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Psychological Psychiatry

Psychiatric care that understands the why and the how

Longer appointments. Deeper understanding. A practice built on the belief that treatments work better when we understand the person taking them.

The philosophy

Why this practice exists

The clinician who starts your care is the one who stays with it, through every visit, not just the first.

Most psychiatric appointments last just enough time to adjust medications, but not enough to understand what is really happening in your life.

After training in both clinical psychology and doctoral psychiatric nursing, I have 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.

"I believe mental health care requires both medical expertise and psychological depth."

Matias Massaro in his office
What I offer

Care designed around the person, not the clock

01

Comprehensive Evaluations

60 to 90 minute comprehensive assessments that explore your full story, not a 20-minute checklist.

02

Integrated Follow-Up

30, 60, or 90 minute appointments combining comprehensive medication management with genuine therapeutic understanding.

03

Collaborative Planning

You are the expert on your life. I bring clinical knowledge and an outsider's perspective. Together we create your plan.

04

Thoughtful Recommendations

When something would help, I am clear about why. That may mean further assessment, medication, psychological work, lifestyle changes, or some combination. I stay attentive to your response.

Two people holding a warm cup of coffee together
The approach

Psychotherapy-informed psychiatry

In our sessions, I may ask different questions than other psychiatric clinicians. Beyond symptoms and side effects, I am curious about your relationships, your work, what brings you joy, what keeps you up at night.

I see my role as your thinking partner. You bring invaluable knowledge about your own life. I bring clinical training, pattern recognition, and familiarity with what helps.

Who I work with

Integrated care for adults throughout Washington

This practice is for people who want to understand the "why" behind their symptoms, not only adjust the dose.

I work with adults (18 to 55, and out of high school), who can independently manage their care, throughout Washington State.

This is a fit if you value understanding the "why" behind your symptoms, want a collaborative voice in your treatment, and seek integration between your various clinicians.

Whether you are navigating depression, anxiety, ADHD, trauma, or life's complex challenges, I provide thorough assessment and ongoing support tailored to your unique situation.

An open book resting on a sunlit grass field
Getting started

Taking the first step

  1. 01

    Share your story

    Tell us what brings you here through the secure pre-screening form.

  2. 02

    We review, personally

    Every form is read personally, never ignored.

  3. 03

    We reach out

    You hear back soon, with the next steps.

In-network with Premera, Regence, and Anthem (BCBS), plus First Choice Health. Private pay accepted; superbill provided for out-of-network claims.

Telehealth

Secure video throughout Washington State

Telehealth visits are conducted through secure, HIPAA-compliant video conferencing. Specialized care accessible whether you are in Seattle, Spokane, or anywhere in between. The clinical work is equivalent to in person; the commute is not.

A telehealth session taking place over a video call