From Our Doctors
"We wanted to provide a new level of psychiatric care which was evidence-based and incorporated the latest research. It's been almost 5 years since..." Read More
- Mick Oreskovich, M.D., Seattle, WAView All Testimonials
Call the office, 206-386-3103, to request an initial appointment. Our staff will gather some basic information about your history to help direct you to the most appropriate provider (if you weren’t referred to one specifically), and to ensure that our office has the resources and programs that meet your needs.
Be sure to bring your insurance card and driver’s license so we can take a photo copy. Bring in the new patient demographic forms and agreements that you’ve signed so we can scan everything to your chart. Aside from the questionnaires you’ve filled out in the patient portal, it could be useful to bring a list of current medications as well as contact information for your other providers, in case the doctor would like to request records.
Initial consultations range between 60-90 minutes. During this initial interview, we will strive to get a comprehensive idea of how your current symptoms developed, and how they affect the rest of your life. To do this we usually will ask about your medical and mental health history, your social and educational history, your family history, and your current life circumstances, your important relationships and about the ways that you cope with stress. The information you filled out before the session will help us streamline the interview and focus more on your biggest concerns. We will also record your weight and your blood pressure, and may do a brief neurological or physical exam if that is relevant to your personal health.
We are only contracted as in-network providers for the local Blue Cross and Blue Shield plans. Our office staff will be able to answer some of your questions about insurance coverage and our current contracts. If you have further questions, please contact your insurance plan to be sure you are clear about your coverage, copays, or out of pocket deductible costs before actually seeing the provider.
Our office will send you a monthly statement which will include all of the appropriate billing codes. While each plan is slightly different in their requirements, you should be able to forward a copy of that monthly statement to your insurance company for direct reimbursement. For specific instructions, contact the customer service department of your insurance company.
One known exception is Medicare. PMA providers have all opted out of Medicare, so Medicare will not process claims from our office.
We use this information to make your initial interview more personal and customized. Because we have already gathered some basic information about you, we can focus during the first session on concerns that matter to you most. We will spend less time pursuing questions that are not relevant, but still can be confident that we have not overlooked something important. When this information is not gathered beforehand, the overall amount of information we have is more limited and the care we can provide is not optimized
We highly encourage you to set up a secure encrypted patient portal account to allow us to communicate with you electronically. Most of our patients prefer this to playing phone tag with their providers – or to arriving early to complete the rating scales using paper and pencil in the waiting room. While this is not a requirement for care, it does make communication more efficient.
Please call the office at 206-386-3103 as soon as you need to cancel. We do require at least 24 hours (one full business day) notice for all cancelations. (For example, Friday at 10 am is the cancellation deadline for a Monday at 10 am appointment). This gives us time to attempt to reach someone else on the waiting list. There is a $125 charge for appointment no shows or late cancelations.
Please note: Our doctors do not double book appointments; they reserve time exclusively for your appointment. If you cancel an appointment after the deadline, or if you “no show” for the initial appointment, it is our policy not to reschedule you for a future intake slot. If you arrive too late for the physician to conduct an adequate interview, your appointment will be cancelled.
The first appointment is an evaluation session to determine whether we are a good fit and to begin to develop a treatment plan. We do not usually start medications at the first visit. We are especially cautious about providing prescriptions for controlled substances. It is our office policy not to start or refill prescriptions for stimulants (such as Adderall or Ritalin), sedatives (such as Xanax, or Ambien) or opiate substitution medications (such as Suboxone ) at the first visit.
Yes. We do review the treatment plans for every patient that we see. Sometimes we agree with the current treatment and other times we may have a different recommendation. It is our ethical obligation to do a comprehensive evaluation of your care before we assume prescriptive authority for any medication. If you feel you have been stable on your medication for some time and only require a doctor to provide refills, it may be that refills through a primary care physician would be more efficient and less costly for you.
Since PMA only treats adults, we require all potential patients to call the office and schedule their own appointments. This eliminates miscommunication and confusion about the next steps and potential scheduling snafus.
We often find that adult family members can provide helpful information about your current condition. This is up to you. However, we will usually offer you an opportunity to meet with the doctor alone in case there are issues that you would prefer not to discuss in the presence of your family member. Please use discretion before bringing young children into the office. We do not have childcare available in the waiting room, and often we do discuss issues that would be best not to discuss in their presence.
We do not feel that it is clinically ethical to prepare these types of documents on the basis of a one-time clinical evaluation. If your primary purpose in seeking a psychiatric consultation is to have disability or legal documents completed, we are not able to provide that service
Many people find it stressful to have a family member who is suffering from mental illness. We are happy to meet with patents who would like in assistance in coping with this type of stress. However, it is impossible for us to provide treatment to family member who is not willing to come for an appointment.
by: Peter Roy-Byrne | Jan. 23, 2019
Many of our patients are inquiring about whether they should be obtaining a "genetic test" to help select the best antidepressant for them.Read More
by: Christine Paprocki | Jan. 03, 2019
Sometimes it can feel like a partner's low mood is contagious. We can take our stress home with us after a challenging day at work, or feel irritable or withdrawn for a variety of reasons, impacting the moods of other family members.Read More
by: Ashley Bouzis | Feb. 06, 2018
As we age, our general and mental health needs evolve to require more complex care. Individuals over the age of 60 are more likely to have chronic medical illnesses and be on multiple medications for things such as high blood pressure, diabetes,...Read More