Articles & Resources

The 15-minute medication check is the dominant model in outpatient psychiatry. It is not the dominant model because it produces the best outcomes. It is the dominant model because insurance reimbursement structures made brief, high-volume prescribing more economically viable than longer, lower-volume care. The math works for practices operating within insurance-based systems. The clinical tradeoffs are real. Understanding what appointment length actually determines, and what

There is a version of burnout that rest does not fix. A week off helps, sometimes. A vacation helps more. But when you come back, the same weight is there. The same flatness. The same difficulty caring about things that used to matter. The same gap between the effort you are putting in and what you are getting out of it. This is where a lot of high-performing professionals find themselves, and it is also where standard advice stops being useful. Take breaks. Set boundaries. P

The standard model for outpatient psychiatric care in the United States is split care. A patient who needs both medication and therapy sees two providers: a psychiatrist or nurse practitioner for prescribing, and a therapist or psychologist for talk therapy. The two operate in separate relationships, on separate schedules, often in separate practices. The patient is the only person who knows what both providers are doing. This model became dominant not because it produces the

Finding a psychiatrist in Washington who provides both therapy and medication management through the same provider relationship is not straightforward. Across Seattle, Spokane, Tacoma, Bellevue, and communities throughout the state, the standard model is a prescriber for medication and a separate therapist for talk therapy. The two providers may or may not communicate closely. The patient manages the gap between them. For Washington residents dealing with anxiety, depression,