Frequently Asked Questions

A psychiatric-mental health nurse practitioner (PMHNP) is an advanced practice registered nurse with specialized training in mental health. PMHNPs can diagnose mental health conditions, prescribe medications including controlled substances, and provide ongoing medication management. In Oregon, PMHNPs have full practice authority and practice independently without physician oversight. Learn more on the About page.

Both psychiatrists and PMHNPs can diagnose mental health conditions and prescribe medications, including controlled substances. Psychiatrists complete medical school and a psychiatry residency. PMHNPs complete a nursing degree and a psychiatric-mental health nurse practitioner program. In Oregon, PMHNPs have full practice authority. Many patients see no difference in the quality of care.

No referral is needed. Oregon and Washington are both full practice authority states, meaning PMHNPs can practice independently. You can schedule directly by filling out the inquiry form or calling the office.

All appointments are via secure, HIPAA-compliant video. You need a device with a camera and microphone, a stable internet connection, and a private space. A link is sent before your appointment. Available to patients anywhere in Oregon or Washington. See how to prepare.

A comprehensive 60-minute video session covering your history, current symptoms, diagnostic assessment, and a personalized treatment plan. Medication may be prescribed during this visit if appropriate. Full details on the New Patients page.

After submitting an inquiry, you'll hear back within 1–2 business days to schedule. New patient evaluations are typically available within 1–2 weeks depending on current availability.

Initially, follow-ups are every 2–4 weeks while finding the right medication and dose. Once stable, appointments are typically every 4–8 weeks for ongoing monitoring. Frequency is adjusted based on your individual needs.

Research consistently shows that telehealth psychiatric care is as effective as in-person care for medication management and psychiatric evaluations. Many patients prefer telehealth for its convenience, privacy, and reduced barriers to accessing care.

Yes. As a DEA-licensed psychiatric nurse practitioner, I can prescribe controlled substances including stimulants and other Schedule II–V medications via telehealth when clinically appropriate. All prescriptions are sent electronically to your pharmacy.

It depends on the medication. SSRIs and SNRIs typically take 2–6 weeks to reach full effect. Stimulant medications for ADHD often work within the first few days. I'll set clear expectations and monitor your response closely during the initial weeks.

Not necessarily. Many people take psychiatric medication for a period of time and then taper off with their provider's guidance. Others benefit from longer-term treatment. Your treatment plan is reviewed regularly and adjusted based on your progress and goals.

If you've been on a medication that isn't helping — or was prescribed by another provider — I can evaluate your current treatment and discuss alternatives. Options may include adjusting the dose, switching medications, or adding a second medication. Learn about medication management.

Often, yes. For many conditions, therapy combined with medication is the most effective approach. I can coordinate with your therapist or help you find one if needed. Medication management and therapy address different aspects of mental health and often work best together.

I accept most major insurance plans in Oregon and Washington including Aetna, Anthem BCBS, Cigna, Premera, Regence, UnitedHealthcare, and UnitedHealthOne. Self-pay patients are welcome with transparent pricing. View the full list, plan types, and self-pay rates.

For self-pay patients: initial evaluation (60 min) is $375, complex follow-up (45 min) is $250, and standard follow-up (15–30 min) is $200. A sliding scale is available. Full rates and payment details · Good Faith Estimate.

Yes. A limited number of sliding scale spots are available for patients who are uninsured or experiencing financial hardship. Mention this when you submit your inquiry and we can discuss options.