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Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified by Psychology Today
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Video
Seattle, WA 98101
I am passionate about providing mental health medication management to adult clients living with PTSD, anxiety, or depression. I have 14 years of experience treating veterans. I am licensed, trained, and equipped to provide care to ideal clients in WA state. Telepsychiatry is the future of mental health treatment. It allows anyone with Internet access and a smartphone/tablet/computer to be able to receive private and stigma-free care, without compromising high-quality care. Telepsychiatry is convenient, secure, comfortable, and fits your lifestyle.
Gay Allied
(360) 900-1861
Verified
Seattle, WA 98101
Telehealth
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Gay Allied
I am passionate about providing mental health medication management to adult clients living with PTSD, anxiety, or depression. I have 14 years of experience treating veterans. I am licensed, trained, and equipped to provide care to ideal clients in WA state. Telepsychiatry is the future of mental health treatment. It allows anyone with Internet access and a smartphone/tablet/computer to be able to receive private and stigma-free care, without compromising high-quality care. Telepsychiatry is convenient, secure, comfortable, and fits your lifestyle.
Photo of Deborah Seidel ARNP, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, ARNP, BC
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Seattle, WA 98103
Welcome! I am a Board certified Psychiatric Mental Health Nurse Pracitioner. You may be considering therapy and/or medications because you are experiencing distress or dissatisfaction with some part of your life. I believe that I can help you to move through a challenging time by creating a safe place to talk about difficult situations. Therapy will be mutually designed to assst you to examing the cognitive, psychological and behavioral patterns that may interefere with your experiences of fulfillment in life. Sessions will be supportive and challenge you to examine your current life situation.
Gay Allied
(206) 488-1693
Verified
Seattle, WA 98103
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Gay Allied
Welcome! I am a Board certified Psychiatric Mental Health Nurse Pracitioner. You may be considering therapy and/or medications because you are experiencing distress or dissatisfaction with some part of your life. I believe that I can help you to move through a challenging time by creating a safe place to talk about difficult situations. Therapy will be mutually designed to assst you to examing the cognitive, psychological and behavioral patterns that may interefere with your experiences of fulfillment in life. Sessions will be supportive and challenge you to examine your current life situation.
Photo of Boyd Cowan, Psychiatric Nurse
Psychiatric Nurse, ARNP, PMHNP
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Office is near:
Seattle, WA 98117
***Please note: I am not taking new patients at this time. I am a board-certified psychiatric nurse practitioner. I have a master's degree in psychiatric nursing as well as a master's degree in psychology. I have experience treating depression, anxiety disorders, PTSD, bipolar disorder, schizophrenia, OCD, and ADHD.
Gay Allied
(206) 823-0459
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Office is near:
Seattle, WA 98117
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Gay Allied
***Please note: I am not taking new patients at this time. I am a board-certified psychiatric nurse practitioner. I have a master's degree in psychiatric nursing as well as a master's degree in psychology. I have experience treating depression, anxiety disorders, PTSD, bipolar disorder, schizophrenia, OCD, and ADHD.
Photo of Lee Moore, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, DNP, MEd, ARNP, PMHNP, CARN-AP
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Verified
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Video
Office is near:
Seattle, WA 98122
**We are able to accept patients during social distancing! Please go to https://www.spectrapsych.com/screening.** I have focused experience working alongside LGBTQ+-identifying individuals, individuals diagnosed with autism spectrum disorder (ASD), individuals with trauma histories, individuals managing substance use concerns, and individuals diagnosed with severe mental illness. I have backgrounds in secondary and adult education and talk therapy, allowing me to utilize these skills with each patient. My ideal client is any client that is ready to find his/her/their path to health and wellness with my assistance.
Gay Allied
(425) 559-9499
Verified
Office is near:
Seattle, WA 98122
Telehealth
Gay Allied
**We are able to accept patients during social distancing! Please go to https://www.spectrapsych.com/screening.** I have focused experience working alongside LGBTQ+-identifying individuals, individuals diagnosed with autism spectrum disorder (ASD), individuals with trauma histories, individuals managing substance use concerns, and individuals diagnosed with severe mental illness. I have backgrounds in secondary and adult education and talk therapy, allowing me to utilize these skills with each patient. My ideal client is any client that is ready to find his/her/their path to health and wellness with my assistance.
