Vancouver, Washington sits just across the Columbia from Portland, and life here often means a daily bridge commute, a fast-growing suburb and the particular stress of straddling two states. The Couve has boomed in recent years, but mental health care hasn’t always kept pace with the population - and crossing the river for every appointment gets old fast.
Care that fits Vancouver
With statewide telehealth you can see a Washington-licensed provider from home in Clark County - no I-5 or I-205 bridge traffic. Care blends psychotherapy with nutrition, sleep and the medical factors others overlook.
Common reasons residents reach out
- Seasonal low mood and depression that comes and goes
- Burnout and chronic stress that won't lift
- Anxiety & panic paired with insomnia and brain fog
- Adult ADHD / ASD and trouble with focus & motivation
- Complex, hard-to-name presentations that never got fully explained
When talk therapy alone hasn't been enough
Many people arrive after years of counseling or a shelf of prescriptions that never quite closed the gap. An integrated assessment reads the whole picture - psychological, biological and lifestyle - then turns it into one coordinated plan. Your care is led by Dr. Koichi Tanji, ND, LMHC and our clinical team.
Insurance & getting started
We're in-network with major plans including Premera, Regence, BlueCross BlueShield, Aetna, Cigna and Kaiser PPO. To begin, book online or call +1 (425) 278-6166 - we'll start with how you're actually feeling and build from there.