Niels Nielsen, MD

Psychiatry

Private Practice | UW Faculty | Telepsychiatry

About Me

In my treatment approach I emphasize how physical and mental health complement each other. Through understanding social, cultural, psychological and biological aspects of one's mental health, I provide a comprehensive treatment to my patients.


English

Portuguese

Spanish

Training & Work

MD since 2001

Psychiatry and psychotherapy residency at the University of Virginia (chief resident)

Board certified (American Board of Psychiatry and Neurology)

Private practice and Telepsychiatry

Clinical Instructor at UW

Resident, physician and therapist supervision

Clinical Interests

Medication Management

Pharmacogenomics (using your genetic information to guide treatment decisions)

Telepsychiatry

Consultation in primary care (Giving a roadmap to you and your primary care doctor to help with your mental health needs)

Psychotherapy

Languages

English

Portuguese

Spanish

What conditions do you treat?

I treat most psychiatric conditions. Some require medications, others psychotherapy, others both. Some examples:

Depression
Grief and loss
Bipolar disorder
Anxiety and panic attacks
Obsessive-compulsive disorders
Trauma / PTSD
Personality disorders
Alcohol / substance abuse
Relationship problems
Life transitions
Gender / LGBT-related concerns
Aging-related concerns
Insomnia
Others. Just ask!

Limitations

Age Range

  • I see patients 18 years old and above.

  • Unfortunately, due to Medicare rules, I cannot accept patients with Medicare.


Specific Medications

  • Benzodiazepines (Xanax, Klonopin, Ativan, Valium, etc): I only prescribe these medications if you are in the process of tapering them off, with the goal of completely stopping them.

  • If you are on an opioid pain killer such as morphine, methadone, suboxone, hydrocodone, oxycodone, etc., I will not prescribe benzodiazepines or sleep medications such as Ambien or Lunesta ("z-drugs"). I will help you find other alternatives.

  • Stimulant medications to treat narcolepsy and ADHD (Adderall, Dexedrine, Vyvanse, Ritalin, others): only if a diagnosis is confirmed and the medication is appropriate in your individual case. If you are already on these medications, I will not refill them until my assessment is complete. This may require further testing, and more than a single visit for a full evaluation.

  • Fees charged are for my time and expertise, not to obtain a specific prescription. I believe in partnering with people in their treatment and will do my best to provide with alternatives to these medications, if they are not indicated.


Services I don't provide

  • Emotional Support Animal Letters

  • Disability Evaluations

  • Forensic Evaluations

  • L&I assessments

  • Assessments for ability to return to work, ability to own a weapon, ability to drive a certain vehicle, etc.

  • Transcranial Magnetic Stimulation / Electroconvulsive Therapy / Ketamine – I can refer you to outside services.

  • Suboxone Treatment

  • Couples or Family Therapy

  • Court-ordered treatment, or treatment under the Washington Involuntary Treatment Act (ITA)