Honestly? Because that's when my patients need me.

Early morning hours were actually the most requested time slot — often even more than evenings or after-work availability. 

Many of the adults I work with are professionals, parents, and people with full lives who can't easily step away mid-afternoon for an appointment. Early morning slots mean you can take care of your mental health before work, before school drop-off, or before the day takes over — without rearranging your entire schedule or using precious PTO.

I'm available Tuesday through Friday starting at 6am Pacific Time.
These appointment times do tend to fill quickly.

Yes. As a board-certified psychiatric mental health nurse practitioner (PMHNP), I provide medication management through secure telehealth visits. Prescriptions are sent electronically to your preferred pharmacy. 

All scheduling is handled online — that's right, no phone calls means no hold music.

Yes, Ayr is a 100% telehealth practice, which is one of the most convenient ways to receive psychiatric care.

Patients often tell me how much they love the flexibility. Research shows telehealth can be as effective as in-person visits for many mental health conditions, and it removes many of the barriers that keep people from getting help. There’s no commute, no waiting room, and no need to take extra time off work. Early morning appointments make it even easier to fit care into your day.

All sessions take place on a secure, HIPAA-compliant video platform. You can join from wherever works best for you — whether that’s your home, your office, or your parked car — anywhere in Washington or Arizona. Life happens, and a child in the background is never a problem.

Many LGBTQ+ people have had healthcare experiences where their identity was questioned, overlooked, or treated as the source of their struggles. An LGBTQ+ affirming approach respects your sexual orientation and gender identity as valid parts of who you are. Neither is something to be changed or explained away.

In practice, that means I don't make assumptions about your identity or relationships, I use the name and pronouns you share, and I consider how experiences like stigma, rejection, or lack of support may affect your mental health. Your goals and the kind of support that feels right to you help guide your care.

I'm committed to continuing to learn. If I misunderstand something or use language that doesn't feel right to you, you're welcome to let me know. I'll listen and do my best to get it right.

Neurodivergent is a broad, nonmedical term that describes a person whose brain processes, learns, or experiences the world in ways that differ from what's considered typical. It isn't a diagnosis, and people may use the term in different ways. It's commonly used in relation to ADHD, autism, dyslexia, and other differences. People whose brains work in ways considered typical are often called neurotypical.

Many people have taken an antidepressant for years and begin to wonder whether they still need it, or they want to stop because of side effects but feel unsure how.

Stopping these medications suddenly, or tapering too quickly, can lead to uncomfortable withdrawal symptoms. These may include dizziness, nausea, flu-like aches, trouble sleeping, vivid dreams, irritability, anxiety, mood swings, and brief electric shock sensations often described as "brain zaps." For some people these symptoms pass within a few weeks, while others experience them longer. Withdrawal can also be mistaken for a return of depression or anxiety, which is one reason careful monitoring matters.

Deprescribing is a slow, individualized taper (gradual reduction) of a medication, with close attention to how you feel along the way.

Some medications, such as venlafaxine (Effexor) and paroxetine (Paxil), leave the body more quickly and are more likely to cause withdrawal, so tapering them may take several months. The pace is adjusted to your body and your life, not a one-size-fits-all schedule.

I believe patients deserve a voice in their treatment, and this approach respects that choice while keeping safety and stability at the center of care. As a Certified Deprescriber through MyDeprescriber, I use hyperbolic tapering, an evidence-based method that makes progressively smaller dose reductions as the dose gets lower, where withdrawal is often hardest.