Out-of-Pocket Therapists in Washington

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

I’m Thomas R. Yarber, a Psychiatric Mental Health Nurse Practitioner in Dupont, WA, with 40+ years of dedicated experience in mental health. I specialize in providing compassionate and effective care through psychiatric evaluations, medication management, and supportive therapy for individuals. My diverse experience includes both outpatient and inpatient settings, with a focus on substance abuse treatment, depression, PTSD, and more. I have served first responders—police officers, firefighters, EMTs, and crime victims—and have provided essential care to incarcerated individuals facing severe mental health challenges. As a retired US Army Colonel, I developed and implemented a drug and alcohol Residential Treatment program and delivered psychiatric care during multiple combat deployments internationally. I hold a Post-Master's FNP Certificate, a Master’s in Psychiatric Nursing, and a Professional Nursing Diploma. I am certified as a Psychiatric Mental Health Nurse Practitioner, Family Nurse Practitioner, and Adult Psychiatric Clinical Nurse Specialist. I am dedicated to helping my patients achieve optimal mental health in a supportive and understanding environment. Let’s work together for your better mental health. *Specialties •Mental Health *Conditions treated •Depression •Anxiety •Bipolar disorders •Schizophrenia •PTSD •ADHD •Eating disorders •Addiction •Stress •OCD •Substance Use •Family Issues •Relationship Issues •Cultural & Ethnic Issues •Sleep disorder •Grief *Treatment philosophy I believe that a thorough evaluation with patients is necessary. My goal is to discuss your goals and what part psychiatric medications play a part in your treatment and recovery. My treatment philosophy focuses on the development of a positive therapeutic relationship with you and provide a detailed explanation why medications may help you. *Treatment approach •Culturally Sensitive •Eclectic •Trauma-Focused •Person-Focused •Cognitive Processing (CPT) •Motivational Interviewing •Cognitive Behavioral (CBT) •Solution Focused Brief (SFBT) *Practice description Working in mental health for over 40 years allowed me to provide care in a variety of settings. I am a retired Army Nurse, 28 years on active duty, and this allowed me the opportunity to work in a variety of outpatient and inpatient settings. I provide treatment in the following areas: Depression, Anxiety, Post-traumatic stress disorder, Adjustment disorders, and serious mental illness. *Insurance •Aetna •Blue Cross Blue Shield •Ambetter •Oscar Health •Cigna •UnitedHealthcare •Oxford •Blue Cross Blue Shield of Massachusetts

I work with people to help them find the solutions and answers to the questions and concerns they bring to therapy. I believe we are the experts in our own experiences, and that you know yourself and your own path of healing and mental health better than anyone else. I am here to provide my expertise and presence as a guide to help you gain a deeper self-understanding, along with the confidence and tools to make the change you want to see in your life.

Greetings, I’m Dr. Nancy Gaines-Dillard, a compassionate and well-qualified healthcare provider dedicated to helping you live your best life now. With a deep passion for holistic wellness, I combine traditional and alternative treatment modalities to address your health and mental wellness needs. My specialties include weight loss, health prevention, and maintenance, empowering individuals to take charge of their well-being. I believe in a personalized approach to care, fostering strong patient relationships that improve outcomes and enhance overall quality of life. My practice philosophy centers on the mind-body-spirit connection, ensuring that every aspect of your well-being is addressed. Together, we will work to create a plan tailored to your unique needs, helping you achieve optimal health. At the core of my practice is the belief that self-care is priceless, and I strive to educate, advocate, and heal one person at a time. I am proud to pioneer innovative and integrative care, making a lasting impact on the lives of my patients. Whether you are seeking support for weight loss, preventive health strategies, or mental wellness, I am here to guide you every step of the way. Let’s work together to unlock your fullest potential and help you live your best life now—because NG truly cares about you! Treatment Philosophy: My treatment philosophy is simple: Live your best life now, because self-care is priceless. I take a holistic approach that integrates mind, body, and spirit, ensuring your care is personalized to your unique needs. By blending traditional and alternative treatments, I empower you to achieve optimal wellness and a balanced lifestyle. Together, we’ll create a plan that fosters healing, growth, and prevention, guiding you to unlock your potential and embrace a healthier, happier life.

