Bipolar Disorder Psychiatrists in Washington

Denise White, PMHNP, has worked in the mental health field for over 30 years following the completion of her Bachelor’s degree in Psychology from Suffolk University in Boston. She began her career as a mental health technician in a geriatric residential program and later pursued additional education in nursing, earning an Associate Degree in Nursing from Quincy College, a Bachelor’s Degree in Nursing from South University, and a Master’s in Nursing from Eastern Kentucky University. Over the years, she has held diverse roles in adult and children’s case management, residential and intensive outpatient programs, inpatient psychiatric care, and crisis stabilization. Denise has provided care in both inpatient and outpatient settings as well as through hospital consult services across the country.

Denise prides herself on her ability to empathize with her patients and meet them exactly where they are in their journey. She believes that trust is the foundation of the therapeutic relationship and works diligently to create a supportive, nonjudgmental environment where patients feel safe, heard, and respected.

In the initial evaluation, Denise focuses on gathering comprehensive information to form a complete understanding of each patient’s unique background and needs. From there, she develops an individualized treatment plan that aligns with the patient’s prioritized goals. Each session begins from that foundation, allowing her to support patients at their own pace as trust deepens and progress unfolds.

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Severine Dondina, PMHNP-BC, is a board-certified psychiatric nurse practitioner with licensure in Washington and Florida. She holds a Master of Science in Nursing from the University of Alabama at Birmingham and graduated summa cum laude with dual bachelor’s degrees in nursing and biomedical science. Her background spans outpatient, community, forensic, and crisis psychiatry, including leadership roles with Florida’s Assertive Community Treatment (FACT) and Multi-Disciplinary Forensic Teams.

Currently serving patients in Washington, Severine treats adults with ADHD, anxiety, depression, PTSD, and bipolar disorder. She brings a trauma-informed, strengths-based approach to care and is deeply committed to creating affirming spaces for LGBTQ+ and gender-diverse individuals. Her clinical style combines evidence-based medication management with warm, collaborative support.

Trilingual in English, French, and Spanish, Severine is known for her cultural sensitivity, clinical rigor, and authentic presence. She approaches each patient with curiosity, humility, and respect—believing healing begins with connection.

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Dr. Emily Hutchison is a psychiatrist who earned her medical degree at the University of Washington School of Medicine. She brings over 20 years of experience treating patients with chronic illnesses and integrates whole health practices into her clinical approach. In addition to her medical training, she holds a master’s degree in Adult Fitness and Cardiac Rehabilitation, which informs her focus on the connection between physical and mental health. Dr. Hutchison’s practice is grounded in promoting well-being through a holistic lens that considers the whole person.

Dr. Hutchison prioritizes creating a collaborative relationship with every patient, tailoring treatment to meet the unique needs and goals of each individual. She believes in the importance of open communication, mutual trust, and shared decision-making as the foundation for effective care. Patients can expect a supportive and respectful environment where their experiences are valued, and treatment is approached as a partnership.

In her work, Dr. Hutchison begins by exploring each patient’s personal experiences and symptoms in depth, with the goal of understanding the whole picture of their health. She develops holistic treatment plans that integrate both medical and lifestyle considerations to support long-term wellness. Known for her punctuality, excellent communication, and genuine regard for every patient, Dr. Hutchison strives to ensure that care is not only effective but also compassionate and individualized.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Bryan Larson is a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate of Nursing Practice from Washington State University (2019). He earned his Bachelor of Science in Nursing from Walla Walla University in 2003 and worked for over a decade as an emergency department nurse. Since 2019, he has provided outpatient psychiatric care for diverse patients, offering medication management and support for a variety of mental health diagnoses.

Bryan works with patients from all backgrounds with a focus on treating each individual uniquely. He emphasizes meeting patients “where they’re at” and collaborates in a supportive environment to achieve personalized treatment goals, ensuring every patient feels understood and valued.

During the initial appointment, Bryan reviews a patient’s psychiatric history and current concerns to develop a tailored treatment plan, which may include medication and/or therapy services. He fosters a welcoming environment and continually adjusts care plans to align with each patient’s goals, supporting long-term mental health improvement.

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Amber Gordon, PMHNP-BC, is a board-certified psychiatric nurse practitioner dedicated to providing personalized mental health care. She holds a Bachelor of Science in Healthcare Administration from the University of Memphis, a Bachelor of Science in Nursing from Union University, and a nursing practice degree from the University of Tennessee Health Science Center.

With over a decade of clinical experience, Gordon has worked in a variety of settings, including psychiatry, intensive care, and dialysis. Her psychiatric experience spans inpatient and outpatient care, as well as residential and correctional facilities. She has served diverse populations, addressing a wide range of mental health conditions such as mood disorders, anxiety disorders, substance use disorders, trauma- and stressor-related disorders, and perinatal psychiatric conditions.

Gordon’s approach to mental health emphasizes the complex interplay between mental and physical well-being, lifestyle choices, and environmental factors. She integrates conventional medicine with alternative therapies, recognizing the importance of medication while also advocating for therapy, nutrition, and lifestyle changes. This holistic philosophy reflects her belief in each patient’s unique journey to mental wellness. Her therapeutic style is described as warm, empathetic, and empowering, with a strong focus on building a trusting and connected therapeutic relationship.

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Margaret Ngumi, MSN, APRN, FNP-C, PMHNP-BC, is a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner with over 20 years of experience in healthcare. She began her career as a Family Nurse Practitioner and later pursued a post-master’s certification in psychiatry to address the growing need for accessible mental health services. Margaret has extensive experience in both inpatient and outpatient settings, treating conditions such as depression, anxiety, PTSD, mood disorders, and substance use disorders.

