Free consult
A 15-minute phone call to decide whether psychiatric medication management fits. No card required.
§ 01 Trauma & PTSD
When the body keeps the score.
Private psychiatric telehealth for Washington adults navigating trauma symptoms, hypervigilance, mood reactivity, disrupted sleep, panic, grief, and nervous-system exhaustion.
No card required for the consultation request. We use the call to decide whether medication management is appropriate.
At a glance
Trauma and PTSD psychiatry here means Washington-only telehealth medication management for adults with hypervigilance, disrupted sleep, anxiety, mood reactivity, grief, or post-traumatic symptoms. Medication may reduce biological load, but it does not replace trauma-focused therapy or emergency care.
§ 02 What this care is
Medication management for trauma-related physiology.
We look at sleep, threat scanning, panic, irritability, depression, grief, nightmares, emotional numbing, medication history, and what your body does when ordinary life starts to feel unsafe.
Medication does not erase memory or replace trauma therapy. It can reduce the biological noise enough for therapy, relationships, sleep, and daily functioning 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, target symptoms, and an initial plan.
$150 follow-up
Thirty-minute follow-ups to track sleep, arousal, mood, side effects, and medication response.
§ 03 Common presentations
Survival patterns can outlast the threat.
The goal is not to pathologize adaptation. It is to understand when the alarm system is still firing after the danger has changed.
01
Hypervigilance, scanning, startle response, or difficulty feeling safe.
02
Nightmares, insomnia, light sleep, or waking already braced.
03
Panic, chest tightness, nausea, dread, or physiological anxiety.
04
Irritability, anger spikes, mood reactivity, or emotional shutdown.
05
Depression, grief, guilt, withdrawal, or loss of meaning.
06
Medication frustration after generic or rushed treatment plans.
07
Difficulty staying present with people you care about.
08
The sense that your body believes danger is still near.
§ 04 Medication can help with
Lowering the alarm enough to do the work.
Medication is most useful when it targets specific biological burdens rather than trying to numb the whole person.
Hyperarousal
Reducing the baseline alarm load that shows up as scanning, panic, tension, and feeling constantly braced.
Sleep and nightmares
Supporting more restorative sleep when the nervous system keeps returning to vigilance.
Mood reactivity
Helping with irritability, depressive weight, emotional volatility, and the crash after prolonged stress.
§ 05 What this is not
Boundaries are part of good care.
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 therapy replacement
Medication management can coordinate with therapy, but it does not replace trauma-focused psychotherapy.
Not controlled substances
I do not prescribe stimulants, benzodiazepines, or controlled sleep medications. Controlled-substance prescribing is not part of this practice.
Not legal documentation
I do not provide custody evaluations, disability determinations, VA claim letters, or compensation exams.
§ 06 Related reading
Understanding Post-Military Hypervigilance
The decommissioning gap, invisible armor, and why the mission can end before the nervous system stands down.
Read the articleDecoding Veteran Trauma
A practical look at specialized telehealth care for PTSD, complex grief, hypervigilance, and medication management.
Read the articleVeterans services
A focused page for veterans navigating post-service adjustment, sleep disruption, trauma symptoms, and grief.
Explore veterans careDepression overlap
Trauma, grief, shutdown, and threat physiology can overlap with persistent low mood and loss of motivation.
Explore depression careAdjustment after loss or service
When trauma sits inside a larger transition (illness, bereavement, or post-military life), adjustment and threat physiology often overlap.
Explore adjustment care§ 07 Questions
Do I need a PTSD diagnosis to start?
No. Diagnosis matters, but the first step is understanding what is happening: sleep, anxiety, threat response, mood, grief, and what treatments you have already tried.
Can medication replace trauma therapy?
No. Medication management can reduce biological load and coordinate with therapy, but it does not replace trauma-focused psychotherapy or peer support.
Can you coordinate with my therapist or primary care clinician?
Yes, with your permission. Collaborative care is often helpful when medication management is one part of a broader recovery plan.
What if I am in crisis?
This practice is not an emergency service. If you are in immediate danger or may harm yourself or someone else, call or text 988, call 911, or go to the nearest emergency department.
If your system is still bracing, we can start there.
A short consultation is enough to decide whether this kind of psychiatric care fits what you are carrying.
Book a free 15-minute consultation