Hello! I'm Florence Fadele, your dedicated Family Nurse Practitioner with a heart for community health. With a rich background in education, including a doctorate in Nursing Practice, I bring over 15 years of experience to the table. My journey began with a strong foundation in nursing and education from prestigious institutions, culminating in a Master's in Education for Guidance and Counseling. Since then, I've been privileged to serve diverse communities across various healthcare settings—from hospitals to clinics and even within the correctional system. Currently, I'm proud to be part of the caring team at Valley View Health Center, where every day is an opportunity to make a positive impact on someone's life. As a board-certified Family Nurse Practitioner, I am deeply committed to providing you with compassionate and comprehensive care. Whether it's managing chronic conditions or offering preventative health advice, my goal is to ensure you feel heard, understood, and valued. Throughout my career, I've been recognized for my dedication to nursing excellence and patient care. But beyond the accolades, what truly matters to me is your health and well-being. So let's work together towards a healthier you! Treatment philosophy: I believe that balancing body, mind and spirit helps in restoring health to normal state . My goal is to apply professional knowledge to address physical and emotional concerns and to evaluate restoration of health back to normal state. The purpose of the practice is to ensure that patients feel their health concerns was attended to and that follow up appointment or feedback resulted in a satisfied condition of health. Specialties: Allergies Asthma Common cold Diarrhea Family Medicine Fever Headaches Hypertension Medication administration Nursing Pain Management Patient education Pediatrics Routine check-up Skin rash Sore throat Weight Loss

Hello! I'm Michelle Khoshkhou, a dedicated Psychiatric-Mental Health Nurse Practitioner providing telehealth services across Washington state. With extensive RN experience in both psychiatric and critical care settings, I am committed to enhancing the well-being of my patients through comprehensive care and collaboration. Throughout my career, I have honed my skills in conducting thorough psychiatric assessments, developing evidence-based treatment plans, and providing personalized therapy, both individually and in groups. My background in emergency care equips me to handle complex cases with compassion and expertise. I’ve worked alongside a fantastic team of emergency physicians, psychiatrists, social workers, case managers, and behavioral health assistants. Together, we strive to ensure every patient receives the best possible care. I am passionate about mental health advocacy and am dedicated to educating patients and families. With credentials from Herzing University and Dalton State College, I'm committed to lifelong learning and staying updated on the latest in mental health care. When not at work, I enjoy hiking with my dogs and reading fantasy novels. Let’s work together for a healthier future! *Specialties •Adult Psychiatry •Psychiatry *Conditions treated •Depression •Anxiety •Bipolar disorders •PTSD •OCD •Substance Use •Addiction •ADD/ADHD •Eating Disorders •Sleep disorder •Family Issues •LGBTQIA+ •Stress •Cultural & Ethnic Issues •Grief •Loss •Relationship Issues •Women's Issues •Identity Issues •Trauma •Chronic Conditions *Treatment philosophy My treatment philosophy is centered around compassion and collaboration. I believe every patient deserves personalized care that respects their unique experiences. I engage openly with my patients, ensuring they feel heard and understood. My approach combines thorough assessments and evidence-based strategies to build tailored treatment plans. With a combination of medication management and therapy, I aim to create a supportive environment that encourages healing and growth. My commitment is to empower patients on their journey to wellness, advocating for their needs every step of the way. *Treatment approach •Individual and Group Therapy Sessions •Crisis Intervention & De-escalation Skills •Evidence-Based Treatment Planning •Medication Management & Monitoring •Holistic Approach to Mental Health •Collaborative Multidisciplinary Care •Trauma-Informed Care Practices •Patient Advocacy & Education Efforts •Culturally Sensitive •Emotionally Focused •Strength-Based •Positive Psychology •Motivational Interviewing •Brief Dynamic •Mindfulness-Based (MBCT) •Interpersonal •Gottman Method •Behavior Modification •Solution Focused Brief (SFBT) •Cognitive Behavioral (CBT) *Practice description Michelle Khoshkhou is a dedicated Board-Certified Psychiatric-Mental Health Nurse Practitioner serving the state of Washington. With a strong background in psychiatric and critical care, she excels in providing compassionate care to individuals aged across the lifespan facing mental health challenges like depression, anxiety, trauma, and substance use disorders. Michelle specializes in creating personalized treatment plans and manages medication alongside providing psychotherapy. She advocates for her patients and ensures optimal care during every step. With education, training, and certification as a Nurse Practitioner in psychiatric care, she is committed to helping others find their path to recovery. *Insurance •Aetna •Cigna •Blue Cross Blue Shield of Massachusetts •Banner Health •Gilsbar •Government Employees Health Association (GEHA) •John Hopkins Healthcare •Marpai •Meritain Health •PreferredOne •Surest •Wellfleet

