Communication + pacing
Discuss written explanations, simpler instructions, extra processing time, pauses, or participation by an appropriate support person. We review your preferences together.
Disability + access + function
Care that considers
how you function.
Psychiatric symptoms can affect concentration, energy, communication, school, work, and everyday tasks. Your care should consider those realities.
A person within a life
Your experience
sets the context.
Disabilities can be visible, invisible, longstanding, or newly acquired. Trauma-related symptoms may coexist with chronic pain, medical illness, neurodivergence, mobility or sensory limitations. I assess how these experiences interact.
We identify the tasks becoming difficult, the supports already helping, and the changes you want to make. Clinical recommendations are individualized.
Ways we can
support access.
Sensory + mobility needs
Call before an office appointment to discuss building entry, steps, parking, seating, and sensory concerns. We clarify access rather than assuming the setting works for every person.
A suitable visit format
Telehealth may reduce travel when it fits your clinical needs, physical location, and payer requirements. Office appointments remain available by appointment in Chehalis.
Functional documentation
After evaluation, I may document clinically supported limitations, treatment needs, and accommodation recommendations. Bring the requested form, its purpose, and the deadline before planning a documentation visit.
Documentation has a defined purpose.
Workplace accommodations, leave requests, school supports, and disability-benefit determinations use different standards. We review the request, your clinical history, and the information needed. The receiving organization determines eligibility under its rules.
Clinical letters describe findings supported by assessment. Full neuropsychological testing, forensic evaluations, and permanent impairment ratings require the appropriate specialist.