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15 Best Psychiatrists in Seattle

Psychiatrists in Seattle offer different combinations of assessment, medication management, psychotherapy, telehealth, and longer-term support. A useful comparison begins with the concern you want to address, whether you prefer in-person or remote care, and how much coordination you expect from the practice.

Look for a clinician whose approach fits your needs, such as ADHD and executive-function support, anxiety care, thoughtful medication review, or therapy with optional medication management. Before scheduling, clarify appointment format, follow-up cadence, and what information the first consultation requires.

How this guide is ordered

We chose psychiatrists in Seattle with a proven record among their customers and ranked them with the specialists first. The list is reviewed regularly so it stays current.

Featured positions are clearly marked and only offered to businesses that already earned their place in the guide.

Top 3Full listMapHow to choose

Compare 15 local options

Spruce Psychiatric Associates, Seattle#1
What stands out
  • Adult and adolescent psychiatry

  • Collaborative medication management

Spruce Psychiatric Associates

4.8213 reviews
126 NW Canal St Ste 200, Seattle, WA 98107, United States
Best for
ADHD and medication-management carePatients seeking telehealth psychiatry

Spruce Psychiatric Associates connects Seattle patients with independent, board-certified psychiatric providers offering medication management and care for adults and adolescents. Areas of focus include ADHD, anxiety, depression, PTSD, OCD, and other mental health concerns, with each practitioner bringing a distinct clinical focus.

The practice emphasizes attentive listening, collaborative treatment decisions, and careful discussion of what may work best for the individual. Telehealth is available, although some assessments and treatments may require in-person care, particularly when controlled medication or an ADHD diagnosis is involved. Appointment planning is required through the intake process.

Edwards Psychiatry, Seattle#2
What stands out
  • Thoughtful medication planning

Edwards Psychiatry

5.040 reviews
Relational Psych, 200 W Mercer St E305, Seattle, WA 98119, United States
Best for
Adults seeking collaborative psychiatric carePatients needing executive-function support

Edwards Psychiatry in Seattle takes a calm, respectful approach to psychiatric care, with time for questions and careful attention to each person’s concerns. Medication management, assessment, and executive-function coaching are among the areas associated with the practice, supported by clear communication and collaborative planning.

The tone is warm without losing structure: treatment options are explained in practical terms, and patients are encouraged to discuss what is or is not working. The practice welcomes LGBTQ+ and transgender patients and operates by appointment, making advance scheduling important for a focused first visit.

Existential Psychiatry | David G. Zacharias, MD, Seattle#3
What stands out
  • Therapy-first psychiatric care

Existential Psychiatry | David G. Zacharias, MD

4.944 reviews
4020 E Madison St #240, Seattle, WA 98112, United States
Best for
Patients seeking existential psychotherapyLonger-term personal growth work

David G. Zacharias, MD brings existential psychotherapy into psychiatric care in Seattle, with sessions that can include medication management. His therapy-first perspective gives sustained attention to personal meaning, difficult questions, emotional growth, and the wider context surrounding mental health.

The practice is particularly distinctive for offering 50-minute psychotherapy sessions, ranging from weekly to monthly, with or without medication management. Dr. Zacharias is Mayo Clinic trained and serves as a University of Washington clinical instructor. An open mind and curiosity about oneself are useful starting points for this style of work.

BLocal option
#4
What stands out
  • Collaborative personalized treatment

Blue Mountain Psychiatry: Seattle

5.027 reviews
450 Alaskan Way S Ste 200, Seattle, WA 98104, United States
Best for
Patients seeking thoughtful medication carePeople who prefer telepsychiatry

Blue Mountain Psychiatry provides personalized psychiatric care in Seattle, led by Edward Macias, PMHNP-BC. The practice takes a collaborative view of mental health, linking physical, emotional, and social factors with evidence-based treatment, therapeutic strategies, and medication management.

Visits are structured around careful listening, detailed intake questions, and a plan developed together rather than rushed through. Telepsychiatry adds flexibility for suitable cases, while care may address mood disorders, anxiety, depression, schizophrenia, and related concerns. The practice works by appointment, and advance booking is recommended.

Family Psychiatry, Seattle#5
What stands out
  • Thorough individualized evaluations

  • Telehealth for busy schedules

Family Psychiatry

4.776 reviews
2820 Northup Way Ste 105, Bellevue, WA 98004, United States
Best for
Families seeking ADHD or anxiety care

Family Psychiatry provides psychiatric care for individuals and families in Seattle, with particular attention to ADHD, anxiety, and depression. Its evaluation process includes a detailed psychiatric intake, review of relevant mental and physical health records, and assessment by a psychiatrist and mental health team before developing an individualized treatment plan.

