Mostly Human Psychiatry offers a full range of adult psychiatric services by telehealth, from an initial psychiatric evaluation through ongoing medication management and medication tapering. Additional care includes integrative psychiatry, ADHD objective assessment, and flexible telehealth appointments for adults across Virginia, California, Oregon, Washington, and New York.
Adult Psychiatric Services, Delivered by Telehealth
Mostly Human Psychiatry offers a focused set of psychiatric services for adults, each delivered entirely by telehealth across Virginia, California, Oregon, Washington, and New York. Rather than a long menu of loosely related offerings, our care is organized around a clear path: a thorough evaluation first, then an ongoing medication management plan built around what you actually need.
Every patient starts with a psychiatric evaluation, and from there, care is organized around the services below, so you always know what to expect at each stage of treatment, from your first telehealth appointment through ongoing medication management follow up.
Integrative Psychiatry
Our integrative approach puts nutrition, lifestyle, and targeted supplementation first, and uses medication only when it is truly necessary. When appropriate, we use functional and genetic testing to better understand each patient's needs, and we prescribe pharmaceutical-grade supplements to help manage mild symptoms.

Medication Management
Medication management begins with a comprehensive psychiatric evaluation and is designed to work alongside, not replace, supplements and lifestyle changes. For patients with more severe symptoms, medication is an evidence-based and effective tool. We use it only when necessary, primarily to provide stabilization and to help patients get to a place where they can fully engage in therapy.
Supportive Therapy
Supportive therapy is included in every medication management follow-up appointment. While we don't offer psychotherapy-only services, I believe working with a professionally trained psychologist is extremely valuable. I'm happy to refer you to well-regarded local psychologists who specialize in what fits your needs best, such as IFS, EMDR, or DBT.
ADHD Testing
Unlike many providers who rely on questionnaires alone, we offer an objective ADHD assessment. Patients complete the evaluation at home, and the results, along with clinical evaluation, guide the decision on whether to begin ADHD treatment.
Medication Tapering
We use a hyperbolic tapering process for patients who are ready to stop their medication, feel it is no longer working, or are doing well and want to reduce their dose. What sets us apart: we work with a compounding pharmacy, or I teach you how to do your own hyperbolic taper. We provide the tools, the method, and monthly check-ins specifically for tapering. This includes antidepressants and benzodiazepines.

Ketamine-Assisted Therapy
We will connect you with a partner company who can coordinate at-home ketamine lozenge treatment. Alongside your treatment, I provide ketamine-assisted psychotherapy integration to help you process your experiences and turn them into lasting change.
