Trauma & PTSD · Washington telehealth
Care that leaves you in control of your story.
The effects of frightening or overwhelming experiences.
You can begin without telling every detail.
If talking about what happened feels difficult, we can start with what life is like now: sleep, concentration, feeling on edge, avoiding reminders, or changes in relationships. You can ask why a question matters and tell me when you need to pause.
Assessment comes before assumptions
Trauma-related symptoms can occur after many kinds of experiences, including experiences outside military service. We consider the history, symptoms, and their impact rather than treating “trauma” and “PTSD” as interchangeable diagnoses.
Medication can be one part of care
For PTSD, the VA/DoD guideline recommends specific trauma-focused psychotherapies over medication as the first treatment approach when available and acceptable. We can discuss medication’s role and coordinate with your therapist when you authorize that communication. Read the VA overview of PTSD treatment.
This practice provides psychiatric evaluation and medication management. It does not replace a course of trauma-focused therapy. We will talk honestly about the services you need and whether outpatient video care is appropriate.
PTSD without combat: understanding the distinction
Common questions
Do I have to describe the trauma in detail at the first visit?
No. We can start with how things are now, such as sleep, concentration, or avoiding reminders. You can ask why a question matters and tell me when you need to pause.
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.