Telehealth supports patients whose schedules or circumstances make remote care preferable. The practice is also suited to families seeking care for children or adolescents, with communication designed to be clear and responsive throughout treatment. Appointments are recommended, and the intake process is intentionally thorough so concerns and goals can be addressed from the outset.

SLocal option
#6
What stands out
  • Organized supportive clinic

  • Progressive treatment options

SeattleNTC - Bellevue

5.024 reviews
1450 114th Ave SE #110, Bellevue, WA 98004, United States
Best for
Patients seeking coordinated psychiatric care

SeattleNTC’s Bellevue location presents a structured, welcoming setting for psychiatric care in the Seattle area. The team is associated with progressive treatments, attentive listening, and organized appointment support, with staff who help patients navigate scheduling and ongoing care.

The clinic’s atmosphere is designed to feel calm and supportive, while providers take time to understand individual needs. It is a sensible option for people looking for a coordinated practice rather than a solo office. Appointments are recommended, so arranging a visit ahead of time helps keep the process orderly.

PNW Virtual Health: ADHD Specialists, Seattle#7
What stands out
  • Adult ADHD telehealth assessments

  • Individualized medication planning

PNW Virtual Health: ADHD Specialists

4.767 reviews
509 Olive Wy #1349, Seattle, WA 98101, United States
Best for
Adults seeking ADHD assessmentPatients wanting an ADHD second opinion

PNW Virtual Health specializes in adult ADHD assessment, tailored treatment, and medication management through telehealth in Washington, serving patients from Seattle and beyond. Its standardized assessment is designed to go beyond a brief checklist, helping clarify how attention-related concerns affect everyday life and what support may be appropriate.

Care is framed as individualized rather than one-size-fits-all, with medication treated as one tool within a broader plan. The clinic’s providers support adults seeking an initial assessment, a second opinion, or ongoing ADHD care, while offering an online format that removes the need for routine in-person visits.

Owens Mental Health, Seattle#8
What stands out
  • Collaborative medication management

Owens Mental Health

4.824 reviews
1455 NW Leary Wy Suite 400, Seattle, WA 98107, United States
Best for
Patients reviewing psychiatric medication options

Owens Mental Health provides psychiatric evaluations and medication management for people in Seattle and throughout Washington, with both in-person and telehealth care. Its approach emphasizes thoughtful discussion, regular monitoring, and collaboration when selecting or adjusting medication rather than treating prescriptions as a one-size-fits-all solution.

The practice is a strong fit for patients who want to understand their options and stay involved in treatment decisions. Genetic testing may be considered when medication response or side effects make additional information useful, and treatment can include adjustment or tapering when clinically appropriate. The care environment is welcoming to LGBTQ+ and transgender patients.

Transformational Psychiatry NW & TMS Clinic, Seattle#9
What stands out
  • Specialized TMS treatment

Transformational Psychiatry NW & TMS Clinic

4.824 reviews
4700 42nd Ave SW Ste 550 & #551, Seattle, WA 98116, United States
Best for
Patients exploring TMS for depression or anxiety

Transformational Psychiatry NW & TMS Clinic brings transcranial magnetic stimulation to Seattle’s West Seattle community, focusing on depression, anxiety, and related mental health concerns. The practice uses the FDA-approved CloudTMS system and explains treatment in concrete terms, including the tapping sensation and clicking sound patients may notice during a session.

A typical course involves several sessions per week over six to nine weeks, with individual treatments lasting roughly five to twenty minutes. TMS care is delivered by an experienced, compassionate team, while long-term medication management generally remains with the patient’s established psychiatric provider. Normal activities can resume immediately after treatment.

Family Psychiatry, Seattle#10
What stands out
  • Comprehensive psychiatric intake

Family Psychiatry

4.5120 reviews
753 N 35th St Ste 311, Seattle, WA 98103, United States
Best for
Individuals and families needing ADHD care

Family Psychiatry serves individuals and families in Seattle with care focused on ADHD, anxiety, and depression. The practice uses a comprehensive intake, review of relevant records, and psychiatric assessment to shape treatment around the person rather than a single symptom. Telehealth is available for patients who need a more flexible way to attend care.

The clinical style is designed to be attentive and individualized, with room for questions, ongoing communication, and collaborative decisions. The team works with patients of different ages, including children and adolescents, while maintaining a structured process for evaluation and follow-up. Appointments are recommended, so arranging care in advance is sensible.