Photo of Dr. Anthony DelosReyes, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, CARN
Verified by Psychology Today
Verified
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Video
Office is near:
Seattle, WA 98116
Offering individualized and compassionate care in the evaluation, diagnosis, and treatment of various mental health disorders. I am double-board certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP) and in Addictions (CARN). Services that are available include Medication Management and supportive therapy. When indicated, our clinic offers genetic testing to optimize ideal medication(s) for you. We also offer home detox treatment for Opiate and Alcohol addictions. This includes: SUBOXONE (Buprenorphine), Non-Suboxone Protocol, Naltrexone, and Vivitrol therapy.
Gay Allied
(425) 529-5272
Verified
Office is near:
Seattle, WA 98116
Telehealth
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Gay Allied
Offering individualized and compassionate care in the evaluation, diagnosis, and treatment of various mental health disorders. I am double-board certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP) and in Addictions (CARN). Services that are available include Medication Management and supportive therapy. When indicated, our clinic offers genetic testing to optimize ideal medication(s) for you. We also offer home detox treatment for Opiate and Alcohol addictions. This includes: SUBOXONE (Buprenorphine), Non-Suboxone Protocol, Naltrexone, and Vivitrol therapy.
Photo of Kathleen Sullivan, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, APRN
Verified by Psychology Today
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Video
Office is near:
Seattle, WA 98105
AFFORDABLE CARE FROM THE PRIVACY OF YOUR HOME: APRN board certified for mental health services specializing in medication management and therapy services, 13 years old through the life span. Licensed for practice in the states of CT, RI, Oregon, and Washington working in Telepsychiatry. I offer a unique opportunity for clients to be seen from the comfort and privacy of their home on a Hippa Compliant computer platform. Telepsychiatry is proven to help people reach expert providers, while protecting your personal information, family situation, and/or career. Telepsychiatry saves your personal time and reduces stress.
Gay Allied
(860) 460-1211
Verified
Office is near:
Seattle, WA 98105
Telehealth
Gay Allied
AFFORDABLE CARE FROM THE PRIVACY OF YOUR HOME: APRN board certified for mental health services specializing in medication management and therapy services, 13 years old through the life span. Licensed for practice in the states of CT, RI, Oregon, and Washington working in Telepsychiatry. I offer a unique opportunity for clients to be seen from the comfort and privacy of their home on a Hippa Compliant computer platform. Telepsychiatry is proven to help people reach expert providers, while protecting your personal information, family situation, and/or career. Telepsychiatry saves your personal time and reduces stress.
Photo of Amy Sharma, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, FNP-C, PMHNP
Verified by Psychology Today
Verified
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Video
Seattle, WA 98122
I'm a board-certified Psychiatric-Mental Health Nurse Practitioner, with a focus on integrative and holistic care. I provide psychiatric evaluations and medication management, in conjunction with non-pharmacological interventions that support your health and well-being. The care I provide is collaborative, and tailored to each individual patient.
Gay Allied
(206) 785-3812
Verified
Seattle, WA 98122
Telehealth
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Gay Allied
I'm a board-certified Psychiatric-Mental Health Nurse Practitioner, with a focus on integrative and holistic care. I provide psychiatric evaluations and medication management, in conjunction with non-pharmacological interventions that support your health and well-being. The care I provide is collaborative, and tailored to each individual patient.
Photo of Virtual Allied Remote Diagnostic Services (VARDS), Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, FPMHNP
Verified by Psychology Today
Verified
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Video
Seattle, WA 98121
Our top priority is increasing assess to mental health and addressing mental health from an urgent care perspective. We aim to reduce mental health stigma by providing help via tele-medicine at the comfort of patient homes. This means providing timely mental health services to school aged children needing behavioral evaluation, mental and behavioral health evaluation for all, preventing hospitalization of people with mental illness when major precursors are extended wait time, inability to access primary care provider or relapse in severity of illness.
