Expert psychiatric care and medication management
At Sequim Counseling, we recognize that true healing takes a unique form for each individual. For some, it may include therapy alone. For others, psychiatric support and medication can be a valuable part of their journey. That’s why we offer holistic psychiatric care—including evaluations, diagnoses, and medication management—delivered with compassion, expertise, and respect for your whole self.
What is psychiatric medication management?
Medication management is a collaborative process between you and a psychiatric provider to determine whether medication might help you manage symptoms of anxiety, depression, trauma, ADHD, or other mental health conditions.
Our psychiatric mental health nurse practitioners (PMHNP) provide thoughtful, individualized care that includes evaluation, diagnosis, and ongoing support to ensure medications are safe, effective, and aligned with your goals. We will work with you to tweak your prescriptions to deliver maximum relief with minimum side effects.
Medication isn’t a one-size-fits-all solution—it’s one piece of a larger healing process. We’re here to guide you through it, every step of the way.
What We Help With
We offer psychiatric evaluations and medication management for psychiatric medications. Get optimal support for a range of mental health challenges, including:
Anxiety
Depression
Bipolar Disorder
PTSD
ADHD
OCD
Panic Attacks
Adjustment Issues
Other mood or thought-related conditions
We also support clients who are unsure whether their current medications are right for them and want a professional, pressure-free space to explore options.
Our Process: What to Expect
We take a clear, collaborative approach to psychiatric care:
Initial Assessment
We start with a comprehensive psychiatric evaluation to understand your symptoms, history, and lifestyle. This helps us determine whether medication might be appropriate, and what other supports may be beneficial.
Personalized Care Plan
If medication is recommended, we’ll explain your options, answer your questions, and create a treatment plan designed around your needs.
Ongoing Follow-Up
You’ll receive regular check-ins to monitor how things are going, make adjustments as needed, and ensure that your care is always aligned with your progress and preferences.
Do I need medication to help achieve balance and focus?
If you’ve been struggling with mental health symptoms and wondering if medication might help, you’re not alone. Medication management can be especially helpful when:
Therapy alone hasn’t been enough
Symptoms interfere with daily life or relationships
You want to understand your diagnosis more clearly
- You want to reduce or eliminate the side effects that you experience from psychiatric medication
You’ve tried medications in the past but want a fresh start with expert guidance
You may already be on medication, but unsure if it’s the best fit. A psychiatric evaluation can help determine whether your current regimen is truly working for you—or if adjustments might help you feel better.
We’ll help you explore these questions in a supportive, no-pressure environment.
How psychotropic medications work
Psychotropic medications affect the brain’s chemistry and can help regulate mood, focus, anxiety, or sleep. They don’t “fix” everything, but they can ease symptoms enough to allow healing to begin—especially when combined with therapy and lifestyle support.
We offer education, monitoring, and collaboration so that any medication you take is part of a balanced and intentional plan.
Why Specialty Care Matters
While many people receive psychiatric prescriptions from their primary care doctor, most PCPs don’t have advanced training in mental health medications. Our providers are psychiatric nurse practitioners—experts in mental health diagnosis and medication. They’re specifically trained to help clients find the most effective treatment with fewer side effects.
Psychiatric medication can help
Medication can:
Reduce anxiety, panic, or obsessive thoughts
Stabilize mood swings or depressive episodes
Improve concentration and focus
Support sleep and appetite regulation
Help you regain emotional balance and daily functioning
Our role is to ensure the medication you’re taking is the right fit for you—nothing more, nothing less.
Psychiatry or therapy? What’s the difference?
| Psychiatry | Therapy |
|---|---|
| Focuses on diagnosing mental health conditions and prescribing medication | Focuses on processing thoughts, emotions, and experiences |
| Uses tools like evaluations and medication | Uses tools like talk therapy, CBT, EMDR, and relationship work |
| Typically shorter, more structured check-ins | Typically longer sessions with ongoing exploration |
| Can support therapy or stand alone | Can be complemented by psychiatric support when needed |
Evidence shows both approaches work best when they support each other.
Looking Beyond Medication
Our providers don’t just focus on prescriptions. We consider how sleep, diet, movement, supplements, and stress patterns all impact your mental health. Our psychiatric nurse practitioners are trained to support you with this broader, whole-person lens.
Ready to learn more?
If you’re interested in psychiatric support, we’re here to walk with you. Whether you’re exploring medication for the first time or seeking better management of an existing plan, we’re ready to help. Reach out now.