Blissz Psychiatry & Healthcare - Seattle Washington#11
What stands out
  • Personalized psychiatric treatment

  • Therapy and medication support

Blissz Psychiatry & Healthcare - Seattle Washington

4.817 reviews
221 1st Ave W #200, Seattle, WA 98119, United States
Best for
Patients seeking integrated mental health care

Blissz Psychiatry & Healthcare provides psychiatric evaluations, therapy, medication management, and supportive mental health care for people in Seattle and Washington. The practice emphasizes personalized treatment planning, with clinicians who explain each step, listen carefully, and consider therapy, medication, and additional support according to individual circumstances.

Its style is warm and holistic, aiming to create a setting where people can discuss concerns without feeling rushed or judged. Telehealth helps extend continuity beyond the office, while care is available for patients looking for structured guidance through assessment and ongoing treatment. Advance appointment planning is recommended.

MLocal option
#12
What stands out
  • Adult psychiatry with shared decisions

Martini Psychiatric Practice

4.524 reviews
1511 3rd Ave, Seattle, WA 98101, United States
Best for
Independent adults seeking psychiatric careADHD treatment discussions

Martini Psychiatric Practice serves primarily independent adults in Seattle, with care shaped around patient participation and the relationship between biological, psychological, and environmental factors. Dr. Shahm Martini is a general adult psychiatrist whose work includes ADHD and other psychiatric concerns, using medication decisions alongside broader clinical context.

The practice suits adults who want a direct, analytical conversation about treatment options rather than a passive process. Harm-reduction principles may guide care when substance use contributes to dysfunction or risk. Patients younger than 15 or older than 75 are generally directed toward age-specific psychiatric care, and appointments are required or recommended.

Marty Hoiness, MD Psychiatry, Seattle#13
What stands out
  • Psychotherapy-integrated medication care

  • Whole-person psychiatric approach

Marty Hoiness, MD Psychiatry

4.515 reviews
2107 Elliott Ave #207, Seattle, WA 98121, United States
Best for
Adults with complex psychiatric needsPatients seeking integrated psychotherapy

Marty Hoiness, MD provides psychiatric care in downtown Seattle, integrating psychopharmacology with evidence-based psychotherapy. His approach considers the whole person rather than a single symptom, with attention to underlying causes, personal goals, and treatment choices that may evolve over time.

The practice is especially relevant to adults seeking care for ADHD, depression, anxiety, OCD, sleep disorders, or bipolar disorder. Dr. Hoiness has more than 20 years in practice, is board certified in psychiatry, and has taught as a clinical instructor at the University of Washington. Appointment planning is recommended for this focused private-practice setting.

PsychPlus Seattle Clinic - Psychiatrist and Therapist#14
What stands out
  • In-person and virtual psychiatry

PsychPlus Seattle Clinic - Psychiatrist and Therapist

4.515 reviews
509 Olive Wy #1259, Seattle, WA 98101, United States
Best for
Patients wanting flexible mental health visitsPeople seeking therapy alongside psychiatry

PsychPlus Seattle Clinic provides both in-person and virtual care from licensed psychiatrists and therapists. The practice focuses on accessible mental health treatment, including psychiatric medication management and therapy, with clinicians who explain treatment direction and involve patients in decisions about dosage and ongoing support.

Its model is useful for people who want flexibility between office and remote visits or prefer psychiatric and therapy services within one organization. The care style combines clear communication with a respectful, collaborative tone. Appointments are recommended, so new patients should allow time for the intake and provider-matching process.

LightHeart Mental Health Therapists and Psychiatrists - Fremont, Seattle#15
What stands out
  • Therapy and psychiatry under one roof

  • Broad outpatient care menu

LightHeart Mental Health Therapists and Psychiatrists - Fremont

4.329 reviews
400 N 34th St #320, Seattle, WA 98103, United States
Best for
Patients seeking combined therapy and psychiatryPeople needing telehealth options

LightHeart Mental Health in Fremont offers outpatient therapy, psychiatry, medication management, telehealth, and interventional services for people in Seattle. The broader care menu includes support for anxiety, depression, ADHD, autism, OCD, PTSD, sleep concerns, bipolar disorder, and LGBTQIA+ mental health.

Its team-based format gives patients access to different types of clinicians while keeping care individualized. Providers are described as patient, explanatory, and open to personal input, which can be helpful when coordinating therapy with psychiatric treatment. The practice serves both new and returning patients through an appointment-based intake process.

