Free consult
A 15-minute phone call to decide whether psychiatric medication management fits what is happening. No card required.
§ 01 Burnout and occupational stress psychiatry
When carrying it all becomes the symptom.
Private psychiatric telehealth for Washington adults navigating burnout, occupational stress, chronic depletion, sleep disruption, anxiety, irritability, shutdown, depression overlap, and medication questions.
No card required for the consultation request. We use the call to decide whether medication management is the right next step.
At a glance
Burnout and occupational stress psychiatry here means private telehealth evaluation and medication management for Washington adults when chronic work stress overlaps with insomnia, anxiety, irritability, depression, shutdown, or impaired functioning. Medication cannot fix an unhealthy workload, but it may reduce treatable symptoms that keep the body stuck in survival mode.
The practice’s public clinical focus is depression and anxiety, trauma and PTSD, veterans, and adjustment after service, illness, or loss. This page stays available for depth and existing links; the home page reflects current priorities.
§ 02 What this care is
A psychiatric look at chronic depletion.
We look at the whole system: workload, sleep, anxiety, irritability, motivation, concentration, depression overlap, trauma history, medical contributors, substances, and the medication history that may or may not have helped.
The goal is not to help you tolerate an impossible life indefinitely. The goal is to understand whether treatable psychiatric symptoms are adding load and whether medication can help the body recover enough for clearer decisions.
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 work-stress context, medication review, symptom targets, and an initial plan.
$150 follow-up
Thirty-minute follow-ups to review sleep, anxiety, mood, irritability, functioning, side effects, and response.
§ 03 Common presentations
Burnout often shows up in the body.
By the time people seek help, burnout is rarely just stress. It is often sleep, mood, anxiety, reactivity, cognition, and recovery all at once.
01
Insomnia, dread before work, early waking, or lying awake rehearsing tomorrow.
02
Anxiety, panic, chest tightness, hypervigilance, or a body that will not power down.
03
Irritability, anger spikes, emotional thinning, or feeling unlike yourself.
04
Shutdown, numbness, avoidance, procrastination, or losing access to motivation.
05
Depression overlap: low mood, hopelessness, low energy, and cognitive slowing.
06
Moral injury, role strain, caregiving burden, leadership stress, or chronic overfunctioning.
07
Medication frustration after brief visits that did not address sleep and work context.
08
Functioning on paper while privately feeling close to collapse.
§ 04 Medication can help with
Lowering the load enough to recover.
Medication is most useful when the target is clear and the plan also respects the real-world stressors involved.
Sleep and arousal
Helping the body downshift when work stress has turned nights into rumination, vigilance, or poor recovery.
Anxiety and irritability
Reducing physiological alarm, dread, panic, agitation, and reactivity that can accumulate under chronic stress.
Depression overlap
Addressing mood, energy, motivation, and cognitive slowing when depletion becomes biologically heavy.
§ 05 What this is not
Boundaries keep the care honest.
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 workplace repair
Medication cannot fix an unsafe workplace, impossible workload, discrimination, moral injury, or structural mismatch.
Not therapy replacement
Medication can support therapy, rest, boundaries, and behavioral change, 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
Anxiety and sleep
Burnout often becomes self-reinforcing when stress, rumination, and insomnia start feeding each other.
Explore anxiety and sleep careDepression care
Chronic depletion can overlap with low mood, low motivation, cognitive slowing, and medication-history questions.
Explore depression careAdjustment
When burnout sits inside a larger identity or role transition, adjustment-focused care may fit alongside work-stress targets.
Explore adjustment careVeterans services
For veterans when occupational stress overlaps with post-service transition, sleep, or irritability.
Explore veterans careHigh-achieving burnout
A journal article on stress, mismatch, relationship strain, and the biology of high-functioning burnout.
Read the article§ 07 Questions
Is burnout a reason to see a psychiatric prescriber?
Sometimes. Psychiatric care may help when chronic occupational stress is accompanied by insomnia, anxiety, panic, irritability, shutdown, depression overlap, or medication questions that need careful evaluation.
Will medication fix my job?
No. Medication cannot repair an unsafe workplace, impossible workload, moral injury, or structural mismatch. It may reduce specific symptoms such as sleep disruption, anxiety, depression, or physiological arousal.
What if I am still functioning at work?
Functioning does not mean the load is sustainable. We look at sleep, recovery, mood, anxiety, irritability, concentration, relationships, and what it is costing you to keep going.
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 your body is no longer recovering, 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