OCD, Anxiety & Insomnia Treatment in Bellingham, WA | Lizzy Shevins, PMHNP-BC

Specialized psychiatric care · Bellingham, WA & Telehealth across Washington State

Medication management for OCD and anxiety.
Cognitive-behavioral therapy for insomnia.

I offer medication management for OCD and anxiety disorders (including de-prescribing), and Cognitive Behavioral Therapy for Insomnia (CBT-i) as a standalone service. I can also work with you to get off of prescription sleep aids.

Services at a glance

OCD & Anxiety

Medication management + ACT/ERP-informed therapy

Chronic Insomnia

CBT-i · standalone, no medication required

Co-occurring conditions

ADHD, depression, bipolar, PTSD

In-person & telehealth

Bellingham office · Washington State only

Medication management

Obsessive-Compulsive Disorder (OCD)

OCD is an exhausting cycle of obsessions and compulsions that can take over your life. You may experience one or many themes of OCD and it can change over time.

How I treat it: I assess the severity of symptoms and their impact on daily function, and make medication and psychotherapy recommendations as indicated. The supportive therapy I offer in session is informed by trainings in Acceptance and Commitment Therapy (ACT) and Exposure and Response Prevention (ERP). I support patients in responding to challenges with openness, flexibility, and self-compassion.

Medication management ACT-informed ERP-informed Self-compassion
Note on therapy: I do not offer standalone therapy for OCD. If you are looking for intensive ERP therapy, I am glad to refer you to a specialist therapist.

At a glance

Service typeMedication management
Initial eval75 minutes
Follow-ups30-60 minutes
FormatIn-person or telehealth
InsuranceAccepted (most plans)
Medication management

Anxiety

Anxiety may manifest as constant worry, dread, or other forms of distress that impact your daily life. You may, for example, struggle with certain phobias, panic, or severe social anxiety.

How I treat it: I provide targeted medication management along with psychotherapy referrals as indicated. My practice is informed by Acceptance and Commitment Therapy (ACT) principles to help reduce avoidance and build a fuller life.

Medication management ACT-informed Mindful awareness
Note on therapy: I do not offer standalone psychotherapy for anxiety. Medication management is the primary service for this issue.

At a glance

Service typeMedication management
Initial eval75 minutes
Follow-ups30-60 minutes
FormatIn-person or telehealth
InsuranceAccepted (most plans)
CBT-i · Available as a standalone service

Chronic Insomnia

Insomnia often becomes a self-reinforcing cycle: the harder you try to sleep, the more elusive rest becomes. It may show up as difficulty falling asleep, waking through the night, or early-morning awakenings. You may find yourself getting frustrated and develop anxiety around sleep, further compounding the issue.

How I treat it: I offer Cognitive Behavioral Therapy for Insomnia (CBT-i) a structured, evidence-based therapy that is recommended as the first-line treatment for chronic insomnia by both the American Psychological Society and the American Academy of Sleep Medicine. CBT-i works by targeting the thoughts and behaviors that perpetuate poor sleep, using techniques like sleep restriction, stimulus control, and cognitive restructuring.

Unlike medication, CBT-i addresses the underlying drivers of insomnia rather than masking symptoms. Results are durable. If you're currently taking sleep medication, I can help with safely de-prescribing based on your goals.

CBT-i (8–12 sessions) Sleep restriction Stimulus control Cognitive restructuring Sleep hygiene Deprescribing support No medication required
Is CBT-i right for you? CBT-i is appropriate for most people, including those managing co-occurring anxiety, depression, or other psychiatric conditions. The main exception is people with seizure disorders; it also requires careful consideration for those with bipolar disorder. We'll go through this together during the initial evaluation.

CBT-i program details

Program length 8–12 sessions
Initial eval 75 minutes
Session length 30–60 minutes
Standalone? Yes no meds needed
Format In-person or telehealth
Insurance Accepted (most plans)
Other conditions I treat

Co-occurring conditions

I evaluate for and treat co-occurring conditions as part of a comprehensive care plan. These may include ADHD, bipolar disorder, PTSD, depression, or others not listed here. Treatment is always collaborative. I take time to understand your full picture before we decide on a path together.

ADHD

May show up as persistent inattentiveness, disorganization, forgetfulness, and trouble getting started and/or following through on tasks and projects.

Depression

May show up as decreased interest, low mood, sleep and appetite changes, and disruption to your normal daily routine.

Bipolar Disorder

May show up as alternating periods of depression and mood elevation where sleep is often decreased for at least several days.

PTSD

Trauma responses that often manifest alongside anxiety, hypervigilance, and disrupted sleep.

My approach

Integrative, patient-centered care

I work collaboratively with patients to find the best path forward whether that means medication management, CBT-i, discussion of evidence-based supplements, lifestyle adjustments, or referral to the right specialist.

Before becoming a nurse practitioner, I worked as a registered nurse on the inpatient psychiatry units at Harborview Medical Center and Seattle Children's Hospital. That experience gave me a deep appreciation for the complexity of each person and for how much context matters in getting care right.

I also stay in regular contact with therapists, primary care providers, and specialists when that serves my patients. If I'm not the right fit for what you need, I'll tell you and point you somewhere useful.

Medication management Evidence-based supplements Deprescribing Lifestyle medicine Collaborative care Specialist referrals

Background

Credential PMHNP-BC, DNP
Education University of Washington
Prior role RN, Inpatient Psychiatry
Hospitals Harborview · Seattle Children's
Location Bellingham, WA

Not sure where you fit?

Schedule a brief 10–15 minute consultation call. We'll talk through what you're experiencing and whether my practice is the right fit. No commitment required.

Schedule a free consultation

Or call directly: 206-649-5337