Gay Allied
(425) 242-7953
Verified
Seattle, WA 98121
Telehealth
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Gay Allied
Our top priority is increasing assess to mental health and addressing mental health from an urgent care perspective. We aim to reduce mental health stigma by providing help via tele-medicine at the comfort of patient homes. This means providing timely mental health services to school aged children needing behavioral evaluation, mental and behavioral health evaluation for all, preventing hospitalization of people with mental illness when major precursors are extended wait time, inability to access primary care provider or relapse in severity of illness.
Photo of Naomi R True, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, DNP, PMHNP-B
Verified by Psychology Today
Verified
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Video
Seattle, WA 98144
I provide psychiatric evaluation and diagnoses along with medication management for individuals and families across the lifespan including children, adolescents, and adults and older adults. I also have a very therapeutic approach and work closely with clients on developing healthy coping skills, navigating stress and healing from past trauma. I have a very open interactive approach with the goal of empowering clients to participate fully in their healing process.
Gay Allied
(425) 230-3599 x1
Verified
Seattle, WA 98144
Telehealth
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Gay Allied
I provide psychiatric evaluation and diagnoses along with medication management for individuals and families across the lifespan including children, adolescents, and adults and older adults. I also have a very therapeutic approach and work closely with clients on developing healthy coping skills, navigating stress and healing from past trauma. I have a very open interactive approach with the goal of empowering clients to participate fully in their healing process.
Photo of Melissa Ann Fukunaga, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, MA, ARNP
Verified by Psychology Today
Verified
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Video
Office is near:
Seattle, WA 98146
Deciding to get help is no easy decision, especially if we have had negative experiences in therapy or with a provider in the past. I am here to listen to your needs, your goals for treatment and make a plan that works for you. My specialties include mood disorders, including treatment resistant depression, trauma and anxiety. In addition to medication management I offer ketamine therapy, which has been found to have dramatic effects on mood disorders and works quite differently than standard anti-depressants. My website contains additional information about this treatment and can answer questions you may have about this.
Gay Allied
(425) 390-8967
Verified
Office is near:
Seattle, WA 98146
Telehealth
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Gay Allied
Deciding to get help is no easy decision, especially if we have had negative experiences in therapy or with a provider in the past. I am here to listen to your needs, your goals for treatment and make a plan that works for you. My specialties include mood disorders, including treatment resistant depression, trauma and anxiety. In addition to medication management I offer ketamine therapy, which has been found to have dramatic effects on mood disorders and works quite differently than standard anti-depressants. My website contains additional information about this treatment and can answer questions you may have about this.
Photo of Alsept Psychiatric PLLC, Psychiatric Nurse
Psychiatric Nurse, ARNP, MSN, RN
Verified by Psychology Today
Verified
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Video
Seattle, WA 98105
My initial treatment focus is on symptom relief. Being a psychiatric nurse practitioner I am a psychotherapist and I can prescribe medication. Often people come to therapy wanting to gain insight into why they feel the way they do and wanting to change their lives but their feelings or addictions turn out to be so intense or problematic they get in the way of therapy and change. My patient and I may decide that medication will relieve their symptoms enough to make progress and actual change possible. I acknowledge the whole person medically, emotionally, sexually, socially, politically as the patient needs.
Gay Allied
(206) 397-0383
Verified
Seattle, WA 98105
Telehealth
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Gay Allied
My initial treatment focus is on symptom relief. Being a psychiatric nurse practitioner I am a psychotherapist and I can prescribe medication. Often people come to therapy wanting to gain insight into why they feel the way they do and wanting to change their lives but their feelings or addictions turn out to be so intense or problematic they get in the way of therapy and change. My patient and I may decide that medication will relieve their symptoms enough to make progress and actual change possible. I acknowledge the whole person medically, emotionally, sexually, socially, politically as the patient needs.
Photo of Erin Kessler, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, MSN, MA, ARNP, PMHNP
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Seattle, WA 98107
I am a board certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who is dedicated to partnering with women to support them on their path to mental wellness. My approach is integrative, utilizing my training in both psychopharmacology and psychotherapy as well as my interest in complementary and alternative medicine. I truly believe individuals are the experts on themselves and seek to create personalized, sustainable and comprehensive treatment plans with the women I work with.
