Psychological Psychiatry
psychiatric care that understands the why and the how
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Why This Practice Exists
Most psychiatric appointments last just enough time to adjust medications, but not enough to understand what's really happening in your life. I created Cognia because I believe mental health care requires both medical expertise and psychological depth. After training in both clinical psychology and psychiatric nursing, I've 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.
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How I Approach Treatment
I bring a psychotherapy-informed perspective to psychiatric care. This means during our appointments, I'm not just monitoring symptoms and adjusting doses. I'm listening for patterns, understanding contexts, and helping you make connections between your experiences and your mental health. When therapy and medications work together, they truly make a dream team. If you're already in therapy, I coordinate with your therapist to ensure our work aligns. If you're not, I incorporate therapeutic principles into our sessions while helping you find additional support when needed.
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Comprehensive Initial Evaluations
60 to 90 minute assessments that explore your full story, not a 20-minute checklist
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Integrated Follow-Up Care
30-60 minute appointments combining medication management with therapeutic understanding
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Collaborative Planning
You're the expert on your life; I bring clinical knowledge. Together we create your plan.
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Thoughtful Medications
When medication helps, I explain how and why, with careful attention to your response
About Cognia
Your Practice for Integrated Psychiatric Care
I work with adults throughout Washington (18+ and out of high school) who want psychiatric care that goes deeper than quick medication checks.
My practice serves people who:
Value understanding the "why" behind their symptoms
Want a collaborative voice in their treatment
Appreciate having time to process and discuss
Seek integration between their various providers
Whether you're 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 through our secure form
We'll contact you within three business day to discuss your needs
Complete intake paperwork at your own pace
Meet with me via secure video for your initial evaluation
Multiple major insurances accepted. Self-pay options available.
Secure Telehealth Throughout Washington
I provide all services through HIPAA-compliant video appointments, making specialized care accessible whether you're in Seattle, Spokane, or anywhere else in Washington State.