Bipolar Disorder Psychiatrists in Washington

Alana Ward is a board certified psychiatric mental health nurse practitioner (PMHNP). Alan has been practicing since 2018 and has experience with individuals of all ages. Prior to becoming a PMHNP, Alana worked as a registered nurse in critical care and psychiatry. As a PMHNP, she has experience working on inpatient adult and geriatric psychiatric units, as well as providing psychiatric evaluations and consultations to individuals on medical units and emergency rooms at hospitals. Alana is very experienced working in outpatient settings managing various psychiatric diagnoses. She has also helped manage individuals in long term care facilities and assisted living facilities. When Alana is not providing direct patient care, she will on occasion help with instructing future nurses at Kent State University. Alana graduated with her Master's of Science in Nursing from Kent State University, and is board certified as a Psychiatric Mental Health Nurse Practitioner through the American Nurse Credentialing Center. Alana enjoys treating a variety of mental health diagnoses including depression, anxiety, obsessive compulsive disorder, mood disorders such as bipolar disorder, and various psychotic disorders. She believes in client-centered care, where clients get a say in their treatment in order to help make them feel their best. Alana truly believes that therapy is a crucial part of successfully treating any mental health diagnosis, in combination with medication management when warranted. Alana likes to add mindfulness and cognitive behavioral therapy techniques to her medication management appointments to help individuals receive effective, quality care.

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. Kerstin Asquith is a board-certified psychiatrist at Talkiatry. She has extensive experience working with a wide range of diagnoses and patient populations, with particular interest in treating depression, anxiety, PTSD, and OCD. She also has additional training in college mental health. Dr. Asquith believes in the importance of getting to know each of her patients and the unique issues that bring them into treatment. Her approach involves collaborating with patients to create personalized treatment plans and considering both medication and non-medication methods.

Dr. Asquith is from California and completed her undergraduate studies at the University of California, Davis. She obtained her medical degree from Creighton University School of Medicine and then trained at Stanford University's Adult Psychiatry Residency Program. She subsequently completed a fellowship in student mental health at Stanford University. Most recently, Dr. Asquith worked as an outpatient psychiatrist at The Permanente Medical Group. In her free time, she enjoys traveling, trying new foods, and spending time with friends and family.

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. Mott grew up in southeastern Idaho. She earned a Ph.D. in Molecular Biology from the University of California at Berkeley in 2009, and her Doctor of Medicine (MD) degree in 2014 from the University of Chicago. She completed her psychiatry residency at the University of Utah in 2018 and became board certified in Psychiatry by the American Board of Psychiatry and Neurology in 2019. Following her residency, she worked as an inpatient psychiatrist at the Huntsman Mental Health Institute in Salt Lake City, Utah and served as an assistant clinical professor in the Department of Psychiatry at the University of Utah. In 2021 she moved to Dallas, Texas to work in a residential and partial hospitalization treatment center for eating disorders. She loves to incorporate psychotherapeutic techniques and goal setting together with medication management to help patients achieve wellness and fulfillment in their lives.

Dr. Mott enjoys treating a wide variety of psychiatric conditions, including depression, anxiety, OCD, bipolar disorder, PTSD, eating disorders and substance use disorders. She believes strongly in individualized treatment that focuses on holistic, compassionate and collaborative care with patients.

She loves to incorporate psychotherapeutic techniques and goal setting together with medication management to help patients achieve wellness and fulfillment in their lives.

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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. 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. Schwartz is a board-certified Staff Psychiatrist at Talkiatry. He completed his residency at Bergen New Bridge Medical Center in Paramus, New Jersey, where he excelled in his leadership and knowledge, becoming the Chief Resident in just his third year of residency at the busiest outpatient behavioral health clinic in New Jersey. Upon completion of his third year of residency, he went on to become Chief Academic Resident of his program, which allowed him to bestow his knowledge of psychiatry on younger psychiatrists in training. After completing his residency in General Psychiatry, he went on to complete a fellowship in the prestigious Mount Sinai Health System in New York City, based primarily out of the Beth Israel location. During this fellowship he studied Consultation-liaison psychiatry, also known as psychosomatic medicine. It is an exciting subspecialty of psychiatry that focuses on the care of patients with comorbid psychiatric and general medical conditions. Consultation-liaison psychiatry deals with the understanding and advancement of medical science, education, and the provision of healthcare for medically ill and complex patients. Using his training, Dr. Schwartz can focus on using his extensive medication knowledge to help treat an array of psychiatric disorders. Despite medication management, he also works on a holistic approach to psychiatry, including working with the patient to get the proper therapy services when clinically indicated. During the initial interview, a thorough assessment is done, including any medical and psychiatric history, medications you may be currently taking, and supplements before any medication is dispensed. Using his knowledge in psychiatry and consult-liaison psychiatry, Dr. Schwartz's interests include depression, anxiety, ADHD, obsessive compulsive and related disorders, transgender patients on hormone therapies and post-surgical transition. He also has an extensive interest in medical illnesses with a psychiatric component such as cancer patients, transplant, HIV, and many others alike. He looks forward to working with you to enhance your emotional well-being.

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. Kathryn Hu is a board-certified adult psychiatrist. She majored in biology and neuroscience at Brandeis University, attended medical school at Albert Einstein College of Medicine, and completed residency training at Stony Brook University Hospital. ‍Dr. Hu practices a patient-centered approach to mental health care. She works collaboratively on goals of treatment, with a focus on medication management while incorporating supportive therapy, cognitive behavioral therapy, and mindfulness. ‍Dr. Hu treats a variety of mental health concerns including depression, anxiety, bipolar disorder, PTSD, and ADHD.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

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.

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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Jeanine Foley is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in both inpatient and outpatient settings. She holds a Doctorate of Nursing Practice from the University of Colorado Denver, an MSN from Vanderbilt University, and a BS from Boston University. Her career includes service as an active duty PMHNP in the U.S. Air Force and roles in the VA and private psychiatric hospitals. She also serves as Adjunct Clinical Faculty for a PMHNP graduate program.

Jeanine believes in patient-centered care built on trust, collaboration, and respect for each individual’s life story. She integrates medication management with therapeutic techniques and creates a safe, inclusive space that is trauma-informed and aligned with each patient’s values. Jeanine emphasizes genuine connection and strives to help clients explore root causes of distress—not just manage symptoms.

Jeanine begins with a comprehensive, collaborative assessment of each patient’s medical, psychiatric, and psychosocial history. She partners with patients to develop flexible, personalized treatment plans that support holistic mental health. Her approach combines psychopharmacologic and psychotherapeutic interventions, continuously adjusting plans based on feedback and progress.

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

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