Family1st Integrated Therapy & Wellness is licensed to serve patients throughout Washington via telehealth — bringing board-certified PMHNP psychiatric care directly to you in Seattle, Bellevue, Tacoma, Spokane, and everywhere in between. No commute. No waiting rooms. Just exceptional care that meets you where you are.
Washington State's technology sector has driven rapid population growth in the greater Seattle area, increasing demand for mental health services — particularly for anxiety, burnout, ADHD, and addiction among high-achieving professionals.
Insurance accepted: Medicare · Medicaid · BCBS · Aetna · UHC · Cigna · Tricare · Self-Pay
Washington ranks in the top 10 states for mental health needs among working-age adults. Our telehealth model eliminates barriers — no waiting lists for in-person slots, no hour-long drives for a 20-minute appointment.
All psychiatric services — medication management, therapy, Spravato evaluation, GLP-1 prescribing, HRT, and addiction treatment — are available via secure HIPAA-compliant telehealth. You must be physically located in Washington at the time of your appointment.
We serve adults of all ages and adolescents ages 13–17 (with parental consent) in Washington. Teens struggling with anxiety, depression, ADHD, OCD, eating disorders, or trauma deserve expert psychiatric care — and we're here for them too.
As a PMHNP-BC with full practice authority, Kristin McKnight can independently evaluate, diagnose, and prescribe in Washington — including psychiatric medications, GLP-1 weight loss agents, hormone therapy, and buprenorphine/Suboxone for MAT.
We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, and Tricare for eligible services in Washington. Self-pay pricing is available. We verify your benefits before your first appointment — no surprises.
Our telehealth practice serves patients throughout Washington. No matter where you are in the state, you can access board-certified psychiatric care from Family1st.
High-demand communities we serve:
We provide evidence-based psychiatric care for adults and adolescents (13+) across Washington for the following conditions:
GAD, panic disorder, social anxiety, and phobias — medication management and CBT-based therapy.
Major depressive disorder through treatment-resistant depression, including Spravato (esketamine) evaluation.
Trauma-informed care for PTSD from any cause — evidence-based therapy and medication support.
Evaluation, diagnosis, and medication management for ADHD in adults and adolescents ages 13+.
Mood stabilizer management, lithium monitoring, and integrated therapy for bipolar I and II.
Obsessive-compulsive disorder treated with ERP therapy and medication management.
Binge eating disorder, anorexia, bulimia, ARFID — psychiatric medication and behavioral therapy.
Buprenorphine/Suboxone for opioid use disorder, naltrexone for alcohol use disorder — telehealth MAT available in Washington.
Ages 13–17: anxiety, depression, ADHD, OCD, trauma, eating disorders, and mood disorders — with parental involvement.
If you've tried two or more antidepressants without adequate relief, Spravato may be worth exploring. Family1st provides Spravato evaluation and treatment coordination for eligible patients in Washington. As a REMS-certified provider, we guide you through the full process — including insurance verification and prior authorization.
Adults who have tried at least two antidepressants without sufficient relief (treatment-resistant depression), or adults with major depressive disorder with suicidal ideation. A comprehensive psychiatric evaluation is required to determine eligibility.
Spravato is covered by Medicare Part B, Medicaid (in most states), BCBS, Aetna, UnitedHealthcare, Cigna, and most major commercial plans when prior authorization is approved. We handle the prior auth process for you. Coverage varies by plan.
Yes. Kristin McKnight, MSN, APRN, PMHNP-BC holds an active license to practice as a Psychiatric Mental Health Nurse Practitioner with full practice authority in Washington. We provide telehealth psychiatric services to patients physically located in Washington at the time of their appointment.
Yes — we provide psychiatric care for adolescents ages 13–17 in Washington, including evaluation, medication management, and therapy for anxiety, depression, ADHD, OCD, trauma, and eating disorders. Parental or legal guardian consent is required for all minor patients.
Book a free 15-minute consultation through our website. We'll verify your insurance, discuss your needs, and schedule your intake appointment — all via telehealth. You'll need to be physically located in Washington at the time of your appointment.
Yes. Federal telehealth flexibilities allow buprenorphine prescribing via telehealth without an in-person visit requirement. After an initial telehealth evaluation, a prescription can be sent to your pharmacy in Washington. All MAT services are confidential and judgment-free.
Yes — we accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Tricare, and self-pay for eligible services in Washington. Coverage varies by plan and service. We verify your benefits before your first appointment.