Psychiatry and primary care built like a good expedition: a skilled guide, honest maps, and steady progress through hard terrain. Telehealth for all of Washington State.
New patients welcome. The Field Rate: first responders, healthcare workers, and outdoor professionals always pay less.
Backcountry Mental Health was founded on a love for the outdoors and a simple belief: real growth often happens outside your comfort zone.
The backcountry demands respect. People who go prepared, with a skilled guide, the right tools, and honest knowledge of the terrain, go farther and come back safer. We bring that same philosophy to care. A good provider does not clear the path for you. We help you read the map, build your skills, and move through difficult terrain with confidence.
A board certified psychiatric nurse practitioner and lifelong backcountry traveler. Kyle founded the practice to bring honest, practical psychiatric care to people across Washington.
A board certified primary care nurse practitioner. Abby practices primary care through a metabolic lens: labwork, nutrition, movement, sleep, and chronic condition management, built on the belief that mental and physical health coexist.
All visits by secure video, anywhere in Washington State.
Psychiatric evaluation and medication care grounded in current evidence, with a plan you help build.
Individual therapy including CBT, DBT, and trauma focused care.
Lab ordering and review are included with intakes and medication management. Take our order to the lab of your choice, use your insurance, or pay cash rates through Fullscript. How labs work →
Primary care through a metabolic lens with Abby: metabolic health, nutrition, movement, and sleep, connected to your mental health care.
Comprehensive psychiatric care for acute and chronic conditions, built around your life and your goals.
Adolescence is a critical window for identity, one increasingly undermined by screens and social media. We help teens find their footing with tools that build real confidence.
Care for children built with parents, not around them. We create action plans together, including screen time resets that actually stick.
One practice that knows your whole household's story. After the first family member, everyone else gets our Family Rate. Your family's rate →
Firefighters, paramedics, law enforcement, military, and veterans carrying occupational trauma, hypervigilance, and the weight of service. Your rate →
Guides, ski patrol, rangers, instructors, trail crews, and everyone whose office is outside. Field Rate pricing, always. Your rate →
Answer three quick questions and we will point you to the right starting point. Nothing is saved or sent.
Three questions, thirty seconds
Pick a time below for your first visit. It books instantly, no phone tag.
Choose any open time on the calendar. You will get a confirmation email right away.
About 20 to 30 minutes, at least 24 hours before your visit. Start it here.
We meet on a secure video link. Payment is due at the time of your visit. See pricing.
Ask us anything before you book. No pressure, no obligation.
Serving all of Washington State by secure video.
We usually reply within 2 business days.
Not ready to book yet? Ask us anything.