Free consult
A 15-minute phone call to decide whether medication management is the right next step. No card required.
§ 01 Veterans services · Veteran-owned
When the system never fully stood down.
Private psychiatric telehealth for Washington veterans, from a provider who wore the uniform first. For the vigilance that never clocked out, the sleep that never came home, the grief that does not fit civilian language, and the strange quiet after the mission tempo stops.
No card required for the consultation request. We use the call to decide whether this level of care fits.
At a glance
Veterans services here are private cash-pay psychiatric telehealth visits for Washington veterans: a 60-minute evaluation ($250), 30-minute follow-ups ($150), and a free 15-minute phone call to start. The provider is an Air Force veteran and board-certified PMHNP.
Two boundaries, stated up front: this is not VA claims or disability work, and care here does not touch your VA benefits. It runs privately, alongside whatever VA or community care you keep. If your situation is more transition than trauma, the adjustment psychiatry page describes that doorway plainly.
§ 02 What this care is
Medication management without treating you like a problem.
This is psychiatric evaluation and medication management, built around the realities of post-service life. We look at sleep, threat scanning, mood reactivity, depression, panic, grief, trauma physiology, and the medication history that may or may not have helped, including whatever was tried on you quickly and abandoned.
Medication will not erase memory, grief, identity, or meaning, and I will not pretend it can. What it can do is reduce the biological load, so your nervous system has room to relearn safety, rest, and connection.
This is a private cash-pay practice. I do not accept or bill insurance, including VA benefits, and I do not complete disability evaluations. Superbills are available for possible out-of-network reimbursement when applicable.
$250 intake
A 60-minute psychiatric evaluation: history, medication review, formulation, and an initial plan you understand.
$150 follow-up
Thirty-minute medication visits, spaced by clinical need and guided by measurable targets.
Good fit
- Washington veterans navigating post-service adjustment, hypervigilance, sleep disruption, panic, grief, depression, or irritability.
- Patients who want psychiatric medication management that respects military adaptation without reducing everything to pathology.
- People already in therapy, peer support, primary care, or VA care who need a private prescribing partner.
Not a fit
- Immediate crisis care, emergency containment, or active risk requiring same-day intervention.
- VA disability claims, compensation and pension evaluations, ratings, or claim letters.
- Therapy replacement or controlled-substance prescribing of any kind.
§ 03 From one who served
No translation required.
I am an Air Force veteran. I served, finished with an honorable discharge, and then built a clinical life: first in the intensive care unit, where I learned what actually matters when everything is on the line, and then on an inpatient psychiatric unit, where I learned that most of what gets called dysfunction is a story that has not been heard yet. This practice is where those years point.
Practically, it means the hour is not spent on translation. You do not have to explain what a deployment tempo does to sleep, why you sit facing the door, why I'm fine is a complete sentence with a classified appendix, or why the softness of civilian life can feel more dangerous than the job ever did. I have heard it from the inside. We can start at the real beginning.
01U.S. Air ForceService · Honorable discharge
02Intensive careCritical care nursing
03Inpatient psychiatryAcute mental health care
04This practiceVeteran-owned telehealth
§ 04 Common presentations
The body may still be running an old mission.
None of these are character failures. Most began as survival adaptations in environments where vigilance, speed, and readiness were the whole job.
01
Scanning every room, every exit, every set of hands, including at your kid's recital.
02
Insomnia, nightmares, light sleep, or waking already braced.
03
Irritability, anger spikes, panic, or a body that idles too high.
04
Depression, grief, guilt, or disconnection after the transition out.
05
Difficulty slowing down when civilian life asks for stillness.
06
Emotional numbing, withdrawal, or feeling far away from people you love.
07
Medication frustration after brief visits and generic treatment plans.
08
The sense that your body knows the war is over, but does not believe it.
§ 05 Clinical stance
Half of good psychiatric care for veterans is refusing to treat adaptation as pathology.
01
Respect the adaptation first.
Hypervigilance, sleep disruption, emotional distance, and readiness are often systems that learned how to protect you. Treatment starts by understanding what they were built to do.
02
Then recalibrate what is no longer serving you.
The goal is not to sedate your edge or flatten your identity. The goal is to reduce unnecessary alarm so your body can distinguish present safety from old threat.
03
Use medication precisely.
