What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner is a licensed healthcare provider who can diagnose mental health conditions, prescribe medications, and offer supportive therapy. They often work collaboratively with therapists and other healthcare professionals.

What conditions do you treat?

My practice is focused on treating obsessive-compulsive disorder (OCD), anxiety, and insomnia. I can treat co-occurring conditions as well, such as ADHD, depression, bipolar disorder, and PTSD.

Do you offer therapy or medication management?

I provide medication management (including deprescribing and discussion of evidence-based supplements), supportive therapy, and cognitive behavioral therapy for insomnia (CBT-I). I have limited space for both medication management and psychotherapy for OCD and/or anxiety.

Do you offer telehealth or in-person appointments?

Both! I offer HIPAA-compliant video sessions and in-person visits in my Seattle office. Patients must be located in Washington State during telehealth appointments.

What is cognitive behavioral therapy for insomnia (CBT-i)?

CBT-i is an evidence-based, first-line treatment for insomnia that lasts about 6-8 sessions and includes sleep scheduling and targeting of sleep-related behaviors and beliefs.

Can I do CBT-i if I take sleep medication or have a medical or psychiatric condition that affects sleep?

Most likely yes. However, CBT-i is not appropriate for people with bipolar disorder or seizure disorders. Otherwise, there is good research supporting CBT-i even if you are struggling with other issues beyond insomnia. This is something that would be discussed during our initial evaluation.

How long are visits?

Initial evaluations are 75 minutes. Follow up visits are typically 30 minutes, but can be shorter or longer depending on needs. CBT-i visits range from 30-90 minutes. Psychotherapy visits for OCD/anxiety are 55 minutes.

What insurance do you accept?

I am in-network with Premera, Regence, LifeWise, and most Blue Cross Blue Shield (BCBS) plans.

Coverage and copay amounts can vary depending on your individual plan. I recommend contacting your insurance provider directly to confirm your benefits and any out-of-pocket costs. For private pay patients I offer superbills that you can submit to your insurance if necessary.