Depression · Washington telehealth
Care for depression, with a closer look at the whole picture.
Low mood, lost interest, or a treatment that hasn’t helped enough.
When things take more effort than they used to.
It may be getting out of bed, returning a message, concentrating at work, or enjoying something that used to matter. You may be functioning on the outside while feeling very different inside.
You do not need to decide for yourself whether this is depression before seeking help. At the evaluation, we discuss what has changed and how it is affecting your life.
What I want to understand
We review the timing of symptoms, sleep, physical health, medications, previous treatment, and any periods of unusually high energy or reduced need for sleep. That history helps guide the assessment rather than assuming every low mood needs the same treatment.
A plan we can evaluate together
We discuss options and preferences, including whether medication is appropriate and whether therapy or other care should be part of the plan. If you already have a therapist, we can coordinate with your permission.
Follow-up includes what has improved, what remains difficult, and any side effects. Bring past medication names and doses if you have them; it is fine if you do not remember everything.
When an antidepressant hasn’t helped enough
Common questions
What if I have already tried antidepressants?
That history is useful. An evaluation reviews what was tried, the doses and timing, side effects, and what changed, along with the diagnosis itself. Bring whatever details you have; a particular prescription is not guaranteed.
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.