Bipolar disorder · Washington telehealth
A careful view of mood over time.
Mood episodes, changing energy, and continuity of treatment.
The history between appointments matters.
You may have an established bipolar diagnosis, questions about a past diagnosis, or changes in mood and energy that are hard to explain. I want to understand the course of those experiences, not just how you feel on the day we meet.
We discuss episodes of depression, unusually elevated or irritable mood, changes in sleep need and activity, previous treatment, and family history. Records or observations from someone you trust may be useful when you agree to include them.
Continuity and monitoring
A treatment plan may involve medication, psychotherapy, and attention to sleep and routine. Some medications need physical monitoring or laboratory testing, which we arrange or coordinate as appropriate. NIMH explains bipolar disorder and treatment.
At follow-up, we review mood, daily function, adherence, side effects, and early signs that the plan needs adjustment. Changes are individualized; do not stop or alter a prescription based on website information.
When an antidepressant hasn’t helped enough
When more immediate care is needed
Severe agitation, feeling out of control, psychosis, or dangerous behavior can require urgent in-person assessment. This practice does not provide emergency or round-the-clock crisis care. If there is immediate danger, call 911 or go to an emergency department.
Common questions
Can you continue my current bipolar medication?
Bring your medication list and any records. Continuing, adjusting, or changing treatment is decided after the evaluation, and some medications need laboratory monitoring, which we arrange or coordinate. Please do not stop or change a prescription on your own while waiting for an appointment.
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.