Services & Focus Areas

The content on this site is for informational purposes only and is not medical advice. If you're experiencing a crisis, call 911, go to the nearest emergency room, or contact the Crisis Lifeline by dialing or texting 988.

Cedar & Sage Mental Health provides outpatient psychiatric evaluation, diagnosis, and medication management services for adolescents and adults in South Puget Sound, WA —online.

**We do not dispense or sell prescription medications. All prescriptions are transmitted to a licensed pharmacy for fulfillment.

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Psychiatric Evaluations

  • Comprehensive mental health assessments to better understand current symptoms, history, and goals. These evaluations form the foundation of a personalized care plan.

    • Provides Documentation for Services
      A written evaluation can be used to access accommodations at school or work (like for ADHD or anxiety), or to apply for disability support when appropriate.

    • Getting Clarity on Symptoms
      Helps make sense of things like anxiety, depression, mood swings, trouble focusing, or changes in behavior or sleep.

    • Identifying a Diagnosis
      Provides insight into whether symptoms may align with a specific mental health condition — such as ADHD, depression, PTSD, or bipolar disorder.

    • Creating a Treatment Plan
      Lays the foundation for what kind of care might be most helpful — including therapy, medication, lifestyle changes, or a combination.

    • Medication Consideration
      Helps determine if medication could be beneficial and which type might be most appropriate based on symptoms, history, and goals.

    • Getting Support for Life Changes
      Offers guidance during transitions like starting college, postpartum periods, career shifts, or after a traumatic experience.

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Mind-Body Connection & Stress Reduction

  • Integrative approaches such as breathwork, mindfulness, and nervous system regulation techniques to reduce stress and support emotional balance.

    • Reduces Physical Symptoms of Stress
      Practices like breathwork and grounding can help calm a racing heart, ease muscle tension, and reduce headaches or stomach discomfort.

    • Improves Emotional Balance
      Learning how to tune into body signals makes it easier to recognize when stress is building and take steps to manage it before it escalates.

    • Supports Better Sleep
      Mind-body techniques can help relax the nervous system at night, making it easier to fall and stay asleep.

    • Helps with Anxiety and Panic
      Tools like guided breathing or progressive muscle relaxation can interrupt anxious thought loops and reduce the intensity of panic symptoms.

    • Encourages Present-Moment Awareness
      Mindfulness practices support focus, reduce rumination, and help with feeling more grounded in everyday life.

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Medication Management

  • Careful prescribing and ongoing monitoring of psychiatric medications, with a focus on safety, comfort, and effectiveness. Adjustments are made based on individual needs, preferences, and responses over time.

    • Reduces Symptoms
      Psychiatric medications can reduce symptoms like anxiety, depression, irritability, or trouble concentrating — making daily life feel more manageable.

    • Stabilizes Mood
      For people with mood disorders like bipolar disorder, medication can help prevent extreme highs and lows, leading to more emotional balance.

    • Improves Sleep & Energy
      Some medications can help regulate sleep patterns and improve daytime energy, which are essential for emotional health and functioning.

    • Supports Focus and Attention
      For conditions like ADHD, the right medication can significantly improve focus, organization, and impulse control — at work, school, or home.

    • Helps Therapy Work Better
      When symptoms are more manageable, people often find it easier to engage in therapy, practice coping skills, and work toward their goals.

    • Monitors for Side Effects and Safety
      Ongoing medication management ensures the medication remains safe and effective over time — adjusting doses or trying alternatives if side effects occur.

    • Tailored to the Individual
      Medication plans are personalized, taking into account lifestyle, health history, and personal goals — not just a "one-size-fits-all" approach.

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Psychoeducation & Wellness Coaching

  • Practical tools, education, and strategies to better understand mental health, build resilience, and support day-to-day functioning and long-term goals.

    • Increases Understanding of Mental Health Conditions
      Learning how depression, anxiety, or ADHD work helps reduce fear and creates a clearer path toward managing symptoms.

    • Teaches Practical Life Skills
      Coaching provides strategies for setting boundaries, managing time, and improving sleep, all of which support mental wellness.

    • Builds Confidence and Self-Awareness
      Understanding patterns of thought, behavior, and emotion can increase self-trust and emotional insight.

    • Supports Habit Change
      Helps identify small, realistic steps toward healthier routines — like movement, nutrition, or stress management.

    • Encourages Progress Toward Goals
      Coaching sessions provide accountability and encouragement to move toward personal, relational, or career-related goals.

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Psychiatric Nutrition Consult

  • Exploration of how nutrition, gut health, and lifestyle factors impact mood, energy, and focus. Evidence-based recommendations are offered to support overall mental wellness.

    • Supports Mood Stability
      Nutrients like omega-3s, B-vitamins, and iron play a role in mood regulation — and a balanced diet can help reduce irritability or low mood.

