Photo of Dr. Ioana Hall, DNP, PMHNP, BC, Psychiatric Nurse Practitioner
Dr. Ioana Hall
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Verified Verified
Kirkland, WA 98033  (Online Only)
My work experience is quite diverse and includes providing patient care at hospitals like Fairfax Behavioral Health, offering one-on-one psychiatry care as a practitioner at clinics like DiscoveryMD, as well as teaching the next generation of doctoral students as an Associate Professor at Seattle University. As a result, I'm able to draw upon my experience in these environments and offer a unique perspective that delivers impactful care that few providers can.
My work experience is quite diverse and includes providing patient care at hospitals like Fairfax Behavioral Health, offering one-on-one psychiatry care as a practitioner at clinics like DiscoveryMD, as well as teaching the next generation of doctoral students as an Associate Professor at Seattle University. As a result, I'm able to draw upon my experience in these environments and offer a unique perspective that delivers impactful care that few providers can.
(425) 537-7729 View (425) 537-7729
Photo of Becky Bay MD, MD, MPH, Psychiatrist
Becky Bay MD
Psychiatrist, MD, MPH
Verified Verified
Kirkland, WA 98033
A binnacle holds a ship's compass and keeps it stable and safe while the ship pitches and rolls. I know the world can be stormy, and strive to provide patients with the care and treatment they need to weather even the roughest patches and move towards calm waters. I chose to name my practice Binnacle Psychiatry because this represents my treatment philosophy: meet people where they are, assist them to identify their goals and provide a safe and steady harbor for them as they journey towards their goals. I offer medication management, therapy a combination of both and TMS.
A binnacle holds a ship's compass and keeps it stable and safe while the ship pitches and rolls. I know the world can be stormy, and strive to provide patients with the care and treatment they need to weather even the roughest patches and move towards calm waters. I chose to name my practice Binnacle Psychiatry because this represents my treatment philosophy: meet people where they are, assist them to identify their goals and provide a safe and steady harbor for them as they journey towards their goals. I offer medication management, therapy a combination of both and TMS.
(425) 598-0361 View (425) 598-0361
Photo of Meghan Bronkema, PMHNP, Psychiatric Nurse Practitioner
Meghan Bronkema
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Kirkland, WA 98033
Currently not accepting new clients. Using a holistic and trauma-informed approach, I am committed to hearing your story and exploring options to support you, which can include medication management, therapy, and/or deprescribing. I believe every person has the right to thrive and not simply survive, and will work with you or your children to address current issues or to simply maximize wellness. I enjoy working with people of all ages. I specialize in psychiatric evaluations and medication management of ADHD, depression, anxiety, and many other issues that do not fit neatly into diagnostic categories.
Currently not accepting new clients. Using a holistic and trauma-informed approach, I am committed to hearing your story and exploring options to support you, which can include medication management, therapy, and/or deprescribing. I believe every person has the right to thrive and not simply survive, and will work with you or your children to address current issues or to simply maximize wellness. I enjoy working with people of all ages. I specialize in psychiatric evaluations and medication management of ADHD, depression, anxiety, and many other issues that do not fit neatly into diagnostic categories.
(425) 842-7235 View (425) 842-7235
Photo of Dr. Bridgette Jeffries, DNP, ARNP, PMHNP, BC, Psychiatric Nurse Practitioner
Dr. Bridgette Jeffries
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, BC
Verified Verified
Kirkland, WA 98033
I am doctorally prepared from the University of Washington and board certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP). Additionally, as a nurse of 30 years, my experience covers a broad spectrum of providing a multitude of services to individuals and families from all walks of life and economic backgrounds. As a board certified PMHNP, my practice will focus on providing services from the adolescent years throughout the life span. My goal is to meet you where you are in your journey and enhance you with tools that will be life changing. We will collaborate together to identify the best holistic approach.
I am doctorally prepared from the University of Washington and board certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP). Additionally, as a nurse of 30 years, my experience covers a broad spectrum of providing a multitude of services to individuals and families from all walks of life and economic backgrounds. As a board certified PMHNP, my practice will focus on providing services from the adolescent years throughout the life span. My goal is to meet you where you are in your journey and enhance you with tools that will be life changing. We will collaborate together to identify the best holistic approach.
(206) 795-7388 View (206) 795-7388
Online Psychiatrists

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.