Anxiety Psychiatrists in Washington

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.

Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. His particular clinical focus is on the treatment of Obsessive Compulsive Disorder, and behavior addictions, as well as trauma, mood, and anxiety disorders. Dr. Russell's practice focuses on evidence-based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally, Dr. Russell may believe that different therapies are also needed and ask that you bring a therapist into your care team to provide the best outcome. He received his medical education at the University of Washington in Seattle after completing undergraduate studies in psychology and later a post-baccalaureate at Boston University. After residency at the University of Chicago where he specialized in addiction psychiatry and psychotherapy, he completed an Addiction Psychiatry Fellowship at the University of Washington in Seattle.

Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years. Dr. Shoenfelt's practice focuses on child and adolescent medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Shoenfelt may believe that additional therapy is needed and will ask that you bring a therapist into your care team to provide the best outcome. She provides treatment plans that include holistic recommendations for diet, exercise, and educational and psychosocial/spiritual aspects of care. She is known for listening to and respecting patients' stories and walking them on a path of recovery and growth. Dr. Shoenfelt received her medical degree from the Boonshoft School of Medicine at Wright State University in Dayton, Ohio. She earned her Bachelor of Science degree in Physical Therapy from The Ohio State University. Dr. Shoenfelt practiced for 14 years in physical therapy with a specialization in children with developmental and neurological disabilities before attending medical school. Dr. Shoenfelt has held multiple positions in hospital and outpatient psychiatry, including community mental health, developmental and foster care settings, and medical director positions. She has served as clinical faculty for both the Wright State Department of Psychiatry and the University of Cincinnati School of Medicine. She has a passion for the education of medical students, residents, and patients. Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years.

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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Dr. Mary Lou Gutierrez is board-certified in both Child & Adolescent Psychiatry and General Psychiatry, with over 20 years of clinical experience. She earned her M.D. from Loyola University Medical Center, where she also completed her residency in Adult Psychiatry. She pursued fellowship training in Child and Adolescent Psychiatry at Northwestern University’s Children’s Memorial Hospital. Her past roles include Medical Director for Compass Health Center’s Under 18 Program and Attending Psychiatrist at Loyola. She has been recognized as a “Top Doctor” in Child and Adolescent Psychiatry by US News and World Report and Negocios Now.

Dr. Gutierrez fosters a warm, collaborative environment where patients and families feel supported and understood. She emphasizes open communication and works closely with patients to define meaningful, realistic treatment goals. Her holistic, family-centered approach integrates medication management, therapy, and psychoeducation with a deep commitment to cultural sensitivity and compassionate care.

Dr. Gutierrez begins by learning each patient’s personal story, clinical history, and goals through a comprehensive evaluation. She creates individualized, evidence-based treatment plans tailored to each child’s unique needs and family context. She continuously collaborates with patients, families, and care teams to ensure treatment remains effective, combining psychotherapy, medication management, and coordination with other providers and resources.

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.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.

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.

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.

LaTonya Washington, LICSW-S, PIP, is a trauma and couples' therapist with a Master of Social Work from the University of Alabama and advanced training in Brain spotting, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and the Gottman Method for couples therapy. With over 15 years of experience, she provides compassionate, evidence-based care to individuals and couples navigating trauma, relationship challenges, and major life transitions.

She specializes in helping couples rebuild trust after infidelity, strengthen emotional connection, and improve communication. She also supports individuals facing anxiety, burnout, and the emotional impact of chronic illness, guiding them toward healing and resilience

New clients can expect a warm, supportive space where they feel heard and understood. LaTonya takes a collaborative approach, tailoring therapy to each client’s needs while integrating practical strategies for healing and growth. Her sessions are focused on fostering insight, building emotional resilience, and equipping clients with tools to create lasting change. Whether working with individuals or couples, her goal is to help clients navigate life’s challenges with greater clarity, connection, and confidence.

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

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.

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.

Dr. Regina Fu is a board-certified psychiatrist who began her interest in Psychiatry while studying Psychobiology at UCLA. After completing her General Psychiatry residency at University of Rochester, she emphasizes a holistic approach to mental health treatment using the biopsychosocial foundation. Her approach to patient care combines evidence-based medicine while recognizing the individual factors that can influence well-being. She has a special interest in Cultural Psychiatry and prioritizes providing personalized and effective care to a diverse patient population.

Dr. Tim Kelly is a board-certified psychiatrist who specializes in adult psychiatry. His practice focuses primarily on medication management but often incorporates aspects of supportive, psychodynamic, and cognitive behavioral therapies into his 30-minute follow-up visits. Dr. Kelly also strongly believes in working in conjunction with therapists to achieve the best possible outcomes for his patients. He feels it is important to create strong therapeutic relationships with his patients in order to help patients achieve their treatment goals. Dr. Kelly received his undergraduate degrees in Human Biology and Spanish from Michigan State University. He then completed his medical education and a master's degree in medical humanities and bioethics at Northwestern University. He completed his adult psychiatry residency at the University of Washington. He has authored papers in medical education and LGBTQ advocacy. Dr. Kelly now lives in Pennsylvania with his husband, Kevin, and three dogs: Taquito, Fergie and Mimi. While Dr. Kelly treats adults of all backgrounds, he has a particular interest in working with young adults, students, and LGBTQ individuals.‍