Memory loss is only part of dementia. As the disease changes the brain, people can also experience agitation, anxiety, depression, sleep problems, suspicion, or confusion that gets worse in the evening. These changes are often the hardest part for families, and they're very treatable.
Our board-certified psychiatric providers help patients with dementia and cognitive decline, and the families who care for them, across Washington State.
Symptoms we can help with
- Agitation, irritability, or restlessness
- Depression, anxiety, or withdrawal
- Sleep problems or nighttime wandering
- Suspicion, paranoia, or seeing things that aren't there
- Behavior changes that make caregiving harder
Our approach
We start by looking for causes that can be fixed, like pain, infections, medication side effects, or poor sleep. Then we use practical strategies first and add medication carefully when it's needed, at the lowest dose that helps. Older adults can be sensitive to medications, so we review everything they take and follow up closely.
Family members and caregivers are a key part of care. With the patient's permission, we'll keep you informed and work with their primary care provider.
How care works with us
- Start with an evaluation. Your first visit is a full psychiatric evaluation, about an hour, by secure video or in person in Lakewood when available.
- Build a plan together. You'll hear what we think is going on, your options, and the reasoning behind any recommendation.
- Ongoing follow up. If medication is part of your plan, we monitor and adjust it through regular medication management visits.
- Work with your therapist. We don't provide therapy, but many of our patients see a therapist, and we're glad to coordinate with yours.
If you are in crisis or thinking about harming yourself, call or text 988 (Suicide and Crisis Lifeline) or call 911. We are an outpatient practice and can't provide emergency care.
Frequently asked questions
Do you diagnose dementia?
We focus on the psychiatric and behavioral symptoms of dementia. Diagnosis of the dementia itself often involves the patient's primary care provider or a neurologist, and we're happy to coordinate.
Can family members attend the visit?
Yes. With the patient's permission, family and caregivers are encouraged to join, in person or by video.
Do you see Medicare patients?
Yes. We accept Medicare and most major plans. See our accepted insurance.
Is telehealth possible for older adults?
Yes. A family member can help set up the video visit, and we'll keep it simple.
Ready to get started?
Book online in a few minutes, call us, or leave your details below and our team will call you to schedule. Telehealth anywhere in Washington State. Most major insurance accepted.
Request received.
Our team will reach out within one business day to get you scheduled.