Gay Allied
(206) 785-2087
Verified
Seattle, WA 98107
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Gay Allied
I am a board certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who is dedicated to partnering with women to support them on their path to mental wellness. My approach is integrative, utilizing my training in both psychopharmacology and psychotherapy as well as my interest in complementary and alternative medicine. I truly believe individuals are the experts on themselves and seek to create personalized, sustainable and comprehensive treatment plans with the women I work with.
Photo of Bertrand Lee Wicholas, Psychiatrist
Psychiatrist, MD
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Seattle, WA 98105
I specialize in the treatment of adolescents and adults with a range of mental health concerns. I treat clients in a professional and confidential setting that feels safe and non-judgmental. My practice draws upon a variety of evidence-based psychotherapies and utilizes psychiatric medications if appropriate. I believe that for any treatment to be effective, it must be built upon a trusting and collaborative therapeutic relationship that reflects each client's individual needs and personal values. I believe in a down-to-earth and transparent approach to psychiatry that views genuine human connection as the foundation of any treatment.
Gay Allied
(206) 745-6315
Verified
Seattle, WA 98105
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Gay Allied
I specialize in the treatment of adolescents and adults with a range of mental health concerns. I treat clients in a professional and confidential setting that feels safe and non-judgmental. My practice draws upon a variety of evidence-based psychotherapies and utilizes psychiatric medications if appropriate. I believe that for any treatment to be effective, it must be built upon a trusting and collaborative therapeutic relationship that reflects each client's individual needs and personal values. I believe in a down-to-earth and transparent approach to psychiatry that views genuine human connection as the foundation of any treatment.
Photo of Julie Nugent-Carney, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
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Seattle, WA 98116
I am a doctorally prepared psychiatric mental health nurse practitioner and have been a registered nurse for over 20 years, helping families cope with change, from childbirth to end-of-life. I provide life coaching for managing life transitions and relationship challenges. I've treated patients with a wide variety of mental health conditions including anxiety, depression, bipolar disorder, ADHD, personality disorder, insomnia and other common psychiatric diagnoses. In addition to prescribing medications when necessary, my focus with psychotherapy is to assist people with achieving their goals.
Gay Allied
(206) 432-0471
Verified
Seattle, WA 98116
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Gay Allied
I am a doctorally prepared psychiatric mental health nurse practitioner and have been a registered nurse for over 20 years, helping families cope with change, from childbirth to end-of-life. I provide life coaching for managing life transitions and relationship challenges. I've treated patients with a wide variety of mental health conditions including anxiety, depression, bipolar disorder, ADHD, personality disorder, insomnia and other common psychiatric diagnoses. In addition to prescribing medications when necessary, my focus with psychotherapy is to assist people with achieving their goals.
Psychiatric Nurse Practitioner, ARNP, PMHNP
Verified by Psychology Today
Verified
|
Video
Seattle, WA 98112
I partner with my patients because I believe the best healthcare decisions are made when both provider and patient work together. Reach out to me if you are looking for a voice in your own healthcare, looking for someone who thoroughly understands medications and wants to be listened to very carefully. Contact me if you need someone who understands your anxiety and depression and is willing to comprehend your unique situation. Perhaps you are looking to make a change but don't know how to make the first step. Or perhaps you are tired of feeling a certain way but don't know how to articulate your feelings. Reach out!
Gay Allied
(206) 312-8323
Verified
Seattle, WA 98112
Telehealth
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Gay Allied
I partner with my patients because I believe the best healthcare decisions are made when both provider and patient work together. Reach out to me if you are looking for a voice in your own healthcare, looking for someone who thoroughly understands medications and wants to be listened to very carefully. Contact me if you need someone who understands your anxiety and depression and is willing to comprehend your unique situation. Perhaps you are looking to make a change but don't know how to make the first step. Or perhaps you are tired of feeling a certain way but don't know how to articulate your feelings. Reach out!
