My Approach
Where psychology and psychiatry meet
I trained first as a psychologist, then as a psychiatric clinician. That means one person weighing the psychological patterns and the medical options together, instead of splitting that work across people who never compare notes.
Care here is built on three things: training in both fields, the time to use it, and a plan you build and return to. Cognia is an independent, clinician-owned practice, which is part of how the visits stay long.
Three commitments behind every visit
Two fields, one practice
I trained as a psychologist at the University of Buenos Aires and earned a Doctor of Nursing Practice in Psychiatry at Vanderbilt. So the psychological patterns and the medical options get weighed together, by one clinician, rather than split across a therapist and a prescriber who never compare notes.
Time to understand, not just adjust
Evaluations run 60 to 90 minutes; follow-ups are 30, 60, or 90 minutes. That is time to understand the person, not only the prescription. We talk about your relationships, your work, your history, and how all of it connects to what you are feeling, because lasting change rarely comes from a dose change alone.
A plan you build, and return to
Care here is a long-term, considered treatment plan, not a prescription-renewal loop. We set it together, revisit it as your life changes, and refine it with you. You always understand what we are doing and why, and where the plan goes next.
An independent practice
Cognia Health is a solo, clinician-owned practice. It is not owned by investors, a hospital system, or an insurer, and it does not run on industry gifts or sponsored education. The income comes from seeing patients, not from volume targets set by an outside owner.
That structure is part of how the visits stay long and the plan stays yours. When no one outside the room sets the pace, there is room to take the time a careful evaluation needs and to build a plan around the person in front of me.
What a course of care looks like
Care begins with an unhurried evaluation: a long first conversation about your life, your history, and what brings you here. Nothing about that first visit is rushed, because the rest of the work depends on getting the understanding right.
From there, we build a treatment plan together. You bring the knowledge of your own life; I bring clinical training and pattern recognition. When medication has a role, I explain the reasoning and what to expect.
We track how the plan is working, revisit it as your circumstances change, and adjust with you rather than around you.
Questions patients ask
A few things worth knowing before care begins. For accepted insurance plans and fees, see fees and insurance.
Yes. Cognia is a solo practice, so the clinician who completes your evaluation is the one you see at every follow-up. There is no rotating panel of prescribers and no handoff between visits. Your history stays with one person who knows it.
Initial evaluations run 60 to 90 minutes. Follow-up appointments are 30, 60, or 90 minutes. That is considerably longer than a typical medication check, which leaves room to understand the whole picture rather than only adjusting a dose.
Yes. Cognia Health is in-network with most major Blue Cross Blue Shield plans, including Premera, Regence, and Anthem, as well as First Choice Health. If your plan is not one we accept, you are welcome to pay privately and request a superbill after each visit to submit for any out-of-network reimbursement your plan allows. See the fees and insurance page for details.
More about Cognia
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Evaluations, follow-ups, and who this care is built for.
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The training and the thinking behind psychological psychiatry.
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Cognia is not accepting new patients right now. Completing a brief pre-screening form adds you to the waitlist, and we will reach out when we are able to take new patients. Your information goes straight to our secure records system.