Private psychiatric care and therapy with Annabel Sema, ARNP — for adults navigating anxiety, depression, life transitions, and beyond. Telehealth or in-person.
In-Network With Most Major Insurance Providers
Hear from Annabel about the philosophy that shapes every session — and what makes private practice fundamentally different from the rushed, factory-style care most people have experienced.
Every patient is genuinely known. Every plan is genuinely personalized. That's the promise.
More about AnnabelFounder & Lead Clinician
A Psychiatric Mental Health Nurse Practitioner committed to a simple belief: that mental health care should be delivered by someone who genuinely knows you. Every treatment plan is hers — built around your story, your goals, and your timeline.
More about AnnabelComprehensive psychiatric and therapeutic services for the most common mental health concerns adults face today.
A 60-minute comprehensive assessment — your foundation for clear diagnosis and a treatment plan that fits.
Learn moreEvidence-based therapy and thoughtful medication management when appropriate, paced to your needs.
Learn morePractical, lasting strategies for chronic worry, panic, and the kind of stress that takes over daily life.
Learn moreConservative, collaborative prescribing with close follow-up and full coordination with your primary care.
Learn moreTherapeutic work for the self-criticism, imposter feelings, and patterns that quietly hold you back.
Learn moreSupport through career changes, relationship shifts, and the seasons of life that leave you feeling stuck.
Learn moreIf what you're experiencing isn't listed here, please reach out — we likely still treat it.
We draw from the modalities with the strongest research support — and choose what fits each patient, not the other way around.
A structured, goal-oriented approach for changing thought patterns and behaviors that no longer serve you.
Tools for relating differently to difficult thoughts and emotions, drawn from ACT and DBT traditions.
Recognizing the body's wisdom in how it has protected you. We move at the pace your nervous system allows.
Conservative, collaborative prescribing when it can help. Close follow-up. Coordinated with your primary care.
Four steps from first inquiry to ongoing care. No surprises, no pressure.
Book online, call, or send a message. We respond same-day during business hours.
A 60-minute psychiatric evaluation — we listen, learn, and arrive at a working understanding together.
A clear treatment plan built around your goals — therapy, medication, or both.
Regular sessions adapted as you grow. We adjust the plan as your needs evolve.
"Annabel crafted a treatment plan just for me, and I've seen more progress here than in years of previous therapy."
"Quick scheduling, flexible hours, and compassionate support. It has been a lifeline during tough times."
"Professional, knowledgeable, supportive. I leave each session with practical tools that actually help."
We are in-network with most major insurance providers including Aetna, Regence, Premera, Kaiser Permanente, Cigna, TRICARE West, UnitedHealthcare, Medicare, and BCBS-WA. If you don't see your plan, call us at (425) 535-8167 — we may still verify your benefits.
For most patients, yes. Telehealth offers the same clinical quality as in-person visits with greater flexibility. Some situations benefit from in-person sessions, and we'll discuss what's best during your initial consultation.
A 60-minute conversation about your history, current symptoms, and goals. There's no pressure to share more than feels comfortable. Together we arrive at a working diagnosis and a personalized treatment plan.
Yes. As a board-certified Psychiatric Mental Health Nurse Practitioner, Annabel can prescribe and manage psychiatric medications, with close follow-up and coordination with your primary care provider.
Absolutely. All sessions, records, and communications are protected under HIPAA. The only legal exceptions involve imminent risk of harm — and even then, we'd discuss any disclosures with you first.
Whatever you're carrying, you don't have to carry it alone.