Hello! I'm a dedicated Psychiatric Mental Health Nurse Practitioner with a passion for helping individuals navigate their mental health journey. With several years of experience in telehealth, I specialize in providing mental health services such as crisis management, medication management, and motivational therapy, especially for those dealing with ADHD and PTSD. I value working closely with patients from diverse cultural and socioeconomic backgrounds, ensuring that everyone receives compassionate and culturally competent care. By collaborating with multidisciplinary teams, I tailor treatment plans to meet each patient's unique needs. Whether providing remote psychiatric consultations or in-person care, I strive to make mental health support accessible and continuous. With a strong foundation in technology, I integrate it into healthcare settings to enhance patient care and outcomes. I’m committed to fostering supportive environments that empower patients throughout their treatment journey. Let's work together to achieve your mental wellness goals! Specialties Mental Health Psychiatry Medication Management Conditions Treated Depression Anxiety PTSD ADHD Panic attacks Trauma Bipolar disorders Career Counseling Chronic Conditions Coping Skills Cultural & Ethnic Issues Domestic Abuse Family Conflict Internet Addiction LGBTQ+ Life Coaching Maternal Mental Health Mood Disorders Obesity Obsessive-Compulsive (OCD) Peer Relationships Racial Identity School Issues Self Esteem Sleep or Insomnia Sports Performance Stress Transgender Weight Loss Women's Issues Practice Description At our practice, we prioritize your mental health with compassionate, culturally competent care. Our Psychiatric Mental Health Nurse Practitioner specializes in treating diverse patient populations with a focus on ADHD and PTSD. With over three years of telehealth experience, we make mental health services accessible and convenient for you. We perform thorough assessments and craft personalized treatment plans tailored to your unique needs. Our expertise in medication management ensures you receive the best care possible. We collaborate with a multidisciplinary team to foster strong relationships and support your journey towards wellness. Let’s work together to enhance your mental well-being in a welcoming, judgment-free environment. Treatment Philosophy My treatment philosophy centers around compassionate, patient-centered care. I believe in fostering strong, collaborative relationships with my patients, promoting open communication in a judgment-free environment. I focus on providing culturally competent services tailored to diverse backgrounds and unique needs. Through evidence-based practices and personalized treatment plans, I aim to empower my patients on their mental health journeys. Whether through telehealth or in-person sessions, I ensure accessibility and support. I prioritize education, guiding patients in understanding their conditions and treatment options. Together, we can navigate the path to healing and improved well-being. Treatment Approach Culturally Competent Care Crisis Intervention Strategies Psychotropic Medication Management Motivational Psychotherapy Telehealth Services Delivery Collaborative Care Models Psychoeducation for Patients Evidence-Based Interventions Individualized Treatment Plans Holistic Treatment Approach Coaching Cognitive Behavioral (CBT) Cognitive Testing Multicultural Trauma Focused Cognitive Behavioral (CBT) Solution Focused Brief (SFBT) Motivational Interviewing Behavior Modification

Hi, I'm Annika Alvarez, a dedicated healthcare professional passionate about providing top-notch mental health, family care, and weight loss support. As both a Psychiatric Mental Health Nurse Practitioner (PMHNP) and a Family Nurse Practitioner (FNP), I am committed to helping you achieve your health goals. At Clarvida Catalyst, I create personalized care plans tailored to each patient's needs. I am proud to have achieved 100% compliance in treating serious mental health issues through targeted protocols and thorough follow-ups. My goal is to provide individualized and compassionate care for everyone. I hold a Post-Master's Certificate in Psychiatric Mental Health Nursing and a Master's Degree in Nursing-FNP from Purdue University Global. Additionally, I earned a Bachelor’s Degree in Nursing from Chamberlain College of Nursing and an Associate Degree in Nursing from Ivy Tech Junior College. I am certified and licensed across multiple states, ensuring that I can offer the highest quality of care wherever you are. I am currently unable to prescribe controlled medication in Oregon. Outside of work, I love staying up-to-date with the latest medical advancements and spending quality time with my family. I'm here to support your health journey and help you feel your best. Reach out anytime; I’m just a call or email away! TREATMENT PHILOSOPHY: I like to meet patients where they are and find out where it is they want to go. There is no one solution for everyone, and I love the challenge of making the puzzle pieces fit together. Mental and physical health are directly linked, and so too is my treatment philosophy.