Psychiatrist, MD
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Seattle, WA 98112
My practice is oriented towards long-term insight-oriented psychotherapy with children, adolescents, and adults, sometimes including medication management as part of an overall treatment plan. I seek to provide non-critical, empathic, and respectful listening which will enable my patients to feel safe as we explore together the sources of their distress. As a person achieves greater self-understanding, greater self-acceptance and compassion towards oneself becomes possible, and this helps relieve suffering and affords greater personal freedom to become one's authentic self.
Gay Allied
(206) 745-4453
Verified
Seattle, WA 98112
Gay Allied
My practice is oriented towards long-term insight-oriented psychotherapy with children, adolescents, and adults, sometimes including medication management as part of an overall treatment plan. I seek to provide non-critical, empathic, and respectful listening which will enable my patients to feel safe as we explore together the sources of their distress. As a person achieves greater self-understanding, greater self-acceptance and compassion towards oneself becomes possible, and this helps relieve suffering and affords greater personal freedom to become one's authentic self.
Psychiatric Nurse Practitioner, PMHNP
Verified by Psychology Today
Verified
|
Video
Seattle, WA 98133
Domenique Edwards is board-certified as a Psychiatric-Mental Health Nurse Practitioner and specializes in both pediatric and adult psychiatry across diagnoses including (but not limited to) ADHD, depression, OCD, anxiety, complex PTSD, bipolar, and schizophrenia. Domenique earned her Master of Science in Nursing degree from Vanderbilt University School of Nursing – currently ranked the #1 nurse practitioner program for psychiatry. Domenique also earned her Bachelor of Arts degree in Psychology, Summa Cum Laude, from Vanderbilt University in Nashville, TN.
Gay Allied
(206) 339-4164
Verified
Seattle, WA 98133
Telehealth
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Gay Allied
Domenique Edwards is board-certified as a Psychiatric-Mental Health Nurse Practitioner and specializes in both pediatric and adult psychiatry across diagnoses including (but not limited to) ADHD, depression, OCD, anxiety, complex PTSD, bipolar, and schizophrenia. Domenique earned her Master of Science in Nursing degree from Vanderbilt University School of Nursing – currently ranked the #1 nurse practitioner program for psychiatry. Domenique also earned her Bachelor of Arts degree in Psychology, Summa Cum Laude, from Vanderbilt University in Nashville, TN.
Photo of Birchwood Telepsychiatry, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, PMHNP
Verified by Psychology Today
Verified
|
Video
Seattle, WA 98101
Much like FaceTime or Skype, we handle our appointments via a secure telehealth platform. Your appointment will be a face to face appointment from anywhere you choose! We use the latest technology to make your appointment convenient, discreet, and all about you! With a simple click of a link you will be connected with your provider and have a 'regular' appointment. We value your time and eliminate commutes & waiting rooms. You can participate from anywhere you feel comfortable. This leaves you with more time to focus on what's really important - YOU! Offering evening & weekend appointments!
Gay Allied
(509) 385-0318
Verified
Seattle, WA 98101
Telehealth
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Gay Allied
Much like FaceTime or Skype, we handle our appointments via a secure telehealth platform. Your appointment will be a face to face appointment from anywhere you choose! We use the latest technology to make your appointment convenient, discreet, and all about you! With a simple click of a link you will be connected with your provider and have a 'regular' appointment. We value your time and eliminate commutes & waiting rooms. You can participate from anywhere you feel comfortable. This leaves you with more time to focus on what's really important - YOU! Offering evening & weekend appointments!
Photo of Nathan Schmidt, Psychiatric Nurse Practitioner
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Verified by Psychology Today
Verified
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Seattle, WA 98102
Trauma/trans-generational trauma is at the root of much of our suffering. We often develop maladaptive coping strategies and enact the same repeated dysfunctional patterns unconsciously until our insight and awareness increases. I work with clients who are ready for deep physical, spiritual and psychological transformation. My clients have tried multiple medication cocktails, endless hours of psychotherapy, and are still struggling with severe emotional distress. They are tired of the biochemical model (medication only-bandaids on bullet wounds approach) and wish to be treated holistically to meet their individual needs.
