Free consult
A 15-minute phone call to decide whether medication management is the right next step. No card required.
§ 01 Veterans services
When the system never fully stood down.
Private psychiatric telehealth for Washington veterans navigating hypervigilance, disrupted sleep, trauma symptoms, grief, depression, irritability, and the hard transition from mission tempo to civilian life.
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 navigating post-service adjustment, sleep disruption, hypervigilance, trauma symptoms, depression, anxiety, grief, or irritability. This is not VA benefits work, disability evaluation, crisis care, or therapy replacement.
What you are carrying may also fit the practice’s broader adjustment psychiatry frame: transition after service, serious illness, or loss, when sleep, mood, and threat physiology are central. This page centers veterans; the adjustment page states that doorway plainly for anyone deciding whether medication management is the right next step.
§ 02 What this care is
Medication management without treating you like a problem.
This is psychiatric evaluation and medication management. We look at sleep, threat scanning, mood reactivity, depression, panic, grief, trauma physiology, and the medication history that may or may not have helped.
Medication will not erase memory, grief, identity, or meaning. It can reduce the biological load so your nervous system has more 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 with history, medication review, formulation, and an initial plan.
$150 follow-up
Thirty-minute medication-management 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-only prescribing requests.
§ 03 Common presentations
The body may still be running an old mission.
These are not character failures. Many began as useful survival adaptations in environments where vigilance, speed, and readiness mattered.
01
Hypervigilance, scanning, and trouble feeling safe in ordinary places.
02
Insomnia, nightmares, light sleep, or waking already braced.
03
Irritability, anger spikes, panic, or physiological anxiety.
04
Depression, grief, guilt, or disconnection after transition.
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 or generic treatment plans.
08
The sense that your body knows the war is over, but does not believe it.
§ 04 Clinical stance
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.
§ 05 Medication can help with
Lowering the volume enough to do the work.
Medication is one piece of recovery. It is most useful when it targets the biological signals that keep the system mobilized.
Sleep architecture
Helping the body get more restorative sleep instead of cycling through alertness, nightmares, or early-morning activation.
Hyperarousal
Reducing the baseline alarm load that can show up as panic, chest tightness, scanning, or the sense that something is about to happen.
Mood stability
Supporting irritability, reactive anger, depressive weight, and the emotional volatility that can follow long exposure to stress.
§ 06 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 988, 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.
Not therapy replacement
Medication management can coordinate with therapy, but it does not replace trauma-focused psychotherapy or peer support.
Not controlled substances
I do not prescribe stimulants, benzodiazepines, or controlled sleep medications. Controlled-substance prescribing is not part of this practice.
§ 07 Why telehealth can fit
Less friction. Fewer unnecessary alarms.
For many veterans, the waiting room is not neutral. A crowded clinic, unfamiliar hallway, commute, parking lot, and public check-in can ask the nervous system to brace before the visit even begins.
Telehealth lets you meet from a private space where your system has fewer reasons to scan. That can make treatment more consistent, less performative, and easier to integrate into actual life.
§ 08 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 articleAdjustment 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§ 09 Questions
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 happening: sleep, anxiety, mood, threat response, grief, irritability, and the medications or supports you have already tried.
Can you coordinate with my therapist or primary care clinician?
Yes, with your permission. Collaborative care is often useful, especially when medication management is one part of a broader recovery plan.
Do you work with VA benefits?
This is a private cash-pay practice. I do not accept or bill insurance, including VA benefits. I do not complete VA disability evaluations or write compensation letters. If you have out-of-network benefits through another insurer, I can provide superbills.
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.
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 the armor is still on, 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