Good fit
An honest conversation about fit.
A small, telehealth-based outpatient practice is a wonderful setting for some people and the wrong setting for others. The page below is an effort to be transparent — so you can decide what's right for you, and so that patients who need a higher level of care can find it without delay.
Likely a good fit
- Adults (18+) living in Washington or Oregon at the time of the visit
- People seeking a thoughtful, longitudinal relationship with a psychiatrist
- Those with depression, anxiety, obsessive-compulsive disorder, trauma, ADHD, or bipolar II
- Patients comfortable with telehealth as the sole care modality
Better served elsewhere
- Acute suicidality or a recent suicide attempt — please seek a higher level of care
- Primary psychotic disorders, including schizophrenia and schizoaffective disorder
- Bipolar I disorder, especially with recent manic or mixed episodes
- Active eating disorders requiring medical or specialized multidisciplinary care
- Active substance use disorders requiring detox or intensive outpatient care
If any of these apply, I'd be doing you a disservice by taking you on. The conditions above need more support than a solo telehealth practice can offer — typically a team-based program, an intensive outpatient setting, or, when safety is the concern, emergency services.
If you need help now
If you or someone you love is in crisis — thinking about suicide, unable to stay safe, or experiencing a medical emergency — please don't wait for an appointment.
- 988 Suicide & Crisis Lifeline — call or text 988.
- Crisis Text Line — text HOME to 741741.
- Emergency — call 911 or go to the nearest emergency department.
For a curated list of Washington and Oregon resources, see our resources page.