SpecialtyStimulants & non-stimulants prescribed
Adult ADHD evaluation & treatment
Many adults with ADHD were missed in childhood — or diagnosed and then lost care in the shuffle of college, moves, and insurance changes. We pick up where that thread dropped.
What an evaluation looks like
A comprehensive diagnostic interview, validated ADHD rating scales (ASRS, WURS), developmental history, and screening for conditions that look like — or co-occur with — ADHD.
Treatment options
Stimulant medication (methylphenidate and amphetamine classes), non-stimulants (atomoxetine, viloxazine, bupropion, guanfacine), and practical skills-based coaching referrals.
Deep dive: ADHD care →
Depression & anxiety
Major depressive disorder, generalized anxiety, panic disorder, and persistent low mood are the most common reasons adults see us. Evidence-based treatment — not guesswork.
Who this is for
Adults who've tried therapy alone, felt their SSRI stop working, or never started medication because they wanted to talk to a psychiatrist — not a ten-minute refill mill.
How we work
We take time on the first medication choice, use measurement-based care (PHQ-9, GAD-7), and adjust on clear intervals. We will also coordinate with your therapist.
SpecialtyTrauma-informed care
PTSD & trauma
Post-traumatic stress takes more than one shape. Some patients come in after a single, identifiable event — a car accident, an assault, a medical crisis. Others are carrying the slow accumulation of years: childhood adversity, intimate-partner harm, repeated workplace exposure (first responders, healthcare staff, veterans). Both are treatable. Neither is a character flaw.
How an evaluation looks
A trauma-informed history that does not require you to relive the worst of it on day one. PCL-5 (PTSD symptom screen), PHQ-9, GAD-7, and a careful sleep history. We screen for what often travels with trauma — depression, anxiety, substance use, ADHD — because treating only one rarely works.
What medication can and can’t do
Medication won’t process what happened. It can quiet hyperarousal, restore sleep, reduce nightmares (prazosin), and lift the depression that often sits on top of PTSD — making trauma-focused therapy actually possible. We coordinate closely with EMDR, CPT, and somatic therapists when that’s the next step.
- What we treat
- Acute stress disorder, PTSD, complex PTSD, and trauma-related depression/anxiety in adults.
- Pace
- Stabilization first — sleep, safety, day-to-day functioning. Deeper work is paced by you, not us.
- Coordination
- We work alongside trauma-informed therapists. We’ll help you find one if you don’t already have one.
Psychiatric medication management
For patients already stable on medication who want a thoughtful, unhurried psychiatrist — not a new prescriber every six months.
- Visit length
- Initial evaluations are unhurried; follow-ups are scheduled with adequate time for medication review and discussion.
- Frequency
- Every 2–12 weeks depending on stability and medication class.
- Between visits
- Secure portal messaging. Urgent issues triaged within one business day.
Telehealth psychiatry · Oregon & Washington
Licensed in both states. Identical standard of care to our in-office visits — just without the commute.
Everything about online psychiatry →
Second-opinion consultations
One-time psychiatric consultation to review a diagnosis, a treatment plan, or a stuck medication regimen — with a written summary for you and, if you want, your current prescriber.