Services

This practice provides individualized psychiatric care for adults located in Virginia and Washington state. As a cash-pay practice, care is structured to prioritize quality, continuity, and adequate time for thoughtful evaluation and treatment rather than the limitations often imposed by insurance-driven models. Services are offered exclusively through telehealth, and patients must be physically located in Virginia or Washington at the time of service due to licensing requirements.

Treatment is tailored to the individual and may include psychiatric medication management, psychotherapy, integrated medication and therapy sessions, behavioral interventions, and structured insomnia treatment through CBT-I. The practice takes an integrated approach to mental health care, recognizing that meaningful improvement often involves attention not only to symptoms, but also to sleep, stress, relationships, physical health, nutrition, exercise, and daily patterns of living.

New patients begin with a brief, no-cost phone consultation prior to scheduling. This allows an opportunity to discuss goals for treatment, answer questions about the practice, and determine whether the practice is the right fit before moving forward with a formal evaluation. If interested in establishing care, please complete the consultation request form below.

Initial Evaluation (60–90 minutes) — $400

The initial evaluation is a comprehensive psychiatric assessment designed to understand the full context of a patient’s concerns, treatment history, goals, and functioning. This includes diagnostic clarification, review of prior medications or therapies, and development of an individualized treatment plan. Evaluations are intentionally thorough and collaborative, with attention given not only to psychiatric symptoms, but also to lifestyle factors, sleep, stress, medical history, and behavioral patterns that may influence mental health over time.

Follow-Up Medication Management (20–30 minutes) — $200

Follow-up visits focus on ongoing treatment, medication management, symptom monitoring, and thoughtful adjustment of the treatment plan over time. Medication is approached with precision and restraint, with the goal of using the least medication necessary to support meaningful symptom relief and improved functioning. Whenever clinically appropriate, treatment also incorporates behavioral and therapeutic strategies intended to reduce unnecessary pharmacologic burden while supporting long-term stability.

Integrated Sessions (45–50 minutes) — $325

Integrated sessions combine psychiatric medication management and psychotherapy within the same appointment. This model allows treatment to remain cohesive and coordinated rather than fragmented across multiple providers or disconnected visits. Medication decisions are informed by therapeutic progress and behavioral patterns, while psychotherapy is guided by an understanding of biological and neuropsychiatric factors. This approach is often especially helpful for individuals managing complex stressors, mood disorders, anxiety disorders, burnout, insomnia, or life transitions who benefit from a more comprehensive and nuanced style of care.

Psychotherapy (45–50 minutes) — $275

Psychotherapy is offered in both brief, goal-oriented formats and longer-term exploratory work depending on the patient’s needs and preferences. Treatment may incorporate psychodynamic psychotherapy, CBT, ACT, DBT-informed strategies, narrative therapy, and psychoanalytic perspectives. Sessions frequently integrate practical behavioral interventions focused on sleep, emotional regulation, stress management, routines, and coping strategies in addition to deeper therapeutic work. The goal is not simply symptom reduction, but development of greater insight, resilience, flexibility, and long-term emotional well-being.

Urgent & After-Hours Appointments – Pricing Varies

Urgent and after-hours appointments are available for individuals requiring expedited psychiatric evaluation or follow-up outside of standard scheduling hours. These appointments are intended for clinically time-sensitive concerns causing significant distress or impairment, but are not appropriate for psychiatric emergencies requiring emergency department evaluation or crisis services. Common reasons for urgent appointments may include worsening anxiety or depression, panic attacks, insomnia, medication-related concerns, acute stress reactions, emerging burnout, rapid deterioration in functioning, or the need for prompt reassessment during difficult life transitions. Urgent appointments are not intended for active suicidal intent, suicide attempts, acute psychosis, violent behavior, severe intoxication or withdrawal, or situations involving immediate safety concerns. Individuals experiencing a psychiatric emergency should call 911, contact 988, or present to the nearest emergency department. Expedited evaluations, evening appointments, weekend appointments, and rapid follow-up visits may incur additional fees depending on timing, complexity, and scheduling availability.

CBT-I for Insomnia (Structured Program, Typically 4–8 Sessions) — $1,000

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a structured, evidence-based treatment for chronic insomnia designed to improve sleep without relying solely on sleep medication. Rather than simply treating sleeplessness from night to night, CBT-I identifies and addresses the behavioral, cognitive, and physiologic patterns that can perpetuate insomnia over time.

The $900 program includes:

  • One comprehensive sleep and insomnia assessment

  • Four individual CBT-I treatment sessions

  • Review and interpretation of sleep diaries throughout treatment

  • An individualized sleep schedule based on your own sleep patterns and progress

  • Stimulus control and sleep consolidation strategies

  • Identification and modification of thoughts and behaviors that contribute to insomnia

  • Education regarding circadian rhythms, sleep regulation, and factors that influence sleep quality

  • Development of a personalized long-term plan for maintaining healthy sleep after treatment is completed

Treatment is individualized rather than delivered as a one-size-fits-all sleep program. Psychiatric symptoms, medications, work schedules, lifestyle, and co-occurring medical or mental health conditions are considered when developing the treatment plan.

Most patients complete the structured program in approximately five appointments. If additional treatment is clinically appropriate because of complex or persistent insomnia, additional CBT-I sessions may be scheduled at $200 per session.

The goal of CBT-I is not simply to help you sleep better for a few nights. It is to help restore a more reliable relationship between your body, your environment, and sleep so that improvement can be sustained after the formal treatment program ends.