Thoughtful, integrative mental health care for adults, children, and families in
Washington State.
Available for new patients — next day appointment available.
Initial visits from $275 · HSA/FSA accepted. Out-of-network reimbursement available.
Personalized Wellness: The New Clinical Standard
The Clinical Focus
Washington Integrative Psychiatry provides comprehensive mental health care with a focus on thoughtful medication management, root-cause evaluation, and long-term stability. Care is individualized for each patient, with attention to mood, motivation, sleep, focus, and overall cognitive clarity.
The Concierge Advantage
Our integrative approach considers metabolic, hormonal, and lifestyle factors when clinically appropriate, alongside standard psychiatric care. Extended appointments and consistent follow-up allow for thoughtful, individualized care, well suited for professionals, parents, and families who value time, continuity, and a collaborative care experience outside the traditional insurance model.
Areas of Specialization
Services are designed to support mental clarity, emotional balance, and sustained improvement through evidence-based and integrative care.
Performance Anxiety & Burnout Care
High-achieving professionals often experience a persistent “tired-but-wired” state, mentally engaged, physically depleted, and unable to fully reset.
Thyroid-Informed Mood & Energy Care
Persistent fatigue, low motivation, or emotional flatness can sometimes coexist with subtle thyroid or metabolic patterns, even when standard psychiatric treatments are already in place.
ADHD & Executive Function Care (Adults & Pediatrics)
ADHD in high-responsibility environments often presents as chronic mental overload, difficulty sustaining focus, or persistent friction between ideas and execution, rather than overt hyperactivity.
Metabolic & Weight-Related Mental Health Care
Concerns around appetite regulation, weight changes, emotional eating, or gastrointestinal discomfort can meaningfully influence mood, anxiety, and daily functioning.
About Me
Board Cert Psychiatric,
Mental Health Nurse Practitioner
About Me
I’m Gabriel Jalles, a Board-Certified Psychiatric Mental Health Nurse Practitioner providing integrative mental health care for adults, children, and families across Washington State. I work with patients seeking clarity, stability, and a more personalized approach to care.
I founded Washington Integrative Psychiatry to provide a level of care that the traditional insurance model rarely supports. As a father of three, I personally understand the complexities of raising a family while managing a high-stakes career. I combine this real-world insight with my clinical expertise in pediatric psychiatry to support both you and your children.
Fluent in English, Spanish, and Portuguese, I provide culturally sensitive care through longer visits, thorough evaluations, and clear treatment plans designed to support lasting improvement.
Trusted by Our Patients
Precision care without the constraints of traditional insurance
1
Priority Access
See patients promptly, bypassing typical insurance waitlists.
2
Extended Consultations
Ample time to go beyond “med checks” and explore contributing factors.
Get seen this week. I bypass the months-long waitlists typical of insurance-based practices.
I provide the time necessary to move beyond "med checks" and identify the root cause of your symptoms.
I incorporate evidence-based nutraceuticals and lifestyle interventions that insurance companies often won't cover.
Your diagnosis and records remain strictly between us. No reporting to insurance databases that follow you throughout your career.
Most patients receive 40%–100% reimbursement through out-of-network benefits. I provide everything you need to file these claims, and I accept HSA/FSA payments.
The Process
1
Free 15-Minute
Intro Call
Ask questions, discuss goals, and determine whether this practice is the right fit for you or your child.
2
Book Your First Appointment
A $25 deposit is required to schedule your initial visit and is credited toward your appointment.
3
Laboratory
Evaluation
When clinically appropriate, labs may be ordered before or after your first visit to guide treatment decisions.
4
Initial Consultation & Follow-Ups
Initial visits are up to 75 minutes. Follow-ups are typically conducted monthly until stability is achieved, and then they are spaced every 2-3 months.
5
Psychotherapy mindfulness sessions
Available within select programs for patients seeking additional cognitive, mindfulness, or supportive care.
Care for Your Mind and Well-Being
A simple first step to explore personalized, integrative mental health care.
Our Difference
Care tailored to motivation, performance, mood, and energy.
Services available in English, Spanish, and Portuguese.
Combining traditional psychiatry with metabolic and lifestyle evaluation when appropriate.
Contact Us
Ready to take the next step? Reach out to begin your care journey.
Contact Us
Ready to take the next step? Reach out to begin your care journey.
