Psychological Psychiatry
Psychiatric care that understands the why and the how
Longer appointments. Deeper understanding. A practice built on the belief that medications work better when we understand the person taking them.
Why this practice exists
Most psychiatric appointments last just enough time to adjust medications, but not enough to understand what is really happening in your life.
After training in both clinical psychology and psychiatric nursing, I have seen how limiting it is when these disciplines work in isolation.
Meaningful improvement comes from understanding the whole picture: your relationships, your history, your current circumstances, and yes, sometimes the role medication can play.
"I created Cognia because I believe mental health care requires both medical expertise and psychological depth."
Care designed around the person, not the clock
Comprehensive Evaluations
60 to 90 minute assessments that explore your full story, not a 20-minute checklist.
Integrated Follow-Up
30 to 60 minute appointments combining medication management with therapeutic understanding.
Collaborative Planning
You are the expert on your life. I bring clinical knowledge. Together we create your plan.
Thoughtful Medications
When medication helps, I explain how and why, with careful attention to your response.
Psychotherapy-informed psychiatry
In our sessions, I may ask different questions than other psychiatric clinicians. Beyond symptoms and side effects, I am curious about your relationships, your work, what brings you joy, what keeps you up at night.
I see my role as your thinking partner. You bring invaluable knowledge about your own life. I bring clinical training, pattern recognition, and familiarity with what helps.
Integrated care for adults throughout Washington
I work with adults (18 and out of high school) throughout Washington State who value understanding the "why" behind their symptoms, want a collaborative voice in their treatment, and seek integration between their various providers.
Whether you are navigating depression, anxiety, ADHD, trauma, or life's complex challenges, I provide thorough assessment and ongoing support tailored to your unique situation.
Taking the first step
Request a consultation
Reach out through our secure form with a brief description of what brings you here.
Brief conversation
We will contact you within three business days to discuss your needs and ensure good fit.
Complete intake
Finish paperwork at your own pace before the first appointment. No rush.
Initial evaluation
Meet via secure video for a thorough 60 to 90 minute conversation about your life and mental health.
~ private pay with superbills provided for out-of-network reimbursement ~
Secure video throughout Washington State
All services delivered through HIPAA-compliant video conferencing. Specialized care accessible whether you are in Seattle, Spokane, or anywhere in between.
