
Anxiety and arousal
Reducing physiological alarm, dread, and threat scanning that can follow service, illness, or loss.
Depression and mood
Addressing energy, motivation, appetite, and cognitive slowing when mood has become biologically heavy.
§ 05 What this is not
Major change deserves clear boundaries.
Not crisis care
If you are in acute danger or thinking of harming yourself or someone else, call 988, 911, or go to the nearest emergency department.
Not a bypass
Medication does not remove grief, medical reality, moral injury, or the human work of rebuilding after loss or service.
Not therapy replacement
Medication can support therapy, peer support, spiritual care, and community, but it does not replace them.
Not controlled substances
I do not prescribe stimulants, benzodiazepines, or controlled sleep medications. Controlled-substance prescribing is not part of this practice.
§ 06 Related paths
Veterans services
For Washington veterans when post-service adjustment, hypervigilance, sleep, and transition stress are central.
Explore veterans careTrauma and PTSD
When illness, service, or loss has left threat physiology, intrusive symptoms, or a body that will not stand down.
Explore trauma careDepression care
For persistent low mood, motivation loss, and functioning collapse after a major life change.
Explore depression careAnxiety and sleep
When rumination, panic, and disrupted sleep reinforce each other during or after a transition.
Explore anxiety and sleep care§ 07 Questions
Is every life transition a psychiatric diagnosis?
No. Adjustment is human. Psychiatric care may help when the transition drives severe insomnia, panic, depression, traumatic stress, impaired functioning, or medication questions, not because it is wrong to struggle.
Will medication remove the need to adapt?
No. Medication does not erase grief, identity change, or medical reality. It may reduce specific burdens such as sleep disruption, anxiety, or depression so you have more capacity to adapt.
Can you coordinate with my therapist or primary care clinician?
Yes, with your permission. Adjustment often works best when medication management is one part of a broader support system.
What is the first step?
Request a free 15-minute consultation. No card is required for that call, and we use it to decide whether a full psychiatric evaluation makes sense.
If the transition is living in your sleep, body, or mood, we can start there.
A short consultation is enough to decide whether this kind of psychiatric care fits what is happening.
Book a free 15-minute consultation