Therapists answer…

How can teletherapy work? How can you provide care remotely?

Ragnar Scott
Ragnar Scott
Ragnar Scott, PMHNP-BC
Online & In-Person
Accepting New Clients
How can you provide care remotely?
I get it—life’s busy, and making it to an office isn’t always doable. That’s why I offer telehealth services. You can connect with me from wherever you’re most comfortable, whether that’s your living room or your favorite coffee spot. My approach is laid-back and down-to-earth—no confusing therapy talk, just real conversations about what you’re going through and how we can make things better.
Hey there! I’m Ragnar Scott, a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) specializing in substance use disorder (SUD) treatment and holistic mental health care. As the Associate Medical Director at Rose City Detox and the owner of LiveWell, LLC in Ridgefield, WA, I’m committed to delivering compassionate, patient-centered care that meets you where you are. My experience spans psychiatric, neurological, and substance use disorders, with a career path that has taken me to hospitals and healthcare settings across Oregon, Washington, Illinois, Georgia, Alabama, and Massachusetts. I’ve had the privilege of leading and educating healthcare teams in diverse environments, building a foundation of collaboration and support. If you're between 15 and 55 and facing challenges like ADHD, anxiety, depression, or life transitions, I’m here to help. I understand how overwhelming it can feel when you're balancing work, school, or relationships. My goal is to offer practical, no-nonsense strategies that make life feel more manageable, while helping you regain control of your well-being. My approach is straightforward, transparent, and supportive. I believe in fostering a welcoming environment where you feel safe to express your thoughts and concerns without the pressure of medical jargon. With telehealth as a core part of my practice, I make it convenient to connect when you need it most. Outside of work, you might find me enjoying the great outdoors with my loyal (and occasionally grumpy) German Shorthair, Buddy. I’m passionate about creating a balance between professional dedication and personal fulfillment, and I bring that philosophy into my practice. If you're looking for a down-to-earth approach to mental health and recovery, let's chat. Treatment Philosophy: I believe in providing compassionate, patient-centered care tailored to each individual. At LiveWell, I focus on holistic wellness, addressing mental health and substance use disorders with empathy and understanding. My approach emphasizes open communication and collaboration, fostering a trusting environment where you feel supported. Whether it’s recovery or maintaining well-being, I strive to empower you with practical, effective strategies for lasting wellness. Specialties & Conditions: • Mental Health • Psychiatry • Child Psychiatry • Psychotherapy • Addiction Medicine • Depression • Anxiety • Bipolar Disorders • ADHD • Addiction • PTSD • Insomnia • Relationship Issues • Mood Disorders • Panic Attacks • Substance Abuse • Pediatric Psychiatry • Substance Use Disorder • Grief and Loss • Counseling • Anxiety Disorders • Behavioral Issues • Substance Abuse Evaluation • Opioid Addiction • Alcohol Dependency • Detoxification Management • Behavioral Therapy • Prescription Drug Misuse • Relapse Prevention • Addiction Counseling • Withdrawal Symptoms • Co-occurring Disorders Treatment approach: • Existential • Substance Use Disorder Treatment • Cognitive Behavioral Therapy • Mindfulness-Based Techniques • Patient-Centered Care • Integrative Health Approaches In-network Insurance company: • Anthem • Aetna • Cigna • Blue Cross Blue Shield • Quest • Carelon
Dr. Tania Alaby-Varma, PsyD, HSP
Dr. Tania Alaby-Varma, PsyD, HSP
Licensed Clinical Psychologist | Serving 43 States
Online Therapy
Accepting New Clients
How can you provide care remotely?
I offer secure, face-to-face telehealth sessions by video from your phone or computer. Since COVID-19, many people have transitioned to online therapy—and we’ve learned it not only works, it often fits life better. You receive high-quality, evidence-based care without traffic or parking hassles, and you can settle in at home with what soothes you—your pets, a favorite blanket, a cup of tea. We’ll use a HIPAA-compliant platform, simple setup guidance, and (when helpful) interactive tools, so sessions feel private, comfortable, and effective. For many, this format increases consistency, reduces stress, and keeps support accessible during busy weeks, travel, or bad weather. Please note that payment options include Aetna insurance for residents of FL, MD, NY, and TX, and Self-Pay in 42 states. Please note that Dr. Tania accepts all Aetna HMO and PPO plans in FL except CVS Health Aetna. For other insurances besides Aetna, services would be considered "Out-of-Network" (OON). The practice can provide a superbill for you to submit to your insurance company for possible reimbursement.