    • Improves Focus and Energy
      Eating consistent meals with the right balance of protein, fiber, and healthy fats can prevent energy crashes and brain fog.

    • Reduces Anxiety Through Blood Sugar Balance
      Avoiding sugar spikes and crashes can help reduce anxious feelings, jitteriness, or sudden mood swings.

    • Addresses Gut-Brain Health
      Improving gut health through diet can positively impact mental health, especially for those experiencing inflammation or digestive symptoms alongside mood concerns.

    • Manages Medication Side Effects
      Offers strategies to deal with changes in appetite, cravings, or weight fluctuations that can occur with certain psychiatric medications.

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Supportive Therapy & Brief Psychotherapy

  • Short-term, goal-oriented therapy within medication visits. Space is provided for reflection, emotional support, and working through challenges in a safe and nonjudgmental setting.

    • Provides Emotional Support During Stressful Times
      Short therapy check-ins offer space to talk through challenges and feel seen, especially during life transitions or high-stress periods.

    • Helps Identify and Shift Thought Patterns
      Brief psychotherapy can help recognize unhelpful thoughts and replace them with more balanced, supportive ones.

    • Improves Coping Skills
      Offers tools to manage difficult emotions, reduce reactivity, and handle everyday stress more effectively.

    • Builds Insight into Relationships and Triggers
      Therapy helps uncover patterns in relationships, communication, or emotional responses, leading to greater self-awareness.

    • Supports Mental Health Between Therapy Sessions
      For those already in weekly therapy elsewhere, brief check-ins can reinforce progress and provide extra support with medications or symptom management.

Conditions Not Treated

Cedar & Sage Mental Health does not provide emergency or crisis services, inpatient or detox care, intensive substance use treatment, or management of acutely suicidal, violent, or unstable patients. We also do not offer detoxification, methadone or buprenorphine/Suboxone treatment, court-ordered or forensic evaluations, custody or disability/FMLA exams (unless arranged in advance), fitness-for-duty assessments, or expert testimony. Conditions requiring a higher level of care—such as untreated psychosis, recent manic hospitalization, active eating disorders, or dementia requiring neurocognitive testing—will be referred to appropriate specialists. We do not prescribe opioids or pain medications, do not provide long-term benzodiazepines for chronic anxiety, and do not replace lost or stolen controlled substances. Additionally, we do not perform physical exams, collect labs or genetic testing samples in-office, or provide imaging, though we may order these services externally as needed.

Focus Areas

  • Persistent worry, panic, racing thoughts, or feeling “on edge” can be overwhelming. Treatment can help reduce anxiety and bring a sense of calm and clarity.

  • Feeling down, unmotivated, or disconnected can affect daily life and relationships. Care focuses on understanding the root causes and building a path toward relief and reconnection.

  • Support is also available for grief, identity shifts, career stress, and other life changes that bring up emotional challenges or adjustment difficulties.

  • Episodes of eating large amounts of food—often in secret, beyond fullness, and followed by guilt—can feel overwhelming and hard to control. Medication management can help reduce urges, regulate appetite, and address underlying mood or anxiety patterns. Treatment is supportive, nonjudgmental, and focused on healing both mind and body.

  • Whether it’s difficulty concentrating, restlessness, or feeling disorganized, support is available for managing symptoms and improving day-to-day functioning.

  • Support is offered for those coping with the effects of past trauma, including emotional distress, triggers, or a sense of disconnection from self or others.

  • The teen years can bring emotional ups and downs, identity shifts, and stress that impact daily life. Medication management can support adolescents by targeting mood, anxiety, attention, or sleep concerns—helping them feel more regulated and able to thrive. Treatment is personalized, collaborative, and grounded in evidence-based care.

  • When your mind gets stuck in loops—unwanted thoughts, doubts, or routines you feel you have to do—it can be exhausting and isolating. Medication management can help quiet the mental noise, reduce compulsive patterns, and create space for more peace and presence. Care is personalized, stigma-free, and centered around your lived experience.

  • Trouble falling asleep, staying asleep, or feeling rested can often be linked to mental health. Treatment may include strategies and tools to restore better rest and balance.

  • Fluctuations in mood, energy, or behavior can impact relationships and daily stability. Care is focused on understanding these patterns and finding tools for support.

  • Life transitions, hormonal shifts, and the mental load of caregiving can weigh heavily on women’s mental health. Medication management can provide relief from anxiety, depression, mood instability, and more—supporting women to feel more balanced, focused, and resilient. Care is tailored to your unique biology, needs, and goals.

  • Animals can offer powerful emotional grounding, comfort, and connection—especially for those navigating anxiety, trauma, or other mental health conditions. I offer comprehensive evaluations and, when appropriate, provide documentation to support housing accommodations or psychiatric service animal needs. Letters are written with care, clinical integrity, and respect for the human-animal bond.