Gay Allied
(206) 785-1931
Verified
Seattle, WA 98102
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Gay Allied
Trauma/trans-generational trauma is at the root of much of our suffering. We often develop maladaptive coping strategies and enact the same repeated dysfunctional patterns unconsciously until our insight and awareness increases. I work with clients who are ready for deep physical, spiritual and psychological transformation. My clients have tried multiple medication cocktails, endless hours of psychotherapy, and are still struggling with severe emotional distress. They are tired of the biochemical model (medication only-bandaids on bullet wounds approach) and wish to be treated holistically to meet their individual needs.
Photo of Michelle Zipperman, Psychiatrist
Psychiatrist, MD, MS
Verified by Psychology Today
Verified
|
Video
Seattle, WA 98103
Dr. Zipperman is a Board Certified Psychiatrist graduating from the University of Washington Psychiatry Residency and Loma Linda School of Medicine. Balanced Living Psychiatry is built on the understanding that happiness, peace of mind, and overall wellness is found at the intersection of healthy living, strong coping skills/ self-care, insight oriented therapy and when needed, psychiatric medications. Dr. Zipperman adopts the approach of integrative psychiatry, providing medication management and psychotherapy interventions but also building a team of providers for her patients including highly specialized psychotherapists, yoga/mindfulness/meditation teachers, Naturopathic Doctors, and the patient's own Primary Care Physicians.
Gay Allied
(206) 914-9254
Verified
Seattle, WA 98103
Telehealth
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Gay Allied
Dr. Zipperman is a Board Certified Psychiatrist graduating from the University of Washington Psychiatry Residency and Loma Linda School of Medicine. Balanced Living Psychiatry is built on the understanding that happiness, peace of mind, and overall wellness is found at the intersection of healthy living, strong coping skills/ self-care, insight oriented therapy and when needed, psychiatric medications. Dr. Zipperman adopts the approach of integrative psychiatry, providing medication management and psychotherapy interventions but also building a team of providers for her patients including highly specialized psychotherapists, yoga/mindfulness/meditation teachers, Naturopathic Doctors, and the patient's own Primary Care Physicians.

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Gay Allied Psychiatrists
Gay Allied Counseling in Seattle for Gay Clients

If you're gay or are looking for help with being gay in Seattle or for a Seattle gay psychiatrist, these professionals provide therapy for gays in Seattle and counseling for gays or gay clients. Not all those listed here are gay themselves. They are sensitive to the gay lifestyle in Seattle or Seattle homosexual life, including gay couples, gay marriage in Seattle, gay teens and gay parenting. Counseling may include LGBT Counseling in Seattle, LGBTQ or Seattle GLBT Counseling.

About Psychiatrists, meds and Psychiatric Nurses.

A Psychiatrist in Seattle is a qualified medical doctor who specializes in treating mental health issues and diagnosable disorders.

Seattle Psychiatrists differ from other mental health professionals in that they may prescribe medication as well as practice psychotherapy in treatment. Sometimes, Psychiatrists form part of a clinical team in which they will diagnose and prescribe, while psychologists or therapists provide the client's psychotherapy.

As part of a clinical assessment, Psychiatrists may conduct physical examinations, take blood tests, and order and interpret lab tests and brain image scans, such as CT scans, CAT Scans and MRIs.

The field of psychiatry in Seattle has many sub specialties including pediatric psychiatry (so check for Seattle child psychiatrists or adolescent psychiatrists in Seattle). Those who work with the elderly are called geriatric psychiatrists.

Other related sub specialties include cognition psychiatry, addiction psychiatry, psychosomatic, forensic, reproductive medicine specialties, psychopharmacology (certain states license Psychopharmacologists), psychiatric genetics, neuroimaging, and clinical neurophysiology.

Psychiatric nurse practitioners in Seattle, or mental health nurse practitioners, generally have a MS degree in nursing (MSN) and a number of years training to become certified. Psychiatric nurse practitioners are able to assess and diagnose mental health conditions and prescribe medication. Seattle Psychiatric nurse practitioners also have training that enables them to include psychotherapy with treatment.