We track targets: sleep quality, panic, nightmares, irritability, depressive load, and physiological arousal. Measurement keeps treatment grounded rather than vague.
§ 06 Where medication fits
Lowering the volume enough to do the work.
Medication is one piece of recovery, not the mission itself. It earns its place by hitting specific targets, measured visit to visit.
Sleep and nightmares
More restorative sleep instead of cycling through alertness and early-morning activation. For trauma nightmares, prazosin (non-controlled) can blunt the adrenaline surge that drives them.
Hyperarousal
Reducing the baseline alarm load that shows up as panic, chest tightness, scanning, or the sense that something is about to happen.
Mood stability
Help with irritability, reactive anger, depressive weight, and the volatility that follows long exposure to stress, without sedating your edge away.
§ 07 What this is not
Clear boundaries are part of good care.
Not crisis care
If you are in acute danger or thinking of harming yourself or someone else, call or text 988 (veterans: press 1), call 911, or go to the nearest emergency department.
Not VA claims work
I do not provide compensation and pension evaluations, disability ratings, or VA claim letters. Care here is private and does not touch your VA benefits.
Not therapy replacement
Medication management coordinates with therapy and peer support; it does not replace trauma-focused psychotherapy.
Not controlled substances
I do not prescribe controlled substances: no stimulants, no benzodiazepines, no zolpidem (Ambien) or other controlled sleep medications. This boundary holds for every patient.
§ 08 Why telehealth can fit
Less friction. Fewer unnecessary alarms.
For many veterans, the waiting room is not neutral. A crowded clinic, an unfamiliar hallway, a commute, a parking structure, a public check-in: each one asks the nervous system to brace before the visit even begins, and some of that bracing walks into the appointment with you.
Telehealth lets you meet from a space your system already trusts: your home, your truck, wherever the privacy is. That tends to make treatment more consistent, less performative, and easier to fold into actual life. You will need to be physically in Washington State and somewhere you will not be overheard; headphones help.
§ 09 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 precision medication management.
Read the articleTrauma and PTSD care
The condition-focused page: hypervigilance, startle, avoidance, and nightmares read as a threat system still on duty.
Explore trauma careAnxiety and sleep care
For the 3 a.m. loop: when vigilance has turned into chronic insomnia and the bed itself has become a trigger.
Explore anxiety and sleep careAdjustment after service, illness, or loss
For transition stress, grief, guilt, numbness, insomnia, or depression overlap when the story has already changed.
Explore adjustment careQuestions before you start?
If you are not sure whether this is the right kind of care, that is exactly what the free consultation is for.
Free 15-min consult§ 10 Questions
Are you a veteran yourself?
Yes. I served in the U.S. Air Force and finished with an honorable discharge, then built a clinical career in the intensive care unit and on an inpatient psychiatric unit before board certification as a PMHNP. This practice is veteran-owned, and this page exists because that history never stopped mattering.
Do I need a PTSD diagnosis to work with you?
No. Diagnosis matters, but you do not need to arrive with the perfect label. We start with what is actually happening: sleep, threat response, mood, grief, irritability, and the medications or supports you have already tried.
Will seeing you affect my VA benefits or VA care?
No. This is a private practice, fully separate from the VA. Care here does not enroll you in anything, change a rating, or touch your benefits. Many patients keep their VA care and use this practice as a private prescribing partner alongside it.
Do you work with VA benefits or claims?
This is a private cash-pay practice. I do not accept or bill insurance, including VA benefits, and I do not complete VA disability evaluations, compensation and pension exams, ratings, or claim letters. If you have out-of-network benefits through another insurer, I can provide superbills.
Can you coordinate with my therapist or primary care clinician?
Yes, with your permission. Collaborative care is often the strongest arrangement, especially when medication management is one part of a broader recovery plan.
Can medication help if I have been this way for years?
Sometimes, yes. Long-standing symptoms do not mean the nervous system is fixed in place. Medication can reduce specific biological burdens, especially around sleep, hyperarousal, anxiety, mood, and reactivity. We measure rather than hope.
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 (veterans: press 1), call 911, or go to the nearest emergency department.
If the armor is still on, we can start there.
Fifteen minutes, free, by phone, with someone who does not need the acronyms explained. We decide together whether this care fits.
Book a free 15-minute consultation