Psychiatric Evaluations

OnPoint Integrated Health and Advanced Psychiatry in Tukwila provides structured psychiatric evaluations and diagnostic assessments for adults 18 and older who want clear answers, not quick labels. Every evaluation is led by a doctorally prepared, board-certified psychiatric nurse practitioner and is designed to clarify what is actually driving your symptoms, how your physical health may be involved, and which treatments are most likely to help.
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Your visit typically begins with a 60-90 minute initial psychiatric assessment. We review your medical and mental health history, current medications, sleep, substance use, and social stressors, then complete validated rating scales to quantify symptoms. This allows us to distinguish between anxiety, depression, ADHD, bipolar spectrum conditions, trauma-related disorders, and medical causes that can mimic psychiatric illness.
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For adults questioning ADHD, we offer detailed attention and executive function testing, including childhood history, workplace or academic performance review, and screening for conditions that often look similar, such as anxiety, trauma, or untreated sleep disorders. For mood instability, we perform focused bipolar risk evaluations before starting or changing antidepressants, reducing the chance of medication-induced worsening.
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When trauma, PTSD, or panic is suspected, we incorporate trauma-informed interviews and safety assessments to evaluate triggers, dissociation, and avoidance patterns, while also ruling out underlying medical or neurological issues. Physical health factors, such as thyroid disease, metabolic conditions, or medication side effects, are carefully considered as part of the diagnostic picture.
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At the end of the assessment, you leave with a clear working diagnosis, a written treatment roadmap, and specific next steps. This may include conservative medication options, psychotherapy recommendations, lab work, GeneSight pharmacogenomic testing when appropriate, or referral for specialized services such as addiction treatment or future Spravato therapy. Our goal is straightforward: accurate diagnosis, safe planning, and a logical path forward you can understand and trust.