360-305-3275  360-734-5503

Sendan Psychiatry & Psychotherapy

Mental and behavioral disorders among children and teens are very common. Just as with childhood physical illness, good treatment exists for most childhood mental and behavioral disorders.

Our child psychiatrist, James Harle, MD,  is board-certified in both General Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology.

Child psychologist Sara White, PhD, specializes in cognitive behavioral therapy (CBT) of anxiety (including OCD) in typically developing children, as well as children with neurodevelopmental disorders.

Our therapists are experienced in treating a range of childhood mental health issues, such as depression, grief, and anxiety.  In addition to general psychotherapy, each has a particular area of specialization.




Psychiatry & Psychotherapy Services generally are reimbursed by insurance.

PLEASE SCROLL DOWN for Psychiatry & Psychotherapy Services FAQs

To schedule an appointment please call 360-305-3275.

Sendan New Patient Forms

Sendan Psychiatry and Psychotherapy FAQs:

Do you take my insurance?

How does the psychiatric evaluation process work?

How does the therapy / counseling process work?


Do you take my insurance?

If you have Regence, Kaiser, or Premera, then we will bill your insurance directly.

If you have any other insurance, then you are responsible for full payment at the time of service. We will give you a walkout statement that you can submit to your insurance company so they can reimburse you directly.

We do not bill Molina or accept Medicaid coupons. If Medicaid/Molina/DSHS is your insurance carrier, then you are responsible for full payment at the time of service.  We will give you a walkout statement.

How does the psychiatric new patient process work? (Dr. Harle)

Typically, three sessions are needed to complete an evaluation and provide feedback regarding diagnosis, recommendations, and prognosis.  During the first evaluative visit of a child, Dr. Harle will meet with the parents without the youth present; an exception to this may be if the patient is sixteen years old or older. Up to sixty minutes are available for the first evaluative visit.  During the second evaluative visit of a child, Dr. Harle meets with the patient.  The third session is for feedback regarding diagnosis, prognosis, and intervention/treatment recommendations.  Not all insurance plans will allow three 50-minute sessions for this process.  In that case, you have the option of paying out-of-pocket for one 50-minute session (typically for feedback); otherwise, only 20-25 minutes will be available for feedback, which will limit the amount of time available to us for discussion and may necessitate more than one feedback session.  If your child is young enough to need supervision while parents are meeting with Dr. Harle at any time during the evaluative process, you will need to arrange to have someone watch them.  Keep in mind that some of the questions asked are standard and asked of all families seen for evaluation.  For families in the midst of a custody dispute of any kind, we require that both parents attend all sessions.

How does the therapy / counseling new client process work? 

Typically, three hour-long sessions are needed to complete an evaluation and provide feedback regarding diagnosis and treatment recommendations. The exception to this is if the child is an existing patient of Dr. Harle’s and has already undergone a diagnostic evaluation.