If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.

Untangle. Reset. Reconnect.

Mental health support for those who go the distance

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.

The trail starts here
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Meet your guides

Rooted in the wild, grounded in evidence

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.

Founder & Clinician
Kyle Young, PMHNP-BC

Kyle Young

PMHNP-BC · Psychiatric Mental Health Nurse Practitioner

A board certified psychiatric nurse practitioner and lifelong backcountry traveler. Kyle founded the practice to bring honest, practical psychiatric care to people across Washington.

PMHNP-BC Medication Management Psychotherapy Trauma Informed Care Licensed in WA
Founder & Clinician
Abby Lyons, AGPCNP-BC

Abby Lyons

AGPCNP-BC · Nurse Practitioner

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.

AGPCNP-BC Primary Care Metabolic Health Nutrition, Movement & Sleep
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What we offer

Care for the whole journey

All visits by secure video, anywhere in Washington State.

Medication Management

Psychiatric evaluation and medication care grounded in current evidence, with a plan you help build.

Psychotherapy

Individual therapy including CBT, DBT, and trauma focused care.

Labwork & Biomarkers

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 & Metabolic Health

Primary care through a metabolic lens with Abby: metabolic health, nutrition, movement, and sleep, connected to your mental health care.

Looking for wilderness skills classes and community events? Those live with our partner, BCMH Wellness, a separate company we work with. Your first class there is free.
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Who we serve

Every kind of traveler

Adults

Comprehensive psychiatric care for acute and chronic conditions, built around your life and your goals.

Teenagers

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.

Kids

Care for children built with parents, not around them. We create action plans together, including screen time resets that actually stick.

Families

One practice that knows your whole household's story. After the first family member, everyone else gets our Family Rate. Your family's rate →

First Responders & Veterans

Firefighters, paramedics, law enforcement, military, and veterans carrying occupational trauma, hypervigilance, and the weight of service. Your rate →

Outdoor Professionals

Guides, ski patrol, rangers, instructors, trail crews, and everyone whose office is outside. Field Rate pricing, always. Your rate →

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Choose your path

Not sure where to start?

Answer three quick questions and we will point you to the right starting point. Nothing is saved or sent.

Find your path

Three questions, thirty seconds

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Book your time

See real open times right now

Pick a time below for your first visit. It books instantly, no phone tag.

1

Book your visit

Choose any open time on the calendar. You will get a confirmation email right away.

2

Complete your intake packet

About 20 to 30 minutes, at least 24 hours before your visit. Start it here.

3

Join your video visit

We meet on a secure video link. Payment is due at the time of your visit. See pricing.

Prefer the full walkthrough? The Schedule page covers every step in detail.
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Say hello

Questions first? We get it.

Ask us anything before you book. No pressure, no obligation.

Telehealth

Serving all of Washington State by secure video.

Response Time

We usually reply within 2 business days.

Send a message

Not ready to book yet? Ask us anything.

Please do not include protected health information in this form. If you are in crisis, call 988.

Schedule