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.
What are Psychiatry and Psychotherapy?
Psychotherapy/Counseling
Psychotherapy provides individualized support and guidance to help you understand your emotions and experiences, navigate challenges in your life, develop healthy coping skills, and improve and maintain your overall mental well‑being.
Psychiatry/Medication Management:
Medication management provides psychiatric evaluation to assess where your symptoms are coming from, as well as ongoing check-ins and consultation to ensure your medications are safely and effectively supporting your mental health over time.
Jump to Sections:
Where to Start:
If you are interested in Psychiatry and/or Psychotherapy Services, please submit a Prospective Patient Inquiry by following this link:
Prospective Patient Inquiry Form
Once we receive your inquiry, we will add you to the waitlists for any services you have requested. Our office may reach out to you for more information and to answer any questions you may have for us.
Which services should we start with?
- If your child or family are looking for a safe place to work through thoughts, emotions, and behaviors with professional support, a therapist may be a better fit for you.
- If your child is experiencing symptoms of mental health disorders (diagnosed or suspected) and you want to know if medication would be helpful, you should consider scheduling with a psychiatric provider.
Either way, our intake coordinator will be happy to help you figure out which services might be the best fit for your family.
Next Steps:
When you are nearing the top of the waitlist, our scheduling team will reach out and ask you to complete our intake paperwork. These forms can be filled out electronically by following this link:
For a printable version of these forms, please click on this link:
Sendan New Patient Forms (printable)
These forms ask a lot of questions and will take longer to complete than your initial prospective patient inquiry form. Please take your time and fill them out as thoroughly as possible. The more information you are able to provide in your intake forms, the less likely it is that your new provider will need to request additional appointments before coming up with a treatment plan. If you are having any difficulty filling out the intake forms, please feel free to call our office at 360-305-3275, ext. 4 with any questions.
As soon as we receive these forms, we will contact you to discuss scheduling your intake appointments.
Scheduling Your Intake:
Once we receive your paperwork and confirm that you are next on the list to schedule, we will call you to schedule a series of three appointments:
- 1st Appointment: Parent/Guardian Intake (~60-90 minutes)
- Your first appointment will be scheduled with just the parents/guardians of the patient. The clinician will meet with the parents/guardians to discuss the child’s history, current struggles, and to learn more about your concerns for the client. If you feel like the clinician will not be a good fit for your family, you do not need to move forward with further appointments after this meeting.
- 2nd Appointment: Patient Intake (~50-60 minutes)
- The second appointment will be scheduled for the child to meet one-on-one with the clinician (or with a parent/guardian if they are nervous about going in alone) to provide their own perspective on what they are currently struggling with and to give “their side of the story.” This is also an opportunity for the clinician and patient to get to know each other and make sure they’ll be a good fit!
- 3rd Appointment: Feedback Session (~50-60 minutes)
- Parents/guardians and patient all meet with the clinician together for a feedback session, where the clinician will offer recommendations and discuss a potential treatment plan. If everyone agrees to move forward with more sessions, the clinician will generally send the family to our front office to schedule their next appointment(s).
In some cases, the clinician may request additional appointments with either the patient or parent/guardian if they feel they need more information before proceeding with the feedback session.
Ongoing Treatment
If you are scheduling with a therapist:
- After your intake appointments, your therapist will most likely ask you to schedule ongoing weekly therapy sessions. Some clients may switch to less frequent appointments over time, but starting off with a consistent weekly schedule allows us to be more helpful to you as quickly as possible.
- We will do our best to find availability on the therapist’s schedule that works with your needs, but please remember that since all of our clients are children and adolescents, we’re not able to get every kid an after-school time slot!
If you are scheduling with a psychiatrist:
- If your clinician is prescribing medication, you will likely be asked to schedule a follow-up appointment for 1-3 months out. You may always request to schedule appointments sooner than planned if you have any questions or concerns or if you are hoping to make any medication changes.
- If your clinician is prescribing any controlled substances for the patient (such as stimulant medication for ADHD), the patient will always need to be seen in person at least every 3 months in order for the clinician to keep prescribing that medication, per US federal law.
Billing and Insurance Information
If you have one of the following insurances, we are considered an in-network provider and will bill your insurance directly.
- Regence
- Premera
- HMA
- Uniform
- Lifewise
- Kaiser Permanente
- Aetna
- Blue Cross Blue Shield (some plans may not be in-network)
- Molina – therapy services only
If you have any other insurance, then you will be responsible for full payment at the time of service. At the end of each visit, we will provide a visit statement that you may submit to your insurance company, and we recommend calling your insurance to see if they can reimburse you directly.
We do not bill Molina or accept Medicaid coupons for psychiatry services. If Medicaid/Molina/DSHS is your insurance carrier, then you are responsible for full payment at the time of service.
Prior to your first appointment, please call your insurance company to make sure you understand what your insurance plan will cover and what charges will be your responsibility.
Self Pay
If we are unable to bill your insurance, you will need to pay in full for services at the time of service and we will give you a statement that you can submit to your insurance company for reimbursement. Out-of-pocket costs may vary depending on the length and content of each appointment, but listed below are some examples of potential anticipated out-of-pocket costs:
| Therapy Services | Self Pay Rates | Psychiatry Services | Self Pay Rates | |
| Initial intake session | $180 | Initial intake appointment |
$330 |
|
| 53+ minute session | $150 | 50 minute appointment | $250 | |
| 38-52 minute session | $120 | 25 minute appointment | $165 | |
| Parent-only session | $150 | Parent-only appointment | $250 | |
| No-show/late cancellation fee | $100 | No-show/late cancellation fee | $165-$250 |