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!

Special Clinical Interests

Psychotherapy

General Psychiatry

Telepsychiatry

Pharmacogenomics (using your genetic information to guide treatment decisions)

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

Languages

English

Portuguese

Spanish

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)