Welcome! I’m Dr. Tania, a passionate and skilled licensed clinical psychologist who provides personalized, knowledgeable, and compassionate mental health services. I weave together my strong clinical experience and my authentic presence with my patient’s desire to make a change, enabling lasting growth and healing to occur. I am an experienced clinician with a strong educational and training background. I have practiced in various settings, treating a broad spectrum of symptoms, concerns, and presentations. My experience and knowledge are well integrated with connection, relationships, and my genuine caring presence.  I am an independently practicing licensed clinical psychologist in Florida (license #PY12013), New York (license # 026156-01), Maryland (license #06995), and Texas (license #40010 ). In addition, I hold a PSYPACT license (APIT #15089), which is an interstate compact designed to facilitate the practice of telepsychology & telehealth across state boundaries, allowing me to work with individuals who reside in 42+ states across the United States. I offer telehealth services for individuals in the following states: AL, AZ, AR, CO, CT, DC, DE, FL, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MO, NE, NV, NH, NJ, NC, OH, OK, PA, RI, SC, TN, TX, UT, VA, WA, WV, WI, WY. I see all patients exclusively via telehealth at this time.  I am dedicated to helping my patients develop a deeper understanding of themselves, their relationships, and their strengths and helping them understand and discover what drives their actions and behaviors. I take pride in providing high-quality, compassionate, empirically-based care rooted in my extensive doctoral education and extensive ongoing professional development.  Services Offered My experience has equipped me to provide an array of mental health services tailored to meet each individual’s unique needs. These services include individual therapy, couples therapy, psychological assessments—specializing in ADHD—vocational and career assessments, as well as sports psychology and performance enhancement for high-performers, including C-Suite executives, athletes, artists, and medical professionals.   Individual Therapy: I work with adults and adolescents experiencing various challenges, such as anxiety, depression, trauma, PTSD, phobias, eating disorders, body image issues, internet and social media addictions, relationship and interpersonal difficulties, obsessions, compulsions, perfectionism, burnout, insomnia, and other psychological presentations within the human experience. I also support individuals navigating life transitions, communication challenges, attachment difficulties, relational concerns, and complex family dynamics. Services are rooted in evidence-based approaches and treatment is infused with compassion and care. Couples Therapy: As a therapist trained in Gottman Method Couples Therapy Levels 1 and 2, I offer couples therapy grounded in the most comprehensive, evidence-based approach available today. Psychological Assessments: I provide a wide range of psychological testing and assessments, including comprehensive ADHD/ADD evaluations, documentation for LSAT/MCAT/GRE/SAT accommodations, diagnosis clarification, ESA letters, giftedness/IQ testing, assessments for academic concerns, and career/vocational evaluations. Please note that my practice does not prescribe psychotropic medications. However, I collaborate closely with psychiatrists and can provide referrals if needed.  My Theoretical Orientation I provide high-quality mental health services that are both scientifically grounded and deeply compassionate, fostering a friendly, accepting, and inclusive environment for all patients. My extensive training spans various therapeutic approaches, including psychodynamic and psychoanalytic psychotherapy, as well as cognitive-behavioral treatments like Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), Mindfulness-Based CBT (MB-CBT), Trauma-Focused CBT (TF-CBT), and manualized treatments for insomnia, phobias, and PTSD. I also enjoy incorporating Positive Psychology, Interpersonal/Relational Therapy, Existential-Humanistic Therapy, and Motivational Interviewing to support meaningful change. I approach mental health from a holistic perspective, recognizing the interconnectedness of mental, emotional, physical, and spiritual facets. I am committed to providing a compassionate listening space where you are invited to reflect and explore yourself, understanding your deepest challenges and strengths. Through patient listening, reflecting, shared inquiry, and various evidence based interventions, I strive to help you become more aware of your patterns and thoughts, fostering greater self-understanding and clarity. My goal is to support you in making meaningful and skillful choices that align with your true self.  My Therapeutic Style My approach to mental health, in general, is characterized by an accepting and caring environment that is collaborative in nature. I am authentic, down-to-earth, intentional, and spontaneous in session, which lends itself to a truly collaborative and growth-promoting experience. Therapy with me is a collaborative, action-oriented process providing you the opportunity to foster new perspectives, discover your inherent worth, tap into your inner resources, and develop your capacity for resilience and new skills. I enjoy working from a holistic yet evidence-based approach.  I show up authentically for each patient, and I value transparency and provide my full presence. Patients who work with me can expect to explore feelings, beliefs, and behaviors, understand memories, process destructive relationships, and identify dysfunction, which will lead to a better understanding of themselves and others. During therapy, there is an ongoing effort to develop effective coping skills, decrease emotional distress, improve functioning, and resolve symptoms and problems. Each therapy session is a balance of meeting your present needs and long-term goals. Collaboratively, we will deepen your understanding of yourself your reactions to various emotions and, increase your psychological flexibility and create new perspectives.  My Wishes for You I wish you a life full of love, happiness, fulfillment and health. I am committed to helping you build and find it! It is my greatest honor to accompany my patients on their journey toward deeper self-awareness, growth, the emergence from suffering while becoming a meaningful part of my patient’s lives. Warmly, Dr. Tania