Keystone Tides, PLLC

Mental Health Clinic

Specializing in Psychiatric Medication Management

Our mission is to empower individuals in Washington State by providing personalized
telehealth care that promotes healing, growth, and overall well-being.

Here to Support You

At Keystone Tides, PLLC, we believe every person’s experience is unique. We focus on understanding your story—not just your symptoms. Our person-centered approach combines evidence-based care with affirming, inclusive practices to ensure you receive compassionate, personalized support tailored to your needs.

We provide services for children (ages 6 and up), adolescents, and adults. Our individualized care supports people with diverse ways of thinking, feeling, and experiencing the world. Whether you’re seeking clarity, exploring options, or searching for resources, we partner with you—offering a supportive space to address challenges, nurture strengths, and foster growth on your mental health journey.

Services

Personalized care designed to support your mental health and well-being

Psychiatric Evaluations & Diagnostic Assessments

Comprehensive assessments to understand your mental health needs, strengths, and goals, providing clear, collaborative diagnostic insights.

Medication Management

Personalized medication plans with ongoing adjustments and education to help you make informed choices for your well-being.

Individualized Treatment Planning

Collaborative care plans tailored to your goals, integrating medication, therapeutic solutions, and supportive services with flexibility to adapt as you grow.

Therapeutic Solutions

Brief, goal-focused therapeutic services designed to help you address current challenges, manage symptoms, and improve daily functioning.

Virtual Appointments

Secure, HIPAA-compliant telehealth platform with flexible scheduling for convenient, accessible care from the comfort of your home.

How It Works

Our process is simple and supportive, from first contact through ongoing care:
Contact Us

Reach out to us through our website, phone, or email. We’ll answer your questions, assess your needs, and, if we’re not the right fit, connect you with appropriate referrals.

Complete Intake Forms

You’ll receive secure, online forms to review policies and share your health history, concerns, and goals—helping us understand your needs and provide personalized care.

Schedule Your Appointment

Once your forms are submitted, we’ll schedule your initial assessment at a time that works for you.

Initial Psychiatric Assessment

During your first session, a provider will conduct a comprehensive evaluation to understand your experiences, symptoms, and goals.

Diagnosis & Treatment Plan
After your assessment, we’ll review your diagnosis and create a personalized treatment plan, which may include medication management, therapy, supportive options, or referrals to other services—all tailored to your goals.
Ongoing Support & Follow-Up Care
We’ll provide ongoing care with follow-up appointments, scheduled from weekly to every three months based on your needs, to monitor your progress and adjust your treatment as needed.

Conditions We Treat

We provide care for a variety of mental health conditions, including:

  • Autism Neurodevelopmental Conditions (ASD)
  • Intellectual and Developmental Conditions (IDD)
  • Low Mood and Emotional Struggles
  • Anxiety and Stress-Related Difficulties
  • Trauma-Related Stress Response
  • Life Transition & Adjustment Distress
  • Sleep-Related Disturbances
  • Women’s Hormonal and Reproductive Challenges