Free consult
A 15-minute phone call to decide whether psychiatric medication management fits what is happening. No card required.
§ 01 Grief and bereavement psychiatry
When loss changes the whole weather.
Private psychiatric telehealth for Washington adults navigating grief, bereavement, traumatic loss, numbness, guilt, insomnia, anxiety, depression overlap, and questions about medication.
No card required for the consultation request. We use the call to decide whether medication management is the right next step.
At a glance
Grief and bereavement psychiatry here means private telehealth evaluation and medication management for Washington adults when loss overlaps with insomnia, anxiety, depression, traumatic stress, guilt, numbness, or impaired functioning. Medication does not erase grief; it may reduce specific biological burdens that make mourning harder to carry.
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; see also adjustment psychiatry for a broader transition frame.
§ 02 What this care is
Care for the symptoms around the loss.
We look at the whole picture: the loss itself, sleep, appetite, anxiety, traumatic reminders, guilt, numbness, depression, functioning, medical contributors, and any medication history that may matter.
The goal is not to pathologize mourning. The goal is to understand whether medication can reduce insomnia, panic, mood collapse, or physiological arousal enough for grief work, connection, and daily life to become more 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, grief 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
Loss can arrive as more than sadness.
Grief may be visible, quiet, delayed, traumatic, or tangled with depression, anxiety, sleep, guilt, and the body’s alarm system.
01
Insomnia, early waking, nightmares, or dread when the house gets quiet.
02
Panic, chest tightness, restlessness, or feeling physically unable to settle.
03
Numbness, shutdown, disconnection, or moving through the day on autopilot.
04
Depression overlap: low motivation, appetite changes, hopelessness, or loss of range.
05
Guilt, regret, anger, unfinished conversations, or a harsh internal narrative.
06
Traumatic loss, medical loss, military loss, suicide loss, or sudden death.
07
Medication questions after grief begins to affect sleep, work, relationships, or safety.
08
The sense that everyone else has moved on while your nervous system has not.
§ 04 Medication can help with
Reducing the burden around the mourning.
Medication is considered only after clarifying the target: sleep, anxiety, depression, trauma physiology, or functioning.
Sleep disruption
Supporting rest when grief has turned nights into rumination, panic, vigilance, or repeated waking.
Anxiety and arousal
Reducing physiological alarm, dread, panic, and threat scanning that can follow traumatic or destabilizing loss.
Depression overlap
Addressing mood, appetite, energy, motivation, and functioning when grief has become biologically heavy.
§ 05 What this is not
Grief 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 grief erasure
Medication does not remove love, memory, longing, anger, or the human work of mourning.
Not therapy replacement
Medication can support therapy, ritual, family, peer, spiritual, or community support, 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
Depression care
For persistent low mood, low motivation, appetite changes, cognitive slowing, and medication-history questions.
Explore depression careTrauma and PTSD
Sudden, violent, medical, military, or repeated loss can overlap with threat physiology and traumatic stress.
Explore trauma careAnxiety and sleep
Grief often becomes louder at night, when rumination, panic, and disrupted sleep reinforce each other.
Explore anxiety and sleep careVeterans services
For veterans navigating post-service adjustment, grief, hypervigilance, disrupted sleep, and transition stress.
Explore veterans careAdjustment
When loss is part of a broader transition (service, illness, or identity change), a wider adjustment frame may fit.
Explore adjustment care§ 07 Questions
Is grief a psychiatric disorder?
No. Grief itself is human, not pathology. Psychiatric care may help when grief is complicated by severe insomnia, panic, depression, traumatic stress, impaired functioning, or medication questions.
Will medication take away grief?
No. Medication does not erase loss or replace mourning. It may reduce specific burdens such as sleep disruption, anxiety, depression, or physiological arousal so you have more room to carry the grief.
Can you coordinate with my therapist or primary care clinician?
Yes, with your permission. Grief care 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 loss is changing 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