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Adults in Washington State.
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The journal

A little more understanding.

Writing about questions that come up around psychiatric care. Read at your own pace; you do not need to become an expert before asking for help.

Mood & stress

Burnout or depression? What an assessment can clarify.

Exhaustion has more than one explanation. Here is how to prepare for a conversation about work stress, mood, and what needs to change.

Trauma & service

PTSD without combat: understanding trauma in adults.

PTSD is not limited to military service. Understand why assessment considers the event, symptoms, duration, and impact without asking you to tell everything at once.

Finding care

What does psychiatric care cost without insurance?

Understand the actual fees at this Washington practice, the difference between a visit price and total cost, and how out-of-network reimbursement works.

Mood & stress

When an antidepressant hasn’t helped enough.

A useful medication review asks what was tried, for how long, what changed, and what got in the way. Here is how to prepare for that conversation.

Finding care

Telehealth psychiatry in Washington: your first visit

A practical guide to this Washington telehealth practice: consultation, evaluation, preparation, costs, privacy, and what happens if the connection fails.

Trauma & service

After military service: feeling on guard, finding your footing

Feeling on guard after service can overlap with sleep problems, trauma symptoms, and a difficult transition. Understand what a psychiatric assessment can clarify.

Trauma & service

Veteran mental health is more than one diagnosis.

Military experience matters, but it does not determine a diagnosis. A personal assessment leaves room for mood, sleep, grief, transitions, and life outside service.

Sleep

Anxiety and the sleepless night.

When worry and sleep problems overlap, a careful assessment asks more than what will make you drowsy. Learn what to bring to a sleep conversation.

Mood & stress

Men, relationships, and asking for help.

Relationship distress deserves a personal assessment, not a theory about how all men think. Start with what is happening and what you want to change.

A first conversation

Let’s see whether this is a good fit.

Meet with me by video or phone for 15 minutes. Ask about care, share what you’re looking for, and decide what comes next.

No charge. No card required. No obligation to continue.
Questions? Contact the practice.
Response within 24 hours, including weekends.

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