Child and adolescent psychiatric care · Ages 5+
Children ages 5+ and adolescents: behavioral and psychiatric assessment, therapy, medication management, and practical support for parents and caregivers.
Your clinician
DNP, ARNP, PMHNP-BC
I’m a board-certified Psychiatric-Mental Health Nurse Practitioner. My nursing background includes behavioral health, high-acuity care, and juvenile corrections at Green Hill School. That experience shapes my attention to development, adversity, and the environments young people navigate.
More about JamieYou may be seeing school avoidance, emotional outbursts, or a child who manages at school then struggles at home. Bring those everyday examples into care.
Request AppointmentAppointments require practice confirmation. Select the Patient Portal button to access your secure account.
For children · Ages 5+
You can bring your questions, your worries, or a feeling that is hard to explain. We can find words for what is happening and practice ways to handle difficult moments.
You can start with one thing you want help with.
What therapy can look likeFor adolescents
School, friendships, family expectations, identity, and growing independence can bring a lot to sort through. I want to hear your experience in your own words and understand what you want to change.
We explain privacy, parent involvement, and treatment choices before care.
Explore support for teensA place to start
Choose a topic to explore. You can bring your own words or questions to an appointment.
Anger, worry, sadness, or overwhelm can be difficult to explain. We can explore what happens before a feeling builds, how it shows up, and which skills could help in everyday life.
Explore therapy supportThe first appointment
We explore your concerns, your child’s development and health, daily functioning, and previous treatment. Caregivers participate as appropriate. The young person may also have private time with me, guided by age, consent, confidentiality, and clinical needs.
We discuss clinical impressions, any further information needed, and next steps. These may include therapy, medication when appropriate, or additional evaluation. Your child’s perspective, strengths, and family priorities help shape the plan.
Psychiatric assessment is distinct from a full neuropsychological, learning, or autism diagnostic testing battery. We discuss a referral when that evaluation would help.
Complete assigned intake forms, consent documents, and questionnaires through your secure account. Have a current medication and allergy list, prior treatment information, and relevant school or health records available.
For minors, the practice confirms the applicable consent pathway, the legal decision-maker when required, and caregiver participation before care.
First-visit preparation guideAssessment may include age-appropriate screening tools, caregiver questionnaires, teacher observations, and relevant records. Attention, emotions, sleep, trauma exposure, family context, and school functioning help us understand the clinical picture.
Child and adolescent therapy
Age-appropriate conversation and practical exercises can help with emotional regulation, worry, frustration, communication, and relationships. We connect those skills with situations your child wants to handle differently.
Trauma-focused care and EMDR may be considered after assessing suitability and readiness. Preparation and pacing follow the young person’s needs.
Explore trauma therapy and EMDRParent and caregiver support
Parents deserve clear explanations and useful guidance. We can work on predictable routines, consistent boundaries, responses to difficult behavior, and communication that supports your child between visits.
Parents can seek individual care for stress, anxiety, grief, or caregiver strain. Before an appointment, we clarify whether the focus is your child’s treatment, family therapy, or your own care. Participation and information sharing follow the applicable consent and confidentiality requirements.
With appropriate permission, I can review teacher observations and coordinate with your child’s pediatric clinician, therapist, or school staff. School teams determine educational services through their own evaluation processes.
School collaborationMedication management
When medication is appropriate, we identify the symptoms being treated and discuss expected benefits, potential adverse effects, alternatives, and monitoring. Follow-up reviews response, side effects, and daily functioning.
We may review sleep, appetite, mood, and behavior. Physical measurements, laboratory testing, or coordination with your child’s pediatric clinician may be needed. We explain what to watch for and when to review the plan.
How medication care worksIn-person appointments are available in Chehalis. Secure telehealth may be available when clinically appropriate, with your child physically located where I am authorized to provide care.
We consider developmental needs, privacy, caregiver participation, and your child’s ability to engage. Some concerns require an in-person assessment or coordination with a local clinician.
When requesting care, share your child’s age, the state where your child will be during visits, and your preferred format. The practice confirms clinical fit and visit arrangements before scheduling.
Washington law allows adolescents age 13 and older to request outpatient mental-health treatment using their own consent. Treatment for a child under 13 generally requires authorization from a parent or another legally authorized person. Family-initiated treatment follows a separate pathway.
We explain the applicable consent process, caregiver involvement, confidentiality, and access to records at the beginning of care. The treatment pathway and legal requirements guide information sharing.
Washington outpatient consent law (opens a new tab)Request an assessment or call 360-790-5017 to discuss the care you are seeking.