She takes a collaborative, patient-centered approach to care, creating a safe and supportive environment where individuals feel heard and empowered. With a strong emphasis on holistic care, Margaret considers all aspects of a patient’s well-being—including lifestyle, relationships, and overall health. Whether through medication management, therapy, or lifestyle modifications, she is committed to helping patients achieve meaningful and lasting improvements in their mental health.

Margaret begins with a comprehensive psychiatric evaluation to understand each patient’s history, concerns, and goals. She then works closely with them to develop a personalized care plan that may include medication, therapy, and evidence-based lifestyle interventions. She prioritizes open communication, patient education, and ongoing collaboration to ensure treatment remains effective and evolves with each patient’s needs. Through her compassionate and evidence-based approach, Margaret is dedicated to helping individuals find balance and improve their overall quality of life.

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Dr. Megan Crochet is board certified in Adult Psychiatry and has completed a fellowship in child and adolescent Psychiatry. Dr. Crochet attended medical school at Drexel University College of Medicine and completed her training at Mount Sinai School of Medicine, followed by Tulane University School of Medicine, where she was a chief resident. Dr. Crochet provides a therapeutic medication management visit, which incorporates therapeutic techniques tailored to the individual patient needs while adjusting medication doses. Her goal is to help patients manage their symptoms while working towards, over time, uncovering the root causes. This comprehensive process helps to empower her patients and provides hope and acceptance of their psychiatric challenges. If indicated, Dr. Crochet may believe that additional therapy is also needed and recommend that you bring a therapist into your care team to provide the best outcome. Dr. Crochet has worked in hospital systems, private practice, and most recently telemedicine. When not practicing, she enjoys all things water, cooking and spending time with her daughter and dog.

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Yacoub received his medical degree from Alexandria University and completed his psychiatry residency at Stony Brook University Hospital. He is double board certified in both general adult psychiatry and consultation & liaison psychiatry with over 20 years of clinical experience. After serving as chief resident, he joined Stony Brook University and became Associate Professor in clinical psychiatry. During his tenure at Stony Brook, Dr. Yacoub was director of the ECT service treating many patients with complex psychiatric disorders, which include treatment-resistant depression, severe bipolar disorders, psychotic disorders, anxiety disorders, obsessive compulsive disorder, and post traumatic stress disorder. He also served as director of the medical student psychiatry clerkship where he received numerous teaching awards like Alpha Omega Alpha and Aesculapius Award for Excellence in Medical Education. Dr. Yacoub is an excellent diagnostician with expertise in complex mood disorders, psychotic disorders, interventional psychiatry, and advanced psychopharmacology. He has multiple publications and abstracts presented. Dr. Yacoub focuses on the interconnectivity of the mind, body, and soul. His care is only exceeded by his vast medical knowledge. In addition to medication management, he is proficient in supportive and interpersonal psychotherapy. He has treated adults, geriatric patients, and diverse populations including but not limited to LGBTQ+ and veterans. He is dedicated and empathetic to all his patients.

Background and credentials

Dr. Phillip Azouz is a board-certified general adult psychiatrist. He earned his medical degree from the University of Michigan Medical School, where he was awarded the Albert M. Barret Award for Distinguished Performance in Psychiatry. He completed his psychiatric residency at Florida Atlantic University. Prior to medical school, he obtained his undergraduate degree in economics with honors from the Wharton School of the University of Pennsylvania. His background includes research at the Heinz C. Prechter Bipolar Research Center and the Benson-Henry Institute for Mind-Body Medicine at Massachusetts General Hospital. Additionally, he worked as a Mental Health Specialist at McLean Psychiatric Hospital.

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Treatment approach

Dr. Azouz provides a relaxed, conversational, and non-judgmental space for patients to reflect on and integrate all aspects of their lives. He believes that vulnerability is key to healing and growth and works with individuals seeking to improve mood, reduce anxiety, enhance sleep, boost attention, or heal from trauma. His approach blends the latest research in medical treatment with insights from psychotherapy and coaching. He specializes in treating major depression, anxiety disorders, ADHD, bipolar disorder, PTSD, OCD, addiction, and personality disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and collaborative evaluation where Dr. Azouz takes the time to understand their symptoms, challenges, and goals. He fosters an open and supportive environment, ensuring that treatment plans are personalized and aligned with each patient’s unique needs. His approach integrates evidence-based medication management, psychotherapy techniques, and coaching strategies to help patients achieve their full potential.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Barbara Lampert is a board certified psychiatrist, diplomat of The American Board of Addiction Medicine, and Fellow of the American Society of Addiction Medicine. She trained at the Downstate School of Medicine in Brooklyn, NY, completed her internship at Georgetown University in Washington, DC, and her residency in Psychiatry at the David Geffen School of Medicine at UCLA in Los Angeles. Over 30 years, she has worked in inpatient and outpatient settings, taught 3rd-year residents psychopharmacology in the Mood Disorder clinic she created, consulted in the prison system, and volunteered in the aftermath of natural disasters. She joined the New Mexico Medical Reserve Corps and was active in the Corps while working in her private practice. She continued to study the effects of trauma when she returned to California in 2008. She received specialized training in EMDR and Dialectic Behavior Therapy. In addition, she studied substance abuse problems and became a Diplomate of the American Board of Addiction Medicine. Empathy forms the core of Dr. Lampert's approach to treating patients. Working with trauma survivors, she believes that the goal is not to dwell on "the story” because patients often need time to reconstruct an accurate history. Rather, helping patients manage the challenge of living in the present moment is a worthy goal. Dr. Lampert has been named one of the Best Doctors in America for the treatment of mood disorders and one of the Best Doctors in California. She has remained dedicated to the dual path she's followed for years: excellence in Biological Psychiatry and psychology. She looks forward to working with you to help you achieve your treatment goals.