Your first session is a comprehensive diagnostic evaluation. We’ll review your history, current concerns, and goals. This structured assessment gives us a clear foundation for building your treatment plan.

Thriving Minds, Rain or Shine, is an out-of-network practice and does not bill insurance directly. We provide detailed receipts (“superbills”) that you can submit to your insurance company for possible reimbursement.

Yes. As a board-certified psychiatrist, Dr. Brittany Smith, MD, can prescribe medication when clinically appropriate. Medication management is always integrated into your scheduled appointment time.

Therapy sessions (60 minutes) are designed for in-depth exploration and skill-building. Medication management sessions (30 minutes) are focused on monitoring and adjusting medications as part of your treatment. Both include documentation, planning, and any necessary forms.

Yes. Dr. Smith is double board-certified in Child & Adolescent Psychiatry and Adult Psychiatry. We regularly treat children, adolescents, college students, and adults across the lifespan.

We treat a broad range of psychiatric conditions, including anxiety, depression, OCD, ADHD, mood disorders, eating disorders, trauma-related conditions, and more. Crisis intervention and referrals for higher levels of care are also available when needed.

Yes. Telehealth appointments are available for residents of Washington, California, and Pennsylvania. In-person and telehealth options are available for residents of Oregon.

Psychiatrists are medical doctors who can both provide therapy and prescribe medication. If you’re unsure, we recommend starting with a diagnostic evaluation. From there, we’ll help determine the best path forward.

If a higher level of care is needed—such as hospitalization, intensive outpatient therapy, or advanced treatments (TMS, ECT)—we’ll coordinate referrals to trusted providers and remain part of your care team throughout the process.

We ask that appointments be cancelled or rescheduled at least 48 hours in advance. Missed appointments or late cancellations will be charged the full session fee.