The comparison at a glance

#BusinessRatingReviewsBest for
#1Spruce Psychiatric Associates 4.8213ADHD and medication-management care
#2Edwards Psychiatry 5.040Adults seeking collaborative psychiatric care
#3Existential Psychiatry | David G. Zacharias, MD 4.944Patients seeking existential psychotherapy
#4Blue Mountain Psychiatry: Seattle 5.027Patients seeking thoughtful medication care
#5Family Psychiatry 4.776Families seeking ADHD or anxiety care
#6SeattleNTC - Bellevue 5.024Patients seeking coordinated psychiatric care
#7PNW Virtual Health: ADHD Specialists 4.767Adults seeking ADHD assessment
#8Owens Mental Health 4.824Patients reviewing psychiatric medication options
#9Transformational Psychiatry NW & TMS Clinic 4.824Patients exploring TMS for depression or anxiety
#10Family Psychiatry 4.5120Individuals and families needing ADHD care
#11Blissz Psychiatry & Healthcare - Seattle Washington 4.817Patients seeking integrated mental health care
#12Martini Psychiatric Practice 4.524Independent adults seeking psychiatric care
#13Marty Hoiness, MD Psychiatry 4.515Adults with complex psychiatric needs
#14PsychPlus Seattle Clinic - Psychiatrist and Therapist 4.515Patients wanting flexible mental health visits
#15LightHeart Mental Health Therapists and Psychiatrists - Fremont 4.329Patients seeking combined therapy and psychiatry

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Map of psychiatrists in Seattle

Specific Seattle neighborhoods are not verified for these psychiatrists, so the most useful geographic comparison is in-person access versus telepsychiatry coverage. Practices may differ in how often they require office visits and which patients they can serve remotely. Before booking, confirm the clinician’s service area, appointment format, and follow-up arrangements. This is particularly relevant for people balancing work, family responsibilities, executive-function challenges, or care that involves more than one provider.

Services to compare

  • ADHD carePsychiatric support for individuals, families, and adults seeking ADHD assessment, treatment planning, or ongoing care.
  • Medication managementFollow-up care for patients reviewing medication options, monitoring effects, or seeking a more collaborative treatment discussion.
  • Anxiety careSupport for families and individuals seeking psychiatric care related to anxiety alongside broader treatment planning.
  • TelepsychiatryRemote psychiatric appointments for patients who prefer telehealth or need a more flexible care format.
  • Executive-function supportCare addressing organization, focus, planning, and related executive-function concerns within a psychiatric setting.
  • PsychotherapyExistential psychotherapy and longer-term personal growth work for patients seeking a reflective treatment approach.
  • Therapy with medication optionsTreatment models that combine therapy with optional medication management when both forms of support may be useful.
  • Coordinated psychiatric carePsychiatric care for patients who want clearer coordination among assessment, medication follow-up, and other providers.

How to choose psychiatrists in Seattle

  1. State your main treatment goalWhen requesting an appointment, explain whether you are seeking ADHD care, anxiety support, medication review, psychotherapy, or a broader psychiatric assessment.
  2. Clarify the care formatAsk whether visits are in person, by telehealth, or offered in a mix, and confirm any requirements for initial or follow-up appointments.
  3. Ask about follow-up timingFind out how medication changes, symptom updates, and treatment decisions are reviewed between visits, especially when ongoing monitoring matters.
  4. Discuss therapy involvementIf you want psychotherapy as well as medication care, ask whether the psychiatrist provides it directly or coordinates with a separate therapist.
  5. Prepare clinical informationAsk what records, medication history, previous diagnoses, or questionnaires are needed so the first consultation can focus on your current concerns.

Frequently asked questions

What is the difference between a psychiatrist and a therapist?

Psychiatrists can evaluate mental health concerns and manage psychiatric medication, while therapists generally focus on psychotherapy. Some psychiatric practices also provide therapy or coordinate with therapists, so ask how those services are organized.

Can I see a psychiatrist by telehealth in Seattle?

Some practices offer telepsychiatry, including medication-focused appointments and ongoing care. Confirm whether remote visits are available for your location, whether an initial in-person visit is required, and how prescriptions or follow-up will be handled.

What should I ask about ADHD medication management?

Ask how the clinician evaluates symptoms, reviews previous treatment, monitors benefits and side effects, and schedules follow-ups. If executive-function difficulties affect work or daily routines, mention those examples during the initial conversation.

Can a psychiatrist provide therapy and medication management?

Some psychiatrists offer both therapy and medication management, while others focus on medication or coordinate with another clinician. Ask which model the practice uses and whether your preferred balance of therapy and medication is available.

How long might it take to get a first appointment?

Availability varies by clinician, appointment format, and the type of care requested. When contacting a practice, ask about the earliest suitable intake, cancellation openings, required paperwork, and how quickly follow-up care is typically arranged.

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